Effectiveness of Groups for Adolescents With Type 1 Diabetes Mellitus and Their Parents

Peer- and family-based group therapies have been used as separate interventions to improve adjustment and self-management among youth with Type 1 diabetes mellitus. This study replicates a treatment protocol that combined these two types of diabetes management groups, while also using a wait-list control design methodology within an outpatient mental health clinic setting. General psychosocial and diabetes-related variables were assessed at baseline, immediately posttreatment, and 4 months posttreatment. Youths’ medical information, including metabolic control values, was extracted from medical charts for the 6 months prior to baseline and 6 months after treatment ended. At 4 months posttreatment, parents and youth reported increased parent responsibility, and parents reported improved youth diabetes-specific quality of life. Although there were no statistically significant changes in hemoglobin A1c values and health care utilization frequency from 6 months prior to and 6 months posttreatment, other psychosocial changes (i.e., increases in parent responsibility and diabetes-specific quality of life) were documented. Therefore, this treatment was found to be a promising intervention for use in an outpatient clinical setting to aid in improving the psychosocial functioning of youth with Type 1 diabetes mellitus

Impact of Service Learning: High School Students as Health Coaches for Children

The current study examined high school students’ perceptions of healthy eating and exercise lessons in an obesity prevention curriculum being delivered to children in an urban area. Evaluators assessed high school student perceptions of their service learning. Forty-seven high school students participated and coached 65 children. The high school students recorded their perceptions of their experience by answering a series of questions in their journals after each teaching session. The high school students also recorded the children’s daily eating and exercise goals, roadblocks to reaching goals, and ideas for overcoming roadblocks. Results indicated that the majority of high school students (n = 45) wanted to participate in service learning in the future and that they were learning about teaching, setting goals with children, and learning about themselves as leaders. Future research should examine the long-term impact of the service experience for the high school students

Adverse Childhood Experiences and Current Cannabis Use among U.S. Young Adults

Cannabis use is a significant public health issue among U.S. young adults. The objective of this study was to assess the associations between adverse childhood experiences (ACEs) and current cannabis use among U.S. young adults. We conducted a secondary analysis of the 2021 Behavioral Risk Factor Surveillance System (BRFSS) data, which involved 498 U.S. young adults 18-24 years old who had data available for analysis on ACEs and current cannabis use. Unadjusted and adjusted logistic regression models were fitted to examine the associations between ACEs and current cannabis use. Adjusted models included participants’ sex, race/ethnicity, education level, and household income level. One-fourth (25.5%) of participants reported current cannabis use, and 21.3% reported one ACE, 25.2% reported 2-3 ACEs, and 38.4% reported ≥4 ACEs. Unadjusted (odds ratio [OR]=4.22, 95% confidence interval [CI]=1.91-9.33) and adjusted (adjusted OR=4.23, 95%CI=1.57-11.38) model results indicated that participants who experienced ≥1 ACE were at increased odds of reporting current cannabis use than participants with no ACEs. Unadjusted (OR=5.79, 95%CI=2.40-14.00) and adjusted (AOR=6.48, 95%CI=2.15-19.55) model results indicated that participants who experienced ≥4 ACEs were at increased odds of reporting current cannabis use than participants with no ACEs. Adjusted model results revealed that experiencing living with a household member who had a mental illness or sexual abuse increased the odds of reporting current cannabis use. Results demonstrated relations among ACEs and current cannabis use in young adulthood, especially among those who experienced ≥4 ACEs and experienced living with a household member who had a mental illness or sexual abuse

A Photovoice Project: Urban Elementary Girls’ Perspectives on Physical Activity

Photovoice is a community-based participatory research method where participants can showcase their life experiences through photography. The objective of this study was to have adolescent girls attending an after-school program use photovoice to represent their perceptions of physical activity practices. Photovoice was used to allow adolescent girls to express their perspectives, through photographs and narratives, of their personal and community strengths and concerns related to their involvement in physical activity. The phenomenological methodology was used as a framework for the study. Qualitative analyses were conducted throughout the research process. Constant comparison was used to analyze the focus group, scrapbook data, and notes recorded by the author to determine key themes and ideas. Participants for the study included 14 girls attending a school in an urban area. Benefits of physical activity as provided by the girls in their personal lives and the community included: understanding activity contributed to wellness, increased social opportunities, and the school as a hub of activities. Personal and community barriers to physical activity included: lack of neighbourhood safety, being involved in other sedentary activities, parental rules restricting outside play, outside conditions, personal choices to not exercise, and a lack of opportunity to exercise. Potential ways to increase physical activity among these participants are to create more group games and activities at the after-school program daily. Involving parents in activities with the girls at home may increase physical activity levels while at home

Evaluation of an After-School Obesity Prevention Program for Children

Dissemination of obesity prevention programs in different settings is needed. Moreover, new outreach tools to teach parents healthy eating and exercise lessons provided in these programs are important to develop. The pilot studies presented in this paper examined the implementation of the Children's Healthy Eating and Exercise Program in two different after school programs in 2015 and 2016. Participants were elementary school-age children and their parents. Eight lessons were presented at each school. Child perceptions of healthy eating and exercise goals were examined as well as child knowledge retention and perceptions of behavior change. Parent perceptions of the program were analyzed. Results indicated that children reported improved knowledge and behaviors. Parents reported satisfaction with the program, but remained hard to reach. Children recalled key components of the healthy eating lessons at long-term follow-up assessments. In the second pilot study, children served as health coaches for teaching parents about family goals. Children believed they were successful at coaching parents, but they requested help in developing family eating and exercise goals. Improving outreach to parents and involving siblings remains a goal for future studies as does beginning to examine changes in eating and physical activity using food diaries and accelerometry

Improving Adherence for Children with Diabetes

This chapter provides critical information on diabetes in children. Ideas for improving adherence to the child’s medical regimen are reviewed. In addition, factors that may hinder adherence are presented. Ideas for clinicians are presented in a case study

An Evaluation of Fitspiration Viewing and Exercise Behavior in College Students

Social media is widely used by college students, and is used for retrieving health information. “Fitspiration” (fitness and inspiration) pages are common on many popular social networking sites. Fitspiration pages have been previously associated with short term motivation for exercise and decreased body satisfaction. The purpose of this study was to explore ways in which viewing fitspiration pages may influence exercise behaviors for college students. Additionally, this study sought to explore if particular types of fitspiration pages can encourage increased exercise. This study utilized a cross-sectional survey approach and was distributed to college students at a large Midwestern university. About half of the students viewed fitspiration pages, and students who viewed fitness pages reported exercising more than those who did not. Students who viewed fitspiration pages also reported exercising for muscle-gain, enjoyment, fitness, reduced stress, and feeling better. CrossFit pages and professional fitness organization pages were associated with increased exercise. Students did not report feeling motivated by fitspiration. Additional research is needed to explore the relationships between fitspiration page viewing and fitness goals, and identify additional reasoning for viewing these pages

Evaluation of an Afterschool Children’s Healthy Eating and Exercise Program

Background: The purpose of this study was to examine the feasibility of the Children’s Healthy Eating and Exercise Program (CHEE) in an afterschool program of an elementary school. Methods:Students in a low-income elementary school were recruited to participate in the program. Thirty-three children were in the intervention group. Twenty-four children in the comparison group were recruited from after school clubs in the same elementary school.The CHEE Program consisted of 18 sessions, featuring nutrition (20 min) and physical activity (40 min) lessons. Nutrition lessons were adapted from the Traffic Light Diet. Other lessons included MyPlate, my refrigerator, my lunchbox, and a healthy foods tasting activity. Multiple physical activities were utilized in the program including soccer, dance, relay races, tag, and other fun games. Data were collected at the beginning and end of the program. Results: Children in both groups reported eating more vegetables at the post-intervention measurement. Children in the intervention group indicated that they learned about healthy eating and new physical activities due to their participation in the program. Conclusions: Future studies are needed to discover barriers to behavior change as well as apply a more rigorous design to examine the impact of the CHEE Program