Evening Snacking in Relation to Self-reported Declines in Sleep Quality during Pregnancy: Preliminary Results from the Decision-Making, Eating, and Weight Gain During Pregnancy (DEW) Study

Background: Poor sleep in non-pregnant adults has been associated with increased evening snacking, which may contribute to weight gain. Sleep disturbances are common during pregnancy. Objective: To examine the association between changes in sleep quality from pre-pregnancy and evening snacking. Methods: In an ongoing prospective cohort study, pregnant women were recruited from UMMHC obstetric practices and the community. Participants are 18+ years, with singleton gestationweeks, pre-pregnancy BMI 18.5-40 kg/m2, English-speaking, and with plans to deliver at UMMHC. Participants were asked “compared to the three months before you became pregnant, how is your sleep quality now?”; we combined responses of “about the same”/“a little better”/“a lot better” versus “a little worse”/“much worse”. Participants completed three 24-hour dietary recalls (2 weekdays, 1 weekend day). Evening snacks were defined as eating occasions after dinner but before bedtime during which food items other than water was consumed. Fisher’s Exact tests and t-tests provided comparisons for evening snacking (yes/no), number of snacks, and energy intake. Results: Women with complete data (n=55) were 58% non-Hispanic White and aged 30.0 (SD:4.3) years; gestational age at study visit was 23.0 (SD:5.9) weeks. Of 866 meals reported, 94 were evening snacks. 71% (n=39) reported that their current sleep quality was worse than before pregnancy. Evening snacks were reported by 90% of women reporting worse sleep and 69% same/better (p=0.1028). While the number of snacks among snackers did not differ by change in sleep quality (M[SD]: 2.2[1.2] versus 1.6[0.8], p=0.2372), energy intake from these snacks was higher among women whose sleep quality had declined (M[SD]: 630[488] versus 309[331] kcal, p=0.0480). Conclusions: Declines in sleep quality during pregnancy may be linked to evening snacking. More research is needed to understand the role of sleep quality, eating behavior, and weight gain during pregnancy

White Paper: Open Digital Health – accelerating transparent and scalable health promotion and treatment

In this White Paper, we outline recommendations from the perspective of health psychology and behavioural science, addressing three research gaps: (1) What methods in the health psychology research toolkit can be best used for developing and evaluating digital health tools? (2) What are the most feasible strategies to reuse digital health tools across populations and settings? (3) What are the main advantages and challenges of sharing (openly publishing) data, code, intervention content and design features of digital health tools? We provide actionable suggestions for researchers joining the continuously growing Open Digital Health movement, poised to revolutionise health psychology research and practice in the coming years. This White Paper is positioned in the current context of the COVID-19 pandemic, exploring how digital health tools have rapidly gained popularity in 2020-2022, when world-wide health promotion and treatment efforts rapidly shifted from face-to-face to remote delivery. This statement is written by the Directors of the not-for-profit Open Digital Health initiative (n = 6), Experts attending the European Health Psychology Society Synergy Expert Meeting (n = 17), and the initiative consultant, following a two-day meeting (19-20th August 2021).Peer reviewe

White Paper: Open Digital Health - accelerating transparent and scalable health promotion and treatment

In this White Paper, we outline recommendations from the perspective of health psychology and behavioural science, addressing three research gaps: (1) What methods in the health psychology research toolkit can be best used for developing and evaluating digital health tools? (2) What are the most feasible strategies to reuse digital health tools across populations and settings? (3) What are the main advantages and challenges of sharing (openly publishing) data, code, intervention content and design features of digital health tools? We provide actionable suggestions for researchers joining the continuously growing Open Digital Health movement, poised to revolutionise health psychology research and practice in the coming years. This White Paper is positioned in the current context of the COVID-19 pandemic, exploring how digital health tools have rapidly gained popularity in 2020-2022, when world-wide health promotion and treatment efforts rapidly shifted from face-to-face to remote delivery. This statement is written by the Directors of the not-for-profit Open Digital Health Initiative (n = 6), Experts attending the European Health Psychology Society Synergy Expert Meeting (n = 17), and the initiative consultant following a two-day meeting (19-20th August 2021).Output Status: Forthcoming/Available Online Additional co-authors: Judith Nalukwago, Efrat Neter, Johanna Nurmi, Manuel Spitschan, Samantha B. Van Beurden, L. Nynke Van der Laan, Kathrin Wunsch, Jasper J. J. Levink & Robbert Sanderma

Nurturing Through Nature: The socio-economic impact of Umzi Wethu on rural Eastern Cape communities

This study seeks to determine and document the socio-economic impact of the Umzi Wethu programme, which uses nature as a basis to nurture, educate and prepare young, vulnerable people for employment.Umzi Wethu, a programme conceptualized, managed and implemented by the Wilderness Foundation, is actively using biodiversity conservation as a basis for educating and nurturing young people. The programme seeks 'to fulfil the employability potential of resilient, motivated youth displaced by HIV and AIDS and poverty by using the power of the wilderness, promoting personal wellness in a nurturing home context, providing credible training, and securing sustainable job placements in hospitality and ecotourism environments - while extending the programme's social outreach to others'. Few programmes provide a holistic approach that augments relevant skills training with life skills and wellness support, which is especially beneficial for youth who have been made vulnerable by an inherited disparity, poverty and the HIV and AIDS crisis.The significant socio-economic impact of the Umzi Wethu model is documented in this report. The programme has brought about positive socio-economic development within rural communities in the Eastern Cape. It has resulted in increased levels of education and training and circulation of income within rural regions, youth employment and the general improvement of the socio-economic status of rural communities.This document is one of a number of publications highlighting NGO good practice and emerging issues from partner organizations supported by Oxfam in South Africa

Pedagogical style and influence of Nadia Boulanger on music for wind symphony, an analysis of three works by her students: Copland, Bassett, and Grantham.

An examination of the influences on twentieth-century wind music would be incomplete without the consideration of composer, organist, pianist, conductor, teacher, and critic Nadia Boulanger (1887-1979). Students from the United States began studying with Boulanger between World War I and World War II, and continued to travel to study with her for over fifty years. The respect awarded this legendary French woman was gained as a result of her effectiveness as a teacher, her influence on the development of each student's unique compositional style, and her guidance of an emerging American musical style. The correlation between the teacher's lessons and the compositional output of her students must be explored. Boulanger did not compose specifically for winds, and she did not encourage her students to compose for the wind symphony. However, this document will outline the influence that this powerful pedagogue exerted over the creation of repertoire by her students by providing insight into the pedagogical style and philosophical foundations of Boulanger as reflected in the literature and by the writings, comments, and compositions of three successful students who composed literature for the wind symphony: Aaron Copland (1900-1990), Leslie Bassett (b. 1923), and Donald Grantham (b. 1947). Three significant works for winds will be considered including Copland's Emblems, Bassett's Lullaby for Kirsten, and Grantham's Variations on an American Cavalry Song

Postoperative tamoxifen for ductal carcinoma in situ (protocol)

The aim of this review is to assess the effectiveness of postoperative tamoxifen in women having surgical resection of ductal carcinoma in situ (DCIS)

Linked histories : postcolonial studies in a globalized world /

Includes bibliographical references and index