Because physical inactivity poses serious health risks, interventions are urgently needed to reverse the increasingly sedentary lifestyles of adolescent girls. The aim of this study was to determine the feasibility of "Girls on the Move," an individually tailored computerized physical activity (PA) program plus nurse counseling intervention, in increasing PA. A pretest-posttest control group design was used with 77 racially diverse sedentary girls in Grades 6, 7, and 8 from two middle schools. Each of the instructional grades was randomly assigned to either an intervention or control condition. After completing computerized questionnaires, each girl in the control group received a handout listing the PA recommendations. To encourage PA, each girl in the intervention group received computerized, individually tailored feedback messages based on her responses to the questionnaires, individual counseling from the school's pediatric nurse practitioner (PNP), and telephone calls and mailings from a trained research assistant. At 12 weeks, girls in both groups responded to the questionnaires. No differences in self-reported PA emerged between the intervention and control groups at Weeks 1 (baseline) and 12 (postintervention). Repeated measures ANOVA showed a significant interaction between group and time for social support for PA, F(1, 69) = 5.73, p = .019, indicating that the intervention group had significantly greater social support across time than did the control group. From baseline to postintervention, social support increased for the intervention group but decreased for the control group. Reasons for the lack of significant differences between the groups on the PA measures were cited. Important information that could inform subsequent studies that test interventions to increase youth PA was acquired from conducting this study. Future efforts to increase PA participation might include this approach for enhancing social support for PA.
Purpose: To examine the interaction effects of adult and child food insecurity on parents’ and children’s mental well-being. Design: An online survey study was conducted. Setting: Two Head Start organizations and the Qualtrics Panel. Subjects: Four hundred and eight parents under poverty level and having a child aged 3–5 years participated. Measures: Food insecurity was assessed by the U.S. Household Food Security Survey Module. Parents’ stress, anxiety and depression; and children’s sadness, fear, anger, and positive affect were measured using instruments from HealthMeasures. Analysis: Multivariate general linear models were performed in SPSS. Results: Mean age was 31 years, 17% Hispanic, 21% Black. About 51% parents and 37% children were food insecure. After adjusting for demographics and child food insecurity, parents with adult food insecurity had higher stress ( B = 2.65, p = .002), anxiety ( B = 3.02, p = .001), and depression ( B = 3.66, p = .001); and fear in their children ( B = 5.03, p = .002) than those without adult food insecurity. Similarly, parents reporting child food insecurity had greater depression than those having no child food insecurity ( B = 4.61, p = .020). Black parents had lower stress ( B = −1.91, p = .018), anxiety ( B = −2.26, p = .012), and depression ( B = −4.17, p < .001) than their White counterparts. Conclusions: The study’s results underscore the importance of reducing food insecurity in both parents and children as a whole family system to promote mental well-being of low-income families.
1 September 2008 in Journal of Nursing Measurement
The purpose of this study was to psychometrically test the Adolescent Physical Activity Perceived Benefits and Barriers Scales developed for middle-school-age youth. A total of 206 racially diverse 6th, 7th, and 8th graders completed questionnaires at two time points (2 weeks apart). For the 10-item Perceived Benefits Scale and the 9-item Perceived Barriers Scale, test–retest reliability (r = .70; r = .71, respectively) and internal consistency (Cronbach’s alpha was .80 and .79, respectively, at time 1) were supported. Principal components analysis with Varimax rotation was employed to assess construct validity. A 2-factor solution emerged for each scale as predicted. The relationship between both scale scores and self-reported physical activity provided additional evidence of validity. Both instruments were found to be reliable and valid for measuring the perceived benefits of and barriers to physical activity in middle school youth.