In dit project wordt er voortgeborduurd op de kennis en expertise omtrent beweeginterventies die een brug van zorg naar bewegen slaan (sportzorgprogramma’s). Hier is er veel expertise opgedaan binnen Physical Activity Centre (PAC), een project vanuit het Lectoraat Fysieke Activiteit en Gezondheid van Fontys Sporthogeschool. PAC is ontstaan vanuit twee invalshoeken. Enerzijds als een verbeteractie om een optimale koppeling te realiseren tussen de theoretische kennis (medisch-biologisch en gedragswetenschappelijke theorieën) en het praktisch handelen van een student. Anderzijds was er de maatschappelijke vraag naar ‘beweegaanbod op maat’ omtrent de problematiek rondom chronische ziekten, vergrijzing en bewegingsarmoede.
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Background Physical activity after bariatric surgery is associated with sustained weight loss and improved quality of life. Some bariatric patients engage insufficiently in physical activity. The aim of this study was to examine whether and to what extent both physical activity and exercise cognitions have changed at one and two years post-surgery, and whether exercise cognitions predict physical activity. Methods Forty-two bariatric patients (38 women, 4 men; mean age 38 ± 8 years, mean body mass index prior to surgery 47 ± 6 kg/m²), filled out self-report instruments to examine physical activity and exercise cognitions pre- and post surgery. Results Moderate to large healthy changes in physical activity and exercise cognitions were observed after surgery. Perceiving less exercise benefits and having less confidence in exercising before surgery predicted less physical activity two years after surgery. High fear of injury one year after surgery predicted less physical activity two years after surgery. Conclusion After bariatric surgery, favorable changes in physical activity and exercise cognitions are observed. Our results suggest that targeting exercise cognitions before and after surgery might be relevant to improve physical activity.
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Background Fatigue is a prevalent and debilitating problem in Sjögren's syndrome. It has been suggested that physical activity and cognitions about physical activity can influence fatigue. Objective The aim of this study was to examine fatigue and physical activity levels in patients with Sjögren's syndrome and the associations of physical activity and physical activity cognitions with fatigue. Methods In 300 patients with primary Sjögren's syndrome and 100 demographically matched people from the general population (mean age 57, 93% female), fatigue (five dimensions of the 'Multidimensional Fatigue Inventory') and physical activity (three dimensions of the 'International Physical Activity Questionnaire') were assessed. The physical activity cognitions 'activity avoidance' and 'somatic focus' of the 'Tampa Scale of Kinesiophobia' were assessed in the Sjögren's group only. Results Sjögren's patients had higher scores on all five fatigue dimensions (p < .001) and lower scores on moderate and vigorous intensity activity (p < .01) as compared to control participants. In the Sjögren's group, lower physical activity and a higher activity avoidance and somatic focus were associated with more severe fatigue on most fatigue dimensions (p < .05). For general fatigue and physical fatigue, especially the combination of low physical activity and either high avoidance or high somatic focus was associated with more severe fatigue (p < .05). Conclusions Our results suggest that fatigue in patients with Sjögren's syndrome might be reduced by targeting both physical activity and physical activity cognitions. This suggestion requires verification in clinical experimental studies.
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Aware of the consequences of their inactive lifestyles, many people still struggle to integrate enough physical activity into their busy lives. Interventions that nudge to reinforce existing active behaviour seem therefore more likely to be effective than those adding an activity to daily routines. To encourage people to increase their physical activity level, we designed Discov, a network of physical waypoints triggering people to lengthen their walks. Placed in a public park, Discov encourages people to explore their surroundings in a fun and challenging way by creating an interactive walking experience. Adopting a Research-through-Design approach, we explore the potential of the design of accessible infrastructures and human-environment interactions to impact public health by nudging citizens into being more physically active. We discuss insights gathered through this process and report on first user tests of this interactive walking experience.
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Objectives: Promoting unstructured outside play is a promising vehicle to increase children’s physical activity (PA). This study investigates if factors of the social environment moderate the relationship between the perceived physical environment and outside play. Study design: 1875 parents from the KOALA Birth Cohort Study reported on their child’s outside play around age five years, and 1516 parents around age seven years. Linear mixed model analyses were performed to evaluate (moderating) relationships among factors of the social environment (parenting influences and social capital), the perceived physical environment, and outside play at age five and seven. Season was entered as a random factor in these analyses. Results: Accessibility of PA facilities, positive parental attitude towards PA and social capital were associated with more outside play, while parental concern and restriction of screen time were related with less outside play. We found two significant interactions; both involving parent perceived responsibility towards child PA participation. Conclusion: Although we found a limited number of interactions, this study demonstrated that the impact of the perceived physical environment may differ across levels of parent responsibility.
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Objective: To evaluate the preliminary effectiveness of a goal-directed movement intervention using a movement sensor on physical activity of hospitalized patients. Design: Prospective, pre-post study. Setting: A university medical center. Participants: Patients admitted to the pulmonology and nephrology/gastro-enterology wards. Intervention: The movement intervention consisted of (1) self-monitoring of patients' physical activity, (2) setting daily movement goals and (3) posters with exercises and walking routes. Physical activity was measured with a movement sensor (PAM AM400) which measures active minutes per day. Main measures: Primary outcome was the mean difference in active minutes per day pre- and post-implementation. Secondary outcomes were length of stay, discharge destination, immobility-related complications, physical functioning, perceived difficulty to move, 30-day readmission, 30-day mortality and the adoption of the intervention. Results: A total of 61 patients was included pre-implementation, and a total of 56 patients was included post-implementation. Pre-implementation, patients were active 38 ± 21 minutes (mean ± SD) per day, and post-implementation 50 ± 31 minutes per day (Δ12, P = 0.031). Perceived difficulty to move decreased from 3.4 to 1.7 (0-10) (Δ1.7, P = 0.008). No significant differences were found in other secondary outcomes. Conclusions: The goal-directed movement intervention seems to increase physical activity levels during hospitalization. Therefore, this intervention might be useful for other hospitals to stimulate inpatient physical activity.
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Hoe mooi zou het zijn als iedereen motorisch vaardig is, een positieve houding heeft ten opzichte van sport en bewegen, kennis heeft over het belang van sport en bewegen en in staat is om een krachtige beweegomgeving voor zichzelf en anderen te creëren. Zou het niet fantastisch zijn als deze grondhouding, kennis en motorische vaardigheden ertoe bijdragen dat alle mensen een leven lang deelnemen aan sport- en beweegsituaties? Dat is wat wij nastreven. Vanuit de gedachte: groot denken, maar klein beginnen, is in mei 2017 een enthousiaste groep mensen met uiteenlopende expertise - de ‘kwartiermakersgroep Physical Literacy’ – gestart met een verkenning naar de meerwaarde van het begrip ‘Physical Literacy’ voor de Nederlandse sport- en beweegpraktijk. In dit whitepaper schetsen we de noodzaak van een aangescherpte koers in het stimuleren van sport en bewegen en geven we aan hoe Physical Literacy kan bijdragen aan deze nieuwe koers.
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It has been suggested that physical education (PE) and active transport can make a meaningful contribution to children's physical activity (PA) levels. However, data on the contribution these activities to total PA is scarce, and PE's contribution to total physical activity energy expenditure (PAEE) has to our knowledge never been determined. This is probably explained by the methodological complexity of determining PAEE (Welk, 2002). In this paper, we present the first data of an ongoing study using combined heart rate monitoring and accelerometry, together with activity diaries. Over the six measurement days, PE contributed 5% to total PAEE, and 16% to school-related PAEE, whereas active transportation had a much larger contribution.
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Children with spina bifida who are wheelchair-users are less physically active than their typically developing peers. It is important to understand relations between physical activity and other factors, so approriate interventions can be developed. We explored relations between physical activity and fitness, age, sex and severity of disability in children that were 5–19 years of age who were diagnosed with spina bifida and who are wheelchair-users. We found that older age and the inability to walk negatively influence physical activity. We did not find a relation between physical activity and fitness or physical activity and sex.
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Introduction Physical activity levels of children with disabilities are low, as these children and their parents face a wide variety of both personal and environmental barriers. Behavior change techniques support pediatric physical therapists to address these barriers together with parents and children. We developed the What Moves You?! intervention Toolkit (WMY Toolkit) filled with behavioral change tools for use in pediatric physical therapy practice. Objective To evaluate the feasibility of using the WMY Toolkit in daily pediatric physical therapy practice. Methods We conducted a feasibility study with a qualitative approach using semi-structured interviews with pediatric physical therapists (n = 11). After one day of training, the pediatric physical therapists used the WMY Toolkit for a period of 9 weeks, when facilitating physical activity in children with disabilities. We analyzed the transcripts using an inductive thematic analysis followed by a deductive analysis using a feasibility framework. Results For acceptability, pediatric physical therapists found that the toolkit facilitated conversation about physical activity in a creative and playful manner. The working mechanisms identified were in line with the intended working mechanisms during development of the WMY Toolkit, such as focusing on problem solving, self-efficacy and independence. For demand, the pediatric physical therapists mentioned that they were able to use the WMY Toolkit in children with and without disabilities with a broad range of physical activity goals. For implementation, education is important as pediatric physical therapists expressed the need to have sufficient knowledge and to feel confident using the toolkit. For practicality, pediatric physical therapists were positive about the ease of which tools could be adapted for individual children. Some of the design and materials of the toolkit needed attention due to fragility and hygiene. Conclusion The WMY Toolkit is a promising and innovative way to integrate behavior change techniques into pediatric physical therapy practice.
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