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Buist BD, Kramer BE, Wright KE, Edwards PK, Petrofes AM, Furzer BJ. "It's a Very Good Second Option": Older Adults' Experience of Telehealth. J Phys Act Health 2024:1-7. [PMID: 38684218 DOI: 10.1123/jpah.2023-0176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 02/14/2024] [Accepted: 03/04/2024] [Indexed: 05/02/2024]
Abstract
INTRODUCTION The growing ability to provide online services has enabled the proliferation of exercise-based telehealth interventions; however, adoption in older adults may be impacted by low digital literacy and "technophobia." OBJECTIVES The aim of this study was to explore the experience of community and aged-care dwelling older adults following exercise-based telehealth services to provide insights that could guide future telehealth exercise delivery. DESIGN Semi-structured interviews for qualitative analysis. METHODS Participants (age ≥60) who had completed at least one online exercise session from a registered health professional were recruited through a combination of purposeful and snowball sampling methods via their exercise facility or provider. A semi-structured interview guide was used by 2 interviewers to investigate participants' experiences and a "critical friends" approach used to identify common themes. RESULTS Thirteen interviews with 21 participants were conducted from 2 different facilities. Analysis identified meaning units within 3 themes and subthemes. Technology subthemes related to digital confidence prior to telehealth and changes during interventions, as well as the usability of technology for telehealth. Clinical practice subthemes described the different motivations to exercise, perceived benefits of telehealth, important implications for practitioners, and perceptions of safety. The social connection theme related to the social benefits of telehealth. CONCLUSIONS Older adults in our sample were technologically confident and capable of performing exercise sessions delivered via telehealth. They notice benefits from this form of exercise delivery however, prefer face-to-face exercise delivery.
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Affiliation(s)
- Brett D Buist
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Crawley, WA, Australia
| | - Ben E Kramer
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Crawley, WA, Australia
| | - Kemi E Wright
- School of Health Sciences, University of New South Wales, Sydney, NSW, Australia
| | - Peter K Edwards
- School of Allied Health, Curtin University, Perth, WA, Australia
| | - Alyssa M Petrofes
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Crawley, WA, Australia
| | - Bonnie J Furzer
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Crawley, WA, Australia
- Fremantle Hospital Mental Health Service, South Metropolitan Health Service, Perth, WA, Australia
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Almarjawi AC, Wright KE, Buist BD, Cairney J, Ton TT, Furzer BJ. Reliability of Fitness Assessments in Children With Emotional and Behavioral Difficulties. Pediatr Exerc Sci 2023; 35:206-213. [PMID: 36596308 DOI: 10.1123/pes.2022-0058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 10/04/2022] [Accepted: 11/07/2022] [Indexed: 01/04/2023]
Abstract
PURPOSE Examine the reliability of field-based fitness assessments in school-aged children with emotional or behavioral difficulties (EBD). Understanding the impact of fitness on physical activity participation for children with EBD is limited by our ability to reliably measure it. METHODS Fifteen children aged 7-12 years with EBD completed 7 assessments-standing broad jump, overhead throw, grip strength, isometric plank hold, isometric wall squat, unilateral heel raise, and modified 6-minute walk test-in a random order on 2 separate occasions. Intraclass correlation coefficients (ICCs) were computed to evaluate reliability. RESULTS ICCs ranged from .65 to .99 representing moderate to excellent reliability for all assessments. Shorter assessments requiring less attention and behavior regulation tended to demonstrate higher ICC values while assessments with greater attention or behavioral regulation demands tended to have lower ICC values. CONCLUSION Results demonstrate varied reliability for fitness tests in children with EBD. Practitioners can use grip strength and standing broad jump assessments with confidence. Other assessments have good reliability but greater variability indicating they may be a challenge for some children with EBD.
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Affiliation(s)
- Ashley C Almarjawi
- School of Human Science (Exercise & Sport Science), The University of Western Australia, Perth, WA,Australia
- Thriving Exercise Rehabilitation Inc, Perth, WA,Australia
| | - Kemi E Wright
- Thriving Exercise Rehabilitation Inc, Perth, WA,Australia
- School of Health Sciences, University of New South Wales, Sydney, NSW,Australia
| | - Brett D Buist
- School of Human Science (Exercise & Sport Science), The University of Western Australia, Perth, WA,Australia
| | - John Cairney
- School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD,Australia
| | - Tony T Ton
- School of Human Science (Exercise & Sport Science), The University of Western Australia, Perth, WA,Australia
- Thriving Exercise Rehabilitation Inc, Perth, WA,Australia
| | - Bonnie J Furzer
- School of Human Science (Exercise & Sport Science), The University of Western Australia, Perth, WA,Australia
- Thriving Exercise Rehabilitation Inc, Perth, WA,Australia
- Telethon Kids Institute, Perth, WA,Australia
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Ong JN, Ducker KJ, Furzer BJ, Dymock M, Landers GJ. Acute exercise affects dual-energy X-ray absorptiometry body composition estimates but not standardised ultrasound measurements of subcutaneous adipose tissue. Clin Physiol Funct Imaging 2023; 43:345-353. [PMID: 37191158 DOI: 10.1111/cpf.12832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Revised: 04/21/2023] [Accepted: 05/05/2023] [Indexed: 05/17/2023]
Abstract
Ultrasound has been demonstrated to be a highly accurate and reliable tool for measuring subcutaneous adipose tissue thickness and is robust against changes in hydration status or acute food or fluid intake. However, the effect of prior acute exercise is unexamined. This study examined the impact of an acute endurance exercise and resistance exercise session on standardised brightness-mode ultrasound measurements of subcutaneous adipose tissue thickness compared to skinfolds and dual-energy X-ray absorptiometry body composition estimates. In a randomised cross-over design, 30 active adults (24.2 ± 4.9 years) undertook physique assessment via standardised brightness-mode ultrasound, skinfolds and dual-energy X-ray absorptiometry before, immediately and 45 min after an acute endurance or resistance exercise session. The mean sum of eight subcutaneous adipose tissue thickness measured via standardised brightness-mode ultrasound increased (0.6 mm, p = 0.04) immediately postendurance exercise but was not meaningful when evaluated against the technical error of measurement of the investigator. A significant (p = 0.01) but not meaningful decrease in the sum of eight skinfolds occurred immediately (-1.1 ± 0.4 mm) and 45 min (-1.3 ± 0.4 mm) postresistance exercise. Comparatively, endurance exercise elicited a meaningful decrease of total mass (460 ± 30 g) and trunk lean mass (680 ± 90 g) dual-energy X-ray absorptiometry estimates. Findings from this study indicate standardised client presentation may be unnecessary when employing either standardised brightness-mode ultrasound or skinfolds for body composition assessment unlike dual-energy X-ray absorptiometry.
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Affiliation(s)
- Jun N Ong
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Western Australia, Australia
| | - Kagan J Ducker
- School of Allied Health, Curtin University, Perth, Western Australia, Australia
| | - Bonnie J Furzer
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Western Australia, Australia
| | - Michael Dymock
- Centre for Applied Statistics, The University of Western Australia, Perth, Western Australia, Australia
| | - Grant J Landers
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Western Australia, Australia
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Jeftic I, Furzer BJ, Dimmock JA, Wright K, Boyd C, Budden T, Rosenberg M, Kramer B, Buist B, Fitzpatrick I, Sabiston C, de Jonge M, Jackson B. Structured exercise programs for higher education students experiencing mental health challenges: background, significance, and implementation. Front Public Health 2023; 11:1104918. [PMID: 37181716 PMCID: PMC10167056 DOI: 10.3389/fpubh.2023.1104918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 04/04/2023] [Indexed: 05/16/2023] Open
Abstract
The incidence of mental illness is greatest among young adults, and those enrolled in higher education may be particularly vulnerable compared to the general young adult population. Many higher education institutions employ student support staff tasked with implementing strategies to improve student wellbeing and mental illness. However, these strategies tend to be focused on clinical therapies and pharmacological interventions with limited lifestyle approaches. Exercise is an effective method for addressing mental illness and promoting wellbeing, yet widespread provision of structured exercise services to support treatment options for students with mental health challenges has not been fully realized. In an effort to guide exercise strategies for student mental health, we synthesize considerations for developing and delivering exercise programs in higher education settings. We draw directly from the evidence base on existing exercise programs in higher education; and the broader behavior change, exercise adherence, health psychology, implementation science, and exercise prescription literatures. Our broad considerations cover issues regarding program engagement and behavior change, exercise 'dose' and prescription, integration with other on-campus services, and robust research and evaluation. These considerations may provide impetus for widespread program development and implementation, as well as informing research focused on protecting and improving student mental health.
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Affiliation(s)
- Ivan Jeftic
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, WA, Australia
- Telethon Kids Institute, Perth, WA, Australia
| | - Bonnie J. Furzer
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, WA, Australia
- Telethon Kids Institute, Perth, WA, Australia
| | - James A. Dimmock
- Department of Psychology, College of Healthcare Sciences, James Cook University, Townsville, QLD, Australia
| | - Kemi Wright
- Department of Exercise Physiology, School of Health Sciences, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia
| | - Conor Boyd
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, WA, Australia
| | - Timothy Budden
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, WA, Australia
- Telethon Kids Institute, Perth, WA, Australia
| | - Michael Rosenberg
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, WA, Australia
| | - Ben Kramer
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, WA, Australia
- Telethon Kids Institute, Perth, WA, Australia
| | - Brett Buist
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, WA, Australia
| | - Ian Fitzpatrick
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, WA, Australia
| | - Catherine Sabiston
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada
| | - Melissa de Jonge
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada
| | - Ben Jackson
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, WA, Australia
- Telethon Kids Institute, Perth, WA, Australia
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Budden T, Hafizuddin A, Dimmock JA, Law KH, Furzer BJ, Jackson B. Support needs and experiences of young people living in families with mental illness. J Adolesc 2023. [PMID: 36808749 DOI: 10.1002/jad.12153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 01/30/2023] [Accepted: 01/31/2023] [Indexed: 02/22/2023]
Abstract
INTRODUCTION Children and adolescents living in families affected by mental illness are at elevated risk of developing mental health problems. A range of interventions have been designed to help these young people; however, the effectiveness of these programs is, in some cases, mixed. Our aim was to understand in detail the support needs and experiences of a group of Australian children and adolescents living in families with mental illness. METHODS Our study is a qualitative in nature. In 2020-2021, we interviewed 25 Australian young people (Mage = 13.60, SD = 2.26, 20 females and 5 males) living with family members affected by mental illness to understand their (the young people's) experiences, and to identify the types of support that these young people considered important or effective. We conducted reflexive thematic analyses of interview data, underpinned by interpretivist assumptions. RESULTS We identified seven themes within two higher-order categories reflecting our aims to understand (1) lived experiences within families affected by mental illness (i.e., increased responsibilities, missing out, and stigmatization), and (2) support experiences, needs, and preferences (i.e., respite, shared experiences with like-minded others, education, and flexibility). CONCLUSIONS Our findings hold substantial practical value by informing services, interventions, and conversations that better support young people living in families affected by mental illness.
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Affiliation(s)
- Timothy Budden
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Australia
| | - Ahmad Hafizuddin
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Australia
| | - James A Dimmock
- Department of Psychology, College of Healthcare Services, James Cook University, Townsville, Australia
| | - Kwok Hong Law
- Department of Psychology, College of Healthcare Services, James Cook University, Townsville, Australia
| | - Bonnie J Furzer
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Australia
| | - Ben Jackson
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Australia.,Telethon Kids Institute, Perth, Australia
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Ong JN, Ducker KJ, Furzer BJ, Dymock M, Landers GJ. Food and Fluid intake and hydration status does not affect ultrasound measurements of subcutaneous adipose tissue in active adults. J Sci Med Sport 2022; 25:548-552. [DOI: 10.1016/j.jsams.2022.03.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 02/02/2022] [Accepted: 03/26/2022] [Indexed: 10/18/2022]
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Ong JN, Ducker KJ, Furzer BJ, Dymock M, Landers GJ. Measures of body composition via Dual-energy X-ray absorptiometry, ultrasound and skinfolds are not impacted by the menstrual cycle in active eumenorrheic females. J Sci Med Sport 2021; 25:115-121. [PMID: 34756512 DOI: 10.1016/j.jsams.2021.09.192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 09/02/2021] [Accepted: 09/24/2021] [Indexed: 11/17/2022]
Abstract
OBJECTIVES (1) Compare changes in body composition estimates over the menstrual cycle in active females using Dual-energy X-ray absorptiometry, standardised brightness-mode ultrasound and skinfolds (2) Compare the predictability of Dual-energy X-ray absorptiometry fat mass estimate via standardised brightness-mode ultrasound versus skinfolds measurements. DESIGN Thirty active females (27 ± 5 y) with regularly occurring menstrual cycles participated in a cross sectional study. METHODS Participants completed four assessment sessions scheduled according to each individual's menstrual cycle. These sessions took place during their (1) early follicular, (2) mid-to-late follicular, (3) mid-luteal and (4) second early follicular phases. Body composition estimates were acquired using Dual-energy X-ray absorptiometry, subcutaneous adipose tissue thickness was measured at eight sites using standardised brightness-mode ultrasound and skinfolds. RESULTS The sum of eight subcutaneous adipose tissue thickness measured using standardised brightness-mode ultrasound and skinfolds were not different between the cycle phases (p > 0.05). Body mass and Dual-energy X-ray absorptiometry total mass estimate as well as Dual-energy X-ray absorptiometry estimates of total and regional lean and fat mass were also not different between cycle phases (p > 0.05) and any changes were within the 95% confidence intervals of their respective least significant change values. CONCLUSIONS There were no true and meaningful changes in the sum of eight subcutaneous adipose tissue thickness measured via standardised brightness-mode ultrasound and skinfolds or Dual-energy X-ray absorptiometry total and regional tissue mass estimates across the menstrual cycle in active eumenorrheic females. Body composition may thus be assessed via these methods in this population at any cycle phase with standardised participant presentation.
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Affiliation(s)
- Jun N Ong
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Australia.
| | - Kagan J Ducker
- Curtin School of Allied Health, Curtin University, Australia
| | - Bonnie J Furzer
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Australia
| | - Michael Dymock
- Centre for Applied Statistics, The University of Western Australia, Australia
| | - Grant J Landers
- School of Human Sciences (Exercise and Sport Science), The University of Western Australia, Australia
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Abstract
OBJECTIVE Despite support for the role of exercise in improving physical and mental health for various psychiatric disorders, few service implementation evaluations within diverse hospital environments exist. This study presents the feasibility and implementation of a clinical exercise physiology service within a hospital mental health service. METHOD Feasibility and service data were collected from databases and self-report (consumer and staff) for 6 months from the commencement of new exercise services (gym and group sessions) for community and inpatients (one secure and three open wards). RESULTS One hundred and twenty consumers engaged with exercise services with 70 direct referrals over the 6-month audit period (mean age 40 ± 13 years (19-69); 41% male). The overwhelming reason for referral was related to weight loss/management (65.7%), with the majority of patients (51%) presenting with schizophrenia spectrum and other psychotic disorders. Further, 549 exercise service interactions were delivered and 78% gym attendees and 69% group session attendees rated the exercise sessions as 'Good' or 'Great', and intention to return ranged from 78% for inpatient gym sessions to 91% for community gym sessions. CONCLUSIONS Embedding exercise physiology into a mental health service is feasible and well accepted and the evaluation of long-term consumer outcomes in 'real-world' will serve as a crucial step.
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Affiliation(s)
- Bonnie J Furzer
- School of Human Sciences (Exercise & Sport Science), University of Western Australia, Australia
- Fremantle Hospital Mental Health Service, South Metropolitan Health Service, Australia
| | - Kemi E Wright
- School of Human Sciences (Exercise & Sport Science), University of Western Australia, Australia
- Fremantle Hospital Mental Health Service, South Metropolitan Health Service, Australia
| | - Azam Edoo
- Fremantle Hospital Mental Health Service, South Metropolitan Health Service, Australia
| | - Andrew Maiorana
- School of Physiotherapy and Exercise Science, Curtin University, Australia
- Allied Health Department, Fiona Stanley Hospital, South Metropolitan Health Service, Australia
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Wright KE, Furzer BJ, Licari MK, Dimmock JA, Jackson B, Thornton AL. Exploring associations between neuromuscular performance, hypermobility, and children's motor competence. J Sci Med Sport 2020; 23:1080-1085. [PMID: 32636134 DOI: 10.1016/j.jsams.2020.06.00] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 05/12/2020] [Accepted: 06/11/2020] [Indexed: 05/23/2023]
Abstract
OBJECTIVES To evaluate if neuromuscular performance and hypermobility are factors associated with children's motor competence. DESIGN Cross-sectional observation study. METHODS Data was collected on 60 children aged 6-12 years; motor competence was determined using the Movement Assessment Battery for Children-2 test, with children classified into 3 groups (Typically Developing n=30; 'At Risk' of low motor competence (LMC) n=9; LMC n=21). Neuromuscular performance was determined utilising the Resistance Training Skills Battery for Children (RTSBc), 5-repetition maximum (5RM) leg press and Biodex dynamometry to assess isometric and isokinetic peak torque of the knee flexors and extensors. Hypermobility was measured using the Beighton and Lower Limb Assessment Score. RESULTS Between-groups MANCOVA revealed typically developing children scored significantly higher on the RTSBc than those 'at risk' of LMC (p=0.021) and those in the LMC group (p<0.001). 5RM scores also differed between groups, with typically developing children achieving significantly higher scores than the LMC group. No differences were found between groups for isometric or isokinetic measures of strength. Sequential regression analysis revealed neuromuscular performance variables explained 44.7% of the variance in motor competence, with RTSBc (p<0.001) and 5RM (p=0.019) emerging as positive significant predictors. Hypermobility failed to explain significant variance in motor competence beyond that explained by neuromuscular performance. CONCLUSIONS Neuromuscular performance of children varies according to levels of motor competence, with those with LMC performing poorly on tasks requiring multi-joint movement. Furthermore, neuromuscular performance predicted almost half the variance observed in motor competence and highlights a novel intervention strategy.
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Affiliation(s)
- Kemi E Wright
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Australia.
| | - Bonnie J Furzer
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Australia
| | - Melissa K Licari
- Telethon Kids Institute, The University of Western Australia, Australia
| | - James A Dimmock
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Australia
| | - Ben Jackson
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Australia
| | - Ashleigh L Thornton
- Division of Paediatrics, Medical School, The University of Western Australia, Australia; Kids Rehab WA, Perth Children's Hospital, Australia
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10
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Wright KE, Furzer BJ, Licari MK, Dimmock JA, Jackson B, Thornton AL. Exploring associations between neuromuscular performance, hypermobility, and children's motor competence. J Sci Med Sport 2020; 23:1080-1085. [PMID: 32636134 DOI: 10.1016/j.jsams.2020.06.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 05/12/2020] [Accepted: 06/11/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVES To evaluate if neuromuscular performance and hypermobility are factors associated with children's motor competence. DESIGN Cross-sectional observation study. METHODS Data was collected on 60 children aged 6-12 years; motor competence was determined using the Movement Assessment Battery for Children-2 test, with children classified into 3 groups (Typically Developing n=30; 'At Risk' of low motor competence (LMC) n=9; LMC n=21). Neuromuscular performance was determined utilising the Resistance Training Skills Battery for Children (RTSBc), 5-repetition maximum (5RM) leg press and Biodex dynamometry to assess isometric and isokinetic peak torque of the knee flexors and extensors. Hypermobility was measured using the Beighton and Lower Limb Assessment Score. RESULTS Between-groups MANCOVA revealed typically developing children scored significantly higher on the RTSBc than those 'at risk' of LMC (p=0.021) and those in the LMC group (p<0.001). 5RM scores also differed between groups, with typically developing children achieving significantly higher scores than the LMC group. No differences were found between groups for isometric or isokinetic measures of strength. Sequential regression analysis revealed neuromuscular performance variables explained 44.7% of the variance in motor competence, with RTSBc (p<0.001) and 5RM (p=0.019) emerging as positive significant predictors. Hypermobility failed to explain significant variance in motor competence beyond that explained by neuromuscular performance. CONCLUSIONS Neuromuscular performance of children varies according to levels of motor competence, with those with LMC performing poorly on tasks requiring multi-joint movement. Furthermore, neuromuscular performance predicted almost half the variance observed in motor competence and highlights a novel intervention strategy.
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Affiliation(s)
- Kemi E Wright
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Australia.
| | - Bonnie J Furzer
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Australia
| | - Melissa K Licari
- Telethon Kids Institute, The University of Western Australia, Australia
| | - James A Dimmock
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Australia
| | - Ben Jackson
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Australia
| | - Ashleigh L Thornton
- Division of Paediatrics, Medical School, The University of Western Australia, Australia; Kids Rehab WA, Perth Children's Hospital, Australia
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11
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Wright KE, Furzer BJ, Licari MK, Dimmock JA, Jackson B. The effect of parental logistic support on physical activity in children with, or at risk of, movement difficulties. J Sci Med Sport 2019; 23:372-376. [PMID: 31718905 DOI: 10.1016/j.jsams.2019.10.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2019] [Revised: 10/06/2019] [Accepted: 10/06/2019] [Indexed: 11/19/2022]
Abstract
OBJECTIVES In a sample of children with, or at risk of, movement difficulties, (1) To test the direct effects of children's perceptions of parents' logistic support for physical activity on children's physical activity-related self-perceptions and on children's physical activity levels, and (2) To explore the indirect relationship between children's perceptions of parents' logistic support for physical activity and children's physical activity levels through children's physical activity-related self-perceptions. DESIGN Cross-sectional observation study. METHODS Data were collected from 120 children aged 6 to 12 years; movement proficiency levels were determined using the movement assessment battery for children-2 test. Children's perspectives of parental support for physical activity were captured using the Activity Support Scale for Multiple Groups child report. Children's self-perceptions towards physical activity were reported with the Children's Self- perceptions of Adequacy in and Predilections for physical activity, and time spent in physical activity were measured using accelerometers. RESULTS There was no significant direct effect between perceived levels of parents' logistic support for physical activity and children's physical activity. A significant indirect relationship between these variables was discovered, with higher perceived levels of parent logistical support for physical activity predicting stronger perceptions of adequacy (i.e., confidence) toward physical activity participation among children, which in turn was associated with increased physical activity minutes. CONCLUSIONS The results demonstrate that irrespective of a child's movement ability, children's perceptions of parents' logistic support for physical activity indirectly and positively predicts children's physical activity levels, via children's confidence for physical activity.
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Affiliation(s)
- Kemi E Wright
- School of Human Sciences, The University of Western Australia, Australia.
| | - Bonnie J Furzer
- School of Human Sciences, The University of Western Australia, Australia
| | - Melissa K Licari
- Telethon Kids Institute, The University of Western Australia, Australia
| | - James A Dimmock
- School of Human Sciences, The University of Western Australia, Australia
| | - Ben Jackson
- School of Human Sciences, The University of Western Australia, Australia
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12
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Wright KE, Furzer BJ, Licari MK, Thornton AL, Dimmock JA, Naylor LH, Reid SL, Kwan SR, Jackson B. Physiological characteristics, self-perceptions, and parental support of physical activity in children with, or at risk of, developmental coordination disorder. Res Dev Disabil 2019; 84:66-74. [PMID: 29914720 DOI: 10.1016/j.ridd.2018.05.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2017] [Revised: 04/11/2018] [Accepted: 05/20/2018] [Indexed: 06/08/2023]
Abstract
Children with low movement proficiency have been identified as having poorer physiological and psychosocial outcomes; however, the varied measurement approaches used to assess these outcomes have varied resulting in conflicting evidence regarding the presence and magnitude of differences compared to Typically Developing (TD) children. Additionally, there has been limited research into the role of parental support for physical activity (PA) in this group. We compared children with varying levels of movement proficiency on physiological characteristics and self-perceptions regarding PA. In addition, these children's parents were compared on physiological characteristics and support of their children's PA. Children (N = 117) aged 6 to 12 years, along with their parent/guardian, participated in this study. Children were classified according to the Movement Assessment Battery for Children-2 test (Typically Developing (TD) = 60; At Risk = 19; Developmental Coordination Disorder (DCD) = 38). Children's PA, muscle strength, cardio-respiratory fitness (CRF), body composition, and self-perceptions regarding PA were assessed, with parents assessed on CRF, body composition, and PA support. Compared to TD children, children with DCD had lower PA (p = 0.036), predilection (p ≤0.001) and adequacy (p ≤0.001) regarding PA, higher body fat percentage (p = 0.019), and received less logistic support (i.e., transportation) from their parents (p = 0.012). TD children had increased muscle strength compared to the DCD (p ≤ 0.001) and At Risk (p ≤ 0.001) groups. Results indicated that, relative to TD children, children with DCD have multiple physiological deficits, receive less parental logistic support for PA involvement, and report lower scores on psychological constructs that are predictive of PA involvement.
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Affiliation(s)
- Kemi E Wright
- School of Human Sciences, The University of Western Australia, WA, Australia.
| | - Bonnie J Furzer
- School of Human Sciences, The University of Western Australia, WA, Australia
| | - Melissa K Licari
- School of Human Sciences, The University of Western Australia, WA, Australia
| | - Ashleigh L Thornton
- School of Human Sciences, The University of Western Australia, WA, Australia
| | - James A Dimmock
- School of Human Sciences, The University of Western Australia, WA, Australia
| | - Louise H Naylor
- School of Human Sciences, The University of Western Australia, WA, Australia
| | - Siobhan L Reid
- School of Human Sciences, The University of Western Australia, WA, Australia
| | - Stephanie R Kwan
- School of Human Sciences, The University of Western Australia, WA, Australia
| | - Ben Jackson
- School of Human Sciences, The University of Western Australia, WA, Australia
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Furzer BJ, Bebich-Philip MD, Wright KE, Reid SL, Thornton AL. Reliability and validity of the adapted Resistance Training Skills Battery for Children. J Sci Med Sport 2018; 21:822-827. [PMID: 29331404 DOI: 10.1016/j.jsams.2017.12.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Revised: 10/22/2017] [Accepted: 12/21/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVES Resistance training (RT) is emerging as a training modality to improve motor function and facilitate physical activity participation in children across the motor proficiency spectrum. Although RT competency assessments have been established and validated among adolescent cohorts, the extent to which these methods are suitable for assessing children's RT skills is unknown. This project aimed to assess the psychometric properties of the adapted Resistance Training Skills Battery for Children (RTSBc), in children with varying motor proficiency. DESIGN Repeated measures design with 40 participants (M age=8.2±1.7years) displaying varying levels of motor proficiency. METHODS Participants performed the adapted RTSBc on two occasions, receiving a score for their execution of each component, in addition to an overall RT skill quotient child (RTSQc). Cronbach's alpha, intra-class correlation (ICC), Bland-Altman analysis, and typical error were used to assess test-retest reliability. To examine construct validity, exploratory factor analysis was performed alongside computing correlations between participants' muscle strength, motor proficiency, age, lean muscle mass, and RTSQc. RESULTS The RTSBc displayed an acceptable level of internal consistency (alpha=0.86) and test-retest reliability (ICC range=0.86-0.99). Exploratory factor analysis supported internal test structure, with all six RT skills loading strongly on a single factor (range 0.56-0.89). Analyses of structural validity revealed positive correlations for RTSQc in relation to motor proficiency (r=0.52, p<0.001) and strength scores (r=0.61, p<0.001). CONCLUSIONS Analyses revealed support for the construct validity and test-retest reliability of the RTSBc, providing preliminary evidence that the RTSBc is appropriate for use in the assessment of children's RT competency.
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Affiliation(s)
- Bonnie J Furzer
- School of Human Sciences, The University of Western Australia, Australia.
| | | | - Kemi E Wright
- School of Human Sciences, The University of Western Australia, Australia
| | - Siobhan L Reid
- School of Human Sciences, The University of Western Australia, Australia
| | - Ashleigh L Thornton
- School of Human Sciences, The University of Western Australia, Australia; Princess Margaret Hospital, Paediatric Rehabilitation, Western Australia, Australia
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More A, Jackson B, Dimmock JA, Thornton AL, Colthart A, Furzer BJ. Exercise in the Treatment of Youth Substance Use Disorders: Review and Recommendations. Front Psychol 2017; 8:1839. [PMID: 29089915 PMCID: PMC5651015 DOI: 10.3389/fpsyg.2017.01839] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2017] [Accepted: 10/03/2017] [Indexed: 01/26/2023] Open
Abstract
Substance use disorders among youth represent a significant public health concern. It is well established that regular exercise provides important physical and mental health benefits; however, evidence for the role of exercise as an adjunct component within substance use disorder treatment is scarce. In this review, we identify factors associated with the development and persistence of substance use disorders among youth, identify current treatment modalities, and present evidence to support the efficacy of incorporating exercise participation during rehabilitation. We also provide a series of recommendations for future research that explores the feasibility and effectiveness of exercise participation as a complement to substance use disorder treatment among youth.
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Affiliation(s)
- Alissa More
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Perth, WA, Australia
| | - Ben Jackson
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Perth, WA, Australia
| | - James A Dimmock
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Perth, WA, Australia
| | - Ashleigh L Thornton
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Perth, WA, Australia
| | - Allan Colthart
- Drug and Alcohol Youth Service, Mental Health Commission and Mission Australia, Perth, WA, Australia
| | - Bonnie J Furzer
- School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Perth, WA, Australia
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Furzer BJ, Petterson AS, Wright KE, Wallman KE, Ackland TR, Joske DJL. Positive patient experiences in an Australian integrative oncology centre. Altern Ther Health Med 2014; 14:158. [PMID: 24886476 PMCID: PMC4032569 DOI: 10.1186/1472-6882-14-158] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2013] [Accepted: 05/08/2014] [Indexed: 11/10/2022]
Abstract
Background The purpose of this study was to explore the experiences of cancer patients’ utilising complementary and integrative therapies (CIT) within integrative oncology centres across Western Australia. Methods Across four locations 135 patients accessed CIT services whilst undergoing outpatient medical treatment for cancer. Of the 135 patients, 66 (61 ± 12 y; female n = 45; male n = 21) agreed to complete a personal accounts questionnaire consisting of open-ended questions designed to explore patients’ perceptions of CIT. All results were transcribed into nVivo (v9) and using thematic analysis, key themes were identified. Results Of the 66 participants, 100% indicated they would “recommend complementary therapies to other patients” and 92% stated “CIT would play a significant role in their future lifestyle”. A mean score of 8 ± 1 indicated an improvement in participants’ perception of wellbeing following a CIT session. Three central themes were identified: empowerment, support and relaxation. Fourteen sub-themes were identified, with all themes clustered into a framework of multifaceted views held by cancer patients in relation to wellbeing, role of significant others and control. Conclusions Exploration of patients’ experiences reveals uniformly positive results. One of the key merits of the environment created within the centres is patients are able to work through their cancer journey with an increased sense of empowerment, without placing them in opposition to conventional medical treatment. In order to effectively target integrative support services it is crucial to explore the experiences of patients in their own words and use those forms of expression to drive service delivery.
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Furzer BJ, Wright KE, Petterson AS, Wallman KE, Ackland TR, Joske DJL. Characteristics and quality of life of patients presenting to cancer support centres: patient rated outcomes and use of complementary therapies. Altern Ther Health Med 2013; 13:169. [PMID: 23844723 PMCID: PMC3717092 DOI: 10.1186/1472-6882-13-169] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2012] [Accepted: 07/08/2013] [Indexed: 01/24/2023]
Abstract
Background In order to effectively target and provide individualised patient support strategies it is crucial to have a comprehensive picture of those presenting for services. The purpose of this study was to determine the characteristics and patient rated outcomes of individuals presenting to SolarisCare cancer support centres and their choices regarding complementary and integrated therapies (CIT). Methods A cohort with a current or previous cancer diagnosis aged 18 – 87 years presenting to a SolarisCare centre during a 5-day period completed a questionnaire. Four SolarisCare centres participated in the trial including regional and metropolitan locations. Outcomes included medical and demographic characteristics, CIT variables and patient rated outcomes (PROs) including quality of life (QoL). Results Of the 95 participants (70.3%) who completed the survey, the mean age was 60.5 years with 62% currently receiving treatment. Eighty percent of the sample had at least one other comorbid condition, with the most popular CIT being relaxation massage. Of the PROs, QoL was significantly lower than norms for the Australian population and other mixed cancer populations. No notable differences were seen between genders, however significantly poorer outcomes were found for the younger age group. Fifty percent of the population did not meet physical activity recommendations, and musculoskeletal symptoms explained between 25-27% of variance in QoL. Conclusions A greater understanding of the health profiles of patients presenting to supportive care centres and their use of CIT, provides Western Australian health professionals with key information to ensure the safety of supportive care practices, as well as fosters optimal patient outcomes and enhances the integration of supportive care strategies within mainstream medical care.
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Furzer BJ, Wallman KE, Ackland TR, Joske DJL. Test-retest reliability of the aerobic power index submaximal exercise test in cancer patients. J Sports Sci Med 2012; 11:690-694. [PMID: 24150080 PMCID: PMC3763316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2012] [Accepted: 09/17/2012] [Indexed: 06/02/2023]
Abstract
The purpose of this study was to investigate the reliability of the Aerobic Power Index (API) submaximal cardiorespiratory exercise test, as well as associated variables of oxygen uptake (ml·kg(-1)·min(-1)) and ratings of perceived exertion (RPE) in cancer patients who are generally unable to complete maximal or lengthy aerobic fitness tests. Twenty male and female participants (11 male; 9 female) aged between 18 and 70 y (mean = 53.28 ± 11. 82 y) were recruited with medical consent within 4 weeks of completing chemotherapy treatment for a lymphohaematopoietic cancer (LHC). Of the twenty recruited participants' 2 were excluded from analysis due to disease relapse or complications unrelated to testing occurring within the month following testing. Intra-class correlation coefficient (ICC) scores for power output (W·kg(-1)) and oxygen uptake (ml·kg(-1)·min(-1)) were highly reliable (R1 = 0.96 and 0.96, respectively) and the ICC for RPE was moderately reliable (R1 = 0.83). Technical error of measurement results for power output (W·kg(-1)), oxygen uptake (ml·kg(-1)·min(-1)) and RPE were 0.11W·kg(-1), 1.18 ml·kg(-1)·min(-1) and 1.0 respectively. A Pearson's product-moment correlation demonstrated a strong relationship between power output (W·kg(-1)) and oxygen uptake (ml·kg(-1)·min(-1)) for both trials (r = 0.93 and 0.89, respectively). Results demonstrate that the API test is a highly reliable protocol for use with a LHC population and can be considered a clinically feasible, safe and tolerable exercise test.
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Affiliation(s)
- Bonnie J Furzer
- School of Sport Science, Exercise & Health, University of Western Australia , Western Australia, Australia
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