Community-based Activities Research Articles

O.3.1-7 Multi-level stakeholders' perspectives on implementation and scaling up community-based physical activity promotion in Germany

Abstract Purpose Community-based physical activity promotion (c-PAP) with a systems perspective has the potential to address health inequity. To achieve a public health impact, such approaches need to be scaled up. For a successful scale up, a concept is needed that is also scientifically grounded and considers practice-based evidence from various stakeholders at different levels and sectors. Therefore, the aims of this study are to assess what kind of external support communities need for implementation and to identify facilitators and barriers for scaling up c-PAP. Methods Two digital workshops were conducted in Germany in March and April 2021. Stakeholders at the community level (n = 163) were involved in the first workshop to identify, what kind of external support communities need and what they can accomplish themselves to implement c-PAP. In the second workshop, stakeholders at the federal and state levels from the sport, health, and social sector as well as scientists (n = 92) discussed facilitators and barriers for scaling up c-PAP interventions. Protocols were compiled and coded using qualitative content analysis. Results During the first workshop, we identified 14 themes. They represent external support needs, e.g., guidance and assistance by intermediary organization as well as internal efforts that communities can accomplish themselves, e.g., building local networks. In the second workshop, 11 facilitators and barriers for scaling up c-PAP, e.g., political support or an intermediary organization, were identified. Conclusions The identified results provide practice-based evidence on support needed for scaling up, facilitators that promote scaling up and barriers that might hinder scaling up c-PAP in Germany. Various stakeholders emphasized the need for collaboration and partnerships across several sectors as well as changes in current political and legal conditions. In a next step, this practice-based evidence needs to be systematically integrated with scientific-based evidence on key components for scaling up such approaches for the development of an effective scaling up concept. Funding Source This research was funded by the Federal Centre of Health Education (BZgA) on behalf of and with funds from the statutory health insurances according to § 20a SGB V in the context of the GKV Alliance for Health.

O.1.1-3 Measuring the mental health benefits of community-based physical activity programmes-what are the most important indicators for pragmatic evaluation?

Abstract Purpose While health enhancing physical activity (HEPA) initiatives can improve mental health, there is a lack of standardised measures to evaluate mental health outcomes. The need for the current work emerged from discussions amongst researcher and practitioner members of the HEPA promotion in socially disadvantaged groups Working Group of the HEPA Europe network. This study aimed to identify the most relevant indicators of mental health and well-being in community-based HEPA initiatives in Europe, and determine optimal assessment methods. Methods An adapted, two round, Delphi method (guided by an indicator framework to categorise mental health indicators based on the dual-continua and socio-ecological models) was conducted with 20 experts in the field of mental health and physical activity from Denmark, the Netherlands, the UK, and Ireland. Experts selected the most important indicators and agreed consensus on definitions and their application, where consensus ≥50% signified important indicators. Results Experts compiled 66 (n = 21 outcome, n = 45 determinant) indicators. Top rated indicators for the evaluation of HEPA initiatives were self-rated mental health (69.2%), physical activity (69.2%) life satisfaction (53.8%), stress (53.8%), loneliness (53.8%), social participation, network, connection and support (53.8%). Consensus on definition and application of the nine indicators varied (44.4% - 100%), with no consensus on a standardised measurement tool reached. Conclusions While this study highlights a lack of conformity for evaluating mental health and wellbeing outcomes, it suggests utility in an agreed definition and application of nine indicators for the evaluation of HEPA initiatives, with social determinants of particularly high importance across all countries. Suggested measures are provided to aid community based practitioners measure mental health outcomes of physical activity programmes. Further research is recommended to develop a standardised measurement tool that can be utilised across other European countries and its implementation tested.

O.3.3-5 Is parkrun an equitable health intervention? A qualitative study exploring how a free, weekly, community-based physical activity initiative engages with underrepresented groups in the UK

Abstract Purpose Underrepresented groups face unique and complex barriers to community-based physical activities. This study used the worldwide initiative parkrun to explore how it has engaged with underrepresented groups in the UK. It sought to explore the challenges faced by the organisation and its volunteers when striving for equity and outline the inclusive promotion strategies that could be used by parkrun and other community initiatives. Methods Adult parkrun Ambassadors who fulfilled volunteer roles that involved ‘outreach’ to underrepresented groups across the UK were invited. Ten volunteers provided informed consent to be interviewed via telephone in April-July 2021. Interview transcripts were analysed using a thematic approach by the same researcher who conducted the interviews. Ethical approval was received from the University of Sheffield REC. Results The Ambassadors had volunteering experience from two to five or more years. The outreach approaches implemented varied from opportunistic promotion within communities to strategic negotiations at higher decision-making levels. Ambassadors described a community-centred focus that ensured that existing community networks and assets were utilised when promoting parkrun. It was advantageous to identify influential ‘community connectors’ within the target community with power to mobilise others. These could be local people or organisations in more traditional positions of influence e.g., General Practices and schools. The volunteers conveyed many challenges to their attempts to increase engagement in parkrun by underrepresented groups. Limited personal and organisational capacity meant that the reach and impact of engagement was restricted. The Ambassadors would benefit from robust mechanisms for reflecting, evaluating, learning and monitoring progress to better understand what is working (or not) and why. Conclusion parkrun takes a community-centred approach to outreach. Community initiatives like parkrun may benefit from a whole-system approach that is adaptive to local contexts, considers where the greatest opportunities for change are and fosters a learning mindset among those delivering the initiative. The findings only represent the views of ten Ambassadors interviewed and so further collaborative work with people from the underrepresented groups is needed to develop co-produced solutions to equitable participation. Funding Funded by a National Institute for Health Research School for Public Health Research post-doctoral launching fellowship.

O.5.2-10 Barriers to physical activity among parous women postpartum: a qualitative study in Denmark

Abstract Purpose Physical activity (PA) among parous women postpartum has multiple health benefits to mother and child. Knowledge of the barriers to PA among parous women postpartum is necessary to support future health-enhancing PA interventions. The purpose of this study was to explore the barriers to PA in parous women six to 10 months after giving birth. Methods In this qualitative study, we used a phenomenological–hermeneutic approach to explore barriers to PA among parous women six to 10 months postpartum. Semi-structured interviews were conducted including 16 parous women from Central Denmark Region. These women were physically active before pregnancy; had a mean age of 29 years; differed in level of education; and represented both vaginal birth and caesarian section. The women were recruited from two sources. 1) a video on Facebook, which had >10.000 views, and 2) the Department of Health Visitors at Aarhus Municipality. Nvivo was used for analysis. We used open and closed coding, and quotes from the interviews were used to support claims and illustrate the identified barriers. Results Three categories of barriers were identified. 1) The individual level: lack of motivation to engage in PA, insufficient self-efficacy in PA, limited economical resources, and bodily physical changes. 2) The interpersonal level: lack of a training partner, childcare, and missing community-based activities in sports clubs. 3) The structural level: lack of guidance and directions on PA from the healthcare system, lack of training facilities, the accessibility of training facilities, and the weather. Fourteen of the 16 included women felt “lack of guidance on PA from the healthcare system” as a barrier to PA postpartum. Conclusions 11 barriers to PA among parous women were identified. On a policy level, “lack of guidance and directions from the health care system” is a modifiable barrier, calling for intervention. Health-enhancing PA in parous women postpartum may be improved by addressing this barrier, when future maternity care programs are developed. Support/Funding No funding source was applied for this study.

Inclusive approaches to involvement of community groups in health research: the co-produced CHICO guidance

BackgroundRacially marginalised groups are underserved in healthcare and underrepresented in health research. Patient and public involvement and engagement (PPIE) is established as the method to ensure equity in health research. However, methods traditionally employed in PPIE can lead to the exclusion of some communities and exacerbation of existing inequalities, highlighting the need to develop inclusive processes for more inclusive community involvement in health research. We aimed to produce guidance to promote good practice for inclusive involvement of racially marginalised community groups in health research via public and community involvement and engagement.MethodsThe CHecklist for Inclusive COmmunity involvement in health research (CHICO) was co-produced by researchers and three Bristol-based community organisations: Dhek Bhal, My Friday Coffee Morning—Barton Hill, and Malcolm X Elders. After initial conversations and link building with community leaders to develop relationships, researchers attended at least three meetings with each community group to discuss preferred approaches to involvement. Each community group had a different format, and discussions were open and tailored to fit the groups preferences. The meetings were held in the community groups’ usual meeting venue. Notes from meetings were reviewed by researchers to identify key themes, which were used to inform the creation of a draft illustration which was then taken back to the community groups for refinement and used to inform the development of written guidance and the final illustration.ResultsChecklist items were structured into three stages: (1) building relationships, (2) reciprocal relationships and (3) practicalities. Stage 1 highlights the importance of building trust with the community group over time through regular visits to community venues and talking to people informally to understand the history of the group, their preferences and needs, and topics that are likely to be of interest to them. Stage 2 focusses on maintaining a reciprocal relationship and understanding how to best to give back to the community. Stage 3 provides guidance on the practicalities of designing and running inclusive community-based involvement activities, including consideration of the venue, format, communication-style, language requirements, social activities, and provision of food.ConclusionsOur co-produced checklist can guide researchers in how to involve people from different ethnicities in health research that is relevant to their community.

Proposing Development of Community-based Physical Activity Park for Elderly Population of Pakistan.

Physical inactivity is known to be as performing less than 150 minutes of moderate- to vigorous-intensity physical activity per week. It poses a substantial risk for not only non-communicable, chronic diseases such as stroke, diabetes etc. but also contributes to the global mortality. Evidence suggests that the usual urban green environment is sturdily related to several health paybacks to the elderly population, which includes not only decreased cardiovascular mortality, Type 2 Diabetes risk, but overall improved physical, emotional, and mental health. It also invokes physical activity for community involvement, natural green curative sensory effect, spiritual boost, and leisure recreation to the elderly. Additionally, parks serve to perform activities like exercise, gardening, brisk walk or simply meditation in the natural environment. Unfortunately, in Pakistan, the urban green spaces like parks are scarce. Most people do not have access to well-designed parks. People over the age of 50 and above seem to be most affected by this deficiency. There is a need for specially designed parks that can address the challenges faced by elderly people while exercising. This study summarises the available evidence for designing special open area space in parks for the elderly population across Pakistan and highlights the need for further work to alleviate the global sickness of physical sedentariness among the elderly. Key Words: Older adults, Parks, Physical activity, Physical inactivity.

Identifying the Relationships between Types of Leisure Activities and Cognitive Functions in Older Adults

Objectives: We investigated the relationship between types of leisure-time physical activity (LTPA) activities, intellectually stimulating activities, and community-based activities and the cognitive functions of older adults. Methods: We extracted 3,767 samples from the 2020 Health and Retirement Study (N=15,723). We defined cognitive functions as: (1) memory as assessed by both immediate and delayed recall tests, (2) working memory measured by a subtraction-by-7 test, and (3) attention and processing speed assessment through the use of the counting backward test. We used hierarchical regression analysis to assess the relationships between types of leisure and cognitive functions. Results: LTPA, intellectual leisure, and community-based leisure were significantly associated with improved memory function. Intellectual activity was significantly associated with improved working memory, and improved attention and processing speed. Conclusion: These findings provide data-based implications for the design and implementation of various types of leisure activities for older adults by healthcare providers and therapists.

Perspective on salutogenic approaches to persistent pain with a focus on mindfulness interventions.

In this article, we provide a unique perspective on the use of mindfulness interventions in a whole health framework embedded within the theory of salutogenesis and the concept of painogenic environments. We argue that mindfulness is a valuable tool to bridge exploration of inner experiences of bodily pain with socio-ecological influences on thoughts and emotions. We outline research from neuroimaging studies that mindfulness techniques mediate neural processing and neuroplastic changes that alleviate pain and related symptoms. We also review evidence examining behavioural changes associated with mindfulness meditation providing evidence that it promotes self-regulatory activity, including the regulation and control of emotion and catalysation of health behaviour changes; both of which are important in chronic illness. Our viewpoint is that mindfulness could be a core element of salutogenic approaches to promote health and well-being for people living with pain because it rebuilds a fractured sense of cohesion. Mindfulness empowers people in pain to embrace their existence; shifting the focus away from pain and giving their lives meaning. We propose that integrating mindfulness into activities of daily living and individual or community-based activities will promote living well in the modern world, with or without pain; thus, promoting individual potential for fulfilment. Future research should consider the effects of mindfulness on people with pain in real-life settings, considering social, environmental, and economic factors using a broader set of outcomes, including self-efficacy, sense of coherence and quality of life.

Patterns of COVID-19 induced bio-medical waste management in Bangladesh: a case study of Chittagong port city

Background: The objective of this study was to investigate effective waste management practices and develop environment-friendly public health guidelines for the target audience. Methods: A cross-sectional descriptive study was conducted in 14 Upazilas of Chittagong Districts, where 200 community members were physically interviewed during the pandemic. Univariate, bivariate, and multivariate statistical analyses were conducted. Results: The majority of respondents followed government guidelines for waste management, and plastic containers, poly bags, bio-hazard bags, and metal containers were commonly used to collect waste. The type of container used was significantly associated with the level of education among community members. Non-environmental materials were used to deposit and dispose of COVID-19-induced biomedical waste. The majority of respondents had poor practices regarding the disposal of biomedical waste and were unaware of the standard duration for the disposal of infectious waste. The level of education was associated with awareness of COVID-19 rules and regulations. The recording of COVID-19-induced biomedical waste was insufficient, and the most commonly used methods for treating biomedical waste were biological, thermal, and irradiation. Plastic containers were the most frequently used disposal method for waste during COVID-19, which is hazardous to both the environment and public health. Conclusions: Community-based BCC activities by engaging community stakeholders in disseminating and raising awareness of key behaviors related to the environment and public health that are impacted by the biomedical waste in the community setting.

Implementation models and frameworks used to guide community-based physical activity programs for children: a scoping review

BackgroundThe implementation of community-based programs is key to effective, sustainable initiatives that can support population-level changes in children’s physical activity. The purpose of this scoping review was to explore the implementation models and frameworks used to develop (process models), explore (determinant frameworks), and/or evaluate (evaluation frameworks) community-based physical activity programs for children. Also, the foundational components of the implementation models and frameworks and practical application in real-world settings were described.MethodsThe methodological framework developed by Arksey and O’Malley (2005) and the updated recommendations from Levac, Colquhoun and O’Brien (2010) were used to search, identify, and summarize applicable studies. This review also met the requirements in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Reviews Checklist (PRISMA-ScR). A detailed search of six databases and three academic journals was conducted. Information about the article, the program, and the implementation model/framework were extracted and summarized.ResultsThe search retrieved 42,202 articles, of which 27 met the inclusion criteria. Eleven process models, one determinant framework, and two evaluation frameworks were identified. Nineteen components were developed from the models and frameworks. Tailoring, situational analysis, and element identification were common components among the identified models and frameworks.ConclusionsSince the execution of interventions is vital for creating successful health-promoting initiatives, researchers and program developers should consider using implementation models and frameworks to guide their community-based physical activity programs. Further research examining the application of new and existing implementation models and frameworks in developing, exploring, and evaluating community-level programs is warranted.

Physical Activity Engagement Across Human Life Cycles: A Scoping Review

Physical activities bring health benefits essential to an individual's overall well-being. Engagement in physical activities may vary across different ages, gender, and the capability of an individual to participate. Despite the many potential benefits, the uptake of the level of physical activities among individuals is quite low and risk may occur that depends on the environment they are in. To elucidate these benefits and factors of physical activity engagement of individuals, this study aimed to classify all the scope of the evidence that pertains to participation in physical activities. The literature research, conducted in 2022, employed the databases Education Resources Information Center (ERIC), PubMed, ScienceDirect, and the search engine Google Scholar. Twenty-nine studies mentioning the engagement of individuals in physical activities were tagged from 4 databases. Findings equivalent to the article and participants were summarized quantifiably, while information implying the engagement in physical activities was organized using thematic analysis. Results distinguished that level of engagement in physical activities may vary in age, gender, and capabilities. These also identified risks that may occur in too much participation in activities or not even participating. Most importantly, physical activities were beneficial to an individual's physiological, personal, and psychosocial aspects. Understanding the engagement and establishment of community-based activities with the characteristics of inclusivity that will increase the level of engagement and participation of every individual may be functional to increase the promotion of physical activities regardless of their age, gender, and capabilities to perform.

Upaya Pencegahan Kekerasan Seksual Di Lingkungan Pendidikan Universitas Negeri Gorontalo

This study aims to determine the guarantee of the consumer protection institution foundation for consumer rights to the forced recall of vehicles. The research method used is an empirical legal research method using a descriptive approach and qualitative analysis techniques. The results of this study show that YLKI's role in guaranteeing consumer rights regarding the case of the forced withdrawal of motorized vehicles by the leasing party includes providing awareness to the public and providing advocacy and legal consultation for consumers who experience losses. On the first point In order to increase consumer awareness, LKY consistently strives to carry out community-based activities so that more and more people can find out about the materials or messages being disseminated to increase understanding and awareness of consumer rights. While providing advocacy and legal consultations for consumers who have experienced losses as an effort to fight for the rights of consumers who have suffered losses from finance companies. The two roles mentioned above are a form of guarantee of legal protection for consumers who experience losses.

Assistance Of Farmers In Utilizing The Consortium Of Endophite Bacteria And Organic Fertilizer As Well Organic Pesticides Based On Local Wisdom To Increase Rice Productivity

The "Sidodadi" farmer group in Demangan village, Sambi sub-district, Boyolali district consists of 15 members, which is a rainfed farmer group. Paddy productivity in rainfed lowland is quite low (2-3 tons/ha) compared to irrigated land (5 tons/ha). The use of a consortium of endophytic bacteria, organic fertilizers and organic pesticides based on local wisdom and the selection of varieties according to their designation can increase rice productivity. Rice farming in this farmer group does not yet have proper management, so assistance is needed. The purpose of this service is to assist in the management of rainfed land so that their income increases.The problems of this farmer group are 1) Aspects of Production and 2) Aspects of management. Production aspects include (a) Technology Utilization Aspect: not having technology to increase rice productivity (b). Aspects of Soil Fertility: rarely use organic fertilizers (c) Aspects of Use of Varieties: rice varieties that are not suitable for allotment of rainfed rice fields. The solution to the problems that arise is to assist farmer group members to use endophytic bacteria consortia, use organic fertilizers and organic pesticides based on local wisdom, use rice varieties that are suitable for sub-optimal rainfed land and farm management training. This activity will be carried out in two places, 1) in the yard of the farmer group members and 2) in the paddy fields in Demangan village, Sambi sub-district, Boyolali Regency from July 2023 to December 2023. The method used is 1) Farm management counseling and assistance, 2) Practice: making a consortium of endophytic bacteria, organic fertilizers and organic pesticides based on local wisdom 3) Cultivating organic rice in rainfed paddy fields, 4). Monitoring and evaluation. The result of this community-based service activity is an increase in the skills of farmers in making endophytic bacteria, making local microorganism (MOL), making solid organic fertilizers, making liquid organic fertilizers and organic pesticides and selecting rice varieties that are suitable for rainfed lowland rice fields and its application in rainfed lowland rice cultivation.

Racial and ethnic differences in physical activity among mothers of young children: 2011–2018 NHANES

BackgroundAmerican women tend to reduce physical activity (PA) during the transition to motherhood. Their main barrier to participation in PA is lack of time due to new/increased parenting and housework responsibilities. Because there are known racial/ethnic variations in time spent on housework among American women, their PA changes during the transition to motherhood might also differ by racial/ ethnic background. This study aimed to compare PA between American mothers of young child(ren) under age 5 years (YC) and American women without children by their racial/ethnic background.MethodsSecondary data analyses were conducted using 2011–2018 US National Health and Nutrition Survey data. The study sample included 4,892 women aged 20–45 years (Asian n = 760; Black n = 1,162; Hispanic n = 1,324; White n = 1,646). Participants completed a Physical Activity Questionnaire that asked about participation in transportation and leisure-time moderate- and vigorous-intensity PA (MVPA; minutes/week). Multivariable regression analyses were conducted to compare MVPA among women living without children and with YC (no older children) in each of the racial/ethnic groups.ResultsOverall, the prevalence of physical inactivity, defined as zero minutes of MVPA in a typical week, was 43% (95% CI = 38–49%) vs. 32% (95% CI = 29–35%) among women living with YC vs. without children. The adjusted odds of physical inactivity for women living with YC, compared to women living without children, was significantly higher among Asian (OR = 2.08 [95% CI = 1.37–3.17]) and White women (OR = 1.63 [95% CI = 1.11–2.38]), while it was statistically insignificant among Hispanic and Black women. Among women who reported participating in MVPA, Asian women living with YC had 35 fewer minutes/week of MVPA than their counterparts living without children (p = 0.06), while other racial and ethnic groups showed no significant differences.ConclusionsAmerican mothers of YC were less likely to engage in transportation or leisure-time MVPA, compared to those living without children. This association was particularly strong among Asian women. The study results suggest that a PA reduction in the transition to motherhood may be particularly large among Asian American women, calling for targeted efforts for PA promotion among Asian American mothers of YC; e.g., culturally-tailored community-based physical activity programs for Asian American mothers.

Protocol for Community-Based Exercise Training after Discharge from Hospital-Based Stroke Rehabilitation: A Multicenter, Randomized, Parallel-Group, Double-Blind Controlled Pilot and Feasibility Trial.

Exercise training participation of patients with stroke in the community after discharge from the hospital has many benefits for physical, social, and psychological rehabilitation and improves their quality of life. However, in the Republic of Korea, studies on stroke survivors who can participate in an exercise training program have not been conducted. This trial aims to investigate the effectiveness of exercise training programs after patients with stroke are discharged from the hospital with a doctor's note and referred to a community exercise center, as there is a lack of studies on this population. This multicenter, randomized, parallel-group, double-blind controlled pilot and feasibility trial will randomly assign 120 patients with stroke to either 8 weeks of a community-based exercise training program (experimental group) or activities of daily living (control group). The primary outcomes will be muscle strength, cardiorespiratory fitness, body composition, physical performance, and gait. The secondary outcomes will be quality of life and activities of daily living. This study's results may add new insights into the effectiveness of community-based exercise training programs after patients with stroke are discharged from the hospital with a doctor's note and referred to a community exercise center. The success of the new exercise training approach could offer valuable information for developing more inclusive protocols for patients with stroke in the future if it proves to be efficacious.

Climate change perception and adaptation strategies to multiple climatic hazards: Evidence from the northeast of Thailand

Thailand is highly susceptible to climate variability and change, driven by the escalating occurrence of natural hazards. Certain regions of the country, especially in the northeast, continue to endure food insecurity as a consequence of these climatic hazards. While numerous studies have already investigated the interlinkages between natural hazards and food security, there is limited evidence regarding local perceptions of climate change and specific adaptation strategies in this region. Therefore, we conducted a household survey in four districts across the Mahasarakham province in Thailand's northeast, with a total sample size of 400 households, where 80% of the area is outside of the provincial irrigation system. Survey data on climate change perception and adaptation were analysed using descriptive statistics and a series of binary logistic regressions. The results show that over the last 20 years, 96.9% of all farmers perceived changes in climate and that television and radio were the major sources of climate change information. Most of the farmers attempted to adopt agricultural practices, such as buying insurance, borrowing money, or applying for credits and loans (22.4%), followed by increasing the amount of fertilizer usage (18.6%), changing cropping patterns (12.4%), and starting off-farm activities (11.3%). The results of regression modelling show that dependency ratio, geographical location, current engagement in labor and agriculture, knowledge of climate change and global warming, and perceived benefits from new kinds of plants/technologies are the main predictors of adaptation choices. Overall, knowledge of climate change and global warming is more likely to influence the shift to off-farm jobs and activities (OR = 1.55, p < 0.01) and participation in community-based natural resource management activities (OR = 1.90, p < 0.01). In addition, the farmers who already work as laborers are typically more likely to shift to off-farm jobs and off-farm activities (OR = 4.64, p < 0.01) and temporary migration (OR = 20.03, p < 0.01). This evidence may contribute to creating holistic local development plans that could further enhance the economic well-being of the farming households.

Harnessing education and lifestyle change to support transitional health for returning citizens: a feasibility study protocol

BackgroundExercise and healthy eating are known to reduce chronic disease risk; however, formerly incarcerated individuals (i.e., returning citizens) face significant social barriers when attempting to engage with existing community-based physical activity and nutrition programs. Given the high disease burden and unique educational needs of returning citizens, this proposed work fills an important gap in the support services currently offered to this population.MethodsThis article describes a process for evaluating the feasibility and acceptability of a physical activity and nutrition intervention tailored to the needs of returning citizens via a partnership between an academic research organization and a community-based reentry program for returning citizens. Staff from the community-based reentry program will train four returning citizens as group fitness instructors and work with a nutritionist to design a 16-week nutrition education curriculum. Reentry program staff will enroll up to 15 formerly incarcerated adults (aged 18 +) in the exercise and nutrition program. Participants will take part in weekly nutrition classes led by the nutritionist and weekly group exercise classes led by a peer instructor. Research staff will evaluate program success in four domains: reach, preliminary effectiveness, implementation, and maintenance.ResultsThis feasibility study will allow us to design and test a program that can eventually be evaluated in a large, randomized trial. It also addresses the multitude of social determinants that impact the health of returning citizens and builds a framework for program sustainability. Individuals recruited as fitness trainers will acquire skills and certifications that may be used to sustain physical fitness activities within the reentry program.ConclusionsThis feasibility study will test our ability to address social determinants that impact the health of returning citizens through a peer-led physical activity and nutrition programming. In the long term, study results may inform development and implementation of reentry programming and policy on a wider scale.

PARIWISATA BERBASIS MASYARAKAT: LANGKAH TEPAT KEBERLANJUTAN?

Tourism is considered one of the great opportunities in development. However, it needs to be remembered that tourism will invite large capital to enter, which can produce other consequences. Community-based tourism is one model that is expected to accommodate local interests and involvement. Indonesia is promoting this activity in the form of Desa Wisata and several other forms. Based on this debate, a study was conducted that identified community-based tourism activities in Pasir Angling Village, West Java. It was found that tourism activities carried out by the community are a form of community-based tourism. In this study, it was concluded that the fulfillment of most of the indicators indicated that there were community-based tourism activities. This research implies that the activities carried out are indeed potentially very good with a note that this activity is a development activity, not the main one. In addition, the distribution of resources owned by the community can be used as new potential as a form of income diversification. Another important thing is that capital and financial results are not very important with the togetherness built by the whole community. This research was taken from the perspective of the researcher as a tourist. Thus, it has not measured the actual impact of the implementation of community-based tourism activities in Pasir Angling Village. Future research is very open to be carried out. Keywords: community based tourism; sustainability; Indonesia.

Perceived Stigma in Community-Based Leisure Activity Participation of Children With Autism: Perspective from Turkish Parents

In this research, the perceived stigma during community-based leisure activity (CBLA) participation of children with autism spectrum disorder (ASD) was investigated from the perspective of parents. The study group for the research comprised 10 parents of children aged 7-18 years. In the research designed with qualitative research methods, the conceptual framework comprised Goffman’s (1963) ‘stigma theory’. Data were collected with the face-to-face interview method using a semi-structured interview form. Analysis of data used the thematic analysis method. Within this scope, themes comprised an important necessity, tones of stigma, nature of being a parent, two different sides and learned loneliness. According to the research findings, parents of children with ASD appeared to attach great importance to participation in CBLA. Due to CBLA participation being an effective socialization tool for children with ASD, parents saw it as a serious necessity. During participation in CBLA, children with ASD were exposed to many types of stigma and parents generally provided strong reactions to this situation. Perceived stigma negatively affected the CBLA participation of parents and individuals with ASD. In conclusion, CBLA participation is an important need for children with ASD, and by reducing the negative attitudes and behaviors affecting participation more children will experience participation in this type of leisure activity.

Variables Associated with Quality of Life Among Individuals Living in Permanent Supportive Housing.

This study identified individual sociodemographic and clinical characteristics and service use patterns associated with quality of life (QoL) among 308 individuals living in permanent supportive housing (PSH) in Québec (Canada). Data were collected between 2020 and 2022, and linear multivariate analyses produced. Results demonstrated that better individual psychosocial conditions were positively associated with higher QoL. As well, living in PSH located in good neighborhoods for at least 5 years, higher self-esteem and community integration were positively associated with greater QoL. Met needs, satisfaction with housing support services, and no use of acute care were also linked with positive QoL. Comprehensive efforts to improve treatment for mental health disabilities responsive to the needs of PSH residents, and sustained long-term housing may reinforce QoL. Encouraging active participation in community-based activities, incorporating biophilic design into the neighborhoods around PSH, and promoting satisfaction with care may also enhance QoL.