Physical Practice Research Articles

MANEJO NUTRICIONAL DA RESISTÊNCIA À INSULINA NA SÍNDROME DE OVÁRIO POLICÍSTICO

Introduction: Polycystic Ovary Syndrome (PCOS) is the most common hormonal disorder among women during the ovulation and menstrual periods. Its origin is still unknown; however, the treatment of the disease involves changes in dietary habits and physical activity practices. Reducing carbohydrate intake has positive effects on PCOS, as this low carbohydrate consumption allows for depletion of muscle and hepatic glycogen stores. Objective: To evaluate the nutritional management of insulin resistance in PCOS. Materials and Methods: Literature reviews were conducted focusing on the last cinco years, using the PubMed, Scielo, and Virtual Health Library (BVS) databases. Result: A hypocaloric diet showed improvements in metabolic rates, menstrual cycle, weight loss, and insulin resistance parameters. Conclusion: Although there is no specific diet for women with insulin resistance and polycystic ovary syndrome, the results of studies have shown that low-calorie diets in conjunction with physical activity can influence the reduction of anthropometric measurements of patients, and therefore assist in the treatment of PCOS and insulin resistance.

Shaping (queer) orientations: affective experiences and professional changes of a transgender and intersex teacher in physical education

ABSTRACT Research on LGBTQIA+ topics in sport and physical education have painted a dim view of inclusivity for the field. Research with LGBT physical educators has illustrated many challenges, discriminatory behaviours as well as complexities of being queer in schools. To date, there is little research on the experiences of transgender and intersex physical educators. Using a queer phenomenological lens, the authors explored the affective experiences and professional changes of a transgender and intersex physical educator in Colombia. Using an intrinsic case study, the authors considered how Andrea (pseudonym) was affected by, and produced affect in, traditional physical education practices. To conclude, the authors discuss how Andrea’s experiences can inform future research in LGBTQIA+ topics in sport and physical education.

Sociocultural perceptions of physical activity and dietary habits for hypertension control: voices from adults in a rural sub-district of South Africa

BackgroundOver half of adults from rural South Africa are hypertensive. Apart from pharmaceutical treatment, lifestyle changes such as increasing physical activity and reducing dietary salt have been strongly advocated for the control of hypertension. However, the control rates of hypertension for adults in rural South Africa are low. In this paper we explore whether this is due to the recommended lifestyle intervention not aligning with the individual’s socio-cultural determinants of behaviour change.AimTo explore the social and cultural beliefs, perceptions and practices regarding physical activity and diet as a hypertension control intervention on hypertensive adults living in a rural sub-district in South Africa.MethodsNine focus group discussions were conducted with hypertensive adults aged 40 years and above from Bushbuckridge sub-district in Mpumalanga Province of South Africa using a semi-structured interview guide. Each session began with introductions of the discussion theme followed by a short discussion on what the participants know about hypertension and the normal blood pressure readings. Physical activity and dietary habits were then introduced as the main subject of discussion. Probing questions were used to get more insight on a specific topic. A thematic analysis approach was used to generate codes, categories, and themes. A manual approach to data analysis was chosen and data obtained through transcripts were analysed inductively.FindingsParticipants had a lack of knowledge about blood pressure normal values. Perceived causes of hypertension were alluded to psychosocial factors such as family and emotional-related issues. Physical activity practices were influenced by family and community members’ attitudes and gender roles. Factors which influenced dietary practices mainly involved affordability and availability of food. To control their hypertension, participants recommend eating certain foods, emotional control, taking medication, exercising, praying, correct food preparation, and performing house chores.ConclusionLifestyle interventions to control hypertension for adults in a rural South African setting using physical activity promotion and dietary control must consider the beliefs related to hypertension control of this population.

Telepsychiatry Current Practice and Implications for Future Trends: A 2023 American Psychiatric Association Member Survey.

Introduction: Although telehealth was a viable means of delivering psychiatric care even before the COVID-19 public health emergency, flexibilities at the federal and state levels during the pandemic prompted mass adoption in a short timeframe. Little is known about how psychiatrists plan to offer care going forward and to what degree services will be offered virtually, in-person, or in a hybrid format. Methods: We conducted a survey of American Psychiatric Association (APA) members regarding telepsychiatry practice and potential barriers. Results: The survey was completed by 1,660 APA members. Most survey respondents (94%) conduct at least some telepsychiatry. Most respondents indicate operating in a hybrid environment in which they maintain a physical practice location, while 16% indicate that they do not have a physical practice and only see patients remotely. Across all setting types, 82% of respondents deliver telehealth via all or mostly video; 11% report conducting telehealth visits via mostly audio-only modalities; and 7% report equal usage of both modalities. Barriers to telepsychiatry noted by respondents include limited reimbursement, state medical licensure, federal and state regulations regarding controlled substance prescribing via telehealth, and technical challenges. Conclusion: Results of this survey of APA members show that the majority conduct at least some telepsychiatry; operate in a hybrid environment; and deliver telehealth via all or mostly video. Reported barriers to telepsychiatry practice include legal, regulatory, reimbursement, and technical issues. The future of telepsychiatry may largely be determined by which legal, regulatory, and reimbursement flexibilities are ended, extended temporarily, or made permanent.

Yoga- Sanative to urdhwajatrugata vyadhis

Shalakya tantra is one of the important branch of Ayurveda which deals with the diseases occurring above the clavicle i.e Urdhwajatrugata vyadhis. It involves most of the sense organs of the body. Due to busy schedule, modernization, unbalanced diet and mental stress we are not able to take proper care of our health due to which many Urdhwajatrugata vyadhis occurs. Yoga is a physical, mental and spiritual practice which is effective in prevention and cure of disease. Yoga i.e Shatkarmas, Asanas, Mudras and Pranayama have the therapeutic effects on the diseases of Shalakya tantra. Neti is a practice of nasal hygiene which purifies and cleans the nasal passage. Trataka is useful for curing eye disorder such as eye strain, myopia, astigmatism and early stages of cataract. There are many Asanas which are useful in preventing various diseases. Mudras also have therapeutic effects on Urdhvajatrugata vyadhis. . Pranayama is a practice of breath regulation which cures many Urdhwajatrugata vyadhis. In this article there is a description of therapeutic aspects of yoga in Urdhwajatrugata vyadhis.

Influence of Parental Support on the Physical Activity Level of Children with Physical Disabilities

ABSTRACT The practice of physical activities is essential for maintaining the health of children and adults. However, among people with disabilities, there is a high prevalence of physical inactivity, especially among children, mainly due to the lack of access to specific programs aimed at their possibilities. The aim of the current study was to evaluate the influence of parental support in the practice of physical activities of children with physical disabilities. Thirty-five children with physical disabilities and their mothers participated in the study. The children and mothers separately answered questionnaires to assess their usual level of physical activity and their perception of parental support for physical activity. The results showed that parental support had a positive relationship with the level of physical activity in younger children. No significant differences were observed in reported and perceived parental support when comparisons were performed according to sex, age group, and type of locomotion. Considering the physical activity level of the mothers, the average result showed an insufficient amount of practice, however the mothers attributed high importance to the physical activity practice of their children.

Understanding barriers to spinal cord injury rehabilitation services in Nepal: A qualitative study of rehabilitation professionals' perspectives.

This study aims to explore the perspectives of rehabilitation professionals regarding the barriers to spinal cord injury (SCI) rehabilitation services in Nepal. A qualitative study involved 15 rehabilitation professionals working in the Spinal Injury Rehabilitation Center in Nepal. After obtaining informed consent, in-depth semistructured interviews were conducted using Zoom and phone calls between June and July 2023. Braun and Clarke's thematic analysis approach was utilized to analyze the interviews and generate themes from the participants' responses. The participants represented nine different rehabilitation professions. Over half of them were female (53.33%), and 86.67% had one to 10 years of experience in SCI rehabilitation. From in-depth interviews, four themes depicting barriers to rehabilitation were identified: (a) resource constraints within the rehabilitation centers, (b) concerns related to finance, awareness, and support mechanisms, (c) systemic problems coupled with geographical and physical barriers, and (d) beliefs and practices influencing access and adherence to rehabilitation. Delivering effective rehabilitation services for people with SCI presents a range of barriers. Considering the critical importance of rehabilitation for this population, the findings underscore the necessity of engaging stakeholders at multiple levels, individuals, communities, and government agencies to address the identified barriers and improve rehabilitation services in Nepal. The implications of the findings are further discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Advancing Consistency in Education: A Reliability Analysis of the Clinical Reasoning Assessment Tool.

Clinical reasoning (CR) is a fundamental component of physical therapist practice in health care. The Clinical Reasoning Assessment Tool (CRAT) was developed to assess CR in Doctor of Physical Therapy (DPT) and residency education. However, the reliability of the CRAT has not been investigated. Our purpose was to investigate the interrater and intrarater reliability of the CRAT. A range of assessment methods are available to assess CR, including didactic-based, simulation learning, and clinic-based assessments. The CRAT is designed to assess CR across learning environments. The CRAT assesses CR across 3 domains: (1) content knowledge, (2) procedural knowledge/psychomotor skills, and (3) conceptual reasoning. Twenty-two faculty participated. Participants completed an electronic survey at 2 timepoints (T1, T2) that included training on use of the CRAT and 2 case videos of DPT students at different performance levels managing a standardized patient. Participants rated student performance with the CRAT for both case videos (T1) and repeated the sequence at least 30 days later (T2). Intraclass correlation coefficient (ICC) estimates and 95% confidence intervals were used to determine the interrater and intrarater reliability for each domain of the CRAT. Video 1 was consistently rated higher for each CRAT domain (T1: 7.32-8.05; T2: 8.05-8.15) compared to video 2 (T1: 2.91-3.68; T2: 3.00-3.68). There were inverse relationships between CRAT ratings and number of years in DPT education, at an institution, and as a licensed physical therapist. At both timepoints, the interrater reliability for each domain was good to excellent (ICCs 0.60-0.79). The intrarater reliability was fair to excellent for all domains for each video (ICCs 0.45-0.75). The CRAT is a reliable instrument for assessing DPT student CR during a simulated patient encounter. Implementation of the CRAT in DPT education may facilitate improved consistency of CR assessment across the learner continuum.

Efficacy of Motor Imagery in the Rehabilitation of Stroke Patients: A Scope Review

This review examines the efficacy of motor imagery (MI) as a supplementary rehabilitation technique for stroke patients. Nine randomized controlled trials (RCTs) were analyzed, highlighting MI's potential to enhance motor recovery, mobility, balance, and psychological well-being. Significant improvements in upper-limb function were observed with combined mental and physical practice, evidenced by notable gains in Fugl-Meyer Assessment (FMA) and Action Research Arm Test (ARAT) scores. MI-based exercise programs improved mobility and balance in elderly patients, reducing fall risk as measured by the Timed Up and Go (TUG) test and Berg Balance Scale (BBS). MI was also found to enhance self-efficacy and functional performance, with significant increases in Functional Independence Measure (FIM) and General Self-Efficacy Scale (GSES) scores. Neuroimaging studies revealed that MI activates cortical areas associated with motor control, supporting its role in promoting neural plasticity. Despite these promising results, the heterogeneity in participant characteristics, stroke severity, and MI protocols across studies poses challenges to standardization. Additionally, small sample sizes and reliance on self-report measures limit the generalizability of findings. Nevertheless, MI's low cost, minimal risk, and ease of integration into existing rehabilitation protocols make it a valuable adjunct to physical therapy. Standardized guidelines and personalized MI exercises tailored to individual needs are essential for maximizing benefits. Integrating MI into clinical practice can significantly enhance both physical and psychological recovery outcomes for stroke patients, offering a comprehensive approach to rehabilitation.

Middle Childhood Sport Participation Predicts Timely Long-Term Chances of Academic Success in Boys and Girls by Late Adolescence.

School age children experience successive academic demands which increase over time. Extracurricular sport develops skills which involve physical movement, social rules, formal practice, and rational competition. This may facilitate success. Using a prospective-longitudinal birth cohort of 746 girls/721 boys, we examined prospective associations between middle childhood sport participation with subsequent indicators of academic success in adolescence. We hypothesized that persistent participation would promote long-term achievement indicators. Mothers reported on whether the child participated in sporting activities with a coach/instructor from ages 6 to 10 years. Developmental trajectories of participation were generated using longitudinal latent class analysis and then used to predict outcomes. From ages 12 to 17 years, youth self-reported on academic indicators of success over the last 6 months. These were linearly regressed on trajectories of participation in sport, while controlling for pre-existing and concurrent child/family confounds. Children's sport participation from kindergarten to fourth grade predicted long-term chances of academic success in boys and girls, above and beyond individual/family confounders. Consistent participation predicted increments indicators of future success and reductions in academic failure and dropout risk through to the senior year of secondary school, ranging from 9.1% to 21.3% for girls and 11.7% to 22.9% for boys. We provide compelling and timely evidence of long-term associations between children's sport participation and subsequent indicators of academic success in typically developing boys and girls by late adolescence. Persistent sport involvement in sport increased educational prospects by late adolescence, potentially improving opportunities for success in emerging adulthood.

Whole-of-School Physical Activity Promotion: Findings From Elementary Schools in the United States

IntroductionSchools can support students’ participation in physical activity by offering opportunities consistent with a Whole-of-School (WOS) approach; however, the extent to which physical activity opportunities are provided and how school-level characteristics associate with their use remains unclear. This study examined how elementary schools’ use a WOS approach to promote physical activity, as well as associations between school-level characteristics and physical activity opportunities provided. MethodsSurvey data was collected from 162 elementary schools participating in the NFL PLAY 60 FitnessGram Project during the 2022–23 school year. A WOS index (ranging from 0–12) was created from responses by school staff on questions about six physical activity practices (physical education, recess, before- and after-school programs, classroom-based approaches, active transport). Multivariable regression models examined associations between school characteristics and WOS index scores. Analyses were completed in Spring 2024. ResultsFully adjusted models indicated a statistically significant difference between the percentage of economically disadvantaged students served and WOS index score. Schools serving between 20–39% (p<0.001), 40–59% (p<0.01), 60–79% (p<0.01) and ≥80% (p<0.001) economically disadvantaged students scored significantly lower on the WOS index compared to schools with 0–19% economically disadvantaged students. ConclusionStudies are needed to examine disparities in physical activity practices consistent with a WOS approach to understand the implications on health, academic performance, and other key outcomes. This information can inform the development of strategies to address disparities and ensure youth have equitable access to school-based physical activity opportunities.

Current Practice of Somatosensory Impairment

Abstract Date Presented 03/21/24 The purpose of this quantitative, cross-sectional survey was to determine occupational and physical therapists' current practice of assessment and intervention related to somatosensory impairment across the United States. Primary Author and Speaker: Demma Franklin Additional Authors and Speakers: Krystal Robinson-Bert, Allison Dickes Contributing Authors: Senna Larson, Rebecca Puleo, Morgan Hissong

Preleminary Study: Need Analysis for Research and Development of Automatic Sprinkling System based on Arduino and Soil Moisture Sensor as The Instructional Aids in Soil Moisture Measurement

Instructional aids will made student easier to understanding and applying physics concepts. This study aims to obtain data and analyze the student’s needs toward to the instructional ais soil moisture measurement in physics lesson. Samples in study were student of 33 peoples, taken from class XH at SMAN 71 Jakarta with technique purposive sampling. This study resulted: physics learning motivation of student are in the medium category, with attention 87.88%, relevance 55.30%, confidence 60.61% and satisfaction 87.12%. Curriculum analysis show in class X, measurement lesson still can be developed to soil moisture measurement based on contextual learning approach. Based on style learning, 4,48% students who have visual learning style, auditory 24.24% and kinesthetic 27.27%. A total of 59.85% students experience difficulty in learning physics. As many as 79.55% of students agree that hands on method in learning can reduce difficulty in learning physics. As many as 87.12% of students agree that they need automated instrument in physics practice and only 39.39% of students has known about Arduino. The frequently used learning media in class were on audio-visual category, starting from power point slide presentation, Canva’s slides presentation, video, simulation and animation. All of those findings were supported research and development of oto-sprinkler system by using humidity sensor and Arduino Uno. Result of this study will become the base contextual in developing contextual teaching aids in form of soil moisture measurement, so that can increase the physics learning motivation in student.

Design and Research of an Intelligent Learning System for University Physics

In order to break through the limitations of traditional teaching, realize the integration of online and offline teaching, and optimize the intelligent learning experience of university physics, this paper proposes the design of an intelligent learning system for university physics based on cloud computing platforms, and applies this system to teaching environment of university physics. It successfully integrates emerging technologies such as cloud computing, machine learning, and situational awareness, integrates learning context awareness, intelligent recording and broadcasting, resource sharing, learning performance prediction, and content planning and recommendation, and comprehensively improves the quality of university physics teaching. It can optimize the teaching process and deepen intelligent teaching reform, aiming at providing references for the teaching practice of university physics.

Is religious affiliation associated with parent disciplinary behavior in Suriname and Guyana

BackgroundAlthough limited, there is some evidence that certain physical punishments may vary by household religion. ObjectiveThis study aimed to determine whether parent disciplinary behavior varies by religious affiliation in two countries which have large, diverse religious groups. Participants and settingData from Multiple Indicator Cluster Surveys for Suriname (2018) and Guyana (2019–20), which contain nationally representative household samples, were used. The study was restricted to the three most prevalent religious groups: Christians, Hindus, and Muslims. MethodsAdult responses to a standardized survey that included questions about use of disciplinary behaviors in the household towards children (aged 1–14 years) were examined in relation to religious affiliation of the head-of-household and multiple covariates. ResultsOf the 3518 Suriname households, 62.4 %, 23.3 % and 14.3 % were Christians, Hindus, and Muslims, respectively. Compared to Christians, children in both Hindu and Muslim households had significantly lower odds of being hit with an object in adjusted logistic regression models. However, only Hindus had lower odds of being spanked and Muslims lower odds of exposure to a combined physical and non-physical practice, compared to Christians. Of the 2535 Guyana households, 69.5 %, 23.5 % and 7.0 % were Christians, Hindus, and Muslims, respectively. Children in Hindu, but not Muslim households, had significantly lower odds of being spanked, hit with an object, and exposed to a combine practice in adjusted models compared to Christians. ConclusionsPartial support was found for a potential influence of religion on some disciplinary behaviors. Further investigation is warranted to identify possible conditions and mechanisms.

GP remote consultations with marginalised patients and the importance of place during care: a qualitative study of the role of place in GP consultations.

Since COVID-19 there been an increase in the use of remote consultations in General Practice in the UK. This leads to the displacement of the consultation outside of the physical GP practice, and its 'emplacement' elsewhere, with underexplored consequences for inequities of healthcare in marginalised groups. This paper examines the place-making demands that remote consultations make on patients, and the ways that these affect their experiences of care, with a focus on the impact on patients from marginalised groups. Ethnography and interview study (n=15) undertaken at three sites in London: a foodbank, a community development organisation, and a drop-in advice centre for migrants. Additionally, GPs (n=5) working at practices in London Digital Health Hub staff (n=4) and staff at fieldwork sites (n=3) were interviewed. Ethnographic observation (n=84 hours) and semi-structured interviews (n=27). Interviews were conducted in-person and over the phone and data were analysed through reflexive thematic analysis. The core themes emerging from the data included challenges securing privacy during remote consultations, and the loss of formal healthcare spaces as important places of care. These findings were closely tied to resource access, leading to inequities in experiences of care. Remote GP consultations are not "place-less" encounters, and inequities in access to suitable spaces may lead to inequities in experiences of care. Attention should be given to ensuring that patients without appropriate spaces for remote consultations are offered in-person care, or consultation times made more specific to allow for organisation of private space.

Effects of a staff physical activity professional development intervention on preschoolers' mental health and self-regulation: The active learning Norwegian Preschool(er)s (ACTNOW) cluster randomised controlled trial

Background and aimPhysical activity may have positive effects on preschoolers' mental health and self-regulation. The preschool setting provides children with opportunities to meet physical activity guidelines and could improve with staff training in delivering physical activity. This study examined the effect of physical activity professional development for preschool staff on preschoolers' proxy-measured mental health and self-regulation. MethodsIn total, 1265 children from 46 preschools were cluster randomised to either the intervention or the control group. The intervention was nested within two levels implemented concurrently: the preschool level, formed as a professional development where preschools conducted development work, and the child level, with whom the staff implemented physical activity with four core components. Data were analysed using an ANCOVA model through structural equation modelling with latent outcome factors of: emotional problems, peer problems, hyperactivity, and prosocial behaviour from the Strength and Difficulties Questionnaire; and cognitive, emotional, and behavioural self-regulation from the Child Self-regulation and Behaviour Questionnaire. ResultsNo effects of the intervention (standardised effect sizes -0.195–0.145, p-values 0.118–0.893) were observed. Secondary analysis showed that children with initially high prosocial behaviour and behavioural self-regulation positively benefited from the intervention (p = 0.035 and p = 0.047, respectively). ConclusionThe ACTNOW intervention had no effects on preschoolers' mental health or self-regulation after 18 months, besides effects for children with initially the highest prosocial behaviour and behavioural self-regulation. Although the professional development was more extensive than previous studies it may have been insufficient to change the preschools physical activity practices. Clinical trial registrationwww.ClinicalTrials.gov identifier NCT04048967.

Implementing the Effective Coach2Move Approach for Community-Dwelling Older Adults with Mobility Limitations in Physical Therapist Practice: A Multi-Methods Process Evaluation.

The aims of this study were to evaluate the adoption of and fidelity to the Coach2Move approach; identify differences between physical therapists with a specialization in geriatrics and physical therapists without a specialization; explore if level of adoption and specialization explain variances in effectiveness; and explore group differences in attitudes and experiences with implementation. A multi-methods process evaluation of Coach2Move implementation through 2 education days, 3 peer-assessment meetings, and an adapted electronic health record was performed alongside a cluster randomized stepped-wedge trial comparing regular care physical therapy with Coach2Move. Participants were 36 physical therapists with a specialization (n = 17) and without a specialization (n = 19) who treated 292 community-dwelling older adults. Level of adoption and fidelity were analyzed by comparing pre-implementation scores with scores 1year later. Coach2Move adoption was measured by e-assessment scores and fidelity through health record indicators. The impact of specialization and adoption on health outcomes was examined using a mixed-model ANOVA. Therapists' attitudes and experiences were collected through a survey based on semi-structured interviews. Mean total indicator scores on the e-assessment (adoption of a Coach2Move mindset) increased from baseline 17% (SD = 5%) to 47% (SD = 9%) at follow-up. Physical therapists with a specialization in geriatrics scored higher than physical therapists without (54% [SD = 6%] vs 41% [SD = 6%]). Mean indicator scores on health records (fidelity) increased from 35% (SD = 12%) at baseline to 47% (SD = 15%) at follow-up. Mean scores of physical therapists with a specialization in geriatrics were higher. Level of adoption and specialization (yes/no) did not explain the variance in effectiveness. Physical therapists identified important facilitators, including tailored education and peer-assessment meetings, while adequate reimbursement for the extra time investment was considered a necessity. Different workflows in practices were perceived as a barrier. Implementation led to increased adoption and fidelity of the Coach2Move intervention by physical therapists but shows room for improvement. Attitudes towards the approach and its implementation were positive. Future implementation efforts on adoption could be improved by focusing on a fair compensation structure by third party payers and insurance companies and optimizing organizational and financial context within practices. This study evaluated the implementation of Coach2Move, a clinical reasoning approach designed to increase physical activity and improve self-efficacy in older adults. Overall, the study demonstrates the potential of Coach2Move to be effectively adopted by physical therapists. However, addressing therapist compensation and adapting to practice workflows are important considerations for successful large-scale implementation.

A Clinical Construct: Research, Experimentation, and Education at the Johns Hopkins Hospital

Background: The Johns Hopkins Hospital, the first U.S. institution to integrate medical education with practice, has served as a critical case study in understanding the evolution of American medical institutions in response to advancements in medical science, education, and technology. However, the role of architecture and design in informing those institutional practices has not been sufficiently explored. Aim: This study examines the intricate interplay between architecture and medicine in the late nineteenth century through a historical analysis of the design, construction, and early operation of the Johns Hopkins Hospital in Baltimore, focusing on how this interdisciplinary relationship shaped both the hospital’s physical environment and institutional practices. Methods: This paper utilizes historical analysis to investigate the design, construction, and operations of the Johns Hopkins Hospital. By examining primary archival materials, it details how architectural strategies addressed scientific, technological, and educational advancements. Results: The investigation reveals that the hospital’s architecture not only facilitated medical research, experimentation, and education but also embodied a novel blend of scientific inquiry and architectural design. Conclusions: The Johns Hopkins Hospital exemplifies the transformative potential of integrating architectural design with medical science. This case study underscores the enduring significance of interdisciplinary collaboration, offering insights into contemporary practices and the future of hospital design and medical education and practice in academic communities.

The effect of multiple nursing interventions on physical activity and health promotion in the elderly: A randomized controlled trial

Health promotion and physical activity practices for the elderly are important but still not sufficient. This study aimed to determine if the effects of education through home visit, mobile application (Google Fit), group walking, and phone reminder interventions on health promotion and physical activity in the elderly. The study has a randomized controlled design with pretest-posttest interventions and a control group. The study sample consisted of 66 elderly individuals, 33 of whom were assigned to the intervention group and 33 to the control group by randomization. Multiple nursing interventions, including education through home visit, mobile application (Google Fit) use, group walking, and phone reminder messages, were implemented by the researcher in line with Pender's Health Promotion Model. The first month score of the intervention group participants on the healthy lifestyle habits subscale was higher than that of the control group participants (all p-values < 0.05). The effect size was 0.577 (high effect size) and the confidence interval was 0.085-1.07. It can be recommended that interventions with reminders and repetitions regarding healthy lifestyle behaviors to health promotion in the elderly be planned.