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Social and Community Physical Activity Interventions

Social and Community Physical Activity Interventions. EPHE 348. Nature of Social Support. Complex Term was not even used 25 years ago Social connections and support seems to be hard wired Possible ingredients Information Emotion Context Instrumental. What is Social Support then?.

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Social and Community Physical Activity Interventions

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  1. Social and Community Physical ActivityInterventions EPHE 348

  2. Nature of Social Support • Complex • Term was not even used 25 years ago • Social connections and support seems to be hard wired • Possible ingredients • Information • Emotion • Context • Instrumental

  3. What is Social Support then? • Laireiter and Baumann (1992): • Integration with family life, community, and access to support systems • Network of social resources • Climate of the social relations • Reciprocity of social relations • Perception of support

  4. Support Appraisal • Attachment (emotion) • Social integration (network) • Opportunity for nurturance (your assistance) • Reassurance of worth (esteem) • Reliable alliance (tangible aid) • Guidance (information)

  5. Social Support & PA Social Cognition • SS and intentions are related (medium effect) • Not the same as subjective norm or cohesion (small to medium relationships) • Highly related to self-efficacy and attitudes

  6. SS & PA • Related (medium effect) • Rhodes (2001) review of all SS and PA studies - 48/49 identified the importance of SS as a Correlate • Kahn et al. (2002) showed limited utility used as a sole intervention

  7. Community Interventions • Premise that entire communities can be targeted for behaviour change • Often include a number of delivery agents (institution, organization, group)

  8. Community? • Aggregate of people who share values and infrastructure • Communities also make pragmatic sense for intervention: • Organized for dissemination (structure and purpose) • Identity

  9. Schools • Standard site for PA – PE • PE classes getting shorter and less frequent • Avenues for improvement: • Increase PA in PE • Increase extracurricular • Increase in-class activity (AS! BC)

  10. Action Zones

  11. AS! BC Program Components • Annual Planning Tools • For Schools • For Teachers • Action ZoneAction Ideas! • Menu of Physical Activity Best Practices • Action Pages!

  12. AS! BC Program Components • Action Bins (classroom resource) • Technical Support (School Liaison facilitator) • This differed depending on condition

  13. Work Site Interventions • Workplace wellness & PA: • Fitness & productivity • Reduced illness • Wide dissemination possibilities • Dishman et al. (1998) meta-analysis showed minimal effect

  14. Health Care Settings • Simons-Morton et al. (1998) review: • Primary prevention = some short-term changes but generally minimal effect • Secondary prevention = mixed

  15. Community/Policy Interventions • Legislation – formal legal structures • Policy – formal guidelines • Based on smoking, these approaches may be very useful in PA intervention • Health promotion vs. health fascism?

  16. Mass Media Interventions • Almost all developed countries have initiated campaigns • Increased awareness • Intention and behaviour change have not been successful

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