ABSTRACT
Background: Physical activity (PA) has shown to have beneficial effects on children's health and development. However, a reduced focus on PA programming in schools and home environments may contribute to the increasing prevalence of mental health problems among youth, particularly following the onset of the COVID-19 pandemic. Here, we report preliminary findings from an ongoing randomized controlled trial of acute exercise (light-intensity or moderate-intensity) and meditation on mood and affect in youth. Method(s): Youth participants recruited from the Metro Detroit area (N =25: 52% female, 48% black;Mean + SD age =12.92 + 2.18yrs) were randomly assigned to a single 30-minute session of either (1) moderate-intensity treadmill walking, (2) light-intensity stretching, or (3) a seated meditation session. Mood and positive and negative affect were measured pre- and post-session. Result(s): There was a pre-to-post-session reduction in negative mood and affect scores and an increase in positive affect (p's<0.05, d's 0.42-0.67). However, no significant main effects of condition or condition x time interaction were observed (p>0.05). Youth with higher negative baseline mood scores showed greater reductions in negative mood following the 30-minute session, as compared to youth with lower negative moods (r=0.87, p< 0.001). Conclusion(s): Acute light and moderate-intensity exercise, as well as meditation, were associated with reductions in negative mood and affect and increases in positive affect. Further, the antidepressant effects of acute exercise and meditation were more pronounced among youth with poorer baseline moods. These findings have implications for the use of PA and meditation-based interventions to combat mental health problems in youth. Funding Source: Wayne State University, National Institute of Mental Health, and the Eunice Kennedy Shriver National Institute of Child Health and Human Development Keywords: Affect, Adolescent Depression, Mental health, exercise intervention, Mindfulness MeditationCopyright © 2023
ABSTRACT
Objective: Structured diabetes education has evidenced benefits yet reported uptake rates for those referred to traditional in-person programmes within 12 months of diagnosis were suboptimal. Digital health interventions provide a potential solution to improve diabetes education delivery at population scale, overcoming barriers identified with traditional approaches. myDiabetes is a cloud-based interactive digital health self-management app. This evaluation analysed usage data for people with type 2 diabetes focusing on digital structured diabetes education. Methods: Descriptive quantitative analyses were conducted on existing anonymised user data over 12 months (November 2019-2020) to evaluate whether digital health can provide additional support to deliver diabetes education. Data was divided into two equal 6-month periods. As this overlapped the onset of COVID-19, analyses of its effect on usage were included as a secondary outcome. All data was reported via myDiabetes. Users were prescribed myDiabetes by National Health Service healthcare primary care teams. Those who registered for app use within the study period (n = 2783) were assessed for eligibility (n = 2512) and included if activated. Results: Within the study period, n = 1245/2512 (49.6%) registered users activated myDiabetes. No statistically significant differences were observed between gender (p = 0.721), or age (p = 0.072) for those who activated (59.2 years, SD 12.93) and those who did not activate myDiabetes (57.6 years, SD 13.77). Activated users (n = 1119/1245 (89.8%)) viewed 11,572 education videos. No statistically significant differences were observed in education video views across age groups (p = 0.384), gender (p = 0.400), diabetes treatment type (p = 0.839) or smoking status (p = 0.655). Comparison of usage pre-COVID-19 and post-COVID-19 showed statistically significant increases in app activity (p ≤0.001). Conclusion: Digital health is rapidly evolving in its role of supporting patients to self-manage. Since COVID-19 the benefits of digital technology have become increasingly recognised. There is potential for increasing diabetes education rates by offering patients a digital option in combination with traditional service delivery which should be substantiated through future research.