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RECEPTIVITY OF UNDERSERVED ADOLESCENTS TO AN EMERGENCY DEPARTMENT PHYSICAL ACTIVITY INTERVENTION
Journal of Investigative Medicine ; 70(4):1151, 2022.
Article in English | EMBASE | ID: covidwho-1868762
ABSTRACT
Purpose of Study Research has shown that low levels of physical activity in U.S. adolescents contributes to childhood obesity. Some studies have shown benefits from Doctor's office and school-based interventions for underserved adolescents with less access to affordable healthcare. Few studies have examined the Emergency Department (ED) as a setting to reach this population. The purpose of this study is to determine the receptivity of underserved adolescents with receiving an ED intervention to increase their physical activity. Methods Used This pilot study consists of a cross-sectional survey. The study population included were underserved adolescents between the ages of 12 to 18 who qualified for public insurance and presented to the ED. Children with private insurance or those presenting with COVID-19 or COVID-19 symptoms were excluded. Data points collected included age, race/ethnicity, comfort levels for discussing physical activity in the ED on a 110 scale, likelihood to change their opinions about physical activity in ED on a 1-10 scale, preferred setting to receive an intervention on physical activity, and setting most likely to change their opinions about physical activity. Summary of Results Out of the 47 patients that were enrolled to date, 51% were male, the mean age was 15 years (SD 2 yrs.). Patients identified as Hispanic/Latino (34.0%), White/ Caucasian (29.8%), African American (27.7%), Biracial (6.4%), and Asian (2.1%). For comfort level discussing physical activity in the ED, the mean was 6.5 (SD 2.4), 53.2% picked high comfort (7-10), 36.2% picked medium comfort (4-6), and 10.6% picked low comfort (0-3). For likelihood to change their opinions about physical activity in the ED, the mean was 6.6 (SD 2.5), 57.4% picked high likelihood (7-10), 29.8% picked medium likelihood (4-6), and 12.8% picked low likelihood (0-3). Most preferred physical activity intervention settings were School (56.8%), Doctor's office (31.8%), and ED (6.8%). Settings most likely to change an adolescent's physical activity opinions were Doctor's office (44.2%), ED (30.2%), and School (20.9%). Comfort level and likelihood levels were similar across gender and race/ethnicity groups when tested with a Kruskal-Wallis test. Conclusions Underserved adolescents report being comfortable and likely to change their physical activity opinions if approached in the ED setting. This reported receptivity suggests the ED may be a good venue to institute an intervention. The most preferred intervention setting for underserved adolescents was school, and the venue most likely to impact change was the Doctor's office followed by the ED. (Table Presented).
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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Experimental Studies Language: English Journal: Journal of Investigative Medicine Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Experimental Studies Language: English Journal: Journal of Investigative Medicine Year: 2022 Document Type: Article