Sports participation has potential to promote physical activity in youth. Unfortunately, sports participation and physical activity may decline from childhood to adolescence and into adulthood. Globally, only 20% of 13–15-year-olds meet the World Health Organisation recommendations for physical activity. This study aimed to investigate the 5-year trajectories of sports participation and their association with baseline motor performance in Danish school children as part of the Childhood Health Activity and Motor Performance School Study-Denmark (CHAMPS-DK), a school-based physical activity intervention study which investigated the health benefits of increased physical education lessons. Five distinct trajectories were identified, with group 1 maintained a stable trajectory of little to no sports participation, and group 2 showing a low decreasing trend. Group 3–5, the most sports active, demonstrated increasing sport participation at different rates. Baseline motor performance score was associated with the two most active sports participation groups. Students who were more physically active during school hours participated less in organised leisure time sports. This suggest focusing on improving motor performance in youth may support future sports participation and thus health-related physical activity. But also, that it might be necessary to engage and maintain children and adolescents in leisure time sports while implementing physical activity promotion interventions.
Backgrounds: Patients with hematological cancers and their caregivers request more realistic information about disease trajectory and prognosis. The aim of the study was to evaluate the implementation of an adapted SICP concept into the hematological department at Copenhagen University Hospital in Denmark.
Methods: For evaluating the adaptation and implementation of the SICP the outlined framework in the updated guidelines for complex interventions by the UK Medical Research Council was used combined with an action research design with 5 haematological doctors, 5 nurses, 6 patients with haematological malignancies, and 4 caregivers. For evaluating the effectiveness of the adapted concept as well as understanding the processes of change, a combination of quantitative and qualitative methods was performed with two questionnaire scales, focus group, and dyad interviews.
Results: There were no significant correlations between before and after on either of the two scales. Among the individual questions within the two scales, seven questions showed significant difference from before to after the course or between participants and control group. The analysis of the questionnaire data points to that participants might increase confidence in their own abilities to include existential aspects in patient care and make changes in care plan, if needed. It also seemed that nurses and doctors who found it important to care for patients’ existential concerns and believe this to be an important part of their job were more likely to participate in the SICP concept. The qualitative analysis points to the importance of interdisciplinarity of the nurse and doctor in the SICP because then the patient’s and caregiver’s preferences are integrated in the treatment and care plan, and it strengthens conversations involving medical, holistic, and existential issues. It particularly seemed how time allocated for the conversation and the preparatory materials for the conversations highly influenced outcome of the conversation.
Conclusions: The implementation of adapted SICP is feasible in a hematological setting, and it facilitated overcoming barriers for offering more existential consultations in hematology. SICP concept have been implemented to all staff members of the myeloma/lymphoma clinic and to be integrated timely throughout the disease trajectory starting at the time of diagnosis.
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