Adolescent Report of Lifestyle Counseling

Oreskovic, Nicolas M.; Goodman, Elizabeth; Robinson, Alyssa I.; Perrin, Eliana M.; Perrin, James M.

doi:10.1089/chi.2013.0131

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…Physicians are known to face many well-described barriers to physical activity counseling, including insufficient knowledge, low selfefficacy, perceived low efficacy, time constraints, and limited financial reimbursement (Oreskovic et al, 2014;Perrin et al, 2005;Taveras et al, 2007). The limitations of this study include generalizability and data capture.…”

Section: Discussionmentioning

confidence: 95%

“…Physicians are known to face many well‐described barriers to physical activity counseling, including insufficient knowledge, low self‐efficacy, perceived low efficacy, time constraints, and limited financial reimbursement (Oreskovic et al, 2014; Perrin et al, 2005; Taveras et al, 2007). For example, methods such as Cognitive‐Behavior Therapy that could support individuals finding ways to increase physical activity, require additional training and visit time, which primary care physicians often do not have during their visit.…”

Section: Discussionmentioning

confidence: 99%

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Brief report: Physical activity assessment and counseling in adults with Down syndrome

Harisinghani,

Torres,

Oreskovic

2023

American J of Med Genetics Pt C

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Adults with Down syndrome are at an increased risk for developing certain medical conditions, which can be further exacerbated by lower levels of physical activity. Physician counseling can provide a supportive environment to encourage modes of physical activity accessible to patients and caregivers. While some adults with Down syndrome have access to a Down syndrome specialty clinic, most are followed only by a primary care physician. This report includes adult patients with Down syndrome followed at a Down syndrome specialty clinic in Boston and compares physical activity assessment and counseling rates by Down syndrome specialists and primary care physicians. Patients were more likely to have physical activity assessment and counseling performed by a Down syndrome specialist than by a primary care physician. A better understanding of the barriers primary care physicians caring for adults with Down syndrome experience related to physical activity counseling could help improve important health habit counseling in this high‐risk population.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Brief report: Physical activity assessment and counseling in adults with Down syndrome

Harisinghani,

Torres,

Oreskovic

2023

American J of Med Genetics Pt C

Self Cite

View full text Add to dashboard Cite

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“…Data collected between the hours of 12:00am and 5:00am are considered sleep time and removed prior to analyses. 20 Age-specific thresholds are used to classify accelerometer data, with sedentary activity defined as <100 counts per minute and MVPA ≥2296 counts per minute. 21,22 Total minutes above the MVPA threshold, divided by the number of valid days, is used to calculate daily minutes of MVPA for each subject.…”

Section: Methodsmentioning

confidence: 99%

Design and implementation of a physical activity intervention to enhance children's use of the built environment (the CUBE study)

Oreskovic

Goodman

Park

et al. 2015

Contemporary Clinical Trials

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Background Adequate physical activity promotes physical and mental health and decreases obesity risk. However, most adolescents do not attain recommended physical activity levels and effective interventions are lacking. Physical activity trials rarely incorporate built environment use patterns. Purpose This paper describes the design and rationale of the Children’s Use of the Built Environment (CUBE) Study, an office-based intervention designed to teach youth how to use their surrounding built environment to increase physical activity. Methods CUBE is a 6-month intervention trial among 60 overweight and obese 10-16 year old adolescents from a community health center in Massachusetts. The study began in the winter of 2013. Patients are sequentially assigned to either the intervention or control group. Baseline physical activity by accelerometry and location by GPS, along with measured height, weight, and blood pressure are collected. Control subjects receive standard of care lifestyle counseling. Intervention subjects receive tailored recommendations on how to increase their physical activity based on their accelerometer and GPS data. Data collections are repeated at end-of-treatment, and again 3 months later. Conclusion The findings from this study should help guide future efforts to design interventions aimed at increasing adolescent physical activity as well as to inform design professionals and government officials charged with creating outdoor spaces where adolescents spend time.

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Design and rationale of the STRIVE trial to improve cardiometabolic health among children and families

Oreskovic

Fletcher

Sharifi

et al. 2016

Contemporary Clinical Trials

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Background Many of the health behaviors known to contribute to cardiometabolic risk and disease (CMRD), including physical activity, diet, sleep, and screen time, begin during childhood. Given the population-wide burden of CMRD, novel ways of assessing risk and providing feedback to support behavior change are needed. Purpose This paper describes the design and rationale for the Study for using Technology to Reach Individual Excellence (STRIVE), a randomized controlled trial testing the use of an integrated, closed-loop feedback system that incorporates longitudinal, patient-generated, mobile health technology (mHealth) data on health behaviors and provides clinical recommendations to help manage CMRD among at-risk families. Methods STRIVE is a 6-month trial among 68 children, ages 6-12 year olds with a body mass index ≥ 85th percentile from Massachusetts with at least one parent with CMRD. Data on several health behaviors will be collected daily over 6 months. Children and parents will each wear wristbands that collect objective physical activity, sleep, and screen time data via accelerometry, noise, and infrared detection. Sugar sweetened beverage consumption will be assessed by self-report via a smartphone application. Weight will be collected using a wireless scale. Intervention group parents receive feedback on their child's health behaviors and personalized CMRD counseling via mobile messaging. Control parents receive standard of care recommendations and weekly health behavior reports for self-guided care. Conclusion The STRIVE trial will test the use of mHealth and closed-loop feedback systems to improve health behaviors among families at-risk for or with established CMRD.

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Adolescent Report of Lifestyle Counseling

Cited by 4 publications

References 20 publications

Brief report: Physical activity assessment and counseling in adults with Down syndrome

Brief report: Physical activity assessment and counseling in adults with Down syndrome

Design and implementation of a physical activity intervention to enhance children's use of the built environment (the CUBE study)

Design and rationale of the STRIVE trial to improve cardiometabolic health among children and families

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