Influencing Self-rated Health Among Adolescent Girls With Dance Intervention

Duberg, Anna; Hagberg, Lars; Sunvisson, Helena; Möller, Margareta

doi:10.1001/jamapediatrics.2013.421

Cited by 63 publications

(78 citation statements)

References 28 publications

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“…The link between self-rated health and adverse outcomes, although well established, is poorly understood. Two small trials, of a dance intervention in adolescent girls (40) and a combined physical activity/dietary modification program in community-dwelling adults in Japan (41), have shown potential modifiability of self-rated health. In population studies, self-rated health is a comprehensive, inclusive, and informative measure of health status (42).…”

Section: Discussionmentioning

confidence: 99%

Self-Rated Health and Adverse Events in CKD

Robinson‐Cohen

Hall

Katz

et al. 2014

Clinical Journal of the American Society of Nephrology

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Background and objectives Little is known about the utility of self-rated general health assessments in persons with moderate-to-severe CKD. This study examined the ability of a single self-rated health measure to predict allcause mortality and kidney disease progression in a cohort of 443 patients with stages 3-4 CKD, recruited between 2005 and 2011, and followed until the end of 2012. The performance of models incorporating self-rated health measures was compared with previously published predictive models and more complex models comprising a multibiomarker panel.Design, setting, participants, & measurements Participants were asked "In general, would you say your health is excellent, very good, good, fair, or poor?" Outcomes examined were time to all-cause mortality, kidney disease progression (initiation of RRT or 30% loss of eGFR), and a composite of these events. Model performances were compared using a nonparametric area under the curve (AUC) analysis.Results Over a median follow-up of 3.3 years, 118 (27%) participants died and 138 (31%) had progression of kidney disease. Fair-to-poor self-rated health status was associated with significantly greater risks of mortality (fully adjusted hazard ratio [HR] for relative to good-to-excellent self-rated health, 2.76; 95% confidence interval [95% CI], 1.28 to 5.89), kidney disease progression (HR, 1.94; 95% CI, 1.49 to 2.56), and the combined end point (HR, 2.21; 95% CI, 1.66 to 2.96). For 3-year mortality prediction, the self-rated health model (AUC, 0.80; 95% CI, 0.76 to 0.85) had significantly higher AUCs than the base model (AUC, 0.71; 95% CI, 0.66 to 0.76) and the multibiomarker panel model (AUC, 0.74; 95% CI, 0.68 to 0.80) (P=0.03 and P=0.04, respectively).Conclusions A single, easily obtained measure of self-rated health helps identify patients with CKD at high risk of mortality and kidney disease progression. Routine evaluation of self-rated health may help target individuals who might benefit from more intensive monitoring strategies.

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Section: Discussionmentioning

confidence: 99%

Self-Rated Health and Adverse Events in CKD

Robinson‐Cohen

Hall

Katz

et al. 2014

Clinical Journal of the American Society of Nephrology

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“…A dance intervention focusing on the 'joy of movement' successfully improved self-rated health scores among girls (aged 13-18 years) with internalising problems at 8-, 12-and 20-month follow-up (8-month difference in mean change 0.30, 95% CI −0.01 to 0.61; 12-month difference in mean change 0.62, 95% CI 0.25 to 0.99; 20-month difference in mean change 0.40, 95% CI 0.04 to 0.77). 23 Aerobic capacity (p = 0.001) and upper body strength (p = 0.002) has also been found to significantly increase for…”

Section: Dance Interventionsmentioning

confidence: 94%

Bristol Girls Dance Project: a cluster randomised controlled trial of an after-school dance programme to increase physical activity among 11- to 12-year-old girls

et al. 2016

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BackgroundMany children do not meet UK physical activity (PA) guidelines. Girls are less active than boys, and the age-related decline in activity is steeper for girls. Dance is the favourite form of PA among adolescent girls in the UK. Participation in after-school dance classes could significantly contribute to girls’ PA. Therefore, after-school dance may be effective for increasing PA levels.ObjectivesTo determine the effectiveness and cost-effectiveness of a dance-based intervention to increase the objectively assessed mean weekday minutes of moderate- to vigorous-intensity physical activity (MVPA) of Year 7 girls (11- and 12-year olds) 1 year after baseline measurement.DesignTwo-arm cluster randomised controlled trial and economic evaluation. Year 7 girls in participant schools received a ‘taster’ session and were invited to participate. Up to 33 girls per school were able to participate. Schools were randomly assigned (equal numbers) to intervention or control arms.SettingA total of 18 mainstream secondary schools across greater Bristol.ParticipantsYear 7 girls in participating schools who could participate in physical education.InterventionNine intervention schools received an after-school dance intervention (40 × 75-minute sessions) underpinned by self-determination theory, which attempts to improve intrinsic motivation for being active, and delivered by external dance instructors. Control schools continued as normal.Main outcome measuresThe main outcome was accelerometer-assessed mean minutes of MVPA at T2. Measures were assessed at baseline (T0), the end of the intervention (T1) and at T0 + 52 weeks (T2).ResultsBaseline MVPA levels were high. A total of 508 girls were included in the primary analysis, which found no difference in weekday MVPA between trial arms. There was no effect on secondary accelerometer outcomes. Data were subjected to a per-protocol analysis and no effect was found. However, at T1, girls who attended dance classes had 4.61 minutes more of MVPA and 14.27 minutes more of light-intensity activity between 15.00 and 17.00 on the days on which they attended intervention sessions. The intervention was inexpensive at £73 per participant (£63 when excluding dance instructor travel) but was not cost-effective owing to the ineffectiveness of the intervention. The European Quality of Life-5 Dimensions Youth survey data were unresponsive to changes in the sample. The process evaluation reported that girls in attendance enjoyed the sessions, that exertion levels were low during sessions and that attendance was low and declined. Fidelity to the session-plan manual was low but theoretical fidelity (to self-determination theory) was good. Qualitative information provides information for improving future interventions.ConclusionsThe intervention was enjoyed by participants. However, there was no difference in the MVPA levels (which were high at baseline) of girls allocated to receive dance compared with girls receiving the control. High baseline MVPA levels indicate that the study appealed to an already active cohort and, therefore, may not have targeted those most in need of an intervention. Dance is an enjoyable activity for adolescent girls and could be further trialled as a means by which to increase PA. Research might consider the impact of dividing the intervention period into smaller blocks.Trial RegistrationCurrent Controlled Trials ISRCTN52882523.FundingThe National Institute for Health Research Public Health Research programme. The work was also undertaken with the support of the Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), a UK Clinical Research Collaboration (UKCRC) PHR Centre of Excellence. Joint funding (MR/KO232331/1) from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the Welsh Government and the Wellcome Trust, under the auspices of the UKCRC, is gratefully acknowledged. This study was designed and delivered in collaboration with the Bristol Randomised Trials Collaboration, a UKCRC Registered Clinical Trials Unit in receipt of NIHR Clinical Trials Unit support funding. All intervention costs were funded by the respective councils to which the participant schools were affiliated, namely North Somerset Council, Bristol City Council, and Bath and North East Somerset Council.

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“…A dance intervention programme for adolescent girls with internalizing problems, i.e., with stress and psychosomatic symptoms, was developed and a randomized controlled trial was performed by a Swedish research team and published in JAMA Pediatrics in 2013 (Duberg, Hagberg, Sunvisson, & Möller, 2013). Evaluations show that the intervention improved self-rated health at 12 and 20 month follow-up (mean difference 0.62 and 0.40) and was a positive experience (Duberg et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…Evaluations show that the intervention improved self-rated health at 12 and 20 month follow-up (mean difference 0.62 and 0.40) and was a positive experience (Duberg et al, 2013). In a qualitative study, girls who had participated in the dance intervention expressed that the intervention had given them a feeling of being free, and increased self-trust and confidence (Duberg, Möller, & Sunvisson, 2016).…”

Section: Introductionmentioning

confidence: 99%

Exploring experiences among adopters during the diffusion of a novel dance intervention in Sweden

Carlsson

Kullberg

Johansson

et al. 2018

International Journal of Qualitative Studies on Health and Well

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There is a demand for interventions aimed at adolescent girls with psychosomatic problems. In 2013, positive results were reported from a dance intervention programme addressing girls with internalizing problems. The research team behind the intervention immediately received requests from municipalities and county councils interested in using the intervention. From an implementation point of view it is unclear what made the intervention spread without an active plan. The aim of this study was to explore adopters’ experiences about the diffusion and initiation of a public health intervention targeting adolescent girls with internalizing problems. Interviews were conducted with 12 people who were engaged in initiating the intervention in different settings. Data were analysed using conventional content analysis, yielding three categories: perceived appeal and trustworthiness, convenient information, and contextual factors. The results reflected that the participants found that there was a need for an intervention and found the dance intervention to be evidence based and not too complex to perform. Further, there was available information on the project which could easily be distributed to decision makers and others. When initiating the intervention, factors related to economy, possibility for collaboration and recruitment were of importance.

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Influencing Self-rated Health Among Adolescent Girls With Dance Intervention

Abstract: An 8-month dance intervention can improve self-rated health for adolescent girls with internalizing problems. The improvement remained a year after the intervention.

Cited by 63 publications

References 28 publications

Self-Rated Health and Adverse Events in CKD

Self-Rated Health and Adverse Events in CKD

Bristol Girls Dance Project: a cluster randomised controlled trial of an after-school dance programme to increase physical activity among 11- to 12-year-old girls

Exploring experiences among adopters during the diffusion of a novel dance intervention in Sweden

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