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The Role of Perceived Health, Ethnicity, and Psychosocial Resources on Students' Emotional Reactions and Risk-taking Behavior View Digital Media

Poster Session
Hasida Ben-Zur  

This study assessed the extent to which perceived health and economic status, ethnicity (Arabs and Jews), and psychosocial resources were associated with emotional reactions and risk taking among students following stressful academic events. It was based on a secondary analysis of the data of 528 students. Participants completed questionnaires assessing dispositional optimism, sense of mastery, and social support (combined to create a total psychosocial resources score), positive and negative affect, risk-taking behaviors, health and economic status, social desirability, and demographic variables. Pearson correlation, hierarchical regressions and Structural Equation Modelling were applied to the data. The main results showed that perceived health was positively correlated with perceived economic status and with psychosocial resources; Arab students scored lower than Jewish students on psychosocial resources; and psychosocial resources positively correlated with positivity ratio (positive affect divided by negative affect) and negatively with risk-taking behavior. A mediation model was tested with psychosocial resources mediating the effects of perceived health, economic status, and ethnicity on positivity ratio and risk-taking behavior. The model was confirmed as having very good fit indices: Chi-square (6)=6.92, p=.328; NFI=.967; IFI=.995; TLI=.983; CFI=.995; and RMSEA=.017. The results highlight the role of perceived health, ethnicity, and psychosocial resources in relation to the emotional and behavioral reactions of students to academic stressors, and suggest appropriate interventions, especially for enhancing psychosocial resources among minority students.

Can the Well-being of the Leader be Affected by Leadership Training?: Formal or Informal Education - Which Is the Best Way? View Digital Media

Poster Session
Diego Soto  

In today's society, the demands on leaders are more intense. High ethical components are required of the people who have the responsibility to lead and their actions are analyzed by the other components of the social system. These people have to make decisions and are constantly under pressure. It could be considered of interest to increase their leadership capabilities, in addition, these types of skills are related to the well-being of leaders and specifically in times of greatest pressure. We present the ways of formal and informal training that a sports leader can go to to acquire leadership skills. Finally we show how a sports leadership skills program promotes leadership skills and how these can be related to the well-being of the leader.

Phase Angle and Quality of Life of Rural Cancer Survivors View Digital Media

Poster Session
Cheryl Ramos,  Alexander Nagurney,  Lincoln Gotshalk  

Cancer and cancer treatment impacts cancer survivors’ nutritional status and quality of life. Physical activity improves nutritional status and quality of life of cancer survivors. Rural cancer survivors are less physically active than their urban counterparts and more at risk for nutritional deficiencies and poorer quality of life.The purpose of this study was to assess the relationship between nutritional status and quality of life of physically active rural cancer survivors. Adults 18 years of age and older were eligible if diagnosed with breast, prostate, or colo-rectal cancer 12 months or more prior to study participation, and completed cancer treatment. Fifteen individuals who reported engaging in three or more days of moderate or vigorous exercise during the past 7 days were considered physically active and completed study assessments. Phase Angle was measured with the InBody 770 bioelectrical impedance analyzer as a marker of nutritional status. Quality of Life was measured with the Short Form 36-Item Health Survey SF-36 (v2). Positive correlations were found between SF-36 physical functioning and Phase Angle Whole Body, right arm, left arm, right leg, and left leg. Phase Angle right arm and left arm were positively correlated with SF-36 vitality, social functioning, and general health. Phase Angle Whole Body was positively correlated with SF-36 general health. Phase Angle trunk was positively correlated with SF-36 vitality. BIA Phase Angle is positively correlated with psychological assessments of physical functioning of cancer survivors. Therefore, phase angle could be used as indicators of nutritional status and quality of life.

An Initiative on Healthy Lifestyle Education for Lifelong Learners in Florida View Digital Media

Poster Session
Tim Momol,  Wendy Dahl,  Wendy Lynch  

A multidimensional approach to wellbeing has progressively been incorporated into healthy living efforts in University of Florida Extension. A pilot study was launched in 2018 to integrate health and wellbeing domains into educational programming using a socio-ecological-economical model for youth and adults. The objectives include establishing programs across eight counties and designed to include components such as developing a peer support group, sharing the benefits of volunteering, learning, linking the connection between mind and body, gaining knowledge of local foods, benefits of gardening, accessing and consuming healthy foods, increasing physical activities, and establishing farmer to consumer interactions, thus blending health and wellbeing domains with food systems. Programs were designed to teach at least 8 hours of education in 3-4 weeks with a follow-up plan for obtain outcomes. The project was implemented across five counties in their first cycle and was repeated twice in one county. Garnering interest among target audiences to participate to this new program was noted as an implementation challenge in three counties. COVID-19- related challenges required the projects to pivot and concentrate more of the learning opportunities on mental and social wellbeing domains, local foods, horticultural therapy, growing your foods, while maintaining an integrative approach to healthy living. Thus far, results were documented on participant knowledge gained and behavior changed. The long-term success and the continuation of the project will be assessed in two years. Implementation of this pilot project has enabled an integration of lifestyle and food systems-based approaches to teaching healthy living curriculum in Florida.

Patterns of Consumption in Adolescents: Validation of a Questionnaire of Energy Drinks View Digital Media

Poster Session
Paola Silva Maldonado,  Trinidad Lorena Fernández Cortés,  Ramírez Moreno Esther,  José Arias Rico  

Energy drinks (ED) are beverages with high amounts of caffeine and other stimulants especially aimed at young people. Previous research suggests that their effects on health of adolescents are risky. The main purpose of this study was to validate a questionnaire to determine patterns of energy drinks consumption in adolescents. Cross sectional designs of students (n=45) aged between 16-17 years old attending public school in México. To validate, a panel of experts in nutrition conducted all elements. To estimate agreement in the evaluation inter-judges of questionnaire the Kappa coefficient of Cohen and Fleis was used, which is moderate - high. In a total of adolescents studied (mean age 16years; 57.8% females) reported to have used energy drinks at least once. Only 26.7% of adolescents (n-12) reported that they had never consumed and the age of onset of ED consumption was between 13-15 years 15.6%, 10-12 years 17.8%, 24.4% after age 15. The current average ED consumption was: 24.4% 1 time per month, 4.4% 1-3 time per month and 4-6 times per week and 2.2% daily once. Developed questionnaire is specific, and allows a considerable distinction in that the subjects define the frequency of their consumption by reliable measures in retrospective form and standardized self-report for the adolescents. There is significant correlation between the beverages with taurine consumption and physical effects such as tremors and chest pain, in addition, a significant correlation of effects such as fatigue, insomnia, excessive urination, and lack of rest with caffeinated beverages.

Total Wellness, Locally Grown in Florida: A Food Systems Approach to Wellbeing View Digital Media

Poster Session
Hannah Wooten,  Jana Anderson,  Tim Momol,  Kaydie Mc Cormick,  Lori Johnson,  Jamie Daugherty,  Virgilia Zabala,  Melinda Souers,  Jenny Aviles-Rodriguez Jenny  

Health education has a long history in Florida Extension focusing primarily on nutrition and physical activities, and in 2018 a multidisciplinary approach was used to engage in total wellness education which links local foods, agriculture and environment to nutrition, exercise and mindfulness. The objective was to teach participants strategies to blend health and wellbeing domains with food systems resulting in adoption of practices. In practice, growing your own food and preparing it incorporates physical activities and wise spending. Theoretically, educating Floridians about total wellness will lead to a more economically, environmentally, and socially resilient populace. Developing locally relevant total wellness educational programs will benefit county extension agents in connecting wellness domains. Three Central Florida counties delivered Healthy Florida Lifestyles: Locally Grown wellness series to adult and youth audiences between 2019 and 2021. A total of 106 participated in the multi- class wellness series, 53 adults and 53 youth. Post series surveys of all participants (n= 70) indicate 90% (63) increased knowledge about agriculture in Florida, 83% (58) increased knowledge about nutrition, 91% (64) increased knowledge about exercise, and 84% (59) increased knowledge about financial wellness. Nine month follow up surveys (n= 14) indicate that each participant has adopted at least one healthy lifestyle behavior. One respondent reported that the financial wellness strategies helped lead to the purchase of a first home. In conclusion, integrating health and wellbeing domains with local food systems leads to adoption of healthy lifestyle practices.

Bibliometric Analysis of Scientific Production of Positive Mental Health in SCOPUS View Digital Media

Poster Session
Fabiola González,  Silvia Leon Cortes  

Positive mental health is the set of faculties that a healthy person has to face the adversities that occur in the daily event. The implementation of this concept in the worker allows a healthy coexistence with his co-workers, subordinates and superiors. To date, there are no bibliometric studies related to positive mental health. In this study, we perform a bibliometric analysis based on the Scopus database from 1936 to 2020 in order to visualize the productive increase of scientific documentation, and from 2006 to 2020 to analyze the types of documents published, main sources of production, author and year, countries, most cited authors, key concepts and especially about mental health at work. The method uses descriptive bibliometric analysis by collecting scientific production using the Scopus database. A total of 1256 documents were retrieved from 1936 to 2020. Publications increased significantly from 2006 and reached a record 211 in 2020. United States, United Kingdom, Australia, Canada have a higher number of publications. For positive mental health applied in the work environment, only 95 papers were extracted in the years 2006 to 2020. The study of positive mental health has been increasing from 2006, however, studies on positive mental health in work areas still lack preponderance.

Impact of Balint Groups in Physician Assistant Education : An Approach to Counteracting the Decline in Empathy During Clinical Rotations View Digital Media

Poster Session
Emile Mike Boutin  

Empathy and stress management have been shown to be essential skills for healthcare providers. Research also indicates a decline in empathy levels among healthcare students during clinical rotations. Balint groups were originally developed to provide regular, facilitated meetings among physicians to process difficult feelings in the therapeutic relationship. Could Balint groups be used among physician assistant students during clinical rotations to mitigate against a decline in empathy? In 2019, Balint groups were introduced to a group of physician assistant students during their clinical rotations. Three times during rotations, students met in person in small groups for an hour, facilitated by the Director of Clinical Education and another trained staff person. Students were asked to present a case that left them unsettled or kept them up at night and to focus on interpersonal dynamics. As trust developed among group members, discussion followed about issues of end of life, conflict, family systems, addiction, diversity, or abuse. Student satisfaction surveys revealed that overwhelmingly, students found the Balint groups exceeded their expectations, were a good use of their time, and should be added to future clinical years. Surveys also revealed that scheduling concerns needed to be addressed in future iterations. Because of student feedback, Balint groups were included as part of the required curriculum for future cohorts. Further quantitative research would be useful in measuring empathy levels before and after Balint groups and into future practice.

Advancing Post-secondary Student Wellness: A Review of Related Literature View Digital Media

Poster Session
Kristen Zentner,  Brent D. Bradford,  Barbara van Ingen  

With increases in emotional and behavioural health issues over recent generations, advancement of post-secondary student wellness has emerged as a crucial topic for researchers and post-secondary administrators. Post-secondary is increasingly recognized as an environment with a holistic view of developing healthy citizens, not simply a place of education. Literature has indicated the complex interplay between the dimensions of wellness that contribute to overall student wellness, and has driven the development of progressive interventions that address and support student wellness initiatives. This review presents the core dimensions of student wellness, including physical, social, and financial wellness, discuss the role of social media in wellness, and explore wellness as it relates to two at-risk groups: Indigenous students and students belonging to sexual and gender diverse communities. The poster brings together key findings from literature representing a social-ecological perspective to mental health and wellness, showcasing successful interventions dedicated to augment physical, social, and financial wellness in post-secondary students. This poster compliments an encompassing student wellness initiative to produce an edited book to support post-secondary students, their families, and institution administrators to enhance student wellness.

Working From Home and Quality of Life During COVID-19 in the UK View Digital Media

Poster Session
Paul Franco,  Michelle Lee D'Abundo  

Based on current literature, there is a need to find, understand, and use information and services to inform health-related decisions and actions for individuals and family members living in homes functioning as both work and living space. The purpose of this study is to define Quality of Life (QOL) while working from home (WFH) in the UK. A qualitative study using the QOL Home Workplace Questionnaire (QOLHWQ) was conducted online via SurveyMonkey® between July-September 2020. The instrument consisted of demographic items and 11 open-ended questions including the following, which is the focus of this abstract: Please describe your current quality of life and how it relates to WFH. Data from 234 UK respondents were exported from Excel into Atlas.ti for analysis including preparing data/open-coding/sorting codes/organizing themes. Most participants (39.74%) commented WFH was positive/increased QOL, 35.04% had a negative/decreased QOL, 8.55% had both a positive and negative QOL, 10.68% had neither a positive nor negative experience and 5.98% were not fully WFH. Many reasons attributed to positive/increased QOL including less commuting, more time with family/kids/partner/pets, comfort of home, and spending less/saving money. The negative/decreased QOL was mostly associated with loneliness/lack of socializing, challenging work-life balance, increased stress/anxiety, less motivation and lower productivity. If the trend of more people WFH continues, workplace QOL and home workplace health promotion will play an essential role in UK public health. Understanding what promotes increased and decreased QOL at home will be essential to creating evidenced-based programs to optimize the home workplace for employees and employers.

Use of Service Learning Pedagogy in Health Education Curriculum View Digital Media

Poster Session
Gloria McNamara  

The purpose of this retrospective study is to examine the impact that service-learning pedagogy has on community college students majoring in health education. According to Social Cognitive Theory, learning environments have the potential to influence students’ beliefs, cognition and behaviors. It is predicted that service learning incorporated into a health education curriculum may afford students more opportunities to experience first-hand the multiple dimensions of health and better understand the concept of health disparities. Each student is required to complete three field visits to a community setting, each 3 hours long, for a total of 9 hours in one 15-week semester. An open-ended, short answer survey is submitted post-intervention to assess the potential effect service-learning may have had on students’ personal agency, civic engagement, and capacity to apply curricular concepts to a community setting. Using a category system to code the responses, the investigator analyzes the statements. The researcher considers patterns to identify themes (e.g. leadership) associated with the service-learning experience. This study demonstrates that service-learning pedagogy can be successfully integrated into the health education curriculum. Further, it is predicted that this instructional method will lead to better student outcomes, specifically increased health knowledge, improved health behaviors, and greater civic engagement.

Big Qualitative in Health Promotion and Wellness Research During COVID-19 View Digital Media

Poster Session
Michelle Lee D'Abundo,  Paul Franco  

Big qualitative research (big qual) is defined as datasets containing primary or secondary qualitative data with at least 100 participants extending opportunities for health science research in terms of generalization through big qual data collection and analysis (Brower et al., 2019). Previously, qualitative research was limited to small sample sizes within narrowly defined populations. Big qual can be used to conduct general population research without geographic boundaries while continuing to capture rich, descriptive data associated with traditional qualitative research and create the possibility of generating theory through larger sample sizes (Brower et al, 2019). When big qual is used in online environments where contact with participants can be maintained without typical constraints like access and location, the possibility of successful longitudinal wellness research can be increased. The purpose of this proposal is to 1) detail the creation of a quality of life based qualitative questionnaire 2) highlight recruitment strategies for online research with individuals working at home during COVID-19 and 3) provide innovative methodologies for research with an emphasis on sampling techniques to increase response. Optimization of respondent engagement will be discussed using SurveyMonkey® and social media platforms (e.g., Facebook). The phases of research innovation will be illustrated to provide practical guidelines for data collection and analysis. Strategic contingency plans to counteract research barriers such as the COVID-19 pandemic are described. After viewing this presentation, researchers will be able integrate novel methodologies such as big qual with existing methodologies in global health promotion and wellness research.

Using Patient Engagement to Improve Equitable Care for Patients with COPD View Digital Media

Poster Session
Jalesa Martin,  Shannon Sibbald  

This review was conducted to determine how patient engagement has been used in the delivery of equitable care for patients with Chronic Obstructive Pulmonary Disease (COPD). This included areas such as identifying best practices in delivery of care to improve health outcomes. A search was done on Scopus, PubMed, and Nursing and Allied Health database. Title and abstract results were briefly scanned, and articles that mentioned one to three of the main concepts: “COPD”, “Patient Engagement”, “Equitable healthcare” were selected for full-text screening. 25 articles were selected. Data extraction was done using a matrix, and data analysis was done based on the three concepts. Four main themes were identified and reported on. The impact of health inequities on patients with COPD is significant. Socioeconomic and environmental inequities are the most significant contributors, highlighting the need for an approach that facilitates equitable healthcare delivery for these patients. Engagement strategies should consider whether enough perspectives are represented and that patients are supported in sharing their stories. In addition, health care professionals should consider the perspective and experiences of their patients, considering that they receive better care when clinicians listen and acknowledge social determinants of health. Approaches to the delivery of equitable care should not focus on self-management and personal factors, but take a social determinants of health approach.

Lumbar Osteoarthritis Pain Relief with Body Load Distribution: Research Centered on the Treatment for People with an Active Athletic Lifestyle View Digital Media

Poster Session
Daniel Gomez  

Every day, osteoarthritis is affecting younger people of ages between 30 and 50; more than 242 million people suffer from some type of osteoarthritis in the world, including lumbar osteoarthritis. Lumbar osteoarthritis is a degenerative problem in the intervertebral discs, reducing their fluids and generating bone spurs (osteophytes), which leads the patient to suffer pain and a tendency to disability. People with lumbar osteoarthritis who wish to maintain an active athletic lifestyle, jogging frequently, are suffering severe back pain due to the wear that exists in the intervertebral discs. The problem is that the back receives frequent stress with each step, since the lumbar area must make a great effort to keep the body upright and the vertebrae in place, even so, there are usually micro movements that wear out the intervertebral discs and worsen the osteoarthritis. Being a preliminary project, this study seeks to provide a possible prevention and treatment, studying the disease by consulting with an orthopedist, then finding referents and finding the best way to support a person with lumbar osteoarthritis who wishes to maintain an active athletic lifestyle, as it affects more and more young people every day. The objective is to distribute the weight throughout the body in order to relief the impact that falls on the lumbar area, with the help of new technologies. Authors: Daniel Gomez, Santiago Gomez, Juan Amado & Erika Muñoz

Towards Engaged and Satisfied Teachers in South-Africa - the Role of Psychological Need Satisfaction: The Importance of Supervisor Support and Effective Retention Strategies View Digital Media

Poster Session
Elmari Fouche  

The aim of this study is to investigate the relations among supervisor support, psychological need satisfaction, engagement and intention of employees to leave. A cross-sectional survey design was used with a convenience sample of 513 secondary school teachers in public schools in a province in South Africa. The Supervisor Support Scale, Work-related Basic Need Satisfaction Scale, Work Engagement Scale and Intention to Leave Scale were administered. The structural model confirmed that supervisor support (for autonomy, competence, and relatedness) was positively related to employees’ psychological need satisfaction and engagement and negatively related to intention to leave. Supervisor support affected engagement positively and intention to leave negatively via employees’ autonomy satisfaction. The findings suggest that supervisor support and psychological need satisfaction play a significant role in the engagement and retention of employees.

Psychological Wellbeing: Toward an Innovative Provision of Mental Health Care in the UAE View Digital Media

Poster Session
Fatema Alrumaithi  

While physical health strategies have been developed through the establishment of healthcare centers and e-services, psychological health services have not improved comparatively, especially in the UAE. Thus, it is essential to understand the requirements of advanced technologies and approaches in the provision of healthcare services. Nevertheless, the social cohesion, financial burden, and associated stigma are among the primary factors behind the reluctance to approach psychological wellbeing services. Furthermore, these factors reduce the effectiveness of awareness programs regarding psychological wellbeing in the community. Consequently, this study aims to explore how innovation can support the provision of mental health services and how it can assist in spreading awareness of psychological wellbeing and reduce the associated stigma, in context of the UAE. This paper focuses on the preliminary literature review of innovative methods applied in the area of mental wellbeing services. Additionally, primary data was collected by conducting a focus group discussion among specialized counselors working in the city of Abu Dhabi. The acquired data were analyzed and evaluated to present results that answered the research questions and provided suggestions for future research.

Trauma Informed Teaching Practices: Teaching Self Regulation through Mindfulness to Children and Adolescents View Digital Media

Poster Session
Donald D. Matthews  

Complex trauma can have lifelong effects on a child’s ability to self regulate and to engage in interpersonal relationships. In children and adolescents, complex trauma results in difficulties with expressing emotions, identifying and labeling feelings, and communicating desires, wishes and needs. Children experiencing trauma fail to develop the ability to self soothe which can further lead to numbing, dissociation, avoidance, or other maladaptive behaviors. As an intervention to trauma, mindfulness offers teachers a strategy that enhances self regulation through a process of building self awareness. It engages students in cognitive monitoring, attention and emotional regulation, and self appraisal. Mindfulness of breathing increases resilience to stressful situations and helps regulate responses to them. Mindful breathing is taught and practiced over a period of sessions, usually for six to eight weeks. Through modeling and rehearsal, the students become more aware of the relationship between breath control, attention and emotional reactivity. As a metacognitive tool, mindful breathing allows teachers to observe students as they reflect on their ability to monitor attention and emotions and thus measure self-knowledge and self regulation. Teaching metacognitive strategies like mindful breathing reduces the dependence on the teacher to manage student behavior and increases the student’s ability to develop coping skills and self regulation.

Digital Media

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