A scoping review of whole-of-community interventions on six modifiable cancer prevention risk factors in youth: A systems typology

Essay, Ann M.; Schlechter, Chelsey R.; Mershon, Carrie A.; Fial, Alissa; Ellison, Jennie; Rosenkranz, Richard R.; Dzewaltowski, David A.

doi:10.1016/j.ypmed.2021.106769

Cited by 7 publications

(7 citation statements)

References 133 publications

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“…15,[29][30][31][32] However, these primarily have been single-setting efforts focused on the school and after-school program settings, and a recent scoping review found that a majority of existing whole-of-community population health improvement interventions that are focused on improving cancer risk factors in youth, including PA, do not include monitoring and feedback systems. 33 The present protocol extends setting-based efforts by identifying both in-school and out-of-school organized group settings available across the whole-of-community, collecting data from these settings, and feeding this data back to a community hub. Combined with population PA data at the community level, 9 this creates a multilevel data system to help communities understand their wellness landscape and make decisions to improve PA.…”

Section: Discussionmentioning

confidence: 99%

A Protocol for a Local Community Monitoring and Feedback System for Physical Activity in Organized Group Settings for Children

Essay

Schenkelberg

Seggern

et al. 2023

Journal of Physical Activity and Health

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Background: Communities are wellness landscapes of geospatially and temporally bound settings where children spend their time. Improving population physical activity (PA) requires investigating available community settings for children, such as classrooms and sport teams, and the dynamic social interactions producing PA. This protocol describes a multiscale community wellness landscape monitoring and feedback system of adult-led organized group settings and PA outcomes for children. Methods: The data system assessed organized groups for third- through sixth-grade children in 2 rural communities within seasons (fall 2018–2019). Within each season, groups were identified, sampled, and recruited. Sampled group meetings were assessed for children’s PA (accelerometry) and meeting routines (video observation). A data processing protocol time-segmented data into meetings and meeting routines into smaller units (sessions). A purpose code was assigned to each meeting (eg, classroom, sport) and session (eg, academic, PA). Group accelerometer data were paired with the coded segments. Multiscale metrics (season, meeting, and session) were generated and provided to the communities in tailored reports. Results: A total of 94 groups were recruited, and 73 groups with 1302 participants were included in the data system. Data were collected from 213 meetings and 844 sessions. Most participants (83.1%) consented to link their accelerometer data with demographic data from school enrollment records. Conclusions: The community data system identified available organized group settings for children and collected video and PA data from these settings. Incorporating setting data into local data systems provides detailed accounts of whole-of-community PA social systems to inform population health improvement efforts.

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Section: Discussionmentioning

confidence: 99%

A Protocol for a Local Community Monitoring and Feedback System for Physical Activity in Organized Group Settings for Children

Essay

Schenkelberg

Seggern

et al. 2023

Journal of Physical Activity and Health

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“…Similarly, Trost and colleagues found that children participating in afterschool programs in the Midwest accumulated, on average, approximately 20 minutes of MVPA while attending OST programming (74). These and other OST organized activities have shown some potential for improving childhood PA as highlighted in studies of isolated setting interventions (75)(76)(77), but there is little evidence of the improvement of the system of OST whole-of-community settings to truly impact the population health outcomes for all children living in a geographically de ned area (25). This lack of organized community settings system-level coordination may help to explain why we found that children who participated in any OST organized activity were not signi cantly more active during OST on weekdays and weekends than nonparticipants.…”

Section: Discussionmentioning

confidence: 99%

“…Bronfenbrenner's ecological theory description of behavior settings as microsystems and the interaction among the multiple and diverse larger community settings in the developing child as a mesosystem further aligns with a whole-ofcommunity approach (29,30). Thus, investigating the places children frequent nested within these larger social systems is critical to understanding their PA behaviors (25,31).…”

Section: Introductionmentioning

confidence: 98%

“…A whole-of-community approach emphasizes the need to study the system of OST organized settings at a community level. This approach is important since community PA outcomes for children are highly dependent on the interactions among individuals within setting environments, as well as on interactions among the community landscape of OST organized settings (25,26). It is also consistent with Barker's ecological theory of a community as behavior settings, in which ecological units bounded by time and space drive patterns of behavior within a replicated social structure (27,28).…”

Section: Introductionmentioning

confidence: 99%

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The association between children’s participation in out-of-school time organized activities and physical activity in rural communities: a cross-sectional study

Seggern

Schenkelberg

Essay

et al. 2022

Preprint

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Background Out-of-school time (OST) organized group youth activities (e.g., afterschool programs, clubs) can reduce health inequalities by increasing physical activity (PA). However, unlike youth sport, PA is not the primary focus of many organized activities. This study examined the association between rural children’s demographic factors and OST non-sport organized activity participation and the differences between these factors and PA. Methods During Spring 2019, children (n = 418 3rd − 6th graders, aged 8–12 years) enrolled in two rural Midwestern public schools in the United States completed the Youth Activity Profile (YAP) and supplemental National Survey of Children’s Health 2017–2018 survey questions assessing OST organized activity participation as part of the Wellscapes Project, a type 3 hybrid implementation-effectiveness community randomized trial. A subsample of 235 children (males, n = 117; females, n = 118) provided parental/guardian consent to pair YAP results with student enrollment records. Average OST moderate-to-vigorous PA (MVPA) per weekday and weekend days was estimated using an algorithm converting raw YAP scores into minutes of MVPA. Mixed models with community as a random effect examined main effects and interactions of grade, sex, and family income on OST non-sport organized activity participation and these factors and participation on MVPA. Results Most children (73.2%) participated in an OST non-sport organized activity. Males were less likely to participate in organized activities than females (OR = 0.38, 95% CI = 0.20–0.73, p = 0.004). Females and 6th graders reported lower OST MVPA on weekdays and weekends than comparison groups (p < 0.001). Males with lower family income accumulated significantly fewer minutes of MVPA on weekdays (meandiff = -4.7 ± 2.0 minutes) and weekends (meandiff = -8.9 ± 3.8 minutes) compared with males with higher family income (p < 0.05). Conclusions Many rural children participated in OST organized activities regardless of grade and family income. However, there were inequalities in organized activity participation and OST weekday and weekend MVPA by demographic factors, including grade, sex, and family income. Designing OST organized activity settings to include PA may aid in reducing PA inequalities and promoting health equity.

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“…Communities are social systems of interaction that create the structural conditions that influence children’s health behaviors, like PA ( 5 , 6 ). The structural conditions are labeled the social determinants of health, recognizing conditions in the environments where people live, learn, play, and age also affect PA and other health behaviors and outcomes ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic influences on youth sport participation and physical activity among children living within concentrated Hispanic/Latino rural communities

Von Seggern,

Rogers,

Schenkelberg

et al. 2024

Front. Public Health

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IntroductionLack of physical activity (PA) among children living in rural communities is a documented public health problem. Although studies have examined community conditions defined by a rural–urban dichotomy, few have investigated rural community conditions with a concentration of Hispanic/Latino people. This cross-sectional study examined sociodemographic characteristics associated with youth sport (YS) participation and daily PA among children living within concentrated Hispanic/Latino rural U.S. Midwest communities.MethodsDuring spring 2022, 97% of 3rd–6th grade children (n = 281, aged approximately 8–12 years) attending school in rural Midwestern communities (n = 2) with >50% concentration of Hispanic students participated in the Wellscapes Project, a community randomized trial. Participants completed the Youth Activity Profile and supplemental National Survey of Children’s Health questions assessing PA behaviors and YS participation. Caregivers of a subsample of children (n = 215; males, n = 93; females, n = 122) consented to pair their child’s survey results with school enrollment records (e.g., free/reduced lunch status and race and ethnicity). Mixed models with community as a random effect examined main and interaction effects of grade, sex, ethnoracial status, and family income on YS participation and these sociodemographic characteristics and YS participation on daily moderate-to-vigorous PA (MVPA).ResultsApproximately half of children participated in YS. Non-Hispanic White children (n = 82) were over five times more likely to participate in YS than Hispanic peers (n = 133) (OR = 5.54, 95% CI = 2.64–11.61, p < 0.001). YS participants accumulated 8.3 ± 2.3 more minutes of daily MVPA than non-participants (p < 0.001). Sixth graders, females, and Hispanic children reported lower daily MVPA than comparison groups (p < 0.05). Significant interaction effects on daily MVPA between grade and ethnoracial status (F(3, 204) = 3.04, p = 0.030) were also found.DiscussionDisparities in sport participation and PA outcomes based on sociodemographic characteristics exist among children living in ethnoracially diverse rural communities. Strategies to promote YS participation, including community structural changes, may help reduce PA disparities. The research provides valuable insights for policymakers, public health professionals, and community members to address YS participation barriers, not limited to cost, while considering other PA-promotion efforts to improve child population health.

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A scoping review of whole-of-community interventions on six modifiable cancer prevention risk factors in youth: A systems typology

Cited by 7 publications

References 133 publications

A Protocol for a Local Community Monitoring and Feedback System for Physical Activity in Organized Group Settings for Children

A Protocol for a Local Community Monitoring and Feedback System for Physical Activity in Organized Group Settings for Children

The association between children’s participation in out-of-school time organized activities and physical activity in rural communities: a cross-sectional study

Sociodemographic influences on youth sport participation and physical activity among children living within concentrated Hispanic/Latino rural communities

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