A Qualitative Evaluation of the YMCA's Physical Healthy and Driven Program (PHD)

Total Page:16

File Type:pdf, Size:1020Kb

A Qualitative Evaluation of the YMCA's Physical Healthy and Driven Program (PHD) NOTE TO USERS This reproduction is the best copy available. UMf A Qualitative Evaluation of the YMCA's Physical Healthy and Driven Program (PHD) By Rama Issa Musharbash A Thesis Submitted to the Faculty of Graduate Studies through the Faculty of Human Kinetics in Partial Fulfillment of the Requirements for the Degree of Master of Human Kinetics at the University of Windsor Windsor, Ontario, Canada 2009 ©Rama Musharbash, 2009 Library and Archives Biblioth^que et 1*1 Canada Archives Canada Published Heritage Direction du Branch Patrimoine de l'§dition 395 Wellington Street 395, rue Wellington Ottawa ON K1A0N4 Ottawa ON K1A 0N4 Canada Canada Your file Votre reference ISBN: 978-0-494-57634-2 Our file Notre reference ISBN: 978-0-494-57634-2 NOTICE: AVIS: The author has granted a non- L'auteur a accorde une licence non exclusive exclusive license allowing Library and permettant a la Bibliotheque et Archives Archives Canada to reproduce, Canada de reproduire, publier, archiver, publish, archive, preserve, conserve, sauvegarder, conserver, transmettre au public communicate to the public by par telecommunication ou par ('Internet, preter, telecommunication or on the Internet, distribuer et vendre des theses partout dans le loan, distribute and sell theses monde, a des fins commerciales ou autres, sur worldwide, for commercial or non- support microforme, papier, electronique et/ou commercial purposes, in microform, autres formats. paper, electronic and/or any other formats. The author retains copyright L'auteur conserve la propriete du droit d'auteur ownership and moral rights in this et des droits moraux qui protege cette these. Ni thesis. Neither the thesis nor la these ni des extraits substantias de celle-ci substantial extracts from it may be ne doivent etre imprimes ou autrement printed or otherwise reproduced reproduits sans son autorisation. without the author's permission. In compliance with the Canadian Conformement a la loi canadienne sur la Privacy Act some supporting forms protection de la vie privee, quelques may have been removed from this formulaires secondaires ont ete enleves de thesis. cette these. While these forms may be included Bien que ces formulaires aient inclus dans in the document page count, their la pagination, il n'y aura aucun contenu removal does not represent any loss manquant. of content from the thesis. 1*1 Canada Author's Declaration of Originality I hereby certify that I am the sole author of this thesis and that no part of this thesis has been published or submitted for publication. I certify that, to the best of my knowledge, my thesis does not infringe upon anyone's copyright nor violate any proprietary rights and that any ideas, techniques, quotations, or any other material from the work of other people included in my thesis, published or otherwise, are fully acknowledged in accordance with the standard referencing practices. Furthermore, to the extent that I have included copyrighted material that surpasses the bounds of fair dealing within the meaning of the Canada Copyright Act, I certify that I have obtained a written permission from the copyright owner(s) to include such material(s) in my thesis and have included copies of such copyright clearances to my appendix. I declare that this is a true copy of my thesis, including any final revisions, as approved by my thesis committee and the Graduate Studies office, and that this thesis has not been submitted for a higher degree to any other University or Institution. ABSTRACT This study was conducted to evaluate the YMCA's Physical, Healthy, and Driven (PHD) program. Physical activity programs such as PHD, Camp Shane, and High Five are focused on creating opportunities for individuals to engage in healthy active living. There has been a proliferation of such programs in recent years in response to the health statistics that identify high rates of overweight and obesity and low levels of activity in youth. Often, it is assumed that such programs are valuable for the participants without any formal evaluation process to verify this assertion. The objective of this evaluation was to examine the effectiveness and the delivery of the program. Three sub problems were addressed: What do parents say about the content and delivery of the PHD program?; how do program administrators identify the needs of participants in the PHD program?; and what organizational changes would further facilitate implementation of the PHD program? Overall, the evaluation resulted in positive comments about the value of the program to participants and their families. Accordingly, recommendations emerged that support program sustainability, growth and geographic expansion. iv Dedicated to my Family Dr. Issa Musharbash Thanks for all the help and support throughout my entire life. Randa Madbak Thank you for introducing me to the belief that "there's no such thing as I can't". I love you Mom and I will always remember all what you have done for me. Amer Musharbash Thank you for being the most loving and caring brother, and for all the advice and support you offered me when I needed it. Yazan Musharbash Thanks for being my brother, partner, teammate, and best friend throughout my life. Bana Musharbash Thank you for giving me the chance to enjoy the feeling of having a sister. Thanks for always being there for me. I love you Sister and I will always be there for you. v Acknowledgments TO GOD, WHO MADE ALL THINGS POSSIBLE I would like to take this opportunity to thank several people who have helped me complete this thesis. Thanks for the YMCA of Metropolitan Washington D.C. for allowing me to do the study, and helping me in getting the data and information needed for this study. I also thank the PHD Program participants and staff for giving me the time and participating in my study. I would like to specially thank Dr. Holman, my advisor, who taught me how to evaluate, reconsider, and defend my writing and its worth. Not enough kind words, terms of endearment or gratitude can be expressed to Dr. Holman for all her attention, care, guidance, and support, and for understanding my language barrier while she was my advisor at the University of Windsor. I would like to also thank Dr. Boucher, my committee member for reading my drafts and giving me valuable comments and feedback that certainly made my study more valuable. I also thank Dr. Smith my committee member from the Education Department, for all her help and support during the study. And for making time to read my drafts, for the valuable thoughts and feedback she gave me about the paper. I owe a special thank-you to my family members in Jordan, Issa Musharbash, Randa Madbak, Amer, Yazan, and Bana Musharbash. To my great siblings, thanks for all your love and support throughout the years. I thank you all for all your encouragement, and for always believing in me. Mom and Dad, it is because of your guidance, love, and self-confidence you gave me that I am the person I am today. Without your love and confidence I wouldn't be here now I love you all so much! vi Thanks you to my "away from home" family, my brothers and sisters Icram Najm, Omar Haddad, and Rakan Aloran, for all the nights they spend with me in Leddy working on my research, for all the times they made me laugh on my mistakes and encourage me to move forward, and for all their love and support. (Good luck buds) I would like to thank my teacher Jodee Schaben for her encouragement and support throughout my undergraduate and graduate school. I thank her for all the days she spent talking to me and making me feel better. For all the guidance and for believing in me with all that I was able to finish the paper. Special thank you for my roommate, friend, and classmate Erin Benson for all the times she made me laugh, for the encouragement, and for being a great friend whom I trust. I love you and wish you all the best. Finally, I would like to thank my best friend Michele Barsness for the coffee, and road trips that not only introduced me to the United States, but she also taught me to always be grateful and enjoy every single moment. Erin and Michele thank you for all the visits up to Canada, thanks for helping me overcome my obstacles; and for helping me reach my goals. I am grateful for our friendship. vii TABLE OF CONTENTS AUTHOR'S DECLARATION OF ORIGINALITY iii ABSTRACT iv DEDICATION v ACKNOWLEDGMENTS vi CHAPTER I. INTRODUCTION 1 Camp Shane 2 HIGH FIVE 3 Physical, Healthy, Driven Program (PHD) 4 II. REVIEW OF LITERATURE 6 Overweight and Obesity: Canada and the USA 7 An Overview 7 Research Findings 8 Healthy Eating 9 Activity and Technology 10 The Impacts of Overweight and Obesity 10 Economic Aspects of Obesity 10 The Health Aspects of Obesity 11 History of the YMCA 12 YMCA International 12 YMCA in Canada and the United States 13 YMCA Metropolitan Washington D.C. Area 14 Physical, Healthy, Driven Program 15 Assessment 16 Exercise 17 Nutrition 17 Family 17 Marketing 18 Pilot Program 18 Program Evaluation 19 Evaluation of Exercise and Activity Programs 22 viii Objective of the Study 23 Research Question 25 III. METHODOLOGY 26 Program Evaluation 26 Method 27 Focus Groups 27 Interviews 29 Participants 29 Recruitment Process 30 Data Collection 31 Focus Groups 31 Instrumentations 32 Interview 32 Ethics 33 Data Analysis 34 Limitations and Delimitations 35 IV. Results and Discussion 38 The Director of the PHD Program 41 Program Development 42 Program Evaluation 43 Program Change and Growth 44 Staff of the PHD Program 46 Program Development 46 Staff Demographics 46 Program Change and Growth 50 Changes and Expectations 53 Parents (Focus Groups) 56 Getting Started 57 Meeting Expectations 58 Program Impact 62 Parental Feedback 67 Creating Change 69 Implications of Findings 71 Conclusions 76 ix References APPENDIX A APPENDIX B APPENDIX C APPENDIX D APPENDIX E APPENDIX F APPENDIX G APPENDIX H APPENDIX I YMCA APPROVAL VITA AUCOTRIS Physical, Healthy, Driven 13 Introduction Childhood obesity in Canadian and American children has increased rapidly and is showing no evidence of slowing down.
Recommended publications
  • The 10Th Annual CON-RCO Obesity Summer Boot Camp Delegates Will Receive a Certificate of Attendance
    th the 10 Annual SUMMER BOOT CAMP JULY 18–26, 2015 Delta Lodge at Kananaskis, Kananaskis Village, Alberta, Canada TABLE OF coNTENTS Learning Objectives 3 Message from the Host 4 General Information 5 Daily Schedule 6 Speakers 12 Floor plan 21 Faculty Contact List 22 Trainee Contact List 23 THE OBESITY Boot CAMP HAS BEEN MADE POSSIBLE THE CANADIAN OBESITY NETWORK’S SUPPORTERS. We are extremely grateful for their help in making the boot camp possible! Alberta-Saxony Obesity Research & Training Alliance Canadian Beverage Association Canadian Institutes of Health Research Coca Cola Craving Change Dairy Farmers of Canada Ethicon Integrated Research and Treatment Center (IFB) Adiposity Diseases Natural Factors Nestle Health Science Novo Nordisk TOPS Club Inc. (Take Pounds Off Sensibly) LEARNING OBJEctIVES The overall objective of the Boot Camp is to provide participants with a sound outline of the scientific and method- ological issues around obesity research. The camp aims to cover all aspects of obesity ranging from epidemiology and public health to cell biology, energy regulation, clinical management and health policy. The Canadian Obesity Network – Réseau canadien en obésité (CON-RCO) is a broad network of over 10,000 organizations and individuals from many sectors and disciplines who are committed to stemming the tide of obesity in Canada and to reducing the mental, physical and economic burden of obesity on Canadians. The mission of CON-RCO is to act as a catalyst for addressing obesity in Canada and to foster knowledge translation, capacity building, and partnerships among stakeholders so that researchers, health professionals, policy makers and other stakeholders may develop effective solutions to treat, and to prevent obesity.
    [Show full text]
  • Clinical Updates in Bariatric Surgery: What Every Clinician Needs to Know from Referral to Post-Surgery Follow-Up TIME: 08:30 AM–16:30 PM
    http://www.con-obesitysummit.ca th TUESDAY, APRIL 25 ,​ 2017 ​ Clinical Updates in Bariatric Surgery: What Every Clinician Needs to Know from Referral to Post-Surgery Follow-up TIME: 08:30 AM–16:30 PM 1 2 2 3 Workshop Presenters: Dr. David Urbach ,​ Karyn Mackenzie ,​ Patti Kastanias ,​ Dr. Wynne Lundblad ,​ 3 ​ 4 ​ 5 ​ 6 ​ 4 4 ​ Dr. Alexis M. Fertig ,​ Susan Wnuk ,​ Stephanie E. Cassin ,​ Dr. Raed Hawa ,​ Chau Du ,​ Rebecca Kirsh ,​ 7 ​ ​ 6 ​ 8 ​ ​ ​ Jennifer Brown ,​ Lorraine Gougeon ,​ and Dr. Sanjeev Sockalingam ​ ​ ​ 1. McGill University; 2. University of Toronto Collaborative Bariatric Surgery Program; 3. University of Pittsburgh; 4. University Health Network, Toronto; 5. University of Calgary; 6. Toronto Western Hospital; 7. Ottawa Hospital Weight Management Clinic; 8. Bariatric Surgery Psychosocial Program, Toronto Western Hospital Learning Objectives: 1. Describe the role that clinicians have in pre- and post-bariatric surgery care. 2. Identify new tools and evidence for assessing and supporting bariatric surgery patients throughout the bariatric surgery process. 3. Apply medical, nutrition and psychosocial protocols and interventions that improve patient outcomes after bariatric surgery. Abstract: Bariatric surgery is recognized as an effective and durable treatment for severe obesity; however, bariatric and primary care teams require awareness and skills to manage the myriad of pre- and post-operative concerns. Pre-surgery concerns consist of bariatric surgery readiness assessment, surgical risks and psychosocial stability. Further, patients require additional assessment and intervention after surgery, including early recognition of bariatric surgery complications and evidence-informed psychosocial interventions to maintain weight loss and health benefits long-term. This full-day workshop will provide participants with an integrated interprofessional approach to bariatric surgery assessment and aftercare.
    [Show full text]
  • Canadian Obesity Student Meeting June 18 - 21, 2014
    th Canadian Obesity Student Meeting June 18 - 21, 2014 #COSM2014 4 University of Waterloo - Waterloo, ON, Canada 1 Organizing Committee: Canadian Obesity Network: CON -SNP UW Dr. Arya Sharma Taryn Orava (Co-Chair) Dawn Hatanaka Cassandra Lowe (Co-Chair) Brad Hussey Iris Levine (Kinesiology Representative) Jessica Lieffers (COSM Logistics Coordinator) CON-SNP National Executive Rachel Laxer (PICDP Liaison) Angela Alberga (Chair) Cassondra McCrory (Guest Speaker & Session Coordinator) Keith Brewster (Vice Chair) Isabelle Messa (Communications Director) Cassandra Lowe (Events & Recruitment Coordinator) Jill Morrison (Program Development) Jasmin Bhawra (Secretary) Gobi Sriranganathan (Fundraising Coordinator) Deborah Schwartz (Financial Director) Renata Valaitis (Social Events Coordinator) Paul Gorczynski (Communications Director) Lana Vanderlee (PICDP Liaison) Stacy Dikareva (Chapter representative (East)) Corrie Vincent (Social Events & Volunteer Coordinator) Sarah Chapelsky (Chapter representative (West)) Jessica Lieffers (CON Scientific Committee Liaison) Advisory Panel: Samantha Hajna (Outgoing Chair) Dr. Rhona Hanning (University of Waterloo) Taryn Orava (Outgoing Vice Chair) Dr. Barbara Riley (Propel Centre for Population Health Impact) Darla Steinmann (Propel Centre for Population Health Impact) Dr. Arya Sharma (CON-RCO) - 2 - Table of Contents Schedule-at-a-Glance 4 Messages From the Organizers 6 From the Advisory Panel 7 From CON-SNP National 8 General Information 9 Maps University of Waterloo Main Campus 10 Buildings at St. Paul’s University College 11 Running Routes (2.5 km & 10 km) 11 Uptown Waterloo/Restaurant Guide 13 Daily Schedules Wednesday June 18, 2014 16 Thursday June 19, 2014. 17 Friday June 20, 2014 20 Saturday June 21, 2014 22 Poster Presentations 25 Who’s Who at COSM 2014 28 Oral Presentation Abstracts 38 Poster Presentation Abstracts 54 Awards 64 The team at Watson’s Eatery is committed to healthy eating and sustainability.
    [Show full text]
  • Report Card Full Version (PDF)
    REPORT CARD ON ACCESS TO OBESITY TREATMENT FOR ADULTS IN CANADA 2017 REPORT CARD ON ACCESS TO OBESITY TREATMENT FOR ADULTS IN Canada 2017 Notice and Disclaimer No part of these materials may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without prior written permission from the Canadian Obesity Network-Réseau canadien en obésité. This booklet is provided under the understanding and basis that none of the publisher, the authors or other persons involved in its creation shall be responsible for the accuracy or currency of the contents, or for the results of any action taken on the basis of the information contained in this book or for any errors or omissions contained herein. No reader should act on the basis of any matter contained in this booklet without obtaining appropriate professional advice. The publisher, the authors and other persons involved in this booklet disclaim liability and responsibility resulting from any ideas, products or practices mentioned in the text and disclaim all and any liability and responsibility to any person, regardless of whether such person purchased this booklet, for loss or damage due to errors and omissions in this book and in respect of anything and of the consequence of anything done or omitted to be done by such person in reliance upon the content of the booklet. Parts of this material are based on data and information provided by the Canadian Institute for Health Information. However, the analyses, conclusions, opinions and statements expressed herein are those of the author and not necessarily those of the Canadian Institute for Health Information.
    [Show full text]
  • Public Workshop Program
    OBESITY CANADA PUBLIC WORKSHOP SATURDAY APRIL 27, 2019 10:00 a.m. – 4:00 p.m. (light refreshments and lunch included) Governor General Ballroom THE WESTIN OTTAWA, 11 COLONEL BY DRIVE OTTAWA ONTARIO K1N 9H4 SATURDAY, APRIL 27, 2019 9:00am Registration Welcome 10:00am Lisa Schaffer, Chair PEC Stop being a yo-yo 10:15am Arya Sharma, MD/PhD, FRCPC, Scientific Director Obesity Canada Evidence-Based Practices That Will Make You Happier Today 10:45am Gillian Mandich PhD 11:15am Health Break Can food be addictive? 11:30pm Sandra Elia, Certified Food Addiction Councillor Appetite and Weight: What Control Do We Have? 12:00pm Jennifer Brown, RD, MSc. 12:30pm Lunch and Exibitor Viewing Speak Up! Finding hope in seeking the care and understanding you deserve 1:30pm Ian Patton PhD, Director of Advocacy and Public Engagement, Obesity Canada Weight Bias 2:00pm Mary Forhan PhD OT Reg(AB), Ximena Ramos Salas PhD, Angela Alberga PhD, Brenndon Goodman 3:00pm Have your say! Discussing priorities and experiences Closing remarks 3:45pm Lisa Schaffer, Chair PEC Welcome Message Hello and Welcome to Obesity Canada’s Public Workshop — we are thrilled to have you in the room today! Obesity Canada (OC) is dedicated to improving the lives of Canadians affected by obesity and today is the first of what we hope will be many opportunities to connect with Canadian’s just like you. Today’s event is the result of the vision and passion of OC staff and our amazing Public Engagement Committee (PEC). PEC acts as the voice of individuals affected by obesity within OC.
    [Show full text]
  • An Assessment of Fruit and Vegetable Intake, Physical Activity, and Sedentary Behaviour Among Indigenous and Non-Indigenous Students from Northern Ontario
    University of Windsor Scholarship at UWindsor Electronic Theses and Dissertations Theses, Dissertations, and Major Papers 10-5-2017 AN ASSESSMENT OF FRUIT AND VEGETABLE INTAKE, PHYSICAL ACTIVITY, AND SEDENTARY BEHAVIOUR AMONG INDIGENOUS AND NON-INDIGENOUS STUDENTS FROM NORTHERN ONTARIO Christian O'neil Paton University of Windsor Follow this and additional works at: https://scholar.uwindsor.ca/etd Recommended Citation Paton, Christian O'neil, "AN ASSESSMENT OF FRUIT AND VEGETABLE INTAKE, PHYSICAL ACTIVITY, AND SEDENTARY BEHAVIOUR AMONG INDIGENOUS AND NON-INDIGENOUS STUDENTS FROM NORTHERN ONTARIO" (2017). Electronic Theses and Dissertations. 7287. https://scholar.uwindsor.ca/etd/7287 This online database contains the full-text of PhD dissertations and Masters’ theses of University of Windsor students from 1954 forward. These documents are made available for personal study and research purposes only, in accordance with the Canadian Copyright Act and the Creative Commons license—CC BY-NC-ND (Attribution, Non-Commercial, No Derivative Works). Under this license, works must always be attributed to the copyright holder (original author), cannot be used for any commercial purposes, and may not be altered. Any other use would require the permission of the copyright holder. Students may inquire about withdrawing their dissertation and/or thesis from this database. For additional inquiries, please contact the repository administrator via email ([email protected]) or by telephone at 519-253-3000ext. 3208. AN ASSESSMENT OF FRUIT AND VEGETABLE
    [Show full text]
  • OBESITY TREATMENT for ADULTS in CANADA 2019 Obesitycanada.Ca/Report-Card
    REPORT CARD ON ACCESS TO OBESITY TREATMENT FOR ADULTS IN CANADA 2019 obesitycanada.ca/report-card Notice and Disclaimer No part of these materials may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without prior written permission from Obesity Canada-Obésité Canada. This booklet is provided under the understanding and basis that none of the publisher, the authors or other persons involved in its creation shall be responsible for the accuracy or currency of the contents, or for the results of any action taken on the basis of the information contained in this book or for any errors or omissions contained herein. No reader should act on the basis of any matter contained in this booklet without obtaining appropriate professional advice. The publisher, the authors and other persons involved in this booklet disclaim liability and responsibility resulting from any ideas, products or practices mentioned in the text and disclaim all and any liability and responsibility to any person, regardless of whether such person purchased this booklet, for loss or damage due to errors and omissions in this book and in respect of anything and of the consequence of anything done or omitted to be done by such person in reliance upon the content of the booklet. Parts of this material are based on data and information provided by the Canadian Institute for Health Information. However, the analyses, conclusions, opinions and statements expressed herein are those of the author and not necessarily those of the Canadian Institute for Health Information.
    [Show full text]
  • Improving Obesity Management Training in Family Medicine
    Luig et al. BMC Medical Education (2020) 20:5 https://doi.org/10.1186/s12909-019-1908-0 RESEARCH ARTICLE Open Access Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course Thea Luig1, Sonja Wicklum2, Melanie Heatherington1, Albert Vu3, Erin Cameron4, Doug Klein5, Arya M. Sharma6,7 and Denise L. Campbell-Scherer1,5,7,8* Abstract Background: Quality, evidence-based obesity management training for family medicine residents is needed to better support patients. To address this gap, we developed a comprehensive course based on the 5As of Obesity Management™ (ASK, ASSESS, ADVISE, AGREE, ASSIST), a framework and suite of resources to improve residents’ knowledge and confidence in obesity counselling. This study assessed the course’s impact on residents’ attitudes, beliefs, and confidence with obesity counselling. Methods: The course combines lectures with a bariatric empathy suit experience, standardized and in-clinic patient practice, and narrative reflections. Using a multi-methods design we measured changes in 42 residents’ attitudes, beliefs, and self-confidence and thematically analyzed the narrative reflections to understand residents’ experience with the course content and pedagogy. Results: Following the course, residents reported improved attitudes towards people living with obesity and improved confidence for obesity counselling. Pre/post improvement in BAOP scores (n = 32) were significant (p < .001)., ATOP scores did not change significantly. Residents showed improvement in assessing root causes of weight gain (p < .01), advising patients on treatment options (p < .05), agreeing with patients on health outcomes (p < .05), assisting patients in addressing their barriers (p < .05), counseling patients on weight gain during pregnancy, (p < .05), counseling patients on depression and anxiety (p < .01), counseling patients on iatrogenic causes of weight gain (p < .01), counseling patients who have children with obesity (p < .05), and referring patients to interdisciplinary providers for care (p < .05).
    [Show full text]
  • It's All in Your Mind
    It’s All in Your Mind The brain’s central role in the progression of a chronic disease Dr Sasha High FRCPC Internal Medicine, American Board of Obesity Medicine Diplomate Medical Director, High Metabolic Clinic Faculty/Presenter Disclosure • Faculty/Presenter: Dr. Sarah High • Relationships with commercial interests: I have received honoraria for speaking engagements from Bausch Health, Novo Nordisk, Obesity Canada, and the Canadian Collaborative Research Network. Disclosure of Financial Support This program has received: Financial support from Abbott Diabetes Care, NovoNordisk and Boehringer Ingelheim in the form of an educational grant, and a honorarium from Langs Potential for conflict of interest: Products will be discussed during the presentation. NovoNordisk may benefit from the sale of the following products: - Liraglutide Mitigating Potential Bias Includes evidence based information related to obesity management but is not influenced by the sponsoring organizations Program OBJECTIVES 1. Discover the complex pathophysiology of obesity 2. Understand the mechanisms through which the brain defends the body against weight loss 3. Establish the role of pharmacological intervention in a multi- modal treatment strategy 4. Discuss conversation-starter strategies to create an individualized, sustainable treatment plan What words come to mind when you think OBESITY? Chronic medical condition Complex pathophysiology Neurohormonal control Medical treatments available 6 million Canadians are living with this chronic disease.1 Obesity is a growing problem in Worldwide, 2.8 million Canada. people per year die from overweight/ obesity2. Sources: 1. Canadian Obesity Network. 2018. Understanding Obesity Available at: http://www.obesitycanada.ca/understanding-obesity; 2. WHO. 2017. 10 facts on obesity. Available at: http://www.who.int/features/factfiles/obesity/en/# 10 facts on obesity Canadians living with obesity.
    [Show full text]
  • Obesity Management and Indigenous Peoples
    Obesity Management Cite this Chapter and Indigenous Henderson RI, Boyling E, McInnes A, Green M, Jacklin K, Walker L, Calam B, Toth E, Crowshoe L. Canadian Adult Obesity Clinical Practice Guidelines: Obesity Peoples Management and Indigenous Peoples. Available from: https://obesitycanada.ca/guidelines/indigenouspeoples. Rita Isabel Henderson PhD MAi, Elaine Boyling PhDi, Ashley Accessed [date]. McInnes PhD MAi, Michael Green MD MPHii, Kristen Jacklin PhDiii, Leah Walker BA, RCTiv, Betty Calam MD MCIScv, Ellen Toth MDvi, Update History Lynden (Lindsay) Crowshoe MDvii Version 1, August 4, 2020. The Canadian Adult Obesity i) Cumming School of Medicine, University of Calgary Clinical Practice Guidelines are a living document, with only the latest chapters posted at ii) Department of Family Medicine and Department of Public obesitycanada.ca/guidelines. Health Sciences and Policy Studies, Queens University; Kingston Health Sciences Centre; Providence Care Hospital iii) Department of Family Medicine and Biobehavioral Health, University of Minnesota Medical School Duluth Campus iv) School of Population and Public Health, University of British Columbia v) Faculty of Medicine, University of British Columbia; UBC Family Practice Residency Program, St. Paul’s Hospital Site vi) Department of Medicine, University of Alberta vii) Indigenous Health Dialogue, Health Sciences Centre, University of Calgary KEY MESSAGES FOR HEALTHCARE PROVIDERS Exploring obesity within the context of multiple co-occurring • Structural inequities (i.e., social and systemic in origin) are health, socioeconomic, environmental and cultural factors, embedded in health, education, social services and other and situating these within policy/jurisdictional structures spe- systems, and they maintain social disadvantage for a large cific to Indigenous populations (e.g., federal versus provin- segment of the Indigenous population.
    [Show full text]
  • Does Impaired Glucose Tolerance Impact Endogenous Carbohydrate
    Curriculum Vitae Chu, Lisa NAME IN FULL Lisa Chu CONTACT LMC Healthcare INFORMATION 1929 Bayview Ave Suite 106 Toronto ON M4G 3E8 Phone: 416-645-2928, ext. 9334 Email: [email protected] EDUCATION 2012 – 2017 Ph.D. Medical Sciences, McMaster University, Hamilton, Ontario, Canada 2009 – 2011 M.Sc. Kinesiology and Health Science, York University, Toronto, Ontario, Canada 2005 – 2009 B.Sc. in Kinesiology (Honours), Minor in Biochemistry Faculty of Science, McMaster University, Hamilton, Ontario, Canada RESEARCH 2019 – present Clinical Epidemiologist LMC Healthcare, Toronto, Ontario, Canada 2017 – 2019 Postdoctoral Fellowship The Hospital for Sick Children, Toronto, Ontario, Canada Supervisor: Jill Hamilton, MD, MSc, FRCPC Primary Study: Mechanisms of inflammation, immunity, islet cell and intestinal hormone changes in youth at risk for diabetes (MI4D) 2012 – 2017 Ph.D. Thesis Medical Sciences, McMaster University, Hamilton, Ontario, Canada Supervisor: Brian Timmons, PhD Study: Metabolic flexibility in children with obesity: Exercise as a dynamic stimulus to assess metabolic health 2015 Intensive Teaching and Networking, Obesity Summer Boot Camp Obesity Canada, Kananaskis County, Alberta, Canada 2014 Visiting Researcher Loughborough University, Loughborough, United Kingdom Supervisor: Keith Tolfrey, PhD 2009 – 2011 M.Sc. Thesis Kinesiology and Health Science, York University; The Hospital for Sick Children, Toronto, Ontario, Canada Co-supervisors: Michael Riddell, PhD and Jill Hamilton, MD, MSc, FRCPC 2008 – 2009 Undergraduate Research Thesis
    [Show full text]
  • Aim2be Mhealth Intervention for Children with Overweight and Obesity: Study Protocol for a Randomized Controlled Trial Louise C
    Mâsse et al. Trials (2020) 21:132 https://doi.org/10.1186/s13063-020-4080-2 STUDY PROTOCOL Open Access Aim2Be mHealth intervention for children with overweight and obesity: study protocol for a randomized controlled trial Louise C. Mâsse1* , Janae Vlaar1, Janice Macdonald2, Jennifer Bradbury2, Tom Warshawski2, E. Jean Buckler1, Jill Hamilton3, Josephine Ho4, Annick Buchholz5, Katherine M. Morrison6 and Geoff D. C. Ball7 Abstract Background: The prevalence of overweight and obesity remains high in Canada, and the current standard for the treatment of childhood obesity is in-person, family-based, multidisciplinary interventions that target lifestyle behaviors (e.g., diet, physical activity, and sedentary behaviors). These programs are costly to operate, have limited success, and report recruitment and retention challenges. With recent advances in technology, mobile health or mHealth has been presented as a viable alternative to in-person interventions for behavior change, especially with teens. Purpose: The primary aim of this study is to test the efficacy of Aim2Be, a gamified app based on behavior change theory with health coaching to improve weight outcomes (i.e., decrease in standardized body mass index (zBMI)) and lifestyle behaviors (i.e., improve dietary quality, increase fruit and vegetable intake, reduce sugar-sweetened beverage intake, increase physical activity, and reduce screen time) among children 10- to 17-years old with overweight or obesity versus their peers randomized into a waitlist control condition. The secondary aims of this study are to 1) test whether supplementing the Aim2Be program with health coaching increases adherence and 2) examine the mediators and moderators of adherence to the Aim2Be intervention.
    [Show full text]