Publications by authors named "Rosa Virgara"

Background: Children and adolescents' physical inactivity is a global problem. Financial incentives are increasingly utilised to support children's participation in sport, with programs introduced in multiple jurisdictions globally, however few programs have comprehensive evaluations. This study used a Delphi methodology to develop evaluation recommendations for an existing population-wide financial incentive program based in South Australia.

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Background: Unfavourable changes occur in children's health behaviours and outcomes during the summer holidays. This systematic review aimed to determine the effectiveness of summer holiday programs in mitigating these changes.

Methods: Six databases (MEDLINE, JBI, PsychINFO, Embase, ERIC and Scopus) were systematically searched for experimental controlled studies that investigated programs of at least 5 days' duration conducted exclusively during the summer holiday period on school-aged children (5-18 years).

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Background: Truck drivers are a vital workforce, but have higher rates of obesity and other chronic diseases than the general population. The occupation's sedentary nature, limited physical activity opportunities and access to healthy food, and irregular sleeping patterns contribute to poor health. This systematic review and meta-analysis aimed to evaluate the effectiveness of interventions on health behaviours and cardiometabolic biomarkers of health in truck drivers.

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Poor youth mental health is an area of global concern. Summer holiday programs may provide environments that support mental health when the structures and supports of school are not available. The aim of this review was to determine the effectiveness of summer holiday programs in improving the mental health, social-emotional well-being, and cognitive (non-academic) outcomes of children and adolescents.

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Background: Children's physical activity and screen time behaviours impact their physical health and well-being. In Australia, less than half of children meet daily physical activity recommendations and only one-third meet daily screen time recommendations. Nearly half a million Australian school children aged 5-12 attend Outside School Hours Care (OSHC) weekly, activities undertaken at OSHC play a key role in meeting these recommendations.

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Background: The school day provides a supportive and stimulating environment that may protect children and adolescents (5-18 years) from behaviours that are adverse for health and wellbeing.

Objective: To review the literature regarding changes in children's academic achievement or overall wellbeing during the extended school summer break and evaluate if the outcomes are different for children experiencing disadvantage.

Methods: The peer-reviewed literature was searched across six electronic databases for studies tracking changes in any academic, health or wellbeing outcome in children over the summer holidays.

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Physical inactivity is a global health problem. Childhood is an opportune time to establish healthy physical activity behaviors, including the participation in organized physical activity, such as sports. We hypothesize that financial incentives can improve young people's participation in physical activity and sports.

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Background: Around 40% of Australian children do not participate in sport. Cost is a major barrier to participation, particularly for children from low socioeconomic backgrounds. This study aimed to evaluate the uptake of a population-level children's sports subsidy scheme, including sociodemographic differences in uptake.

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Article Synopsis
  • The study investigates changes in the well-being of South Australian students from 2017 to 2022, particularly focusing on the effects of the COVID-19 pandemic on their overall happiness and life satisfaction.
  • It analyzes data from over 119,000 students in grades 4 to 9, revealing a significant decline in well-being measures, especially from 2020 onward, with increased feelings of sadness and worry reported.
  • The findings highlight that boys, younger students, those with higher parental education, and those living in less urban areas generally reported better well-being compared to their peers, underscoring the influence of sociodemographic factors on children's mental health.
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Article Synopsis
  • - Chatbots, or virtual assistants, show promise in enhancing healthcare by promoting physical activity, diet, and sleep, according to a systematic review and meta-analysis of 19 trials focused on these areas.
  • - The analysis found that chatbots significantly increased total physical activity, daily steps, moderate-to-vigorous physical activity, fruit and vegetable intake, sleep duration, and sleep quality, with statistically significant outcomes (p<0.05).
  • - Subgroup analyses indicated that text-based and AI-driven chatbots were more effective than voice-based ones for improving fruit and vegetable consumption, and that incorporating multiple strategies in interventions improved sleep outcomes more than using chatbots alone.
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Background: Meeting 24-h movement behavior guidelines for the early years is associated with better health and development outcomes in young children. Early childhood education and care (ECEC) is a key intervention setting however little is known about the content and implementation of movement behavior polices in this context. To inform policy development this international scoping review examined the prevalence, content, development and implementation of ECEC-specific movement behavior policies.

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Article Synopsis
  • This review aimed to gather evidence on how physical activity impacts symptoms of depression, anxiety, and psychological distress in adults.
  • It analyzed 97 systematic reviews, incorporating over 1,000 trials and 128,000 participants, revealing that physical activity has moderate positive effects on reducing these mental health issues across various populations.
  • The largest benefits were observed in individuals with depression, pregnant women, and those with chronic conditions, with higher intensity activities yielding better results, though effectiveness tended to decrease with longer intervention durations.
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Wearable activity trackers offer an appealing, low-cost tool to address physical inactivity. This systematic review of systematic reviews and meta-analyses (umbrella review) aimed to examine the effectiveness of activity trackers for improving physical activity and related physiological and psychosocial outcomes in clinical and non-clinical populations. Seven databases (Embase, MEDLINE, Ovid Emcare, Scopus, SPORTDiscus, the Cochrane Library, and Web of Science) were searched from database inception to April 8, 2021.

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Background: Lower socioeconomic status is associated with poorer wellbeing among children. Identifying how children participate in after-school activities and how after-school activities are associated with wellbeing may inform interventions to improve wellbeing among children from low socioeconomic backgrounds. This study explored whether children's after-school activities varied by socioeconomic status and examined the associations between after-school activities and wellbeing in low socioeconomic status children.

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Background: Outside school hours care (OSHC) is accessed by millions of children internationally. Recently, physical activity and screen time guidelines in OSHC were developed. This study described the current physical activity and screen time scheduling in Australian OSHC, obtained sector feedback on the guidelines and compared current- with best-practice.

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Background: Virtual assistants can be used to deliver innovative health programs that provide appealing, personalized, and convenient health advice and support at scale and low cost. Design characteristics that influence the look and feel of the virtual assistant, such as visual appearance or language features, may significantly influence users' experience and engagement with the assistant.

Objective: This scoping review aims to provide an overview of the experimental research examining how design characteristics of virtual health assistants affect user experience, summarize research findings of experimental research examining how design characteristics of virtual health assistants affect user experience, and provide recommendations for the design of virtual health assistants if sufficient evidence exists.

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Background: Insufficient physical activity is one of four primary risk factors for non-communicable diseases such as stroke, heart disease, type 2 diabetes, cancer and chronic lung disease. As few as one in five children aged 5 to 17 years have the physical activity recommended for health benefits. The outside-school hours period contributes around 30% of children's daily physical activity and presents a key opportunity for children to increase their physical activity.

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Background: Time spent in daily activities (sleep, sedentary behaviour and physical activity) has important consequences for health and wellbeing. The amount of time spent varies from day to day, yet little is known about the temporal nature of daily activity patterns in adults. The aim of this review is to identify the annual rhythms of daily activity behaviours in healthy adults and explore what temporal factors appear to influence these rhythms.

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Background: Children's activity patterns in the periods before and after school make a key contribution to achieving 24-h movement guidelines. There are currently no national-level guidelines informing physical activity and screen time practices in Outside School Hours Care (OSHC) programs anywhere in the world. This study aimed to work with industry, government and academic stakeholders to develop draft physical activity and screen time guidelines for use in Australian OSHC.

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Background: Globally, millions of children attend Outside School Hours Care. Children's activity in this setting is critical to meeting daily physical activity recommendations. Guidelines are evidence-based statements intended to optimise practice.

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Article Synopsis
  • * Findings showed significant inconsistencies in children's activity levels, with moderate to vigorous physical activity (MVPA) ranging from 4% to 49% of session time, and sedentary time varying between 31% to 79%.
  • * The research highlighted a lack of formal policies on physical activity and screen time, suggesting that implementing guidelines and interventions could enhance children's activity levels and reduce excessive screen time in OSHC settings.
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  • About 50% of pregnant Australian women experience low back pain, and 8-36% may suffer from pregnancy-related depression or anxiety, both of which lead to poor maternal health outcomes.
  • A study involving 96 women at 28 weeks of pregnancy found moderate correlations between low back/pelvic pain and depression/anxiety, as well as with functional disability.
  • Women experiencing low back/pelvic pain were 13 times more likely to face depression/anxiety, highlighting a significant link between these conditions during pregnancy.
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Article Synopsis
  • - A systematic review was conducted to evaluate the effectiveness of antenatal physical therapy interventions for low back or pelvic pain in pregnant women, comparing these to other treatments and no treatment at all.
  • - The review analyzed four trials involving 566 participants, finding that interventions like exercise, pelvic support garments, and acupuncture showed some improvement in functional outcomes, even though the validity of these trials was only moderate.
  • - The study concluded that while current evidence supports the use of certain physical therapy methods, more research is needed to explore other treatment options and develop consistent measures for assessing pain in pregnant women.
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