This pilot resources page is in progress.
The interdisciplinary scholarship and deep wisdom connecting culturally and regionally relevant physical activity to wellbeing is vast and wide, across the world. A project goal is to amplify this scholarship.
We wish to showcase the tremendous existing evidence base on the importance of these topics. We hope this will help connect, support, and inspire more of this work and also support grassroots programs and policies for these practices.
This resources page is a work in progress to this goal, currently sharing a small sample of this work. You are able to search by Categories like: Activity Type, Region, Where Activity Is Practiced (Land, Water, Ice/Snow). New tags and categories will be added as we grow this resources page.
Archives for this research will be shared on the Open Science Framework (OSF), coming soon.
We welcome your feedback about how these resources could be most useful at PHResonance@gmail.com

-
Indigenous Land-Based Approaches to Well-Being
The Niska (Goose) Harvesting Program in Subarctic Ontario, Canada
Fatima Ahmed, Eric N. Liberda, Andrew Solomon, Roger Davey, Bernard Sutherland, and Leonard J. S. Tsuji
International Journal of Environmental Research and Public Health, 20(4), 3686
About
Historically, goose harvesting provided a source of culturally significant, safe, and nutritious food for the Omushkego Cree of subarctic Ontario, Canada. Disruptions stemming from colonization and climate change have led to a decrease in harvesting, resulting in higher rates of food insecurity. The aim of the Niska program was to reconnect Elders and youth to revitalize goose harvesting activities and associated Indigenous knowledge within the community. The program and evaluation were built using a two-eyed seeing (Etuaptmumk) and community-based participatory research approach. Salivary cortisol, a biomedical measure of stress, was collected before (n = 13) and after (n = 13) participation in the spring harvest. Likewise, cortisol samples were collected before (n = 12) and after (n = 12) the summer harvest. Photovoice and semi-directed interviews were employed after the spring (n = 13) and summer (n = 12) harvests to identify key elements of well-being from an Indigenous perspective. The changes observed in cortisol levels for the spring (p = 0.782) and summer (p = 0.395) harvests were not statistically significant. However, there was a noteworthy increase in the subjective well-being observed through the qualitative measures (semi-directed interviews and photovoice), highlighting the importance of using multiple perspectives when assessing well-being, especially in Indigenous peoples. Future programs should incorporate multiple perspectives when addressing complex environmental and health issues, such as food security and environmental conservation, especially in Indigenous homelands worldwide.
-
Uplifted by Dancing Community: From Physical Activity to Well-Being
Agnieszka Zygmont, Wojciech Doliński, Dominika Zawadzka, Krzysztof Pezdek
International Journal of Environmental Research and Public Health, 20(4), 3535, 2023
About
The aim of the article is to present the dancing experience of older adult women who increase their well-being through dancing. That aim was realized through conducting qualitative research in accordance with COREQ among the members of a dance group “Gracje” from Wrocław. In the article, we show that senior women dance as a form of physical activity in the pursuit of health, enabling them to maintain the level of physical ability that allows them to fully enjoy different aspects of life. Thus, health is not only attempting to avoid illnesses, but, first of all, experiencing well-being, i.e., satisfaction with life in its physical, mental (cognitive) and social aspects. That satisfaction touches, in particular, such spheres as acceptance of an aging body, a need for personal growth and entering into new social relationships. Increasing that sense of satisfaction and agency (subjectivity) in each of those spheres as a consequence of organized dancing activity should be treated as one of the most important factors responsible for improving the quality of life of older adult women.
-
Traditional crafting as a catalyst for Indigenous women’s intergenerational cohesion and wellness
A Canadian Perspective
Beate C. Sydora, Luwana Listener, Janice Y Kung, Sue Ross, Cora Voyageur
International Journal of Circumpolar Health, 82(1), 2023
About
Indigenous crafting practices are increasingly being recognised for their benefit to community connectedness, health, cultural identity, and individual wellbeing. This article explores published literature to determine the role of Indigenous crafting in transferring traditional and cultural teachings from female relatives and Elders to girls and younger women. We examine the effect of crafting on intergenerational cohesion and social connectedness within the Indigenous community. Does crafting serve as an effective conduit for physical, spiritual, emotional, and mental change in learners and teachers? Our review identifies 12 publications that describe Indigenous mostly girls and younger women’s experiences as they acquire female Elders’, teachers’ and older family members’ traditional and cultural teachings while participating in crafting activities. The papers identify an array of traditional and cultural activities including: basket weaving, beading, sewing, language acquisition, traditional songs, traditional dance, and storytelling. More contemporary forms of artistic expression such as photography, theatre and film production are also included. Research findings show that learning, teaching and practicing Indigenous crafting is associated with increased intergenerational cohesion, cultural connectedness, and wellbeing for both teachers and learners. Further, learning about Indigenous crafts and activities helps inspire pride in Indigenous identity and promotes healing from historical trauma.
-
‘Football and dancing are in our blood’: culture promoting sports practice among immigrants in Europe
Sílvia Monserrate-Gómez , Lourdes Rubio-Rico , Roser Cuesta-Martínez , Rosa-Dolors Raventós-Torner, Alba Roca-Biosca , Inmaculada de Molina-Fernández
Health Promotion International, 38(1), daac202, 2023
About
The current state of knowledge indicates that regular sports practice helps prevent and treat non-communicable diseases. The promotion of sport is, therefore, an important community health intervention for maintaining and improving the health of individuals and populations. Culture is identified as being associated with sports practice and sedentary behaviour of ethnic and national minorities. This study aims qualitatively to analyse the potential for culture as a basis for the promotion of sport among immigrants in four regions of Mediterranean Europe. Ten focus groups (n = 62) were conducted with immigrants—adults and young people over the age of 11—and people involved in promoting sport. Thematic content analysis was conducted. The results enabled identifying two major issues: sport as a vehicle for cultural expression and synergies between sport and culture. Accordingly, sport serves to express global, local and non-ethno-national cultural belonging. Regarding synergies, culture and sport feed each other positively and contribute to immigrants’ health and cultural well-being. Culture as a strategy for promoting sports practice requires an interdisciplinary approach that involves collaboration between healthcare practitioners and social sciences professionals. There is also a need to use the various axes of cultural definition—global, local and non-ethno-national—of those involved, and for them to take part themselves in designing sports activities. Moreover, promoting sport through non-ethno-national axes of cultural definition may help with immigrants’ social inclusion, as intercultural relations between migrants and newcomers are promoted.
-
Conceptualizing sport for reconciliation within settler colonial states
Shawn D. Forde, Audrey R. Giles, Jessica Nachman, Tom Fabian, Alexandra Giancarlo, Lyndsay M. Hayhurst, Steven Rynne, & Daniel A. Henhawk
Journal of Sport for Development, (11)1
-
The Barriers to and Facilitators of Physical Activity and Sport for Oceania with Non-European, Non-Asian (ONENA) Ancestry Children and Adolescents
A Mixed Studies Systematic Review
Louisa R Peralta, Renata L Cinelli, Wayne Cotton, Sarah Morris, Olivier Galy, Corinne Caillaud
International Journal of Environmental Research and Public Health, 19(18), 11554
About
Background: Participation in sport and physical activity (PA) leads to better overall health, increased life expectancy, and decreased mortality rates across the lifespan; however, there may be a range of individual, family, and community factors that influence PA participation among ONENA children and adolescents residing in the 22 Pacific Island Countries and Territories (PICT) and Australia. This review aimed to synthesise existing quantitative and qualitative literature regarding barriers to and facilitators of PA and sport among ONENA youth.
Methods: The literature was systematically searched to include studies reporting barriers to and facilitators of PA and sports participation among ONENA children and adolescents aged 0-18 years residing in the 22 PICT and Australia. Using a pre-established taxonomy based on the social-ecological model, a deductive analysis was performed. Quality appraisal was performed using the mixed methods appraisal tool.
Results: Of 1388 articles, 14 studies were included, with 128 ONENA children and adolescent participants across the four qualitative studies; 156,581 ONENA children and adolescents across the seven quantitative studies; 801 parents, children, and adolescents in one quantitative study; and 642 parents in two quantitative studies. Of the 14 included studies, none were based in Australia and only 10 of the 22 PICT were reported as the participants’ residence: Palau, New Zealand, Tonga, Cook Islands, Kiribati, Samoa, Solomon Islands, Tuvalu, Vanuatu, and Fiji. Four studies reported barriers, and another four studies reported facilitators of PA and sport, with the remaining studies reporting both barriers and facilitators. Overall, there were more barriers reported (30 in total) than facilitators (27 in total).
Conclusions: Research in this area is lacking, with ONENA youth living in Australia and 12 PICT not represented. Overall, there were a larger number of facilitators experienced at individual and interpersonal levels, while barriers were highest at the community level, with the policy level having facilitators and barriers equally represented. Programs that offer PA and sport participation options with embedded SDT-informed strategies for all family members; that are accessible through existing transport and related social, cultural, and physical infrastructure; and that are committed to communities through formal co-design partnerships are needed, to enhance the PA and sport participation of ONENA youth residing in PICT.
-
Dance for Chronic Pain Conditions: A Systematic Review
Benjamin Hickman, B(ExPhys), M(Phty), Fereshteh Pourkazemi, BSc(Phty), MSc, PhD, Roxanna N Pebdani, CRC, PhD, Claire E Hiller, BAppSc(Phty), PhD, and Alycia Fong Yan, BAppSc(ExSpSci), PhD
Pain Medicine, 23(12), 2022–2041
About
Objectives: Globally, 20–25% of people will experience chronic pain in their lifetimes. Dance is a physical activity with psychosocial benefits that might positively impact pain. This review aimed to investigate the effect of dance interventions on the experience of pain by quantitative measures and qualitative themes.
Methods: Seven major databases were searched from inception to January 2021. Two independent reviewers screened articles at each stage. Qualitative and quantitative studies were included if the dance interventions lasted more than 6 weeks, participants reported pain of duration longer than 3 months, and pain was an outcome of the study. All articles were critically appraised with appropriate Joanna Briggs Institute tools, and data were collated through the use of results-based convergent synthesis.
Results: From 23,628 articles, 34 full papers were included, with a total of 1,254 participants (75.2% female). Studies predominantly investigated individuals with fibromyalgia (26%) and generalized chronic pain (14%), with aerobic dance (20.7%) and Biodanza (20.7%) being the most common dance genres investigated. Overall, 74% of studies noted either reduced pain through quantitative pain measures or qualitative themes of improved pain experience (88% for chronic primary pain and 80% for chronic secondary musculoskeletal pain).
Discussion: There were positive effects of dance on chronic primary and secondary musculoskeletal pain across diverse populations. A variety of study designs and interventions noted improved pain measures and themes around pain coping and acceptance, with all dance therapies showing improvements, particularly when performed for 60–150 minutes’ duration weekly. Dance should be considered as an effective adjunct in the management of chronic pain.
-
Surfing the Waves
Environmental and Socio-Economic Aspects of Surf Tourism and Recreation
Cristina Román, Angel Borja, María C. Uyarra, Sarai Pouso
Science of the Total Environment, 826, 154122, 2022
About
Marine ecosystems contribute to human well-being, e.g. through the promotion of nature-based recreational activities such as surfing, which is a benefit obtained from Cultural Ecosystem Services (CES). Our research objective is to identify the benefits and impacts associated to surfing, and who are the main affected subjects and/or objects, achieving a better understanding of the sustainability status of this recreational activity. To this end, a bibliometric study and systematic review was carried out for the period 1965–2021. Benefits and impacts were collated and grouped according to their dimensional focus and type of effects in 6 groups (3-dimensional focus × 2 type of effects). The results revealed that since the beginning of 21st century surfing research topics are growing and diversifying. This review shows that implications of surfing go beyond direct users (i.e., surfers) and has consequences in diverse dimensions (environmental, socio cultural and economic), involving many stakeholders (e.g., scientific, and local communities). Most of the pieces of evidence collated in this research were related with the people who practice the activity and its social implications (psychological benefits as main benefit and injuries as main impact). Following an interdisciplinary approach, we obtained a holistic understanding of the surfing activity, not only in terms of the different dimensions addressed but on the sectors of the society that obtain benefits or are impacted by the activity. All of them should be considered and integrated to guarantee the sustainable management of this CES benefit.
-
Being ACtive Is Traditional
Indian Health Service
About
For generations, Native people have lived active lives: growing crops, hunting, fishing, and gathering berries, herbs, and traditional medicines. Cultural ways are active, such as dancing, running, drumming, carving, and playing games. Being active improves mental and spiritual well-being—it is good medicine.
Movement helps muscles use sugar for energy, which may improve blood sugars. Any increase in movement is good for you.
-
Using Informal Conversations in Qualitative Research
Jon Swain, Brendan King
International Journal of Qualitative Methods, 21, 1-10, 2022
About
The aim of this paper is to promote a greater use of informal conversations in qualitative research. Although not a new innovation, we posit that they are a neglected innovation and a method that should become more widely employed. We argue that these conversations create a greater ease of communication and often produce more naturalistic data. While many researchers have written about the use of informal conversations in ethnography, as part of participant observation, we are advocating that these conversations have an application beyond ethnography and can be used in more general qualitative exploration that occurs in everyday settings where talking is involved. They can be used as the main method but also to complement and add to more formal types of data created through interview. Sometimes informal conversations are not only the best way, they are the only way to generate data. We use examples to show how we have used informal conversations in our research, which we interrogate and use to raise a number of, mainly ethical and methodological, issues. We discuss the main advantages and disadvantages of using this method, including the status and validity of data produced.
-
Traditional sports and games among the Sámi people in Northern Fennoscandia (Sápmi)
An ethnobiological perspective
Isak Lidström, Ingvar Svanberg, and Sabira Ståhlberg
Journal of Ethnobiology and Ethnomedicine, 18
About
Introduction: Modern sports equipment is nowadays manufactured industrially according to globally accepted and standardized models, but traditionally tools for play and games were prepared from materials found in the local environment. The objective of this article is to investigate various aspects of Sámi local knowledge about organisms used for their material culture of traditional sports and games in northern Fennoscandia (Sápmi). What functions did the surrounding biota have in the production of equipment used in sports and games?
Methods: A qualitative method was used; the ethnographic literature and travel narratives have been analyzed particularly for descriptions and notes on traditional games, toys, and sports.
Results: Before the turn of the twentieth century, bats, balls, and skis were seldom produced in factories, but by children and adults who utilized available materials from the surrounding environment. The manufacture of tools for play and games was characterized by a rich creativity in the use of various biological and natural resources. A wide range of such resources is presented in this article, among them the bracket fungus Fomitopsis betulina, used for making balls, reindeer antlers utilized for lassoing contests, and pine bark painted with reindeer blood, prepared for playing cards. We also highlight how tools usually associated with means of transport could switch functions and serve playful and competitive purposes, such as skis made of compression pine or walking sticks of birch: The former were used in skiing races, and the latter appeared in fencing competitions.
Conclusion: The industrialization of the material culture of sports has been contributed to a loss of local knowledge and familiarity with locally available organic stuffs for producing equipment for play and games. By reconnecting with previous knowledge of traditional games, we discover a potentially new direction for modern sports and games, shifting from globalization to environmentalization. Such an environmentalization could permit the local environmental context define the content, meaning and structure of sports, and simultaneously enrich both sports and outdoor life.
-
The Barriers and Facilitators of Sport and Physical Activity Participation for Aboriginal Children in Rural New South Wales, Australia
A Photovoice Project
Sarah Liew, Josephine Gwynn, Janice Smith, Natalie A Johnson, Ronald Plotnikoff , Erica L James, Nicole Turner
International Journal of Environmental Research and Public Health, 19(4), 1986
About
Participating in physical activity is beneficial for health. Whilst Aboriginal children possess high levels of physical activity, this declines rapidly by early adolescence. Low physical activity participation is a behavioral risk factor for chronic disease, which is present at much higher rates in Australian Aboriginal communities compared to non-Aboriginal communities. Through photos and ‘yarning’, the Australian Aboriginal cultural form of conversation, this photovoice study explored the barriers and facilitators of sport and physical activity participation perceived by Aboriginal children (n = 17) in New South Wales rural communities in Australia for the first time and extended the limited research undertaken nationally. Seven key themes emerged from thematic analysis. Four themes described physical activity barriers, which largely exist at the community and interpersonal level of children’s social and cultural context: the physical environment, high costs related to sport and transport, and reliance on parents, along with individual risk factors such as unhealthy eating. Three themes identified physical activity facilitators that exist at the personal, interpersonal, and institutional level: enjoyment from being active, supportive social and family connections, and schools. Findings highlight the need for ongoing maintenance of community facilities to enable physical activity opportunities and ensure safety. Children held strong aspirations for improved and accessible facilities. The strength of friendships and the family unit should be utilized in co-designed and Aboriginal community-led campaigns.
-
Traditional Chinese Exercise for Chronic Diseases
Xue-Qiang Wang, Li Li, Liye Zou, Kevin W. Chen, Jiao Liu
Evidence-Based Complementary and Alternative Medicine, 2022, 9842104
About
Chronic diseases (or noncommunicable diseases) are generally defined as human health conditions that may not have a cure, develop slowly, and require long-term medical management. Major chronic diseases include cardiovascular and cerebrovascular diseases, chronic respiratory diseases, diabetes mellitus, cancer, musculoskeletal disorders, degenerative diseases, and neurological disorders. Of note, these chronic diseases are increasingly recognized as the leading cause of death and disability worldwide and cause a substantial economic burden on healthcare and society…
-
“Wherever I Go, I Have It Inside of Me,” Indigenous Cultural Dance Narratives As Substance Abuse and HIV Prevention in Urban Danza Mexica Community
Angela R. Fernandez and Ramona E. Beltrán
Frontiers in Public Health, 9
About
Introduction: “Mexican American Indian” (MAI) is a large and diverse population for which little empirical research on alcohol and other drug (AOD) use and HIV is available, yet for which there is a disproportionate risk. Indigenous health narratives and participation in place- and settings-based cultural practices can be protective in chronic and co-occurring disease prevention and health promotion for Indigenous people. This study explores the role of participation in cultural dance in generating narratives of prevention and health promotion among a sample of MAIs from an Urban Danza Mexica Community (UDMC), framed within a decolonizing narratives of health (DNOH) model.
Methods: This secondary data analysis (n = 9) is drawn from a qualitative AOD and HIV health needs assessment of UDMC living in the Pacific Northwest and the Rocky Mountain West (n = 21). This study uses a community-based participatory research approach and employs narrative, Indigenized methods to analyze in-depth interviews from adult cisgender females (n = 5) and males (n = 4). The DNOH model is developed as a relational, analytic framework that contextualizes Indigenous stories in relationship to three distinct yet interconnected levels—the personal, the communal, and Indigeneity in the larger world. These levels of narrative analysis function as culturally grounded, relational pathways through which to articulate health education and promotion approaches.
Results: Narratives delve into the complex and nuanced relationships within participants’ internal worlds (personal), between themselves and their Danza community (communal), and between themselves and their complex, intersectional Indigenous identities within society (Indigeneity). Stories of ancestral teachings about health and prevention shared within the Danza circle create spaces wherein participants navigate complex conversations that resist oppressive colonial narratives, reconnect with and strengthen their Indigenous identities, and strive toward ancestral visions of health and well-being.
Discussion: This study contributes to Indigenized theoretical and methodological expansion and the development of place/settings-based, narrative, cultural health interventions aimed at preventing chronic and co-occurring disease and promoting wellness among populations similar to the UDMC. Identifying cultural practices as Native Hubs (relational, socially constructed places) that foster decolonizing narratives helps increase understanding of their role in public health education and promotion through recognition of Indigenous knowledge systems and frameworks.
-
Culture’s contribution to health and well-being: A report on evidence and policy recommendations for Europe
CultureForHealth Report
Rarita Zbranca, Mafalda Dâmaso, Oana Blaga, Kornélia Kiss, Marina Denisa Dascal, Dana Yakobson, Oana Pop
About
The aim of this report is to offer a broad overview of the existing evidence of the effect of arts and cultural activities on health and well-being. It provides an indication of the volume of existing literature, as well as highlighting the key concepts, focus points and types of evidence that exist. It also strives to identify the knowledge gaps and challenges identified in the existing literature, and provides policy recommendations for stakeholders in the cultural, health and social sectors, and decision makers at local, national and European level.
The report answers four research questions that were defined in the guidelines of the above-mentioned Preparatory Action (European Union, 2020), namely:
- What evidence is there that participation in cultural activities improves the health and well-being of citizens?
- Which specific forms of cultural participation appear to have a more positive impact?
- Which policies in the field of culture might contribute, directly or indirectly, to maximising the benefits?
- What synergies are necessary with other policy fields?
This report was co-funded by the European Union.
-
Prescribing Smartphone Apps for Physical Activity Promotion in Primary Care
Modeling Study of Health Gain and Cost Savings
Leah Grout, Kendra Telfer, Nick Wilson, Christine Cleghorn, Anja Mizdrak
Journal of Medical Internet Research, 23(12), 2021
About
Background: Inadequate physical activity is a substantial cause of health loss worldwide, and this loss is attributable to diseases such as coronary heart disease, diabetes, stroke, and certain forms of cancer.
Objective: This study aims to assess the potential impact of the prescription of smartphone apps in primary care settings on physical activity levels, health gains (in quality-adjusted life years [QALYs]), and health system costs in New Zealand (NZ).
Methods: A proportional multistate lifetable model was used to estimate the change in physical activity levels and predict the resultant health gains in QALYs and health system costs over the remaining life span of the NZ population alive in 2011 at a 3% discount rate.
Results: The modeled intervention resulted in an estimated 430 QALYs gained (95% uncertainty interval 320-550), with net cost savings of 2011 NZ $2.2 million (2011 US $1.5 million) over the remaining life span of the 2011 NZ population. On a per capita basis, QALY gains were generally larger in women than in men and larger in Māori than in non-Māori. The health impact and cost-effectiveness of the intervention were highly sensitive to assumptions on intervention uptake and decay. For example, the scenario analysis with the largest benefits, which assumed a 5-year maintenance of additional physical activity levels, delivered 1750 QALYs and 2011 NZ $22.5 million (2011 US $15.1 million) in cost savings.
Conclusions: The prescription of smartphone apps for promoting physical activity in primary care settings is likely to generate modest health gains and cost savings at the population level in this high-income country. Such gains may increase with ongoing improvements in app design and increased health worker promotion of the apps to patients.
-
Storytelling as a Research Tool Used to Explore Insights and as an Intervention in Public Health
A Systematic Narrative Review
Becky McCall, Laura Shallcross, Michael Wilson, Chris Fuller, Andrew Hayward
International Journal of Public Health, 66, 1604262, 2021
About
Objectives: Studies of storytelling (ST) used as a research tool to extract information and/or as an intervention to effect change in the public knowledge, attitudes, and behavior/practice (KAB/P) were sought and analyzed.
Methods: Medline, EMBASE, PsycINFO, ERIC, Web of Science, Art and Humanities database, Scopus, and Google Scholar were searched, and a basic and broad quantitative analysis was performed, followed by an in-depth narrative synthesis of studies on carefully selected topics.
Results: From this search, 3,077 studies were identified. 145 studies entered quantitative analysis [cancer and cancer screening (32/145), HIV (32/145), mental health (10/145), vaccination (8/145), and climate change (3/145)]. Ten studies entered final analysis [HIV/AIDs (5), climate change (1), sexual health (3), and croup (1)]. ST techniques included digital ST (DST), written ST, verbal ST, and use of professional writers. Of the ten studies, seven used ST to change KAB/P; the remainder used ST to extract insights. Follow-up and evaluation were very limited.
Conclusion: ST reveals insights and serves as an intervention in public health. Benefits of ST largely outweigh the limitations, but more follow-up/evaluation is needed. ST should play a more significant role in tackling public health issues.
PROSPERO registration number: CRD42019124704.
-
Editorial: Traditional Sporting Games and Play
Enhancing Cultural Diversity, Emotional Well-Being, Interpersonal Relationships and Intelligent Decisions
Pere Lavega-Burgués, Marco Antonio Coelho Bortoleto, Miguel Pic
Frontiers in Psychology, 12, 2021
About
This is the first time that different research groups and researchers from different countries (Argentina, Brazil, France, Indonesia, Poland, Portugal, Russia, and Spain) and continents (America, Asia, and Europe) have shared a scientific challenge: to show through scientific evidence that traditional sporting games (TSGs) are worthy objects of study. The 24 texts that form part of this work show the polyhedral nature of TSGs from different domains of knowledge. Shared relationships, cultural meanings, emotions, and intelligent learning are different dimensions of the same phenomenon: the traditional sporting game. Frontiers in Psychology recognizes this multimodal nature of TSGs by integrating the articles in this book into the following sections: Movement Science and Sport Psychology, Personality and Social Psychology, Educational Psychology, Cultural Psychology, and Educational Psychology.” …. We hope that our colleagues in the Anglosphere will join us in the knowledge and application of the fundamentals of this scientific discipline, as has already been done in Africa (e.g., Algeria, Congo, Guinea, Mali, Morocco, and Tunisia), America (e.g., Argentina, Brazil, Colombia, Chile, and United States), Asia (e.g., South Korea), and Europe (e.g., France, Italy, Portugal, Spain, and Switzerland).”
-
Incorporating Aboriginal women’s voices in improving care and reducing risk for women with diabetes in pregnancy
A Phenomenological Study
Anna J Wood, Sian Graham, Jacqueline A Boyle, Beverley Marcusson-Rababi, Shonada Anderson, Christine Connors, Harold D McIntyre, Louise Maple-Brown, Renae Kirkham
BMC Pregnancy Childbirth, 21(1), 624, 2021
About
Background: There is a high burden of gestational diabetes (GDM) and type 2 diabetes in pregnancy for Aboriginal and Torres Strait Islander women. Postpartum diabetes programs have the potential to prevent recurrent GDM and improve management of type 2 diabetes. However, data on such programs are limited, particularly in the Indigenous context. We aimed to explore Aboriginal Australian women’s and health providers’ preferences for a program to prevent and improve diabetes after pregnancy.
Methods: A phenomenological methodology underpinned semi-structured in-depth interviews with eleven Aboriginal women and seven health professionals across the Northern Territory from October 2019- February 2020. Interviews were analysed using an inductive analysis framework to address the barriers and enablers of proposed diabetes prevention programs identified by participants.
Results: Identified structural barriers to lifestyle change included: food insecurity, persuasive marketing of unhealthy food options, lack of facilities and cultural inappropriateness of previous programs. Enablers to lifestyle change included: a strong link between a healthy lifestyle and connection with Country, family and community. Suggested strategies to improve lifestyle included: co-designed cooking classes or a community kitchen, team sports and structural change (targeting the social determinants of health). Lifestyle change was preferred over metformin to prevent and manage diabetes after pregnancy by participants and health care providers.
Conclusions: We recommend individual level programs be designed alongside policies that address systemic inequalities. A postpartum lifestyle program should be co-designed with community members and grounded in Aboriginal conceptions of health to adequality address the health disparities experienced by Aboriginal people in remote communities.
-
Evidence on the contribution of community gardens to promote physical and mental health and well-being of non-institutionalized individuals
A Systematic Review
Tarsila Lampert, Joana Costa, Osvaldo Santos, Joana Sousa, Teresa Ribeiro, Elisabete Freire
PLoS One, 16(8), 2021
About
Introduction: There has been growing interest in community gardens as an effective and affordable health promotion strategy. However, most available evidence is derived from qualitative studies, whereas quantitative research on this subject is limited.
Objectives: To synthetize the literature about physical and mental health outcomes associated with community gardening. Two main questions were addressed: a) is there evidence, from quantitative studies, that community gardening is associated to physical and mental health and well-being of non-institutionalized individuals? b) Does community gardening provokes any discomfort in terms of physical health, i.e., bodily pain, to their beneficiaries?
Methods: A systematic review of the literature was carried out following PRISMA guidelines by searching relevant electronic databases (PubMed, Scopus, and Web of Science). Empirical, quantitative studies published in English with no restrictions concerning the date of publication were considered eligible. The quality of the evidence was appraised using the tool developed by the National Heart, Lung, and Blood Institute of the National Institutes of Health for Observational Cohort and Cross-Sectional Studies.
Results: Overall, 8 studies were considered eligible, of which seven studies were rated as having good methodological quality (one scored as fair). Community gardeners had significantly better health outcomes than their neighbours not engaged in gardening activities in terms of life satisfaction, happiness, general health, mental health, and social cohesion.
Conclusion: Community gardens are associated to health gains for their users, irrespective of age, being an affordable and efficient way of promoting physical and mental health and well-being. To encourage the design, maintenance, and prospective evaluation of supportive urban environments promoting healthy and, at the same time, sustainable lifestyles, is essential to achieve public health gains and environmental sustainability.
-
Social determinants associated with physical activity among Indigenous adults at the University of Saskatchewan
Avery Ironside, Leah J Ferguson, Tarun R Katapally, Lila M Hedayat, Shara R Johnson, Heather J A Foulds
Applied Physiology, Nutrition, and Metabolism, 46(10), 1159-1169, 2021
About
Colonization impacts Indigenous Peoples’ way of life, culture, language, community structure and social networks. Links between social determinants of health and physical activity (PA) among Indigenous Peoples in Saskatchewan, with 16% Indigenous residents, are unclear. This cross-sectional study, guided by Indigenous Community Advisors, compared moderate-to-vigorous PA (MVPA), traditional Indigenous PA and musculoskeletal PA with social determinants of Indigenous (n = 124), including First Nations (n = 80, including 57 Cree/Nehiyawak) and Métis (n = 41), adults in Saskatchewan. Participants completed Godin-Shephard Leisure-Time PA, Social Support Index and traditional Indigenous PA participation questionnaires. Regression associated positive perception of social support with MVPA (R = 0.306, p = 0.02), while residential school experiences (R = 0.338, p = 0.02) and community support (R = 0.412, p = 0.01) were associated with traditional Indigenous PA participation. Among Métis, discrimination experiences were associated with traditional Indigenous PA participation (R = 0.459, p = 0.01). Traditional Indigenous PA participation was associated with community support among First Nations (R = 0.263, p = 0.04), and also foster care placement (R = 0.480, p = 0.01) for Cree/Nehiyawak First Nations specifically. Among Cree/Nehiyawak, family support (R = 0.354, p = 0.04), discrimination experiences (R = 0.531, p = 0.01) and positive perceptions of support (R = 0.610, p = 0.003) were associated with musculoskeletal PA. Greater community, family and perceived social support, and experiences of discrimination, residential school and foster care are associated with more PA for Indigenous Peoples. Novelty: Positive support perceptions predict physical activity among Indigenous Peoples. Family support, discrimination experiences and positive support perceptions predict physical activity for Cree/Nehiyawak First Nations. Traditional physical activity was predicted by residential school experiences and community support (Indigenous Peoples), discrimination experiences (Métis), community support (First Nations), and foster care experiences (Cree/Nehiyawak).
-
Qualitative study on voyaging and health
Perspectives and insights from the medical officers during the Worldwide Voyage
Marjorie K Leimomi Mala Mau , Christina Mie Minami, Sarah A Stotz, Cheryl L Albright, Shawn Malia Kana’iaupuni, Heidi Kai Guth
BMJ Open, 11:e048767
About
Objective: To examine the potential association of ocean voyaging with human health and well-being from the perspectives and experiences of the medical officers (MOs) who served during the Worldwide Voyage (WWV).
Design: Using a phenomenology framework, focus group and individual interviews were conducted and analysed by three diverse core researchers and then reviewed by three external researchers to enhance triangulation. Analysis used the Framework Method and Atlas-ti software (V.8.4.4) to facilitate coding, identify categories and develop an analytical matrix. The matrix was applied to all data using the constant comparative method to construct major themes and subthemes. Synthesised member checking was performed.
Setting: In 2014–2017, the WWV began in Hawai’i on a traditional voyaging canoe, known as Hōkūle’a, using a non-instrument navigational method, ‘wayfinding’, powered only by natural forces and guided by traditional ecological knowledge. Each segment of the voyage included ~12 individuals, including an MO physician. The entire WWV included 172 ports-of-call, 36 legs and 250+ crew members.
Participants: We purposively sampled all MO physicians who participated in the WWV and enrolled 87% of eligible MOs (n=20 of 23). We conducted two focus groups (n=17=11+6, 85%) and three individual informant interviews (n=3, 15%).
Results: The four major themes: (1) Relationships; (2) Preventive Care to Enhance Health; (3) Holistic Health and Wellbeing beyond Voyaging and (4) Spiritual Transformative Experience, strongly suggest that ocean voyaging aboard a traditional voyaging canoe enhanced human health and well-being. The overall impact to perceived health and well-being extended beyond any increase in physical exercise. Essentially, traditional Polynesian ocean voyaging provided a cultural-based context for holistic health and well-being that influenced multiple levels and multiple dimensions.
Conclusion: Polynesian ocean voyaging was perceived as positively associated with holistic health and overall well-being and it may offer a new approach to confront complex health disparities.
-
The Impact of Land-Based Physical Activity Interventions on Self-Reported Health and Well-Being of Indigenous Adults
A Systematic Review
Fatima Ahmed, Aleksandra M. Zuk, and Leonard J. S. Tsuji
International Journal of Environmental Research and Public Health, 18(13), 7099
About
For many Indigenous communities, decreased participation in traditional land-based activities has led to higher rates of chronic disease and a decrease in well-being. This systematic review explores how traditional land-based activities impact self-reported health and well-being of Indigenous adults, using Indigenous and Western perspectives. A search of three electronic databases (PubMed, Scopus, and Web of Science) identified nine studies which explored the experiences and perspectives of Indigenous adults taking part in land-based subsistence and ceremonial activities. A thematic analysis of these studies identified many interconnected physical, spiritual, mental, emotional, and community benefits. Community engagement throughout all stages of the interventions was an important factor in effectively addressing challenges and barriers stemming from colonization, decreased knowledge transfer, and increased use of technology. Participants reported developing more effective stress management techniques, a greater awareness of modifiable risk factors along with increased engagement with Elders. Ultimately, land-based subsistence and ceremonial activities were identified as playing an influential role in the lives of Indigenous adults. The involvement of community members allowed for the development of more culturally relevant interventions. Future community-specific research is needed to increase engagement in traditional physical-activities, improve well-being and overall reduce the risk of chronic disease.
-
The Characteristics of Behaviour Change Interventions Used Among Pacific People
A Systematic Search and Narrative Synthesis
Amio Matenga-Ikihele, Judith McCool, Rosie Dobson, Fuafiva Fa’alau, and Robyn Whittaker
BMC Public Health, 21(3), 2021
About
Background: Pacific people living in New Zealand, Australia, United States, and the Pacific region continue to experience a disproportionately high burden of long-term conditions, making culturally contextualised behaviour change interventions a priority. The primary aim of this study was to describe the characteristics of behaviour change interventions designed to improve health and effect health behaviour change among Pacific people.
Methods: Electronic searches were carried out on OVID Medline, PsycINFO, PubMed, Embase and SCOPUS databases (initial search January 2019 and updated in January 2020) for studies describing an intervention designed to change health behaviour(s) among Pacific people. Titles and abstracts of 5699 papers were screened; 201 papers were then independently assessed. A review of full text was carried out by three of the authors resulting in 208 being included in the final review. Twenty-seven studies were included, published in six countries between 1996 and 2020.
Results: Important characteristics in the interventions included meaningful partnerships with Pacific communities using community-based participatory research and ensuring interventions were culturally anchored and centred on collectivism using family or social support. Most interventions used social cognitive theory, followed by popular behaviour change techniques instruction on how to perform a behaviour and social support (unspecified). Negotiating the spaces between Eurocentric behaviour change constructs and Pacific worldviews was simplified using Pacific facilitators and talanoa. This relational approach provided an essential link between academia and Pacific communities.
Conclusions: This systematic search and narrative synthesis provides new and important insights into potential elements and components when designing behaviour change interventions for Pacific people. The paucity of literature available outside of the United States highlights further research is required to reflect Pacific communities living in New Zealand, Australia, and the Pacific region. Future research needs to invest in building research capacity within Pacific communities, centering self-determining research agendas and findings to be led and owned by Pacific communities.
-
Traditional Games and Sports of the Women in the Kabylie
Iman Nefil, Soraya Laaouad-dodoo, Pascal Bordes, Ahmed Torki
Frontiers in Psychology, Movement Science, 11:614746
About
With regard to the issue of the differences of the sexes, our study focuses on traditional games in Kabylie, taken and defined as part of the field of motor praxiology. A discipline inspired by the work of Pierre Parlebas. We will attempt through a field survey, to identify and interpret the meaning and distribution of the traditional games played by the women of Kabylie. From this perspective, the analysis of the internal logics of the practices are related to the system of interactions between players and their environment. This reveals valuable information on the structures underlying traditional games, and their ethno-motor characteristics as well as the world of ethnology of this vast mountainous region of Kabylie. By analyzing 92 traditional games played in the region of Kabylie allowed us to highlight on the one hand the cultural specificity, and on the other the richness of the socio-cultural aspects of this region. By examining how a game constitutes a cultural identity element of a geographical space, we explain the meaning of sport culture and identity of the Kabylie, by focusing particularly on the place of women and the indicators that reveal the relationships between men and women and distinguish the distribution of female and male roles. This also allows an understanding of the nature of traditional sports and their differentiation in terms of socialization between boys and girls.
-
Effects of an African Circle Dance Programme on Internally Displaced Persons with Depressive Symptoms
A Quasi-Experimental Study
Dauda Salihu, Eliza M. L. Wong, and Rick Y. C. Kwan
International Journal of Environmental Research and Public Health, 18(2), 843
About
Background: Internally Displaced Persons (IDPs) are people who have been forced to flee their homes due to disasters. Depressive symptoms, at over 31–67%, are prevalent in IDPs in Africa. Despite the evidence for the benefits of the promotion of dance interventions on psychological health, supporting information is needed to outline the benefits of an African Circle Dance (ACD) intervention for IDPs in Africa.
Methods: A quasi-experimental design (pre-/post-test) was employed. Two IDP camps were randomized into the intervention group (psychoeducation and ACD intervention) and the control group (psychoeducation). Adults aged ≥18 years, living in an IDP camp, able to perform brisk walking, and who scored ≥10 on a depressive symptoms subscale were recruited. The intervention group received an 8-week ACD dance intervention and two 1-h psychoeducation sessions on stress management; the controls only received the psychoeducation sessions. Outcomes were depressive symptoms, stress, and anxiety. Data were collected at baseline (T0), immediately after the intervention at week 8 (T1), and at week 12 (T2) at the post-intervention and follow-up session. A generalized estimating equation was used to test the effects of the ACD intervention, with a 0.05 significance level.
Results: 198 IDPs completed the study (ncontrol = 98; nintervention = 100). The intervention group reported significantly greater improvements in depressive symptoms (v = 0.33, p < 0.001) and stress (v = 0.15, 0.008) than did the control group.
Conclusions: ACD could be a valuable complementary intervention in health promotion but more research is needed.
-
Waiora: Connecting People, Well-Being, and Environment Through Waka Ama in Aotearoa New Zealand
Christina Severinsen, Angelique Reweti
Health Promotion Practice, 22(4), 524-530, 2021
About
Waka ama is unique as a sport because, as well as the physical benefits for paddlers, it also creates opportunities for participants to experience and connect with the natural environment. This research draws on interviews with waka ama paddlers in Aotearoa New Zealand to illustrate how the well-being of the environment connects to the spiritual, cultural, and physical health of people. Results highlight the multifaceted benefits of participating in waka ama. As well as the physical benefits for paddlers, waka ama also has a strong tikanga, which encourages language revitalization with the use of te reo Māori through karakia, waiata, and the general terms used associated with waka. It also creates opportunities for participants to experience and connect with the natural environment and improve their health. The knowledge gained from participants provide evidence of effective ways to improve health and well-being within communities with a particular focus on waiora, the spiritual connection between hauora and the environment.
-
Harvest Programs in First Nations of Subarctic Canada
The Benefits Go Beyond Addressing Food Security and Environmental Sustainability Issues
Leonard J. S. Tsuji, Stephen R. J. Tsuji, Aleksandra M. Zuk, Roger Davey, and Eric N. Liberda
International Journal of Environmental Research and Public Health, 17(21), 8113
About
By breaking down barriers that impacted the ability of subarctic First Nations people to harvest waterfowl, the Sharing-the-Harvest program provided a safe, nutritious, and culturally appropriate food (i.e., geese) to James Bay Cree communities while also helping to protect the environment by harvesting overabundant geese. However, the impacts extend beyond those described above. Thus, the objectives of the present paper are twofold: to document the food sharing networks of the Sharing-the-Harvest program; and to examine the benefits associated with the harvest program beyond food security and environmental sustainability issues, as revealed through semi-directed interviews. In the regional initiative, harvested geese were shared with all James Bay communities; sharing is an important part of Cree culture. Where detailed information was collected, the goose-sharing network reached 76% of the homes in one of the communities. Likewise, in the local initiative, the goose-sharing network had a 76% coverage rate of the homes in the community. Although decreasing food insecurity was an important focus of the harvest-sharing programs, there were other benefits, from an Indigenous perspective, of being on the land, as identified by the Cree harvesters through semi-directed interviews (e.g., the transmission of Indigenous knowledge, the strengthening of social networks, and the feeling of wellness while out on-the-land). Thus, by participating in the on-the-land harvest programs, the Cree gained benefits beyond those solely related to strengthening food security and contributing in part to environmental sustainability. The Sharing-the-Harvest protocol has the potential to be adapted and employed by other Indigenous (or marginalized) groups worldwide, to help improve health and wellness, while, also protecting the environment from overabundant and/or invasive species.
-
Nature Relatedness of Recreational Horseback Riders and Its Association with Mood and Wellbeing
Gabriele Schwarzmüller-Erber, Harald Stummer, Manfred Maier, Michael Kundi
International Journal of Environmental Research and Public Health, 17(11), 2020
About
Connectedness to nature and nature contact can provide many benefits to humans, like stress reduction, recovery from illness, and increased positive emotions. Likewise, recreational horseback riding is a widespread sports activity with the potential to enhance physical and psychological health. Yet, the influence of connectedness to nature on the wellbeing of older aged recreational horseback riders has not been investigated so far. The aim of the present study therefore was to explore the relationship between nature relatedness and physical, psychological and social wellbeing and happiness. The study sample was composed of Austrian recreational horseback riders aged 45 years and older, who were compared with dog owners and people without pets (n = 178). We found significantly higher nature relatedness, significantly higher overall wellbeing and a significantly better mood rating in recreational horseback riders compared to people without pets and similar scores compared to dog owners. Physical wellbeing is correlated with overall nature relatedness in horseback riders and dog owners, but no correlation was found in people without pets. A structural equation model shows a direct relationship between nature relatedness and mood in horseback riders and an indirect relationship through pet attachment in dog owners. The results suggest the activity with horses and dogs in nature environments is a source of wellbeing, enjoyment, self-confidence and social contacts.
-
Barriers and facilitators of sport and physical activity for Aboriginal and Torres Strait Islander children and adolescents
A Mixed Studies Systematic Review
Tamara May, Amanda Dudley, James Charles, Kate Kennedy, Ana Mantilla, Jane McGillivray, Keane Wheeler, Hope Elston, Nicole J Rinehart
BMC Public Health, 1, 2020
About
Background: Participation in sport and physical activity could minimise the inflated risk of poor physical health outcomes for Aboriginal and Torres Strait Islander children and adolescents. This review aimed to synthesise existing quantitative and qualitative literature regarding barriers and facilitators to physical activity and sports participation in Aboriginal and Torres Strait Islander children.
Methods: Literature was systematically searched to include studies reporting barriers or facilitators to physical activity and/or sports participation in Aboriginal and Torres Strait Islander children aged 0-18 years. Using a pre-established taxonomy based on the social-ecological model, a deductive analysis was performed. Quality appraisal was performed using the Mixed Methods Appraisal Tool.
Results: Of 3440 unique articles, nine studies were included with n = 10,061 total participants. Of the nine included studies one reported on participants from urban areas, two from regional and three from remote areas. Three were from representative samples of the Aboriginal and Torres Strait Islander population. Barriers were reported in all nine studies: 18 individual, 9 interpersonal, 27 community and 4 at the policy level (58 total); Facilitators were reported in five studies: 12 individual, 11 interpersonal, 11 community and 3 policy level (37 total).
Conclusions: Research in this area is lacking with some states in Australia not represented and small samples. Strategies for improving participation in sport and physical activity by Aboriginal and Torres Strait Islander children and adolescents need to integrate a comprehensive identification of barriers and facilitators with a social-ecological understanding of how community and cultural factors can impact individual participation.
-
Barriers and facilitators of sport and physical activity for Aboriginal and Torres Strait Islander children and adolescents
A Mixed Studies Systematic Review
Tamara May, Amanda Dudley, James Charles, Kate Kennedy, Ana Mantilla, Jane McGillivray, Keane Wheeler, Hope Elston, Nicole J Rinehart
BMC Public Health, 20(1), 2020
About
Background: Participation in sport and physical activity could minimise the inflated risk of poor physical health outcomes for Aboriginal and Torres Strait Islander children and adolescents. This review aimed to synthesise existing quantitative and qualitative literature regarding barriers and facilitators to physical activity and sports participation in Aboriginal and Torres Strait Islander children.
Methods: Literature was systematically searched to include studies reporting barriers or facilitators to physical activity and/or sports participation in Aboriginal and Torres Strait Islander children aged 0-18 years. Using a pre-established taxonomy based on the social-ecological model, a deductive analysis was performed. Quality appraisal was performed using the Mixed Methods Appraisal Tool.
Results: Of 3440 unique articles, nine studies were included with n = 10,061 total participants. Of the nine included studies one reported on participants from urban areas, two from regional and three from remote areas. Three were from representative samples of the Aboriginal and Torres Strait Islander population. Barriers were reported in all nine studies: 18 individual, 9 interpersonal, 27 community and 4 at the policy level (58 total); Facilitators were reported in five studies: 12 individual, 11 interpersonal, 11 community and 3 policy level (37 total).
Conclusions: Research in this area is lacking with some states in Australia not represented and small samples. Strategies for improving participation in sport and physical activity by Aboriginal and Torres Strait Islander children and adolescents need to integrate a comprehensive identification of barriers and facilitators with a social-ecological understanding of how community and cultural factors can impact individual participation.
-
“We Are Like Any Other People, but We Don’t Cry Much Because Nobody Listens”
The Need to Strengthen Aging Policies and Service Provision for Minorities in Canada
Jordana Salma, Bukola Salami
The Gerontologist, 60(2), 279-90, 2020
About
Background and objectives: This study explores the aging experiences and needs of immigrant Muslim communities in an urban center in Alberta, Canada. Over one million Muslims live in Canada, with the majority being immigrants and visible minorities. Aging-focused policies and services have yet to address the needs of this population as larger cohorts begin to enter older age.
Research design and methods: A community-based participatory research approach was adopted with a community advisory committee co-leading all aspects of the research process. Sixty-seven older adults and stakeholders from diverse ethnocultural immigrant Muslim communities participated in either individual interviews or one of the seven focus groups (2017-2018). Data were transcribed verbatim and thematically analyzed with a focus on factors that support or hinder positive aging experiences in this population.
Results: Participants not only described the benefits of growing old in Canada but also identified unique challenges stemming from their social positioning as religious minorities, immigrants, and older adults. We highlight these experiences in three themes: (a) aging while living across places, (b) negotiating access to aging-supportive resources in a time of scarcity, and (c) re-envisioning Islamic approaches to eldercare.
Discussion and implications: Immigrant Muslim communities report inequities experienced by older community members. There is a need for an in-depth analysis of the ways aging and migration policies intersect to influence the resources that immigrant minorities have access to as they grow old in Canada.
Keywords: African; Alberta; Arab; Muslim; South Asian; community-based participatory research; ethnicity.
-
Indigenizing Cardiac Rehabilitation
The Role for Cultural Adaptation
Miles Marchand, Rylan K McCallum, Keegan Marchand, Sonia S Anand, Nathaniel Moulson, Carolyn M Taylor, Daisy Dulay
The Canadian Journal of Cardiology, 40(6), 2023
About
Cardiac rehabilitation (CR) is an integral component of cardiovascular care, which reduces morbidity and mortality, and improves quality of life. Largely as a result of Canada’s colonial history, Indigenous communities face higher rates of cardiovascular morbidity and mortality. Indigenous Peoples in Canada have a unique cultural, historical, and geographic context that limits access to high-quality cardiovascular care, including CR, which has traditionally been delivered in an urban, hospital-based setting. Culturally adapted, holistic exercise and diet programs and CR programs have been successful in Canada, Australia, and New Zealand, demonstrating acceptability to the community, safety, and improvements in cardiovascular risk factors. Key components of a successful culturally adapted CR program include program leadership and development by Indigenous community members and key partners, cultural sensitivity training for health care providers and financial and geographic accessibility. Encouragement of traditional practices, including healthy traditional dietary practices, and recognizing land-based activities as exercise have also proved important in the successful delivery of CR in Indigenous communities. This review summarizes the current evidence for culturally adapted CR programming for Indigenous patients, including strategies to engage communities in education on cardiovascular risk-factor optimization and to promote guideline-based exercise and diet through an Indigenous lens.
-
Storytelling as a Research Tool and Intervention Around Public Health Perceptions and Behaviour
A Protocol for a Systematic Narrative Review
Becky McCall , Laura Shallcross, Michael Wilson, Christopher Fuller, Andrew Hayward
BMJ Open, 9(12), e030597, 2019
About
Introduction: There is a growing trend to use storytelling as a research tool to extract information and/or as an intervention to effect change in the public knowledge, attitudes and behaviour (KAB) in relation to public health issues, primarily those with a strong element of disease prevention. However, evidence of its use in either or both capacities is limited. This protocol proposes a systematic narrative review of peer-reviewed, published literature on the use of storytelling as a research tool within the public health arena.
Methods and analysis: Medline, EMBASE, PsycINFO, ERIC (Educational Resources Information Center), Web of Science, Art and Humanities database (ProQuest), Scopus and Google Scholar will be searched for studies that look at the use of storytelling in the research of pressing current public health issues, for example, vaccinations, antimicrobial resistance, climate change and cancer screening. The review will synthesise evidence of how storytelling is used as a research tool to (a) gain insights into KAB and (b) to effect change in KAB when used as an intervention. Included studies will be selected according to carefully defined criteria relevant to public health issues of interest, and data from qualitative, quantitative and mixed-methods studies will be extracted with a customised data extraction form. A narrative synthesis will be performed according to Economic and Social Research Council guidance from Popay, J, 2006.The study protocol follows the recommendations by the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P).
Ethics and dissemination: Formal ethical approval is not required for this study, as no primary data will be collected. Dissemination will involve publishing results of this study in relevant peer-reviewed journal(s). Where possible, the study results will also be presented as posters or talks at relevant medical conferences and meetings.
-
Sport, Refugees, and Forced Migration
A Critical Review of the Literature
Ramón Spaaij, Jora Broerse, Sarah Oxford, Carla Luguetti, Fiona McLachlan, Brent McDonald, Bojana Klepac, Lisa Lymbery, Jeffrey Bishara, Aurélie Pankowiak
Frontiers in Sports and Active Living, 1, The History, Culture and Sociology of Sports, 2019
About
Researchers, policy makers, and practitioners increasingly pay attention to sport and physical activity as a means and context for refugee wellbeing and integration, influenced by wider political and policy concerns about forced migration. Considering this growing scholarly and policy attention, it is timely to take stock of, and critically reflect on, recent developments in this field of research. This paper offers an integrative, critical review of the scientific literature on the topic. It critically synthesizes what is known about the sport and physical activity experiences of people with refugee and forced migrant backgrounds, and identifies key issues and directions for future research in this field. This review of contemporary academic literature comprises 83 publications derived from fourteen languages published between 1996 and 2019. It shows a substantial increase in the volume of published research on the topic in recent years (2017–2019). Published research is concentrated primarily in Western countries around the themes of health promotion, integration and social inclusion, and barriers and facilitators to participation in sport and physical activity. The findings foreground the use of policy categories, deficit approaches, and intersectionalities as three pressing challenges in this area of research. Based on this synthesis, the authors identify four research gaps that require attention in future research: the experiential (embodied emotional) dimensions of sport and physical activity, the need to decolonize research, the space for innovative methodologies, and research ethics.
-
Indigenous Peoples, Sport and Sustainability
Dan Henhawk, Richard Norman
A chapter in Sport, Development and Environmental Sustainability, Edited by Rob Millington, Simon Darnell (Routledge), 2019
About
This chapter explores how sport is connected to racist and colonial notions of Indigenous inferiority and European superiority and how such power dynamics manifest in contemporary Sport for Development programs aimed at Indigenous communities. It uses this as a point of departure to privilege Indigenous perspectives on sustainable development through sport, and does so in part by exposing the tensions within modernist notions of development as progress. Overall, it aims to offer an important reminder of the need for Indigenous voices, cultures and ways of thinking within the still burgeoning field of Sport for Development and the issue of sustainability in and through sport.
-
The SMART Framework: Integration of Citizen Science, Community-Based Participatory Research, and Systems Science for Population Health Science in the Digital Age
Tarun Reddy Katapally
JMIR mHealth and uHealth, 7(8), 2019
About
Citizen science enables citizens to actively contribute to all aspects of the research process, from conceptualization and data collection, to knowledge translation and evaluation. Citizen science is gradually emerging as a pertinent approach in population health research. Given that citizen science has intrinsic links with community-based research, where participatory action drives the research agenda, these two approaches could be integrated to address complex population health issues. Community-based participatory research has a strong record of application across multiple disciplines and sectors to address health inequities. Citizen science can use the structure of community-based participatory research to take local approaches of problem solving to a global scale, because citizen science emerged through individual environmental activism that is not limited by geography. This synergy has significant implications for population health research if combined with systems science, which can offer theoretical and methodological strength to citizen science and community-based participatory research. Systems science applies a holistic perspective to understand the complex mechanisms underlying causal relationships within and between systems, as it goes beyond linear relationships by utilizing big data–driven advanced computational models. However, to truly integrate citizen science, community-based participatory research, and systems science, it is time to realize the power of ubiquitous digital tools, such as smartphones, for connecting us all and providing big data. Smartphones have the potential to not only create equity by providing a voice to disenfranchised citizens but smartphone-based apps also have the reach and power to source big data to inform policies. An imminent challenge in legitimizing citizen science is minimizing bias, which can be achieved by standardizing methods and enhancing data quality—a rigorous process that requires researchers to collaborate with citizen scientists utilizing the principles of community-based participatory research action. This study advances SMART, an evidence-based framework that integrates citizen science, community-based participatory research, and systems science through ubiquitous tools by addressing core challenges such as citizen engagement, data management, and internet inequity to legitimize this integration.
-
What is the evidence on the role of the arts in improving health and well-being?
A scoping review
Daisy Fancourt and Saoirse Finn
Health Evidence Network Synthesis Report, no. 67
About
Over the past two decades, there has been a major increase in research into the effects of the arts on health and well-being, alongside developments in practice and policy activities in different countries across the WHO European Region and further afield. This report synthesizes the global evidence on the role of the arts in improving health and well-being, with a specific focus on the WHO European Region. Results from over 3000 studies identified a major role for the arts in the prevention of ill health, promotion of health, and management and treatment of illness across the lifespan. The reviewed evidence included study designs such as uncontrolled pilot studies, case studies, small-scale cross-sectional surveys, nationally representative longitudinal cohort studies, community-wide ethnographies and randomized controlled trials from diverse disciplines. The beneficial impact of the arts could be furthered through acknowledging and acting on the growing evidence base; promoting arts engagement at the individual, local and national levels; and supporting cross-sectoral collaboration.
-
Native American Youth Citizen Scientists Uncovering Community Health and Food Security Priorities
Katherine K. Kim, Victoria Ngo, Grant Gilkison, Lisa Hillman, Jennifer Sowerwine, Karuk Youth Leaders
Health Promotion Practice, 21(1), 80-90, 2020
About
Citizen science based on principles of community-based participatory research involves the co-creation of research among citizens and professional researchers in substantive aspects of scientific inquiry including equitable contributions to governance, research questions, data collection, analysis, application of findings, and dissemination. This article reports on a citizen science project conducted by 12 youth in the Karuk Tribe collaborating with university scientists. The youth participated in a research leadership development program conducted in their community located in rural/remote northern California. The youth led a community health and food security assessment survey using a mobile application tool (n = 212). They uncovered community concerns about the health of residents and healthfulness of food choices in schools, as well as a significant difference related to confidence in making healthy food choices between those who are and are not physically active. The Tribe applied the study findings with youth in alignment with cultural values and practices investing in developing community gardens, improving school food quality, and promoting native food practices that incorporate physical activities such as hiking, gathering, and preserving food. This study offers lessons for research collaborations among citizen scientists from communities underrepresented in health research and university scientists.
-
Healthy Lifestyle Through Home Gardening
The Art of Sharing
Sothy Eng, Tricia Khun, Samantha Jower, Mary J Murro
American Journal of Lifestyle Medicine, 13(4), 347-350, 2019
About
This article offers a solution to promoting healthy lifestyle through home gardening and how gardening activities create social capital through social interactions among family members and people within communities, through sharing. This article begins by reviewing general social, psychological, and physical health benefits of home gardening followed by barriers associated with starting a garden that include lack of time, scarce resources, insufficient knowledge and skills, and inadequate space. This article argues that beyond the skills and knowledge, inspiration is the key in creating and sustaining a home garden. Through the idea of networking with families in a community and building these social relationships, it increases more opportunities to inspire and be inspired, fosters a greater sense of joy in gardening, encourages a chain reaction of sharing, and connects people together. As people share, it creates a pattern of social interactions and reciprocity among those who share and the recipients within the network that will then lead to increased social relationships, trust, and a social norm of sharing. Sharing itself also creates an opportunity for others to share back because in some situations, people do not know how to initiate the sharing process or have difficulty doing so. The article ends with a discussion on promoting a sustainable, active, and healthy lifestyle by engaging children in the process of gardening and sharing geminated plants/produce with their peers and other families, hence fostering a lifelong appreciation and consumption of plants they grow, learn, share, and heal together in the process.
-
Indigenous Australians Perceptions’ of Physical Activity
A Qualitative Systematic Review
Emma E Dahlberg, Sandra J Hamilton, Fatuma Hamid, Sandra C Thompson
International Journal of Environmental Research and Public Health, 15(7), 1492, 2018
About
Given poorer health and higher rates of chronic disease seen in Indigenous populations around the world and the evidence linking exercise with health and wellbeing, recommendations for encouraging and increasing Indigenous people’s participation in physical activity are needed. This paper systematically reviews published qualitative research papers exploring issues related to the perspectives of Indigenous Australians around physical activity. Key terms relevant to attitudes, beliefs, and perceptions of Indigenous Australians on physical activity and sport were explored in 11 electronic bibliographic databases including EMBASE, Medline and Web of Science. Of the 783 studies screened, eight qualitative studies met the selection criteria; only one was exclusively undertaken in a rural setting. Four major themes emerged: family and community, culture and environment, sport, and gender differences. Men highlighted sport and going on walkabout as preferred types of physical activity while women preferred family-focused activities and activities and support for women’s sport. Several studies found exercise was supported when in the context of family and community but was considered shameful when done only for oneself. Sport was regarded as playing an influential role in bringing communities together. Group, community, or family activities were desired forms of physical activity with the environment they are conducted in of high importance. These findings should inform future research and intervention programs aimed at addressing the physical activity levels of Indigenous Australians and may be relevant to other Indigenous populations.
-
Traditional Ecological Knowledge
A Different Perspective on Environmental Health
Nate Seltenrich
Environmental Health Perspectives, 126(1), 2018
-
“Going to the Gym Is Not Congolese’s Culture”
Examining Attitudes Toward Physical Activity and Risk for Type 2 Diabetes Among Congolese Immigrants
Daudet Ilunga Tshiswaka, Kelechi D Ibe-Lamberts, Guy-Lucien S Whembolua, Abi Fapohunda, Eugene S Tull
The Science of Diabetes Self-Management and Care, 44(1), 2017
About
Purpose: The purpose of this study was to explore perceptions and attitudes around physical activity among immigrants from the Democratic Republic of Congo and examine the influence of Congolese cultural beliefs on physical activity practice.
Methods: In-depth interviews were conducted and augmented by photo-elicitation among 20 Congolese immigrants, distributed equally by gender, aged 35 years or older. The PEN-3 model was used as the cultural conceptual framework.
Results: Using both the Relationships and Expectations dimension (Perceptions, Enablers, and Nurturers) and Cultural Empowerment dimension (Positive, Existential, and Negative) of the PEN-3 model, emergent themes were categorized around knowing the benefits of being physically active (perceptions), doctor encouragement to be more physically active (enablers), and the habit and local tradition of consuming beer after a soccer match (nurturers). Other emergent themes included Congolese loves to dance (positive), going to the gym is not Congolese culture (existential), and the challenge of increased physical activity (negative).
Conclusions: Congolese have their intrinsic cultural perceptions and attitudes around types of physical activity. The study disclosed a much more pronounced willingness to dance (as a potential source of increased physical activity) than to go to a gym. As such, if one wants to advocate a regimen of increased physical activity to offset the risk for type 2 diabetes, dance is an alternative to consider among some immigrants.
-
Biocultural approaches to well-being and sustainability indicators across scales
Eleanor J Sterling, Christopher Filardi, Anne Toomey, Amanda Sigouin, Erin Betley, Nadav Gazit, Jennifer Newell, Simon Albert, Diana Alvira, Nadia Bergamini, Mary Blair, David Boseto, Kate Burrows, Nora Bynum, Sophie Caillon, Jennifer E Caselle, Joachim Claudet, Georgina Cullman, Rachel Dacks, Pablo B Eyzaguirre, Steven Gray, James Herrera, Peter Kenilorea, Kealohanuiopuna Kinney, Natalie Kurashima, Suzanne Macey, Cynthia Malone, Senoveva Mauli, Joe McCarter, Heather McMillen, Pua’ala Pascua, Patrick Pikacha, Ana L Porzecanski, Pascale de Robert, Matthieu Salpeteur, Myknee Sirikolo, Mark H Stege, Kristina Stege, Tamara Ticktin, Ron Vave, Alaka Wali, Paige West, Kawika B Winter, Stacy D Jupiter
Nature Ecology & Evolution, 1, 1798-1806, 2017
About
Monitoring and evaluation are central to ensuring that innovative, multi-scale, and interdisciplinary approaches to sustainability are effective. The development of relevant indicators for local sustainable management outcomes, and the ability to link these to broader national and international policy targets, are key challenges for resource managers, policymakers, and scientists. Sets of indicators that capture both ecological and social-cultural factors, and the feedbacks between them, can underpin cross-scale linkages that help bridge local and global scale initiatives to increase resilience of both humans and ecosystems. Here we argue that biocultural approaches, in combination with methods for synthesizing across evidence from multiple sources, are critical to developing metrics that facilitate linkages across scales and dimensions. Biocultural approaches explicitly start with and build on local cultural perspectives — encompassing values, knowledges, and needs — and recognize feedbacks between ecosystems and human well-being. Adoption of these approaches can encourage exchange between local and global actors, and facilitate identification of crucial problems and solutions that are missing from many regional and international framings of sustainability. Resource managers, scientists, and policymakers need to be thoughtful about not only what kinds of indicators are measured, but also how indicators are designed, implemented, measured, and ultimately combined to evaluate resource use and well-being. We conclude by providing suggestions for translating between local and global indicator efforts.
-
The Value of Traditional Ecological Knowledge for the Environmental Health Sciences and Biomedical Research
Symma Finn, Mose Herne , Dorothy Castille
Environmental Health Perspectives, 125(8)
About
Background: Traditional Ecological Knowledge (TEK) is a term, relatively new to Western science, that encompasses a subset of traditional knowledge maintained by Indigenous nations about the relationships between people and the natural environment. The term was first shared by tribal elders in the 1980s to help raise awareness of the importance of TEK. TEK has become a construct that Western scientists have increasingly considered for conducting culturally relevant research with Tribal nations.
Objectives: The authors aim to position TEK in relation to other emerging schools of thought, that is, concepts such as the exposome, social determinants of health (SDoH), and citizen science, and to explore TEK’s relevance to environmental health research. This article provides examples of successful application of TEK principles in federally funded research when implemented with respect for the underlying cultural context and in partnership with Indigenous communities.
Discussion: Rather than treating TEK as an adjunct or element to be quantified or incorporated into Western scientific studies, TEK can instead ground our understanding of the environmental, social, and biomedical determinants of health and improve our understanding of health and disease. This article provides historical and recent examples of how TEK has informed Western scientific research.
Conclusions: This article provides recommendations for researchers and federal funders to ensure respect for the contributions of TEK to research and to ensure equity and self-determination for Tribal nations who participate in research.
-
Global-Service Learning and Student-Athletes
A Model for Enhanced Academic Inclusion at the University of Washington
Holly M. Barker
Annals of Global Health, 82(6), 1070-1077, 2016
About
Background: The University of Washington (UW) continues to create opportunities to engage all students in transformational undergraduate educational opportunities, such as study abroad.
Objective: This article describes specific efforts to increase inclusion for student-athletes in study abroad, particularly for first-generation students, including low-income students of color. Given the overrepresentation of students of color in sports vis-à-vis the larger student body at predominantly white institutions (PWIs), like UW, service-learning in communities beyond campus boundaries provides opportunities to apply international learning to a local context and to create a continuum of learning.
Methods: By coupling educational theories from the classroom—particularly theories related to power and privilege—with community-based leadership in local communities, students are better prepared to actively engage in improving their own institutions. During the summers of 2013, 2014, and 2015, the author was the instructor for study abroad courses to French Polynesia with student-athletes. The courses were for 12 days (10 days on the ground and 2 days of flying), the maximum time that football players could be away from required summer workouts. This paper examines student evaluations from the French Polynesia trip in 2015.
Findings: Student-athlete evaluations of a study abroad experience underscored: the transformative impact of study abroad to their academic, social, and athletic lives; the benefit of creating family-like relationships outside the confines of their sport; an appreciation for the many forms where indigenous knowledge resides, such as in navigation, dance, fishing, weaving, and cooking; intense feelings of culture shock upon return to the US, even when the trip is short in duration; a desire to engage with the diverse communities in Seattle beyond the scope of the program’s structure, and; frustration, particularly for the male student-athletes, about the ways coaches, family, and friends wanted to frame the study abroad experience as a tourist experience in the South Pacific. In this regard, the student-athletes encountered stereotypes from their own communities that framed Oceania as a place for tourism, and student-athletes as uninterested in deep engagement with research and theory–stereotypes that the student-athletes resist.
Conclusions: This paper explains how the findings, coupled with Hartman and Kiely’s theories for global service learning (GSL), lead to recommendations for strengthening the future connections between global and local learning for students.
-
Home Gardening and the Health and Well-Being of Adolescents
Laila E van Lier, Jennifer Utter, Simon Denny, Mathijs Lucassen, Ben Dyson, Terryann Clark
Health Promotion Practice, 18(1), 34-43, 2017
About
Background: The current article explores the associations between home gardening and dietary behaviors, physical activity, mental health, and social relationships among secondary school students in New Zealand.
Method: Data were drawn from a national youth health and well-being survey, conducted in 2012. In total, 8,500 randomly selected students from 91 randomly selected secondary schools completed the survey.
Results: Two thirds of students had a vegetable garden at home and one quarter of all students participated in home gardening. Students participating in gardening were most likely to be male, of a Pacific Island ethnicity, of younger age, and living in a rural area. Gardening was positively associated with healthy dietary habits among students, such as greater fruit and vegetable consumption. Gardening was also positively associated with physical activity and improved mental health and well-being. Students who participate in gardening report slightly lower levels of depressive symptoms and enhanced emotional well-being and experience higher family connection than students who do not participate in gardening.
Conclusions: Gardening may make a difference for health and nutrition behaviors and may contribute to adolescents’ health and well-being in a positive manner. Health promoters should be encouraged to include gardening in future interventions for young people.
-
A Systematic Review of Research on Outrigger Canoe Paddling and Racing
Deon V Canyon, Rebecca Sealey
Annals of Sports Medicine and Research, 3(5), 1076, 2016
About
Purpose: Research on outrigger canoe paddling performance is in its infancy and only began in the late 1990s. This paper systematically identified and reviewed previously published peer-reviewed articles and theses, and summarized the findings with the aim of defining the current state of knowledge on the sport.
Method: Using a systematic review, searches were conducted on PubMed MEDLINE, Academic Search Premier, Cochrane Library databases and Google Scholar for articles published up to June 2014. A standard systematic review process was applied to sift abstracts and full texts to obtain and extract data on study characteristics, measurements and recommendations.
Results: Twenty-seven articles by eleven lead authors were identified. There was fairly close consensus on anthropometrics, peak physiological measurements, stroke variables, injury prevalence and paddle design. Most non-injury studies relied on small data sets and had limited statistical power.
Conclusions: The results identified in this review provide a starting point for more systematic research that identifies and quantifies performance predictors in outrigger canoe racing.









