Key result
Fearless physical activity intervention significantly increases active time in youth with congenital heart disease.
Why the study?
People living with CHD perform less moderate-to-vigorous physical activity than their peers, prompting evaluation of the impact of a community-based physical activity intervention for individuals with CHD.
Does a 3-hour, one-day community-based physical activity and education intervention (Fearless) improve physical activity perceptions, motivation, perceived competence, and self-reported physical activity behaviour in children, adolescents, and adults with congenital heart disease?
Does a 3-hour, one-day community-based physical activity and education intervention (Fearless) improve physical activity perceptions, motivation, perceived competence, and self-reported physical activity behaviour in children, adolescents, and adults with congenital heart disease?
A single 3-hour, family-inclusive community physical activity event (Fearless) successfully engaged older and more sedentary individuals with congenital heart disease and promoted incremental short-term shifts toward light-to-moderate physical activity.
Answers are grounded in this paper and cite their sources.
Supports feasibility of brief community interventions for activity in congenital heart disease youth; leaves open durability and broader adoption pending randomized evidence.
People living with CHD do less moderate-to-vigorous activity than their peers. This study sought to examine the impact of a community-based physical activity intervention for individuals with CHD. Individuals with CHD and family members participated in a 3 h, one-day Fearless event consisting of a variety of physical activity and education sessions. Consenting participants completed self-administered questionnaires pre-/post-event and completed a post-event feedback form. Descriptive statistics and paired t-tests were calculated across subgroups for each outcome/questionnaire. Written feedback was analyzed using a six-phase framework of reflexive thematic analysis. A total of 32 participants (six children, six adolescents, five youth, five all ages, and ten adults) with CHD completed this study. Following Fearless, youth with CHD reported spending less time being ‘inactive’ and more time being ‘somewhat active’. Adults with CHD reported spending more time walking and partaking in moderate activity and less time partaking in vigorous activity. Fearless successfully engaged individuals with CHD who were more sedentary, less active, and older. Fearless is a fun, family-friendly, physical activity intervention for individuals with CHD. Attending a Fearless event helped children, adolescents, and adults with CHD make incremental improvements to their physical activity levels and provided a framework for sport and recreation leaders who aim to promote physical activity amongst individuals with CHD.
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Chubbs‐Payne et al. (2022) studied Congenital heart disease (CHD) (n=32). Fearless community-based physical activity intervention vs. Pre-event baseline (pre-/post-intervention comparison) was evaluated on Time spent 'somewhat active' among youth with CHD (Habitual Activity Estimation Scale) (SMD 0.92, p=0.026). The Fearless physical activity intervention increased time spent being 'somewhat active' in youth with congenital heart disease.
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