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Methodology to Promote Physical Activity Monitoring Adherence in Youth with Autism Spectrum Disorder
BACKGROUND: Objective physical activity (PA) monitoring via accelerometry is both costly and time consuming. Furthermore, overall adherence to a monitoring protocol is often complicated by disability. Therefore, it is essential that strategies for supporting accelerometer wear for youth with disabil...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5037198/ https://www.ncbi.nlm.nih.gov/pubmed/27730120 http://dx.doi.org/10.3389/fpubh.2016.00206 |
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author | Hauck, Janet L. Ketcheson, Leah R. Ulrich, Dale A. |
author_facet | Hauck, Janet L. Ketcheson, Leah R. Ulrich, Dale A. |
author_sort | Hauck, Janet L. |
collection | PubMed |
description | BACKGROUND: Objective physical activity (PA) monitoring via accelerometry is both costly and time consuming. Furthermore, overall adherence to a monitoring protocol is often complicated by disability. Therefore, it is essential that strategies for supporting accelerometer wear for youth with disabilities are maximized. The purpose of this perspective was to provide researchers a set of efficacious PA monitoring strategies based on the retrospective examination of support methodology on adherence rates for youth with autism spectrum disorder (ASD). METHOD: Accelerometer data were collected from 163 participants with ASD in three independent cohorts. Each cohort was provided a varying set of support strategies to help maximize adherence. Chi-square analysis was used to determine differences in adherence between each cohort. RESULTS: Adherence rates significantly increased from 51.9% in cohort 1 to 88.7% in cohort 2 [χ(2)(1) = 18.333, p < 0.001] and again from 88.7% in cohort 2 to 97.4% in cohort 3 [χ(2)(1) = 2.663, p = 0.103]. The greatest increase in adherence was observed from 51.9% in cohort 1 to 97.4% in cohort 3 [χ(2)(1) = 19.837, p < 0.001]. Support strategies associated with these increases included (1) social story, (2) incentive, (3) concealing techniques, and (4) 24 h/day wear instructions. CONCLUSION: Adherence to PA measurement increased when additional support strategies were utilized in combination with a traditional protocol. We recommend these support methodology to be considered as preliminary best practices when measuring objective PA in youth with ASD with likely success in other disability populations. |
format | Online Article Text |
id | pubmed-5037198 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-50371982016-10-11 Methodology to Promote Physical Activity Monitoring Adherence in Youth with Autism Spectrum Disorder Hauck, Janet L. Ketcheson, Leah R. Ulrich, Dale A. Front Public Health Public Health BACKGROUND: Objective physical activity (PA) monitoring via accelerometry is both costly and time consuming. Furthermore, overall adherence to a monitoring protocol is often complicated by disability. Therefore, it is essential that strategies for supporting accelerometer wear for youth with disabilities are maximized. The purpose of this perspective was to provide researchers a set of efficacious PA monitoring strategies based on the retrospective examination of support methodology on adherence rates for youth with autism spectrum disorder (ASD). METHOD: Accelerometer data were collected from 163 participants with ASD in three independent cohorts. Each cohort was provided a varying set of support strategies to help maximize adherence. Chi-square analysis was used to determine differences in adherence between each cohort. RESULTS: Adherence rates significantly increased from 51.9% in cohort 1 to 88.7% in cohort 2 [χ(2)(1) = 18.333, p < 0.001] and again from 88.7% in cohort 2 to 97.4% in cohort 3 [χ(2)(1) = 2.663, p = 0.103]. The greatest increase in adherence was observed from 51.9% in cohort 1 to 97.4% in cohort 3 [χ(2)(1) = 19.837, p < 0.001]. Support strategies associated with these increases included (1) social story, (2) incentive, (3) concealing techniques, and (4) 24 h/day wear instructions. CONCLUSION: Adherence to PA measurement increased when additional support strategies were utilized in combination with a traditional protocol. We recommend these support methodology to be considered as preliminary best practices when measuring objective PA in youth with ASD with likely success in other disability populations. Frontiers Media S.A. 2016-09-27 /pmc/articles/PMC5037198/ /pubmed/27730120 http://dx.doi.org/10.3389/fpubh.2016.00206 Text en Copyright © 2016 Hauck, Ketcheson and Ulrich. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Hauck, Janet L. Ketcheson, Leah R. Ulrich, Dale A. Methodology to Promote Physical Activity Monitoring Adherence in Youth with Autism Spectrum Disorder |
title | Methodology to Promote Physical Activity Monitoring Adherence in Youth with Autism Spectrum Disorder |
title_full | Methodology to Promote Physical Activity Monitoring Adherence in Youth with Autism Spectrum Disorder |
title_fullStr | Methodology to Promote Physical Activity Monitoring Adherence in Youth with Autism Spectrum Disorder |
title_full_unstemmed | Methodology to Promote Physical Activity Monitoring Adherence in Youth with Autism Spectrum Disorder |
title_short | Methodology to Promote Physical Activity Monitoring Adherence in Youth with Autism Spectrum Disorder |
title_sort | methodology to promote physical activity monitoring adherence in youth with autism spectrum disorder |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5037198/ https://www.ncbi.nlm.nih.gov/pubmed/27730120 http://dx.doi.org/10.3389/fpubh.2016.00206 |
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