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1

Son-Eun Young and Son Jin Hee. "Reality and Tasks of Leisure Counseling." Korea Journal of Counseling 20, no. 2 (April 2019): 191–206. http://dx.doi.org/10.15703/kjc.20.2.201905.191.

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Munson, Wayne W., and Diane G. Munson. "Multimodal Leisure Counseling With Older People." Activities, Adaptation & Aging 9, no. 1 (December 21, 1986): 1–15. http://dx.doi.org/10.1300/j016v09n01_01.

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3

Burlew, Larry D. "The life-long leisure graph: A tool for leisure counseling." Journal of Career Development 15, no. 3 (March 1989): 164–73. http://dx.doi.org/10.1007/bf01321505.

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4

Burlew, Larry D. "The Life-Long Leisure Graph: A Tool for Leisure Counseling." Journal of Career Development 15, no. 3 (January 1989): 164–73. http://dx.doi.org/10.1177/089484538901500303.

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5

Pearson, Quinn M. "A leisure counseling model for addicted persons." Journal of Career Development 19, no. 1 (September 1992): 13–24. http://dx.doi.org/10.1007/bf01323001.

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Pearson, Quinn M. "A Leisure Counseling Model for Addicted Persons." Journal of Career Development 19, no. 1 (September 1992): 13–24. http://dx.doi.org/10.1177/089484539201900102.

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7

Liptak, John J. "Preretirement Counseling: Integrating the Leisure Planning Component." Career Development Quarterly 38, no. 4 (June 1990): 360–67. http://dx.doi.org/10.1002/j.2161-0045.1990.tb00225.x.

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8

Santos, Letícia Pechnicki dos, Alice Tatiane da Silva, Cassiano Ricardo Rech, and Rogério César Fermino. "Physical Activity Counseling among Adults in Primary Health Care Centers in Brazil." International Journal of Environmental Research and Public Health 18, no. 10 (May 11, 2021): 5079. http://dx.doi.org/10.3390/ijerph18105079.

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Physical activity (PA) counseling by health professionals has promising results in behavior change. However, few studies have evaluated its prevalence in Primary Health Care in Latin American countries. This study aimed to describe the prevalence and analyze the associated factors of PA counseling in adults in Primary Health Care in Brazil. This is a cross-sectional study with a representative sample of 779 adults (70% women). Counseling was identified among those who reported having received PA counseling during a health professional consultation in the last 12 months. Sociodemographic factors, health conditions, and leisure-time PA were analyzed with Poisson regression. The prevalence of counseling was 43% (95% Confidence Interval [CI]: 39.5–46.4%), higher in people aged ≥40 years (Prevalence Ratio [PR]: 1.44; 95% CI: 1.19–1.75], who are married (PR: 1.27; 95% CI: 1.07–1.59), obese (PR: 1.53; 95% CI: 1.23–1.90), take prescription medication (PR: 1.83; 95% CI: 1.47–2.27), and walk for leisure (PR: 1.28; 95% CI: 1.06–1.54). People with more education were less likely to receive PA counseling (PR: 0.82; 95% CI: 0.68–0.99). In conclusion, 4 out of 10 users reported receiving PA counseling and this was associated with sociodemographic factors, health conditions, and walking for leisure. These results can guide PA promotion in Primary Health Care.
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Munson, Wayne W., Stanley B. Baker, and Herberta M. Lundegren. "Strength Training and Leisure Counseling as Treatments for Institutionalized Juvenile Delinquents." Adapted Physical Activity Quarterly 2, no. 1 (January 1985): 65–75. http://dx.doi.org/10.1123/apaq.2.1.65.

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A systematic strength training and structured leisure counseling program was investigated to determine the effects on self-esteem, leisure attitudes, leisure behaviors, and muscular fitness of institutionalized juvenile delinquents. Subjects were randomly assigned to one of three groups: strength training and leisure counseling (STLC), strength training and informal discussion (STD), or a no-treatment control group (NT). The experimental groups met 3 times a week, 90 minutes per session for 7 weeks. A multivariate analysis of variance revealed that there were no significant differences among the three groups on measures of self-esteem, leisure attitudes, or leisure behaviors. Analysis of variance with repeated measures indicated that there were no significant differences between the STLC and STD groups on muscular fitness, although both had significant pre- to posttest gains. The STLC and STD groups rated their treatments high on an attitude toward treatment measure, but neither group was significantly more positive about it than the other.
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10

Chandler, Madeleine. "Leisure Education: A Component of Outpatient Addiction Counseling." Journal of Addictions Nursing 9, no. 2 (1997): 84–86. http://dx.doi.org/10.3109/10884609709041826.

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11

Edwards, Patsy B., and Paul A. Bloland. "Integrating leisure guidance into a career counseling center." Journal of Career Development 16, no. 3 (March 1990): 185–94. http://dx.doi.org/10.1007/bf01321166.

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12

O'Dell, Irma. "Leisure Counseling as a Tool in Recreation Programming." Recreational Sports Journal 19, no. 1 (October 1994): 16–19. http://dx.doi.org/10.1123/nirsa.19.1.16.

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13

Edwards, Patsy B., and Paul A. Bloland. "Integrating Leisure Guidance into a Career Counseling Center." Journal of Career Development 16, no. 3 (January 1990): 185–94. http://dx.doi.org/10.1177/089484539001600303.

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14

LIPTAK, JOHN J. "Leisure Counseling: An Antidote for “The Living Death”." Journal of Employment Counseling 28, no. 3 (September 1991): 115–20. http://dx.doi.org/10.1002/j.2161-1920.1991.tb00400.x.

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15

Rochat, Shékina, and Jérôme Armengol. "Career Counseling Interventions for Video Game Players." Journal of Career Development 47, no. 2 (August 9, 2018): 207–19. http://dx.doi.org/10.1177/0894845318793537.

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Video games are becoming ubiquitous in Western societies. However, this virtual leisure has received little attention from researchers in career counseling, leaving career counselors relatively unprepared to work with video game players. In this article, we propose three types of interventions to capitalize on the benefits of playing video games to foster the career counseling process. The first intervention aims to identify and transfer the skills that video game players develop through their leisure activity. The second intervention highlights how video game players’ narrative may reveal vocational personality types. The third intervention proposes to turn career counseling tasks into a game to increase motivation to achieve it. The strengths and limitations of these interventions are underlined, as well as the potential of career counseling sessions to help remedy problematic video game play.
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16

Austin, PhD, FDRT, FALS, David R. "Leisure counseling should be past the crossroads. Is it?" American Journal of Recreation Therapy 18, no. 4 (December 1, 2019): 9–10. http://dx.doi.org/10.5055/ajrt.2019.0197.

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17

III, Charles S. Green, and Norman C. Gysbers. "Designing Careers: Counseling to Enhance Education, Work, and Leisure." Contemporary Sociology 15, no. 2 (March 1986): 281. http://dx.doi.org/10.2307/2071734.

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18

Latack, Janina. "Designing Careers: Counseling to Enhance Education, Work, and Leisure." Journal of Higher Education 57, no. 5 (September 1986): 564–67. http://dx.doi.org/10.1080/00221546.1986.11778807.

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Latack, Janina, and Norman C. Gysbers. "Designing Careers: Counseling to Enhance Education, Work, and Leisure." Journal of Higher Education 57, no. 5 (September 1986): 564. http://dx.doi.org/10.2307/1981264.

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20

Karlis, George. "Leisure Counseling: Minorities and Unemployment in the United States." World Leisure & Recreation 33, no. 4 (December 1991): 27–32. http://dx.doi.org/10.1080/10261133.1991.9673791.

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21

Novais, Francini Vilela, Eduardo J. Simoes, Chester Schmaltz, and Luiz R. Ramos. "Randomized Controlled Trial of Primary Health Care Strategies for the Promotion of Leisure-Time Physical Activity Among Older Brazilians." Journal of Physical Activity and Health 16, no. 9 (September 1, 2019): 706–14. http://dx.doi.org/10.1123/jpah.2017-0502.

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Background: Physical activity promotion within primary health care is in the spotlight. However, few studies have evaluated the long-term effectiveness of possible interventions. This study aimed to compare the effectiveness of 3 primary health care interventions in increasing leisure-time physical activity among older Brazilians. Methods: Experimental study with 142 older residents of an ongoing urban cohort in São Paulo (Brazil). Participants were randomized into 3 groups: minimal intervention group, physician-based counseling group, and individual counseling and referral for physical activity programs group (CRG). We used the long version of the International Physical Activity Questionnaire to assess leisure-time physical activity at baseline, 4 years after baseline without any intervention, 3 months after intervention, and 6 months after intervention. Statistical analysis included repeated analysis of variance. Results: At baseline, 31% of the individuals were active, and this figure remained stable for a period of 4 years. Three months after the interventions, there was a significant increase in leisure-time physical activity for CRG compared with the minimal intervention (P < .001) and physician-based counseling (P < .02) groups, and these differences persisted after 6 months (P < .001 and P < .05, respectively). Conclusion: Results indicate that interventions with CRG are effective in producing sustained changes in physical activity among older Brazilians.
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22

Wahyuni, Endang Sri, and Roh Hastuti Prasetyaningsih. "The Pemberdayaan Masyarakat dengan Aktivitas Leisure." jurnalempathy.com 1, no. 2 (December 30, 2020): 125–36. http://dx.doi.org/10.37341/jurnalempathy.v1i2.19.

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Background: The temporary suspension of Posyandu Elderly activities has resulted in a decline in the role and function of health cadres in monitoring the health of the elderly. This is also accompanied by a decrease in the health condition of the elderly because they cannot carry out social leisure activities, which are generally carried out in the Elderly Posyandu activity forum. The purpose of this community service activity is so that cadres can optimize their role and function in monitoring the health of the elderly during a pandemic. The health of the elderly is maintained through the leisure activity program provided. Meanwhile, the elderly who are affected by Covid-19can still be guaranteed their basic needs through the distribution of existing assistance. Methods: For cadres are given counseling and training on the role of health cadres during a pandemic. Elderly people are given leisure activity programs carried out both individually and in small groups, facilitating leisure activities, counseling on preventing the spread of Covid-19, and distributing basic needs assistance for elderly people affected by Covid-19. Results: Kader has demonstrated its performance in monitoring the health of the elderly and helping facilitate elderly leisure activities. Elderly people can do leisure activities during the pandemic so they don't feel lonely anymore, feel happy because they can meet other elderly people of their age, don't feel overly afraid, and can participate in social activities to support the basic needs of elderly people affected by Covid-19. The awareness of the elderly in applying the new health norms has also increased. Conclusion: Of community empowerment with leisure activities during the pandemic can be realized thanks to cross-sectoral cooperation. This activity requires a follow-up in the form of evaluation and monitoring of existing programs.
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23

Kong, Sunga, Jae Kyung Lee, Danbee Kang, Nayeon Kim, Young Mog Shim, Won Park, Dooho Choi, and Juhee Cho. "Comparing the Effectiveness of a Wearable Activity Tracker in Addition to Counseling and Counseling Only to Reinforce Leisure-Time Physical Activity among Breast Cancer Patients: A Randomized Controlled Trial." Cancers 13, no. 11 (May 30, 2021): 2692. http://dx.doi.org/10.3390/cancers13112692.

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This randomized controlled trial aimed to compare the effectiveness of a wearable activity tracker (WAT) in addition to counseling (WAT+counseling) and counseling only for reinforcing leisure-time physical activity (LTPA) among breast cancer patients during radiotherapy (RT). A total of 152 breast cancer patients who were planning to undergo radiation therapy (RT) after surgery participated in the study. The WAT+counseling group (n = 76) underwent physical activity (PA) self-monitoring using a WAT and participated in counseling. The counseling-only group (n = 76) received telephone counseling once a week during RT and did not receive WAT. The WAT+counseling group had increased relative change in self-reported LTPA (102.8) compared with the counseling-only group (57.8) immediately after RT compared to baseline. Although the relative changes of self-reported LTPA of the WAT+counseling group were higher at three and six months after the end of RT compared to in the counseling-only group, the results were not significant. The mean average daily step count of the WAT+counseling group was 9351.7, which increased to 11,592.2 during RT and 12,240.1 after RT. In the subgroup analysis, patients who did not perform regular PA before cancer diagnosis had significantly increased step counts. This study shows the feasibility of WAT with counseling to reinforce PA among breast cancer patients.
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Dieser, Rodney Blake, Jacob Christenson, and Darcie Davis-Gage. "Integrating flow theory and the serious leisure perspective into mental health counseling." Counselling Psychology Quarterly 28, no. 1 (August 12, 2014): 97–111. http://dx.doi.org/10.1080/09515070.2014.944883.

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POLTAVETS, Yurii. "CULTURAL LIFE, ORGANIZATION OF LEISURE AND EVERYDAY LIFE IN THE HETMAN SAHAIDACHNYI NATIONAL ARMY ACADEMY." Contemporary era 7 (2019): 48–57. http://dx.doi.org/10.33402/nd.2019-7-48-57.

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The paper investigates issues of organization of cadets' cultural life, leisure, and everyday life in the Hetman Sahaidachnyi National Army Academy (NAA) in Lviv. It is noted that the system of NAA's patriotic education is based on the idea of the development of Ukrainian statehood as a unifying factor in the development of Ukrainian society and the Ukrainian political nation. It is claimed that the main directions that provide the cultural development of the NAA cadets are: cycles of thematic events dedicated to the formation of cadets' love for the chosen profession and military job; courage lessons during meetings with veterans of World War ІІ, the NAA graduates, awarded state awards during the Anti-Terrorist Operation (ATO) in Eastern Ukraine; events to honor top cadets; involvement of cadets-participants of the ATO for carrying out educational military-patriotic activities for secondary school students; concerts and art competitions among the cadet units; sports celebrations and competitions, including international ones; Remembrance Days, especially in memoriam of the NAA graduates who died during the ATO; chaplains' pastoral counseling for military personnel and members of their families, religious and educational work, pastoral care and charity; using of such opportunities as clubs and libraries, rooms of military traditions, Lviv cultural and historical institutions (theaters, museums, cinemas, scientific and art exhibitions, churches, etc.), including the relevant infrastructure of the NAA, for organizing quality evening time, leisure on holidays and weekends. Keywords: NAA, patriotic education, leisure, pastoral counseling, everyday life, educational and material base, cultural life, cadet
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Pospíšil, Jiří, Helena Pospíšilová, and Ludmila Trochtová. "The Catalogue of Leisure Activities: A New Structured Values and Content Based Instrument for Leisure Research Usable for Social Development and Community Planning." Sustainability 14, no. 5 (February 24, 2022): 2657. http://dx.doi.org/10.3390/su14052657.

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Leisure is a phenomenon that undergoes constant change. These changes are sometimes global, but more often, they are localized. For this reason, the capturing of leisure and leisure activities poses a major challenge for researchers. In particular, they struggle to capture measurements for leisure activities in such a way that these measurement results can be compared over time, in different places, and in different communities. We have therefore identified the need for a tool that makes it possible to compare both time- and place-specific measurements. Based on our long-term research, we have created the Catalogue of Leisure Activities (CaLA), which is built on two pillars—content proximity and value consequences of leisure activities. Therefore, the CaLA allows for the capturing of the complexity of leisure activities and using the data thus measured as variables in statistical hypotheses, longitudinal comparisons of research across locations, over time, and across population groups (e.g., children, adults, etc.). It also allows measurements of other secondary characteristics (e.g., favor rate, duration, etc.) to be linked to the activities found. The results of measuring leisure activities using the CaLA can be used in research as a dependent or independent variable. As a result, we can detect many hitherto hidden relationships that significantly influence leisure experience and its quality. The CaLA also opens up many more possibilities for a wider range of applications in practice, e.g., in counseling, psychology, and coaching in support of individual development, in helping professions, social work and pedagogy when working with students and clients, and among managers when planning the development and maintaining the competitiveness of leisure facilities. Last but not least, the CaLA can be used by community leaders and politicians when designing public policies or developing a sustainable society.
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Shephard, Roy J., and Claude Bouchard. "Population Evaluations of Health Related Fitness From Perceptions of Physical Activity and Fitness." Canadian Journal of Applied Physiology 19, no. 2 (June 1, 1994): 151–73. http://dx.doi.org/10.1139/h94-012.

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The possibility of predicting health related fitness using questions on occupational and leisure activity was explored in 172 men and 178 women. ANOVA and multiple regression equations related questionnaire responses to objective fitness measures including body mass index, circumferences, skinfolds, body fat, blood glucose, uric acid, total cholesterol, HDL-cholesterol and triglycerides, PWC150, blood pressures, and resting heart rate. Reported occupational activities bore little relationship to health related fitness. Self-perceptions of moderately frequent and moderately intense leisure activity, plus at least average perceived fitness relative to age-matched peers, were associated with a favourable body fat content and lipid profile, whereas indicators of cardiovascular health (a low resting heart rate and a high PWC150) were linked with perceptions of frequent and intense activity, plus a perceived fitness level higher than that of a peer reference group. Based on these findings, a simple scoring of reported activity for use in fitness counseling is suggested. Key words: cardiovascular fitness, leisure activity, metabolic fitness, occupational activity, perceived activity
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Loban, Scott R. "A framework for computer-assisted travel counseling." Annals of Tourism Research 24, no. 4 (October 1997): 813–34. http://dx.doi.org/10.1016/s0160-7383(97)00027-3.

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Tome, Ana Cristina Nakamura, Thaís Brandi Canello, Expedito José de Albuquerque Luna, and Heitor Franco de Andrade Junior. "Health problems awareness during travel among faculty members of a large university in Latin America: preliminary report." Revista do Instituto de Medicina Tropical de São Paulo 55, no. 1 (February 2013): 55–59. http://dx.doi.org/10.1590/s0036-46652013000100010.

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Health safety during trips is based on previous counseling, vaccination and prevention of infections, previous diseases or specific problems related to the destination. Our aim was to assess two aspects, incidence of health problems related to travel and the traveler's awareness of health safety. To this end we phone-interviewed faculty members of a large public University, randomly selected from humanities, engineering and health schools. Out of 520 attempts, we were able to contact 67 (12.9%) and 46 (68.6%) agreed to participate in the study. There was a large male proportion (37/44, 84.1%), mature adults mostly in their forties and fifties (32/44, 72.7%), all of them with higher education, as you would expect of faculty members. Most described themselves as being sedentary or as taking occasional exercise, with only 15.9% (7/44) taking regular exercise. Preexisting diseases were reported by 15 travelers. Most trips lasted usually one week or less. Duration of the travel was related to the destination, with (12h) or longer trips being taken by 68.2% (30/44) of travelers, and the others taking shorter (3h) domestic trips. Most travelling was made by air (41/44) and only 31.8% (14/44) of the trips were motivated by leisure. Field research trips were not reported. Specific health counseling previous to travel was reported only by two (4.5%). Twenty seven of them (61.4%) reported updated immunization, but 11/30 reported unchecked immunizations. 30% (9/30) reported travel without any health insurance coverage. As a whole group, 6 (13.6%) travelers reported at least one health problem attributed to the trip. All of them were males travelling abroad. Five presented respiratory infections, such as influenza and common cold, one neurological, one orthopedic, one social and one hypertension. There were no gender differences regarding age groups, destination, type of transport, previous health counseling, leisure travel motivation or pre-existing diseases. Interestingly, the two cases of previous health counseling were made by domestic travelers. Our data clearly shows that despite a significant number of travel related health problems, these highly educated faculty members, had a low awareness of those risks, and a significant number of travels are made without prior counseling or health insurance. A counseling program conducted by a tourism and health professional must be implemented for faculty members in order to increase the awareness of travel related health problems.
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Casla, Soraya, Pernille Hojman, Ricardo Cubedo, Isabel Calvo, Javier Sampedro, and Ruben Barakat. "Integrative Exercise and Lifestyle Intervention Increases Leisure-Time Activity in Breast Cancer Patients." Integrative Cancer Therapies 13, no. 6 (July 4, 2014): 493–501. http://dx.doi.org/10.1177/1534735414541962.

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Background. Physical activity has been demonstrated to increase survival in breast cancer patients, but few breast cancer patients meet the general recommendations for physical activity. The aim of this pilot study was to investigate if a supervised integrated counseling and group-based exercise program could increase leisure-time activity in women with breast cancer. Methods. This pilot project, designed as a single-arm study with pre-post testing, consisted of 24 classes of combined aerobic and strength exercise training as well as classes on dietary and health behavior. A total of 48 women with breast cancer who were undergoing or had recently completed anticancer treatment completed the study. Leisure-time physical activity, grip strength, functional capacity, quality of life (QoL), and depression were assessed at baseline, after intervention, and at the 12-week follow-up after intervention. Results. The breast cancer patients increased their leisure-time physical activity ( P = .004), global strength ( P = .004), functional capacity ( P = .001), and QoL ( P = .009), and their depression score ( P = .004) significantly decreased. These improvements were independent of whether the patients were in ongoing therapy or had completed their treatment. Conclusion. This integrated intervention may produce lifestyle changes in breast cancer patients and survivors using the teachable moment to increase their leisure-time physical activity and, thereby, their QoL.
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Aulia, Fitri. "COUNSELLING GUIDANCE IN ISLAMIC BOARDING SCHOOL: PROBLEM SOLUTION TO STUDENTS’ PERSONALITY [CASE STUDY IN ISLAMIC BOARDING SCHOOL KERTOSONO EAST JAVA]." TASAMUH 15, no. 1 (December 1, 2017): 33–48. http://dx.doi.org/10.20414/tasamuh.v15i1.140.

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This study tried to open discourse about the availability of guidance and counseling services in the Islamic boarding school, which in this case takes the focus on students of MTs /SMP both are sons and daughters at Islamic Boarding school of Ar-Raudhotul Ilmiah Nganjuk Kertosono of East Java. This research also tried to examine the KCMS, it is a non-test equipment the Guidance and Counseling that arranged for teenagers at Islamic boarding school. Population there were 235 students. Sampel classes VIII and IX MTs sons and daughters. With an error rate of 5% then found the sample of 142 students. Based on the analysis with SPSS version 16 with factor analysis, derived factor 1 include: (a) the problem learning motivation about 77.3%, (b) 74.5% social personality problems (c) Problem 66.0% of religious morality problems, (d) Finance problems about 64.8%, (e) The problem of leisure time about 59.7%, (f) The issue of the opposite sex about 59.6%. Whereas Factor 2 include: (a) physical health problems about 86.9%, (b) technological problems about 69.1%, and (c) Problem families about 41.6%. The rate constancy of this issue serves as a guide in determining the appropriate response. And it would be better if the handling is done directly by the expert of guidance and counseling in order to achieve maximum results.
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Dieser, Rodney B., and Jacob Christenson. "Integrating Positive Psychology, Behavioral Activation, and the Serious Leisure Perspective in Mental Health Counseling: a Case Report." International Journal of Applied Positive Psychology 1, no. 1-3 (December 2016): 57–68. http://dx.doi.org/10.1007/s41042-017-0006-y.

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Rasheed, Abeer. "Does Learning Emotion Associated with Psychological Factors among University Students." International Journal of Early Childhood Special Education 13, no. 2 (December 2, 2021): 09–14. http://dx.doi.org/10.9756/int-jecse/v13i2.211033.

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This study analyzed the relationship between psychographic factors and learning emotions among university students. The population and sample were drawn from undergraduate students in Saudi Arabia. Quantitative method using survey technique implemented in this study for data collection process from 209 students. The model fit was analyzed by using several data analysis techniques criteria’s. Results indicated that learning emotions significantly correlated with achievement motivation and leisure attitude. Furthermore, a significant correlation also found between the study variables for both genders. Based on these results, academicians and decision makers at university level, need to arrange counseling sessions for students to promote positive learning emotions as well as improving psychological outcomes.
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Thomas, Leah Cox, Eileen J. Burker, and Kelly A. Kazukauskas. "Thinking Outside the Box: Maximizing Vocational Outcomes Post-Traumatic Brain Injury through Rehabilitation Counseling and Recreation/Leisure Activities." Journal of Applied Rehabilitation Counseling 46, no. 4 (December 1, 2015): 37–44. http://dx.doi.org/10.1891/0047-2220.46.4.37.

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Traumatic brain injury (TBI) is a disability that is becoming more common and post-injury many individuals with TBI have difficulty returning to employment for extended periods of time. Despite the success of traditional vocational rehabilitation programs, many individuals still struggle to maintain long-term employment. The purpose of this paper is to suggest the use of recreation and leisure activities (RLA) as a complementary treatment modality that can be utilized in conjunction with traditional employment programs to maximize vocational outcomes and increase overall life satisfaction. Benefits and barriers to RLA participation are discussed as well as specific attributes necessary for participation in both vocational pursuits and RLA. Recommendations for rehabilitation counselors are also provided.
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Tesky, Valentina A., Christian Thiel, Winfried Banzer, and Johannes Pantel. "Effects of a Group Program to Increase Cognitive Performance Through Cognitively Stimulating Leisure Activities in Healthy Older Subjects." GeroPsych 24, no. 2 (June 2011): 83–92. http://dx.doi.org/10.1024/1662-9647/a000035.

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To investigate the effects of leisure activities on cognitive performance of healthy older subjects, an innovative intervention program was developed. Frequent participation in cognitively stimulating activities (i.e., reading, playing chess, or playing music) is associated with reduced risk of dementia. AKTIVA (active cognitive stimulation – prevention in the elderly) is an intervention program designed to enhance cognitive stimulation in everyday life by increasing cognitive stimulating leisure activities. The present study determines the effects of AKTIVA on cognitive function, mood and attitude toward aging in a sample of older participants from the general population. Several measurement instruments were used including the Alzheimer’s Disease Assessment Scale (ADAS-Cog), the Trail-Making Test (TMT), and the Memory Complaint Questionnaire (MAC-Q). Initially, the sample consisted of 307 older persons (170 female, 72 ± 7 years). The intervention was evaluated with a randomized, controlled pre-post follow-up design. Participants were randomly assigned to one of three conditions: AKTIVA intervention (n = 126), AKTIVA intervention plus nutrition and exercise counseling (n = 84), no-intervention control group (n = 97). The AKTIVA intervention consisted of 8 weekly sessions and two booster sessions after a break of 4 months. Participation in the group program resulted in positive effects on cognitive function and attitude toward aging for subassembly groups. Older persons (≥ 75 years) showed enhanced speed of information processing (by TMT Version A) (F = 4.17*, p < .05); younger participants (< 75 years) showed an improvement in subjective memory decline (by MAC-Q) (F = 2.55*, p < .05). Additionally, AKTIVA enhanced the frequency of activities for leisure activities for subassembly groups. The results of this study suggest that the AKTIVA program can be used to increase cognitively stimulating leisure activities in the elderly. Further research is necessary to identify the long-term effects of this intervention particularly with respect to the prevention of dementia.
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Shukla, Alpana P., Ampadi Karan, Maya Graves, Ian Steller, Brittany Abel, Christina Zecca, Lauren Hayashi, et al. "LBSUN307 A Randomized Controlled Pilot Study Of The Food Order Behavioral Intervention In Prediabetes." Journal of the Endocrine Society 6, Supplement_1 (November 1, 2022): A293. http://dx.doi.org/10.1210/jendso/bvac150.604.

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Abstract Background and Objectives Ordering the ingestion of carbohydrate-rich foods after protein/vegetables (carbohydrate-last food order) significantly reduced postprandial glucose and insulin excursions over 180 min in patients with prediabetes and type 2 diabetes, compared with the reverse food order (carbohydrate-first) in previous research. We implemented a 16-week food order behavioral intervention, assessing its feasibility and impacts on glucose tolerance (GT), HbA1c, and weight (wt) in adults with prediabetes. Methods Participants with overweight/obesity and prediabetes (HbA1c 5.7-6.4%) were randomized to receive either standard nutritional counseling (control group) or standard nutritional counseling plus carbohydrate-last food order counseling (FO group). Participants were instructed to maintain their usual level of exercise throughout the study; this was assessed by the Godin Leisure-Time Exercise questionnaire at baseline and wk 16. Participants in both groups received 4 in-person brief counseling sessions at 1-month intervals. Due to the Covid-19 pandemic, later participants received some or all of their counseling via telemedicine. Oral GT was tested at baseline and week 16. Feasibility was assessed via a questionnaire. Results Of the 45 randomized subjects, 39 completed the study (control 21, FO 18). Demographics and baseline variables including wt (190.8 lbs vs 191.1 lbs) and HbA1c (6% vs 6%) were similar between groups. Exercise levels did not differ between groups at baseline and wk 16. Within FO group, body wt declined (-3.6 ±5.7 lbs, p=0. 017; -1.8% ±2.8, p=0. 012), and there was a trend towards improvement in HbA1c (-0.1 ±0.2, p=0. 054). Control group wt changed (-2.6 ±6.8 lbs, p=0.102; -1.6% ±3.5, p=0. 048) without altering HbA1c (-0. 03 ±0.3, p=0.605). Changes in wt, HbA1c, and GT were not significantly different between groups. At week 16, 17 FO group subjects (94%) reported high intervention adherence, 13 (74%) reported it was easy to eat protein/vegetables before carbohydrates, and 14 (78%) reported they would continue eating protein/vegetables before carbohydrates. Conclusions Carbohydrate-last food order is a feasible behavioral strategy in individuals with prediabetes. More research with a larger sample size and longer duration is needed to delineate its clinical impact. Presentation: Sunday, June 12, 2022 12:30 p.m. - 2:30 p.m.
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Papini, Camila Bosquiero, Leonardo de Campos, Priscila Missaki Nakamura, Bruna Thaís Gomes de Brito, and Eduardo Kokubun. "Cost-analysis and cost-effectiveness of physical activity interventions in Brazilian primary health care: a randomised feasibility study." Ciência & Saúde Coletiva 26, no. 11 (November 2021): 5711–26. http://dx.doi.org/10.1590/1413-812320212611.27142020.

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Abstract Physical exercise programs have been carried out in primary health care in Brazil and have provided good results in terms of effectiveness, their economic contribution has not been investigated yet. The aim of the study is to verify the feasibility of brief counseling physical activity intervention and to compare its economic cost and cost-effectiveness with supervised physical exercise intervention in primary care. A multi-arm parallel feasibility trial, with equal randomization [1:1:1] was conducted in Basic Health Units in Brazil. 61 participants were randomized in Brief Counseling Intervention (BCI), Supervised Physical Exercise Intervention (SPEI) and Control Group (CG). Interventions lasted one year. The BCI is more economical than the SPEI, costing around 50% less in the economic comparisons (session cost, annual cost and cost per participant annually). At leisure time, the cost to move one person to the physically active category at 12 months is estimated in R$369.00 for BCI and R$426.21 for the SPEI. The Incremental Cost-effectiveness Ratio (ICER) is R$310.32. The BCI is feasible and more economic, however, the cost effective is not that different. Thus, it is strongly recommended that the two interventions be offered at primary care in Brazil.
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MATTHEWS, CHARLES E., JAMES R. HEBERT, IRA S. OCKENE, GORDON SAPERIA, and PHILLIP A. MERRIAM. "Relationship between leisure-time physical activity and selected dietary variables in the Worcester Area Trial for Counseling in Hyperlipidemia." Medicine &amp Science in Sports &amp Exercise 29, no. 9 (September 1997): 1199–207. http://dx.doi.org/10.1097/00005768-199709000-00013.

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39

Nam, Benjamin H., and Alexander S. English. "Trauma-Informed Care: A Transcendental Phenomenology of the Experiences of International Faculty during the Delta and Omicron Variant Outbreaks in East China." International Journal of Environmental Research and Public Health 19, no. 17 (September 3, 2022): 11057. http://dx.doi.org/10.3390/ijerph191711057.

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This transcendental phenomenological study explored psychologically traumatic incidents and risk factors among international faculty members (IFMs) who experienced long-term lockdowns during the Delta and Omicron outbreak periods in East China. Based on empirical voices from 18 IFMs in Shanghai, Hangzhou, and Nanjing, this study used trauma-informed care as its primary theoretical lens to examine potential traumatic incidents and risk factors. Findings showed that participants had neuroses about the omen of lockdowns and felt exhausted and frustrated about persistent polymerase chain reaction (PCR) tests. They also experienced or witnessed burnout and dropout due to leisure constraints. Most notably, participants had concerns about families and friends during the series of lockdowns, entailing extreme stress due to separation, illness, loss, and grief. Overall, this study provides practical implications for counseling practices about social and cultural considerations and systemic barriers that impact clients’ well-being.
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Lewis, Liane S., Barnabas Shaw, Srijit Banerjee, Pryscilla Dieguez, James Hernon, Nigel Belshaw, and John M. Saxton. "The Role of Self-Determination in Changing Physical Activity Behavior in People Diagnosed With Bowel Polyps: A Pilot Randomized Controlled Trial." Journal of Aging and Physical Activity 28, no. 1 (February 1, 2020): 42–52. http://dx.doi.org/10.1123/japa.2018-0279.

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This nonblinded randomized controlled trial investigated the efficacy of a physical activity (PA) intervention underpinned by self-determination theory. Participants (N = 31, mean age 69 years [SD = 4.9]) diagnosed with bowel polyps were randomized to an active lifestyle program (ALP; n = 17) or standard care (n = 14). ALP received supervised exercise and counseling for 6 months. Both groups were followed up at 12 months. Outcomes were change in PA and behavioral regulation. Data were analyzed with intention to treat. At 6 months, differences were observed for behavioral regulation in favor of ALP (p < .05). PA differences were significant for leisure, walking, and vigorous in favor of ALP (p < .05). The self-determination theory can be an effective strategy for promoting PA behavior change in this population, but a larger trial is needed to further explore the utility of the self-determination theory in this context.
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Gretebeck, Kimberlee A., Tatiana Bailey, and Randall J. Gretebeck. "A Minimal Contact Diet and Physical Activity Intervention for White-Collar Workers." Workplace Health & Safety 65, no. 9 (December 9, 2016): 417–23. http://dx.doi.org/10.1177/2165079916674483.

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Minimal contact lifestyle interventions with multiple components coupled with health screening have the potential to improve worker health. The purpose of this study was to test a minimal contact multiple component lifestyle diet and exercise intervention. The multiple components that were included in this project included a worksite health screening, brief counseling session, emailed newsletter, and a pedometer. In response to the intervention, participants reported an increase in green salad, fruit, and vegetable consumption as well as an increase in self-efficacy for consuming three servings of fruits and vegetables a day. Study participants also demonstrated a significant increase in physical activity as shown by their responses to the question, “During leisure time I walk.” A minimal contact multiple component worksite health promotion program with relatively high feasibility and low cost can improve workers’ health-related behaviors, and participants can become more aware of their health.
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Powell, Lisa D., Diane L. Gill, Erin J. Reifsteck, and Pam K. Brown. "A Physical Activity Program to Promote Mental Health." Recreational Sports Journal 46, no. 1 (April 2022): 31–41. http://dx.doi.org/10.1177/15588661211047557.

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College students are at risk for adverse mental and physical health. Physical activity (PA) can reduce risks and promote positive mental health; however, less than half of college students meet PA recommendations. Further, few students seek ancillary help such as counseling services. Therefore, in this study we implemented a 5-week evidence-based PA program (#ubwell) in collaboration with counseling services designed to promote students’ PA participation and motivation, as well as positive mood states and mental health. Results showed participants increased in positive feelings and arousal levels during all PA sessions. Additionally, intrinsic motivation significantly increased from pre to post, but PA participation and mood states did not change significantly. The increased motivation and positive affect are promising, and additional research with larger samples and additional campus recreation activities (e.g., fitness classes, intramurals) may provide greater insight into the benefits of PA programs for mental health and wellness.
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Freedman, Andrew N., Martha L. Slattery, Rachel Ballard-Barbash, Gordon Willis, Bette J. Cann, David Pee, Mitchell H. Gail, and Ruth M. Pfeiffer. "Colorectal Cancer Risk Prediction Tool for White Men and Women Without Known Susceptibility." Journal of Clinical Oncology 27, no. 5 (February 10, 2009): 686–93. http://dx.doi.org/10.1200/jco.2008.17.4797.

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Purpose Given the high incidence of colorectal cancer (CRC), and the availability of procedures that can detect disease and remove precancerous lesions, there is a need for a model that estimates the probability of developing CRC across various age intervals and risk factor profiles. Methods The development of separate CRC absolute risk models for men and women included estimating relative risks and attributable risk parameters from population-based case-control data separately for proximal, distal, and rectal cancer and combining these estimates with baseline age-specific cancer hazard rates based on Surveillance, Epidemiology, and End Results (SEER) incidence rates and competing mortality risks. Results For men, the model included a cancer-negative sigmoidoscopy/colonoscopy in the last 10 years, polyp history in the last 10 years, history of CRC in first-degree relatives, aspirin and nonsteroidal anti-inflammatory drug (NSAID) use, cigarette smoking, body mass index (BMI), current leisure-time vigorous activity, and vegetable consumption. For women, the model included sigmoidoscopy/colonoscopy, polyp history, history of CRC in first-degree relatives, aspirin and NSAID use, BMI, leisure-time vigorous activity, vegetable consumption, hormone-replacement therapy (HRT), and estrogen exposure on the basis of menopausal status. For men and women, relative risks differed slightly by tumor site. A validation study in independent data indicates that the models for men and women are well calibrated. Conclusion We developed absolute risk prediction models for CRC from population-based data, and a simple questionnaire suitable for self-administration. This model is potentially useful for counseling, for designing research intervention studies, and for other applications.
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Freedman, A. N., M. L. Slattery, R. Ballard-Barbash, G. Willis, B. J. Cann, D. Pee, M. H. Gail, and R. M. Pfeiffer. "Colorectal cancer risk prediction tool for men and women without known susceptibility." Journal of Clinical Oncology 27, no. 15_suppl (May 20, 2009): e15002-e15002. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.e15002.

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e15002 Background: Given the high incidence of colorectal cancer (CRC), and the availability of procedures that can detect disease and remove precancerous lesions, there is a need for a model that estimates the probability of developing CRC across various age intervals and risk factor profiles. Methods: The development of separate CRC absolute risk models for men and women included estimating relative risks and attributable risk parameters from population-based case-control data separately for proximal, distal, and rectal cancer and combining these estimates with baseline age-specific cancer hazard rates based on Surveillance, Epidemiology, and End Results (SEER) incidence rates and competing mortality risks. Results: For men, the model included a cancer- negative sigmoidoscopy/colonoscopy in the last 10 years, polyp history in the last 10 years, history of CRC in first-degree relatives, aspirin and nonsteroidal anti-inflammatory drug (NSAID) use, cigarette smoking, body mass index (BMI), current leisure-time vigorous activity, and vegetable consumption. For women, the model included sigmoidoscopy/colonoscopy, polyp history, history of CRC in first-degree relatives, aspirin and NSAID use, BMI, leisure-time vigorous activity, vegetable consumption, hormone-replacement therapy (HRT), and estrogen exposure on the basis of menopausal status. For men and women, relative risks differed slightly by tumor site. A validation study in independent data indicates that the models for men and women are well calibrated. Conclusions: We developed absolute risk prediction models for CRC from population-based data, and a simple questionnaire suitable for self-administration. This model is potentially useful for counseling, for designing research intervention studies, and for other applications. No significant financial relationships to disclose.
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Wang, Hong. "Prospects for the development of the concept of tourism in the context of Healthy China: A case study of Yunnan." BCP Business & Management 29 (October 12, 2022): 42–46. http://dx.doi.org/10.54691/bcpbm.v29i.2168.

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Under the influence of the Healthy China strategy, health tourism has become the main trend of tourism market development. The market development prospect is broad, and people pay more attention to relaxing pressure and relieving physical and mental fatigue in the process of tourism. Health tourism is a kind of tourism products based on ecological environment, which pay attention to leisure and health. It is beneficial to the physical health of tourists, and can provide psychological counseling and health services for tourists. It is a new growth point of tourism economy in the modern social background. Yunnan Province has rich tourism resources, mild climate in the four seasons, unique ethnic customs and culture, forest, lake, mountain, which provides important support and help for the development of local health tourism industry. Based on this, this paper analyzes the concept of health tourism, discusses the types of health tourism resources in Yunnan province, and puts forward the development prospect of Yunnan tourism industry under the background of healthy China, in order to promote the development of health tourism in Yunnan province.
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46

Looney, Shannon M., and Hollie A. Raynor. "Examining the Effect of Three Low-Intensity Pediatric Obesity Interventions." Clinical Pediatrics 53, no. 14 (July 7, 2014): 1367–74. http://dx.doi.org/10.1177/0009922814541803.

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Background. Primary care is an ideal setting to treat pediatric obesity. Effective, low-intensity (≤25 contact hours over 6 months) interventions that reduce standardized body mass index ( z-BMI) and can be delivered by primary care providers are needed. Objective. This pilot randomized controlled trial investigated the effect of 3 low-intensity (≤25 contact hours over 6 months) pediatric obesity treatments on z-BMI. Methods. Twenty-two families (children 8.0 ± 1.8 years, z-BMI of 2.34 ± 0.48) were randomized into 1 of 3, 6-month, low-intensity conditions: newsletter (N), newsletter and growth monitoring (N + GM), or newsletter and growth monitoring plus family-based behavioral counseling (N + GM + BC). Anthropometrics and child eating and leisure-time behaviors were measured. Results. Mixed-factor analyses of variance found a significant ( P < .05) main effect of time for z-BMI and servings per day of sugar sweetened beverages, with both decreasing over time. Conclusion. Low-intensity obesity treatments can reduce z-BMI and may be more feasible in primary care.
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47

Karlis, George. "WHITHER LEISURE COUNSELLING?" World Leisure & Recreation 40, no. 3 (January 1998): 42–43. http://dx.doi.org/10.1080/10261133.1998.9674119.

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48

Alia, Souheir, Habiba I. Ali, Taoufik Zoubeidi, and Mariam Ahmed. "Nutrition Knowledge and Satisfaction Levels of Postbariatric Surgery Adults in the United Arab Emirates: A Pilot Study." Journal of Nutrition and Metabolism 2019 (April 1, 2019): 1–7. http://dx.doi.org/10.1155/2019/9148459.

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Research assessing the nutrition knowledge of postbariatric surgery patients is limited, although this category of patients is predisposed to malnutrition. In this pilot study, we explored postbariatric nutrition knowledge, satisfaction levels with dietitian nutrition counseling, and decision to undergo bariatric surgery of 83 patients who attended a postbariatric outpatient nutrition clinic in Dubai, United Arab Emirates (UAE). A cross-sectional design involving gender-stratified random sampling method was used to recruit 83 postbariatric surgery participants. A self-administered questionnaire was employed to collect information about nutrition knowledge related to dietary recommendations after bariatric surgery as well as participant views on dietitian nutrition counseling, their decision to undergo bariatric surgery, and nutrition-related complications experienced after the surgery. The mean (SD) knowledge score of postbariatric diet was 9.7 (2.05) out of a maximum possible score of 14. The majority of the participants (78.3%) correctly identified which foods are recommended during the first stage of the postbariatric surgery diet, and more than 90% knew about the importance of high-protein supplements after bariatric surgery. Female participants had significantly higher mean knowledge score compared to males (p=0.02). Although nearly 80% of the participants reported regular follow-up with their dietitian, only 10.8% reported high adherence to the dietitian’s instructions. Moreover, more than two-thirds of the participants (71.1%) rated dietary advice provided by dietitians as vague. The most common complication experienced by the participants after bariatric surgery was nausea (61.4%). Furthermore, the majority of the participants (83.4%) found their daily and leisure activities to be more enjoyable after bariatric surgery. Ways of improving the quality of information delivery by dietitians should be explored to enhance patient comprehension and adherence to postbariatric surgery diet recommendations. Future research involving a larger and more representative sample to extend our findings are needed.
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Prevendárová, J. "Psychological Aspects of Patients and Their Families Suffering from a Rare Disease / Psychologické aspekty pacientov a ich rodín postihnutých zriedkavou chorobou." Acta Facultatis Pharmaceuticae Universitatis Comenianae 60, Supplementum-VIII (March 1, 2013): 55–60. http://dx.doi.org/10.2478/afpuc-2013-0008.

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Severe chronic disease always negatively impacts the psyche of the patient, regardless what organs or organ systems are affected. There are several factors contributing to mental health and serenity, e.g.: quality of health care, social and economic support, personality predisposition of the patient, their partnership, family and wider society relations. Shedding of friendly relations and leisure activities, as well as problems in the partnership are the most serious factors that produce frustration, anger, low self-esteem or even a sense of futility. These emotions, along with pain and fear of disease and fear from the future in many cases eventually lead to depression. Therefore we consider it necessary to pay attention not only to the physical condition of the patient with a rare disease, but also to their psyche; in the broader context of partnership and parenthood. In case of a pediatric patient comfort and serenity of parents has a strongly harmonizing effect on the physical and mental condition of the child. The article deals in detail with the symptoms of distress of the patient and his family, and finally defines the goals of psychological counseling and therapy, including family therapy as a whole.
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Abu-Saad, Kathleen, Havi Murad, Rivka Barid, Liraz Olmer, Arnona Ziv, Nuha Younis-Zeidan, Vered Kaufman-Shriqui, et al. "Development and Efficacy of an Electronic, Culturally Adapted Lifestyle Counseling Tool for Improving Diabetes-Related Dietary Knowledge: Randomized Controlled Trial Among Ethnic Minority Adults With Type 2 Diabetes Mellitus." Journal of Medical Internet Research 21, no. 10 (October 16, 2019): e13674. http://dx.doi.org/10.2196/13674.

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Background Ethnic minority populations exhibit disproportionately high rates of type 2 diabetes mellitus (T2DM). Electronic health tools have the potential to facilitate the cultural adaptation and tailoring of T2DM education to improve the knowledge and management of diabetes mellitus (DM). Objective This study aimed (1) to develop an adaptable Interactive Lifestyle Assessment, Counseling, and Education (I-ACE) software to support dietitian-delivered lifestyle counseling among low-socioeconomic status (SES) ethnic minority patients with T2DM and (2) to evaluate its effect on DM-related dietary knowledge and management compared with standard lifestyle advice (SLA) in a randomized controlled trial (RCT). Methods The I-ACE software, developed in consultation with clinical dieticians, incorporates evidence-based dietary and physical activity (PA) recommendations and educational materials. The features and behavioral change techniques include quantitative lifestyle (dietary intake and PA) assessment and simulation, individually tailored education and recommendations, motivational interviewing, and goal setting. For the unblinded pilot RCT, 50 overweight or obese Arab adults (aged 40-62 years) with poorly controlled T2DM were recruited from primary care clinics and randomly assigned to receive 4 in-person, dietician-delivered counseling sessions over 6 months using either (1) the I-ACE tool (experimental arm) or (2) the SLA methods (comparison arm). All outcome assessments were face-to-face. DM-related dietary knowledge (primary outcome) was measured at baseline, 3, 6, and 12 months. Lifestyle and other parameters were measured before, during, and after the intervention. Multiple linear regression and repeated measures linear mixed models were used to compare the changes in study outcomes and explore time trends in between-group and within-group changes. Results A total of 25 participants were enrolled in each arm, of whom 24 and 21 completed the final assessment of the primary outcome in the I-ACE and SLA arms, respectively. DM-related lifestyle knowledge increased more rapidly in the I-ACE arm than in the SLA arm (P value for study arm×time interaction=.02). Within the I-ACE arm, the mean (SE) differences in added sugar and dietary fiber intakes from baseline to 12 months were −2.6% (SE 1.0%) of total energy (P=.03) and 2.7 (SE 0.0) g/1000 kcal (P=.003), respectively. The odds of engaging in any leisure PA at 12 months tended to be higher in the I-ACE arm versus SLA arm, but did not reach statistical significance (odds ratio 2.8; 95% CI 0.7-11.6; P=.16). Both arms exhibited significant reductions in HbA1c (P value for change over time <.001). Conclusions The use of the I-ACE software in a 6-month, 4-session dietician-delivered lifestyle counseling intervention improved the efficiency of lifestyle education, compared with SLA, among low-SES, ethnic minority patients with T2DM. This pilot trial provides justification for conducting a large-scale trial to evaluate its effectiveness and applicability in routine clinical care among ethnically diverse populations. Trial Registration ClinicalTrials.gov NCT01858506; https://clinicaltrials.gov/ct2/show/NCT01858506.
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