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Associated and Predictive Factors of Physical Activity Engagement, Support and Cardiac Concern in a Sample of Youth with Congenital Heart Disease and their Caregivers

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2019, Doctor of Philosophy, Ohio State University, Kinesiology.
Congenital heart disease (CHD) is the most common birth defect in the world. Although infant mortality is still high among the CHD population, individuals now have about a 90% probability of reaching adulthood. However, comorbidities and mortality rates are of increased prevalence within this population. Physical activity (PA) has been known to help improve health and decrease risks yet, most individuals do not engage in the recommended amount of PA, this is of increased concern within the CHD population. Guided by the Family Systems Theory, the current project seeks to describe the cross-sectional association between youth diagnosed with CHD and their caregivers PA engagement and how youth PA cardiac concerns, and perceived family support for PA, as well as diagnosed cardiac severity are associated with their PA engagement. More specifically, these associations were addressed via three aims: • Aim 1: Examine the association between youth cardiac severity, youth perceived family support for PA both caregivers and youth’s PA cardiac concern, and PA engagement. • Aim 2: Examine the predictive relationship of youth’s engagement in PA and youth’s cardiac severity on caregiver’s report of PA cardiac concern for their youth. • Aim 3: Examine the predictive relationship of caregivers PA cardiac concern for their youth and PA engagement on youth perceived family support for PA. The youth-caregiver relationship has been shown to be an important determining factor for youths PA engagement. However, to our knowledge, this relationship has not been assessed within the CHD population. Thus, a cross-sectional research study was conducted to collect data from a sample of youth diagnosed with CHD and their caregiver. A Spearman rank order correlation, ordinal regression and multiple linear regression were conducted to evaluate the research aims. The findings from the current study support the importance of the youth-caregiver relationship when assessing youth PA engagement within the CHD population. More specifically, the findings replicate the existing literature by identifying an association between youth and caregivers PA engagement as well as the predictive relationship between caregivers’ engagement in PA and youth perceived family support for PA
Keeley Pratt, Ph.D. (Advisor)
Brian Focht, Ph.D. (Advisor)
Ann O'Connell, Ph.D. (Committee Member)
Sue Sutherland, Ph.D. (Committee Member)
Jamie Jackson, Ph.D. (Committee Member)
132 p.

Recommended Citations

Citations

  • Cotto, J. (2019). Associated and Predictive Factors of Physical Activity Engagement, Support and Cardiac Concern in a Sample of Youth with Congenital Heart Disease and their Caregivers [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1562787586432624

    APA Style (7th edition)

  • Cotto, Jennifer. Associated and Predictive Factors of Physical Activity Engagement, Support and Cardiac Concern in a Sample of Youth with Congenital Heart Disease and their Caregivers. 2019. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1562787586432624.

    MLA Style (8th edition)

  • Cotto, Jennifer. "Associated and Predictive Factors of Physical Activity Engagement, Support and Cardiac Concern in a Sample of Youth with Congenital Heart Disease and their Caregivers." Doctoral dissertation, Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1562787586432624

    Chicago Manual of Style (17th edition)