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Evaluation ViewAttendees 1

Adult- Health Psychology / Behavioral Medicine
Symposia

Symposium 68 - Adapting Exercise Interventions to Increase Community Engagement, Engage Vulnerable Populations, and Utilize Innovative Assessment Methods

Saturday, November 16, 2024
8:30 AM – 10:00 AM EST
Location: Regency Ballroom C1, Second Floor Mezzanine, Loews Hotel
CE: 1.5

Keywords: Exercise, Vulnerable Populations, Transdiagnostic
Level of Familiarity: Basic to moderate
Recommended Readings: El Masri, A., Kolt, G. S., & George, E. S. (2022). Physical activity interventions among culturally and linguistically diverse populations: a systematic review. Ethnicity & Health, 27(1), 40-60.,  

Stasi, S., Spengler, J., Maddock, J., McKyer, L., & Clark, H. (2019). Increasing access to physical activity within low income and diverse communities: a systematic review. American Journal of Health Promotion, 33(6), 933-940.

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Ginis, K. A. M., Nigg, C. R., & Smith, A. L. (2013). Peer-delivered physical activity interventions: an overlooked opportunity for physical activity promotion. Translational behavioral medicine, 3(4), 434-443.

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Though there are several efficacious interventions for mood, anxiety, and substance use disorders, including cognitive behavior therapy (CBT) and pharmacotherapy, as many as 43% of individuals do not respond or only partially respond to these treatments (e.g., Barlow et al., 2000). Further, more than half (59%) of those with a psychiatric diagnosis do not receive treatment and a minority (14%) receive adequate care (Wang et al., 2005). Oft-cited barriers include stigma, lack of access to specialized care, and cost (Goetter et al., 2018). Exercise can improve both physical and mental health (e.g., depression, anxiety, bipolar disorder, substance use; Ashdown-Franks et al., 2020) without many of the side effects, accessibility issues, or costs of CBT or medication.
Despite the benefits, only 23% of US adults meet weekly exercise recommendations (Blackwell & Clarke, 2018) with evidence that older adults and those with psychiatric and chronic medical conditions engage in even less exercise (Harvey et al., 2013; Helgadottir et al., 2015). Therefore, it is of great importance to identify strategies to increase engagement, including novel intervention and assessment strategies, adaptations of existing interventions for diverse groups, and community partnerships. Indeed, research suggests that peer-facilitated interventions (Ginis et al., 2013); engaging community partnerships (e.g., churches, parks, recreation centers; Springer et al., 2022); and cultural adaptations, including culturally-relevant intervention material (El Masri et al., 2022) improve exercise program engagement. However, few studies have examined these strategies in individuals with psychiatric conditions, who may be at higher risk for lack of exercise and poorer physical and mental health.
This symposium highlights innovative assessment and intervention strategies to better understand and promote exercise engagement and mental health in diverse community samples. Our first presentation shows how intensive assessment using ecological momentary assessment and wearable devices can shed light on relationships between mood and physical activity in a racially and ethnicity diverse community sample at varying risk levels for bipolar spectrum disorders. Our second talk discusses barriers and facilitators of beginning community partnerships to increase physical activity among ethnoracially minoritized older adults, a sample at risk for lack of exercise engagement and physical and mental health challenges. The third talk presents a peer-facilitated exercise intervention delivered in the community for individuals in methadone maintenance treatment and highlights key considerations for in-person vs. virtual delivery methods. Our final presentation discusses considerations for adapting exercise interventions, specifically for minoritized populations with anxiety and depression symptoms and medical comorbidities, and feasibility of implementing brief, group interventions in hospital settings.
Our discussant, with extensive experience implementing exercise interventions in community settings, will summarize findings and discuss core priorities for future research and implementation efforts. Audience participation is encouraged.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Explain how innovative intensive assessment and wearable data can inform relationship between mood and exercise & key intervention targets
  2. Identify strategies for engaging community partnerships to promote physical activity in diverse patient populations
  3. Describe ways to engage peers in intervention delivery and community champions in dissemination efforts
  4. Consider strategies for adapting existing interventions to increase relevance and engagement among diverse community samples
  5. Consider prescribing exercise in clinical practice and identify ways to personalize intervention delivery

Presentations:

  • 8:30 AM – 10:00 AM EST
    (SYM 68) Physical Activity and Mood Symptoms: Bidirectional Associations Among Individuals Diagnosed and At-risk for Bipolar Spectrum Disorders

    Speaker: Rachel Walsh, M.A. (she/her/hers) – Temple University

    Co-author: Logan T. Smith, M.A. – Temple University

    Co-author: Joshua Klugman, PhD (he/him/his) – Temple University

    Co-author: Madison Titone, Phd (she/her/hers) – UCSD

    Co-author: Tommy Ng, PhD (he/him/his) – Weill Cornell

    Co-author: Namni Goel, Ph.D. – Rush University Medical Center

    Co-author: Lauren Alloy, Ph.D. (she/her/hers) – Temple University

  • 8:30 AM – 10:00 AM EST
    (SYM 68) Strategies for Recruitment and Engagement of Ethnoracially Minoritized Communities of Older Adults

    Speaker: Louisa Sylvia, Ph.D. (she/her/hers) – Massachusetts General Hospital (MGH)

    Co-author: Sofia Montinola, B.A. – Massachusetts General Hospital

    Co-author: Antonietta Alvarez-Hernandez, BA – Massachusetts General Hospital (MGH)

    Co-author: Maria Villalona, BA – Massachusetts General Hospital (MGH)

    Co-author: Ana-Maria Vranceanu, Ph.D. – Massachusetts General Hospital

  • 8:30 AM – 10:00 AM EST
    (SYM 68) Peer-facilitated Physical Activity Delivered In-person versus Virtually in Patients with Opioid Use Disorder in Methane Maintenance Treatment

    Speaker: Ana Abrantes, Ph.D. – Butler Hospital/Alpert Medical School of Brown University

    Co-author: Genie Bailey, M.D. (she/her/hers) – SSTAR

    Co-author: Matthew Buman, Ph.D. (he/him/his) – Arizona State University

    Co-author: Lisa Uebelacker, Ph.D. (she/her/hers) – Butler Hospital/Alpert Medical School of Brown University

    Co-author: Michael Stein, M.D. (he/him/his) – Boston University

  • 8:30 AM – 10:00 AM EST
    (SYM 68) Exercise for Mood: Cultural Adaptations of a Group Exercise Intervention for an Urban and Diverse Community Outpatient Setting

    Speaker: Kristin L. Szuhany, Ph.D. (she/her/hers) – New York University School of Medicine

    Co-author: Molly J. Schadegg, Ph.D. – NYU School of Medicine

    Co-author: Laurie Gallo, PhD – Montefiore Medical Center

    Co-author: Ana Ozdoba, MD – Montefiore Medical Center