Taking a Break: The Effects of Partaking in a Two-Week Social Media Digital Detox on Problematic Smartphone and Social Media Use, and Other Health-Related Outcomes among Young Adults.

Despite their increasing popularity, especially among young adults, there is a dearth of research examining the effectiveness of digital detoxes focused on restricting or limiting social media use. As such, the purpose of this exploratory study was to create and carry out a social media digital detox among young adults and evaluate its effectiveness with regards to smartphone and social media addiction, as well as several health-related outcomes. Additionally, the study also sought to obtain an understanding of participants' experiences and perceptions regarding the digital detox via semi-structured exit interviews in order to improve and maximize the effectiveness of future social media digital detox interventions. Thirty-one young adults completed a two-week social media digital detox (preceded by a two-week baseline period and followed up by a two-week follow-up period), whereby their social media use was limited to 30 min per day. A series of one-way repeated measures analyses of variance revealed that a two-week social media detox improved smartphone and social media addiction, as well as sleep, satisfaction with life, stress, perceived wellness, and supportive relationships. Thematic analysis of exit interviews also revealed eight themes: feelings, effort to detox, adjustment period, the Goldilocks effect, screen to screen, post-detox binge, progress not perfection, and words of wisdom, all of which provide contextualization of the quantitative findings and valuable insights for future detoxes. In conclusion, the findings of this exploratory study provide initial support for the use of social media digital detoxes, suggesting that limiting usage can have beneficial effects with regards to smartphone and social media addiction, as well as many other health-related outcomes.

Developing an in-depth understanding of patient and caregiver engagement across care transitions from hospital: protocol for a qualitative study exploring experiences in Canada.

INTRODUCTION: Patient and caregiver engagement is critical, and often compromised, at points of transition between care settings, which are more common, and more challenging, for patients with complex medical problems. The consequences of poor care transitions are well-documented, both for patients and caregivers, and for the healthcare system. With an ageing population, there is greater need to focus on care transition experiences of older adults, who are often more medically complex, and more likely to require care from multiple providers across settings. The overall goal of this study is to understand what factors facilitate or hinder patient and caregiver engagement through transitions in care, and how these current engagement practices align with a previously developed engagement framework (CHOICE Framework). This study also aims to co-develop resources needed to support engagement and identify how these resources and materials should be implemented in practice. METHODS AND ANALYSIS: This study uses ethnographic approaches to explore the dynamics of patient and caregiver engagement, or lack thereof, during care transitions across three regions within Ontario. With the help of a front-line champion, patients (n=18-24), caregivers (n=18-24) and healthcare providers (n=36-54) are recruited from an acute care hospital unit (or similar) and followed through their care journey. Data are collected using in-depth semi-structured interviews. Workshops will be held to co-develop strategies and a plan for future implementation of resources and materials. Analysis of the data will use inductive and deductive coding techniques. ETHICS AND DISSEMINATION: Ethics clearance was obtained through the Western University Research Ethics Board, University of Windsor Research Ethics Board and the University of Waterloo Office of Research Ethics. The findings from this study are intended to contribute valuable evidence to further bridge the knowledge to practice gap in patient and caregiver engagement through care transitions. Findings will be disseminated through publications, conference presentations and reports.

Let's Talk About It: A Narrative Review of Digital Approaches for Disseminating and Communicating Health Research and Innovation.

Best health practice and policy are derived from research, yet the adoption of research findings into health practice and policy continues to lag. Efforts to close this knowledge-to-action gap can be addressed through knowledge translation, which is composed of knowledge synthesis, dissemination, exchange, and application. Although all components warrant investigation, improvements in knowledge dissemination are particularly needed. Specifically, as society continues to evolve and technology becomes increasingly present in everyday life, knowing how to share research findings (with the appropriate audience, using tailored messaging, and through the right digital medium) is an important component towards improved health knowledge translation. As such, this article presents a review of digital presentation formats and communication channels that can be leveraged by health researchers, as well as practitioners and policy makers, for knowledge dissemination of health research. In addition, this article highlights a series of additional factors worth consideration, as well as areas for future direction.

Recreational Screen Time Use among a Small Sample of Canadians during the First Six Months of the COVID-19 Pandemic.

(1) Background: The coronavirus (COVID-19) pandemic has caused disruptions in the daily lives of individuals in Canada. Purpose: Examine how total and specific (i.e., watching television, using social media, going on the Internet, playing video games, and engaging in virtual social connection) recreational screen time behaviours changed throughout the first six months of the COVID-19 pandemic, in comparison to pre-pandemic levels; (2) Methods: Sixty four Canadians (mostly Caucasian, female, age range = 21-77 years) completed monthly surveys from April to September of 2020; (3) Results: A one-way repeated measures analysis of variance (RM-ANOVA) and subsequent post hoc analysis revealed that total recreational screen time was statistically higher in late March/April (292.5 min/day ± 143.0) and into May, compared to pre-COVID-19 (187.8 min/day ± 118.3), before declining in subsequent months; (4) Conclusions: Generally, specific recreational screen time behaviours, such as time spent watching television, followed the same trend. Future studies with larger sample sizes and from other countries examining recreational screen time behaviours longitudinally over the pandemic are still needed to allow for greater generalizability.

Stress, physical activity, and screen-related sedentary behaviour within the first month of the COVID-19 pandemic.

This study investigated how stress, physical activity and sedentary behaviours, of a small sample of Canadians, changed within the first month (i.e. March/April) of the COVID-19 pandemic and the reasons/barriers associated with such changes. Individuals who regularly wear activity trackers were recruited via social media. Participants (N = 121) completed fillable calendars (March/April 2020) with their step counts and answered an online survey. Separate paired-sample t-tests, one-way ANOVAs and bivariate chi-squares were conducted, in addition to qualitative analysis. Daily (p <.001) and work (p =.003) stress increased, physical activity (measured by step count) decreased (p =.0014), and screen-related sedentary behaviour increased (p <.001) as a result of COVID-19. A decrease in physical activity, as a result of the pandemic, was also associated with a larger increase in work stress, compared with those who self-reported their physical activity to have been maintained or increased (p =.005). The most common reasons/barriers to changes in physical activity behaviours were access/equipment, time and motivation. Findings provide initial evidence of the impact of the COVID-19 pandemic on the health of some Canadians and highlight the need for continued monitoring of the health of Canadians throughout the pandemic.

Reaction on Social Media to Online News Headlines Following the Release of Canada's Food Guide.

This paper investigated how traditional media headlines framed the release of Canada's Food Guide (CFG) online in 2019 and how audiences reacted to its release on social media. Titles of online news articles, Facebook comments on news stories, and tweets from Twitter were collected using Meltwater and manual data collection. Leximancer software conducted conceptual extraction and relational analyses on written words and visual text. Human coding was completed to contextualize the content, which identified 9 prominent frames (food guide, impact, health, sustainable plant food, who will use?, Canadian culture, food and consumption practices, meat, and dairy). Results suggested that online news headlines highlighted CFG release and alluded to potential impacts. Analysis of Facebook comments revealed that the most commonly discussed frames were health, food and consumption behaviours, sustainable plant food, and meat, while the majority of the tweets were in direct reference to CFG being released, oftentimes with a link to another webpage, and discussed the intersect between health and food and consumption practices. In conclusion, the analysis revealed how frames emerged from social media users that shifted the discussion away from CFG release and impact to the influence of health and food and a plant versus meat debate.

Physical literacy improves with the Run Jump Throw Wheel program among students in grades 4-6 in southwestern Ontario.

The purpose of this study was to determine whether the introduction of a fundamental movement skills (FMS) program to grade 4-6 physical education (PE) classes could improve students' physical literacy (PL) and influence the amount of effort exerted in PE class. Athletics Canada's grassroots Run Jump Throw Wheel (RJTW) Program was delivered for 10 weeks during PE classes (2 schools: four grade 4, four grade 5, two grade 6, one split grade 5-6 class, and one split grade 6-7 class, totalling 310 students). Participants completed the Canadian Assessment of Physical Literacy (CAPL) and wore heart rate monitors and pre- and postintervention. The CAPL score increased 3.3 (±8.8) points from the pretest to the post-test (t = 6.47, p < 0.001). Improvements were not significantly different by grade or gender, but those in the suburban-area school improved more so than those attending the rural-area school (F[1,294] = 4.82, p < 0.004). Among those participants that increased their PL (n = 186), the CAPL scores increased by 8.6 (±5.9) points versus those that decreased (n = 110; -5.6 ± 4.8 points), F[1,294] = 452.11, p < 0.001. No significant differences in time spent in physical activity were observed between the pre- and post-test (i.e., 17.0 ± 7.0 min and 19.3 ± 7.0 min, respectively, t = 1.70, p = 0.091). The RJTW program increased participants' overall FMS, as well as their knowledge and understanding regarding these FMS, both key components of PL.

#fitspo on Instagram: A mixed-methods approach using Netlytic and photo analysis, uncovering the online discussion and author/image characteristics.

The #fitspo 'tag' is a recent trend on Instagram, which is used on posts to motivate others towards a healthy lifestyle through exercise/eating habits. This study used a mixed-methods approach consisting of text and network analysis via the Netlytic program ( N = 10,000 #fitspo posts), and content analysis of #fitspo images ( N = 122) was used to examine author and image characteristics. Results suggest that #fitspo posts may motivate through appearance-mediated themes, as the largest content categories (based on the associated text) were 'feeling good' and 'appearance'. Furthermore, #fitspo posts may create peer influence/support as personal (opposed to non-personal) accounts were associated with higher popularity of images (i.e. number of likes/followers). Finally, most images contained posed individuals with some degree of objectification.

The associations of social networking site use and self-reported general health, mental health, and well-being among Canadians.

OBJECTIVES: To investigate social networking site (SNS) use and frequency, and their potential associations with self-reported general health, mental health, and well-being among the Canadian population using the nationally representative 2013 General Social Survey (GSS). METHODS: Data were collected via Statistics Canada GSS 2013 (cycle 27). Six separate one-way analysis of covariances (ANCOVAs) were conducted to determine differences in general health, mental health, and well-being for both SNS use and frequency, controlling for age, gender, number of children at home, household location, education, and income. RESULTS: SNS users were younger (with nearly 96% being 15-24 years old vs. 27% ≥ 75 years; p < .001), female (p < .001), have three or fewer children at home (p < .001), live in urban/Prince Edward Island locations, were at the lower or higher ends of household income (p < .001), and were less educated (p < .001). Among all Internet users, better general health (p = .03) was associated with using SNSs, yet better mental health (p = .001) and well-being (p = .001) were associated with not using SNSs. Among SNS account-holders, those who never accessed their accounts had significantly lower general health (p = .007), mental health (p < .001), and well-being (p < .001) compared with those who accessed their accounts, regardless of frequency. CONCLUSION: Differences exist for SNS use and frequency and health outcomes. However, investigations into the possible differences that may exist between individuals who do not have a SNS account and those who do, but do not use it, are needed in the future.