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Stress Medicine: You Matter Too

Summary of Participant Feedback

Participants were asked "Given what you know now, how would you rate yourself at the start of the program and now, at the finish?" Here is a summary of their responses.

Stress and Stress Control

Response category

Knowledge of stress and stress control

Level of stress

Start

Finish

Start

Finish

very low

17%

0%

4%

9%

somewhat low

30%

0%

4%

35%

neither high nor low

26%

0%

13%

13%

somewhat high

21%

70%

39%

26%

very high

4%

30%

39%

4%

Personal Change

Response category

Knowledge of how to manage personal change

Ability to manage personal change

Start

Finish

Start

Finish

very low

9%

0%

26%

0%

somewhat low

39%

0%

35%

0%

neither high nor low

30%

4%

26%

17%

somewhat high

17%

74%

9%

65%

very high

4%

22%

4%

17%


Nutrition

Response category

Knowledge of nutrition & nutrition control

Level of nutrition

Start

Finish

Start

Finish

very low

9%

0%

22%

0%

somewhat low

17%

4%

30%

17%

neither high nor low

35%

0%

30%

21%

somewhat high

39%

61%

17%

57%

very high

0%

35%

0%

4%


Fitness

Response category

Level of fitness

Start

Finish

very low

48%

0%

somewhat low

35%

13%

neither high nor low

13%

44%

somewhat high

4%

44%

very high

0%

0%


To what extent were the above changes a result participating in this program ?

Response category

%

mostly other factors

0%

somewhat other factors

0%

somewhat this program

26%

mostly this program

57%

missing data

4%


Testimonials from Participants

"This program made me realize that change is possible for me to make, and that even a small effort can bring significant benefits. When I joined the program, I thought that only a superhuman effort would result in any positive benefits, and that thought itself was a barrier to making a behavioural change. Now I know that "I can do it" and that knowledge itself is half the battle."

"I've made some positive lifestyle changes during the 12 weeks of this course, but I will make more changes over the next 6 months. The true success of this course to me will be reached in the next 1&endash;>5 years."

"I would like to see a 6 month, 1 year, and 2 year follow-up program, maybe incorporating a refresher class (fitness and education), or perhaps even a short 3-4 week refresher program, even if we had to pay for it. This would help us get back on track if we've fallen by the wayside and it would give additional support to those who continue with their lifestyle changes."

"This is a fantastic program. Even though I had to miss a few classes, I still got a lot out of the reading material. The biggest benefit for me is that I am starting to see myself as being a more active person, rather than a "couch potato". I appreciated the focus of the program being on life change and wise choices, rather than on diet and weight loss. I used to go to 7-11 for a slurpie and a chocolate bar, now I have a club soda and veggie sticks!"

Summary of Research Results

Comparison of 4 Groups

  1. Combined Lifestyle Education and Aerobic Exercise
  2. Aerobic Exercise Only
  3. Lifestyle Education Only
  4. Waiting List Control

Four Indicators of Change

Stress:

  • Symptoms of Stress Inventory
  • Daily Hassles Scale

Fitness:

  • Cooper Fitness Test
  • Resting Heart Rate

Participation Rates

Group

Time

Pretest

1 Month

2 Months

3 Months

Gender

Gender

Gender

Gender

F

M

F

M

F

M

F

M

Combind

24

17

24

17

23

16

22

15

Exercise

4

4

4

4

4

4

4

4

Education

3

3

3

3

3

3

3

3

Wait List

6

6

5

6

5

6

5

6

Total

67

66

64

62


General Conclusions


Results of Symptoms of Stress

On stress symptoms


Results of Daily Hassles

On daily hassles


Results of Fitness Measures

Group Means and Standard Deviations (in brackets) of Resting Heart Rate (beats per minute)

Group

Time

Total

Pretest

1 Month

2 Months

3 Months

Combined

65.42

64.38

63.66

62.48

63.98

(8.67)

(8.19)

(8.78)

(8.70)

(8.21)

Exercise

63.75

62.56

60.61

58.97

61.47

(7.09)

(6.67)

(8.30)

(7.67)

(7.38)

Education

61.49

61.71

60.76

61.76

61.43

(6.68)

(6.33)

(5.82)

(4.27)

(5.51)

Wait List

62.86

62.66

62.40

60.57

62.12

(8.43)

(8.94)

(9.16)

(9.47)

(8.68)

Total

64.35

63.57

62.75

61.60

63 .98

(8.20)

(7.88)

(8.45)

(8.31)

(8.56)

Group Means and Standard Deviations (in brackets) on the Cooper Fitness Test (Distance in Meters)

Group

Time

Total

Pretest

1 Month

2 Months

3 Months

Combined

1374.13

1385.07

1451.22

1513.02

1430.86

(254.18)

(312.57)

(334.59)

(347.48)

(315.94)

Exercise

1399.22

1434.38

1530.47

1547.66

1477.93

(238.42)

(207.58)

(268.73)

(314.00)

(255.33)

Education

1781.25

1807.29

1765.63

1947.92

1825.52

(395.78)

(339.13)

(380.56)

(359.40)

(352.22)

Wait List

1550.57

1702.27

1769.89

1701.70

1681.11

(487.42)

(566.89)

(616.55)

(539.97)

(541.10)

Total

1449.28

1490.27

1550.00

1594.36

1521.00

(337.03)

(387.96)

(410.57)

(400.21)

(386.00)