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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Updated: Mar 2, 2026

Calculating Heart Rate Variability from ECG Data from Youth with Cerebral Palsy During Active Video Game Sessions
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Move to Improve: Co-Designing a Hospital-Based Physical Activity Program for Children With Chronic Health Conditions.

Hamsini Sivaramakrishnan1,2, Amy Finlay Jones1,2,3, Treya Long4

  • 1The Kids Research Institute Australia, Nedlands, Australia.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|March 1, 2026
PubMed
Summary
This summary is machine-generated.

Co-designing the Move to Improve protocol with children and parents created a tailored physical activity program for pediatric chronic health conditions. This approach ensures family-centered care, promoting sustained engagement and improved health outcomes.

Keywords:
adolescentchronic diseasechronic illnessexercisesportyoung people

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Area of Science:

  • Pediatric Health
  • Clinical Service Design
  • Health Behavior Interventions

Background:

  • Physical activity is crucial for children with chronic health conditions.
  • Tailored programs are essential for successful participation.
  • Hospital-based services can facilitate physical activity support.

Purpose of the Study:

  • To co-design the Move to Improve protocol for a hospital-based physical activity service.
  • To support physical activity participation in children with chronic health conditions.
  • To ensure the protocol meets the specific needs of children and their families.

Main Methods:

  • Four online co-design workshops were conducted.
  • Children with chronic health conditions and their parents participated.
  • Reflexive thematic analysis was used for data analysis.

Main Results:

  • Five themes emerged: family-led, goal-oriented, individualized design, enjoyment, confidence-building, and transition support.
  • Family-centered and tailored programs are key for sustained physical activity.
  • Co-design input directly shaped the protocol's structure, content, and delivery.

Conclusions:

  • The co-designed protocol incorporates evidence-based strategies aligned with family priorities.
  • Key strategies include goal setting, review, and tailored self-management support.
  • This offers a clinically relevant and scalable model for hospital-based physical activity services.