Kashica J. Webber-Ritchey

Background : Population-level physical activity surveillance is critical for informing research, practice, and policy efforts for supporting healthy development. The 2024 US Report Card on Physical Activity for Children and Youth synthesizes the most recent national data on physical activity levels and supports among US children and youth. Methods : A committee of experts evaluated 12 indicators related to physical activity in children and youth using the best available national data for each indicator. Based on established criteria from the Active Healthy Kids Global Alliance, letter grades (A–F) were assigned to the indicators to reflect how well the United States is succeeding at providing children and youth with opportunities for physical activity. Key metrics within select indicators were evaluated for differences among racial/ethnic and disability subgroups and trends over time since the first report card (2014) or earliest available data. Results : Sufficient data were available to assign grades for 8 indicators. The grades ranged from B− to D−, with Overall Physical Activity earning a D−. Racial/ethnic disparities were observed for the Overall Physical Activity, Organized Sport, Sedentary Behavior, Sleep, and Community and Built Environment indicators. Key metrics for Overall Physical Activity and Active Transportation metrics decreased slightly over the past decade, whereas larger decreases were observed for Organized Sport and Sedentary Behavior metrics. Conclusions : Findings highlight opportunities to improve physical activity levels and supports among US children and youth. The 2024 Report Card can be a tool for informing research and practice at the local and national levels.

Black adolescent females and women are disproportionately burdened by obesity that is attributed to structural and interpersonal racism. Previous researchers described that three protective mechanisms (racial identity, racial socialization, and Africentric worldview) serve as forms of coping for Black adolescent females with obesity. The purpose of this scoping review was to summarize evidence on the relationships among racial identity, racial socialization, and Africentric worldview in the context of obesity (body mass index, physical activity, and diet) among Black adolescent females. Six literature databases were searched for peer-reviewed studies published in English and included a sample with 50% or more Black adolescent females (age 10-19 years). Studies that reported a sample of participants over 24 years of age and/or with less than 50% Black adolescent females or did not report the findings for Black female participants separately and did not discuss racial identity, racial socialization, andAfricentric worldview in the context of obesity were excluded. The last search was performed on July 8, 2025. Six studies met eligibility criteria. The foci of studies included racial identity (n = 5) and racial socialization (n = 4). None of the studies assessed Africentric worldview. Findings suggest protective mechanisms (racial identity and racial socialization) are linked with obesity; however, the nature and pathways of the association are unknown. These preliminary findings can inform the development of culturally tailored obesity prevention intervention strategies designed for Black adolescent females.

The authors describe the methodological strategies used to effectively recruit a diverse sample of nurses in a qualitative study. Adequate representation of diverse populations is necessary to advance science and health equity. A multimodal research approach (research team composition, flyers, social media, and purposive sampling) was used. When undertaking research with underrepresented groups, recruitment efforts should begin in the early phases of study planning with research team development that can assist in employing multiple recruitment strategies accordingly.

Black and South Asian nurse faculty transitioning from clinical practice to academia face persistent barriers, including racialized exclusion, institutional neglect, and unclear tenure and promotion expectations. Despite the importance of mentorship, many report insufficient formal support, turning instead to external networks and self-advocacy to navigate academic life. This autoethnographic study explores the mentoring experiences of Black and South Asian nurse faculty in U.S. higher education, from transition through the promotion and tenure process. Inductive thematic analysis of reflective journal narratives, interpreted through the lens of Social Cognitive Career Theory, led to the development of themes spanning a nine-stage mentorship cycle. Findings highlight the lack of structured mentorship and unclear tenure expectations as primary challenges. Additional themes included mistrust in assigned mentors, emotional and psychological burdens, and the impact of racial identity on career progression. Participants frequently turned to peer networks and professional organizations to fill mentorship gaps and, over time, assumed mentorship roles themselves. This study underscores the need for culturally responsive, equity-centered mentorship programs and transparent advancement pathways. Institutions must commit to inclusive leadership development and sustained support to ensure the success and retention of Black and South Asian faculty in nursing academia.

OBJECTIVE: The aim of this study was to describe strategies to manage bots and frauds (B/F) during online recruitment of research subjects. BACKGROUND: Bots mimic human responses in surveys using sophisticated algorithms. Fraudulent responses occur when false or misleading information is provided to gain research incentives. This research team identified substantial issues with fraudulent responses and imposters. This issue has not been well reported in the literature. METHODS: Nurse managers recruited through social media completed an online survey in a national nurse-led research study. A gift card stipend was offered to participants for survey completion. An unexpected surge in survey responses prompted researchers to halt recruitment. Multiple B/F mitigation and data validation strategies were implemented to ensure data integrity and are discussed in this article. RESULTS: Of the 836 surveys, only 152 (18.2%) were complete and valid. CONCLUSIONS: When using social media for online research, incorporating preemptive mitigation strategies to combat B/F responses is essential.

To enhance prediabetes knowledge and management by developing a survey-informed health promotion tool. A cross-sectional survey. A purposive sample of 30 patients ages 18-65 years with diabetes at a Chicago private clinic completed a survey on educational points that were unknown to them as a patient with prediabetes in September 2023. Educational points that scored the lowest on the survey served as the main points of a newly created educational checklist tool. Findings revealed gaps in the participants' prediabetes education. While participants reported awareness about prediabetes as a condition, participants lacked the thorough understanding required for effective management of prediabetes. For example, there were knowledge gaps in essential self-care measures such as regular blood sugar monitoring, eating a balanced diet and limiting sugar intake, accessibility to information regarding medication options, and stress management. Study findings highlight the need for improved educational resources that target gaps in patient understanding of prediabetes management. The newly created tool is designed to strengthen areas of weakness and give patients the knowledge and abilities necessary for proactive treatment of prediabetes. Future investigation regarding the tool's effectiveness is necessary to evaluate its usability and efficacy in improving patient comprehension and engagement in self-care behaviors.

Aim: The aim of the study was to synthesise current evidence on the transition of type 1 diabetes management responsibility from caregiver to child. Design: A state‐of‐the‐art review was conducted. Methods: Using Rayyan software, two authors independently performed the study selection. Data Sources: CINAHL, PubMed and Web of Science databases were searched to identify relevant articles that focused on children ages 1–19 who were transitioning care of paediatric type 1 diabetes. The last search was performed on 17 October 2023. Results: Thirty‐seven studies conducted in four different countries were included following abstract screening, full‐text review and assessment for risk of bias—23 quantitative, 13 qualitative and one mixed method. One study examined early childhood transition, five studies examined middle childhood and 31 studies examined transition strategies utilised in later childhood. Themes in clinician and caregiver transition interventions were identified. Conclusion: Findings can inform the development and refinement of transition interventions to help clinicians and caregivers ensure a successful transition of type 1 diabetes management to the paediatric patient. Implications for the Profession and Patient Care: A rigorous investigation to validate strategies for different age groups is needed. To support this process and improve type 1 diabetes mellitus outcomes for paediatric patients, research and recommendations should be further reviewed to assist in tailoring interventions accordingly. Impact Statement: Effective transition management strategies to shift responsibility from caregiver to child are increasingly important to ensuring safe self‐management of paediatric type 1 diabetes. Reviews on type 1 diabetes transition management strategies for youth are needed. In this systematic review, we highlight transition strategies for children ages 1–19 who were transitioning care of paediatric type 1 diabetes. Findings offer insight on long‐term diabetes management to improve patient outcomes in paediatric patients with type 1 diabetes. Reporting Method: We adhered to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Patient or Public Contribution: No patient or public contribution was required in this review.

OBJECTIVE: This study aimed to describe the experiences of nurse leaders during the 1st wave of the COVID-19 pandemic to enhance understanding in preparation for future disasters. BACKGROUND: The COVID-19 pandemic has posed significant challenges to the healthcare system globally. Nurse leaders play an essential part and have a significant impact on the efficacy of disaster management in future emergent situations. METHODS: The parent study conducted interviews with 100 nurses in the United States across specialty areas. This article presents a subgroup analysis of interview data from 13 self-identified nurse leaders. The research team used qualitative descriptive methodology and thematic analysis to identify patterns within the data. RESULTS: Five themes were identified for effective nurse leadership during an emerging pandemic: 1) responsiveness; 2) anticipating needs; 3) care innovations; 4) collaboration; and 5) adaptability. CONCLUSION: Supporting nurse leaders to exhibit effective leadership during periods of crisis is imperative to increase preparedness for future health events, protect population health, and create a pipeline of future nursing leadership. Involving nursing in developing and reforming policy is integral.