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This thesis explores the potential role of greenspace to promote physical activity in young adolescents in Scotland through an examination of physical activity behaviour associated with greenspace use and adolescents motivations to use greenspace, and experiences, attitudes and perceptions of greenspace. This is in light of political interest in promoting physical activity in all populations, especially in young people, as one way to help prevent obesity and promote health and well-being, and recognition that a link between greenspace provision and greenspace has been suggested by research, however, the evidence base is currently limited, particularly within Scotland. Research into greenspace links to physical activity are usually framed within an overarching socio-ecological perspective, however, additional theoretical perspectives are discussed which can add to understanding of adolescents’ use of greenspace. An argument is made for the use of Gibson’s Theory of Affordances and this is further developed to make the links between greenspace design, provision and use. The research included two studies. Study one involved the design, testing and placement of greenspace use questions into a survey of a nationally representative sample of 13 and 15 year-olds across Scotland (n=4697). This was done in collaboration with the Scotland team for the Health Behaviour in School-aged Children (HBSC) survey. The second study used a mixed methods design which employed GPS (global positioning system), accelerometry and GIS (geographical information system), referred to in this research as the GAG method, as an objective measure of physical activity location, timing and duration for a sample of n=35 13 and 15 year-olds. This is a relatively new method used in environment and physical activity research and the present study makes a contribution to understanding this method in practice. The GAG study also included semi-structured interviews with participants at the end of the period of monitoring physical activity. The two studies combined demonstrated a positive association between use of greenspace and higher quantity of and intensity of physical activity. Logistic regression on the survey data revealed that an adolescent who used greenspace more than three times per week was 42% more likely to achieve 60 minutes of moderate physical activity daily. The GAG study demonstrated that, when in greenspace, a lower proportion of time was spent being sedentary compared to when not in greenspace (48.6% vs. 81.7%). In interviews, the adolescents described a wide variety of physical activities taking place in greenspace, many incidental to being in greenspace as opposed to planned beforehand, although this was also encountered. Four types of greenspace user were identified and helped highlight how social motivations to use greenspace were paramount suggesting that the impact of greenspace on physical activity is both a result of motivation to be active, but also a benefit of going to greenspace for social reasons. This bi-directional relationship complicates endeavours to demonstrate cause and effect and suggests the requirement for more research to understand the interaction between psycho-social and environmental factors. Greenspace use appeared to be relatively high. The HBSC survey found that a large majority of young adolescents in Scotland (71%) reported using greenspace at least once per week in the summer months, and may well be one of the most frequent users groups. However, scope remains to further increase use aimed at increasing physical activity and it is argued that more flexibility exists for this possibility than within other domains for physical activity, such as school PE classes. The interviews revealed that motivations and influences on use of greenspace were found to closely reflect the a priori model (based on previous mainly public space research) with clear evidence of interplay between factors influencing intention and opportunity. Developmental attributes of the adolescent stage were indicated to be strongly influential in motivating greenspace use, however, the relative impact of the range of factors was uncertain with decisions to use greenspace complex and dynamic. Despite this complexity, improvements in the physical condition of greenspace, safety and greenspace quality are likely to be universally welcomed. From a theoretical perspective, the findings supported the existence of design, normative and individual affordances which have relevance for how greenspace and the facilities within them are designed and used and how exclusionary practices can arise. Political endorsement of the importance of greenspace to health and well-being is evident and this research supports continued protection, investment and improvement, particularly in greenspace quality. There is, however, a need to further develop policy to incorporate consideration of the role of youth and community services and park management aimed at facilitating positive use of and experiences in parks and other greenspace for all users.

Despite the widely documented physical, psychological, and social benefits of participation in physical activity (Sallis, Prochaska, & Taylor, 2000; U.S Department of Health & Human Services, 2000), less than half of young Saudi adolescents are involved in non-school organised sport (General Presidency for Youth Welfare, 2007; Al-Hazzaa, 2004). Thus, examination of social and psychological determinants of participation in leisure time physical activity is important. This PhD examined these determinants within Saudi adolescents. A mixed methods approach was adopted to identify and test the important social and psychological determinants of participation in leisure-time physical activity. Phase one of the research was qualitative in nature. The purpose of this phase was to illustrate how an elicitation method can be used to identify salient behavioural (termed consequences), normative (termed referents), and control (termed circumstances) beliefs about physical activity as perceived by adolescents. These findings, along with theoretical propositions and evidence from previous studies, contributed to the development of a model of the social and psychological determinants of participation in leisure-time physical activity. They also contributed to the development of ways to measure important concepts in the model. Phase two was quantitative in nature and used multiple regression analysis to test the relationships among the key variables of interest. In part one of this phase, self-report questionnaires measured the respondents’ intention to participate in leisure time physical activity (dependent variable); it also measured their attitude toward physical activity behaviour, as well as subjective norms, perceived behavioural control, descriptive norms, self-efficacy, self-identity, and past behaviour (independent variables). The results revealed that attitudes, subjective norms, perceptions of behavioural control predicted physical activity intentions in a Saudi Arabian context. Moreover, descriptive norms, self-efficacy, and past behaviour contributed to the prediction of intentions, while self-identity did not. The results also pointed to some gender differences: while Saudi females considered attitude, subjective norms, perceived behavioural control and self-efficacy during intention formation, Saudi males considered attitude, subjective norms, perceived behaviour control, self-efficacy, and past behaviour only during intention formation. In terms of the salient beliefs, being active, maintaining fitness and controlling weight predicted attitudes; friends, mother, and brother predicted subjective norms; and availability of place, availability of time, and bad weather predicted perceived behavioural control. The results also pointed to some gender differences. While Saudi females considered being active, maintaining fitness, controlling weight, friends, family, father, mother, and brother, availability of place, availability of time, and bad weather, Saudi males considered being active, friends, family, father, brother, availability of place, availability of time and bad weather. In part two of this phase, five weeks after completing the main questionnaire, participants completed a follow-up questionnaire that assessed self-reported physical activity during the previous five weeks. Results revealed that intention, perceived behavioural control, subjective norms, self-efficacy, and past behaviour, but not attitude, descriptive norms, or self-identity predicted physical activity. Results also pointed out important gender differences. That is, while Saudi males appeared to consider intention, perceived behavioural control, and past behaviour when predicting exercising behaviour, this was not the case for Saudi females who considered intention, subjective norms, self-efficacy, and past behaviour only. Overall, the findings of this thesis offer partial support for the capacity of the theory of planned behaviour to predict participants’ physical activity intention and behaviour. The standard TPB variables, self-efficacy and past behaviour predicted intention, while, subjective norms, self-efficacy and past behaviour predicted behaviour. In general, findings also point out important gender differences. That is, while Saudi males appear to consider the standard TPB variables, self-efficacy, and past behaviour when predicting intention, and perceived behavioural control and past behaviour when predicting physical activity behaviour, this is not the case for Saudi females. In contrast, Saudi females consider attitude, subjective norms, and self-efficacy when predicting intention, and self-efficacy and past behaviour when predicting physical activity behaviour. Implications of these findings are that in order to alter physical activity patterns, factors influencing adolescents’ intention and behaviour to participate in physical activity must be addressed. Specially, effective interventions should target cognitive, social, environmental and psychological factors aimed at promoting physical activity among adolescents.

Background Carbohydrate counting is a method used to calculate insulin doses to meals, in the treatment of diabetes type 1. Few studies are available with a clear consensus on its efficacy and effect on anthropometrics in children and adolescents. Aim To evaluate if carbohydrate counting as treatment method in diabetes type 1 improved glycemic control and anthropometrics compared to conventional treatment, one and two years after onset in children and adolescents at Astrid Lindgren children’s hospital. A secondary aim was to explore patients and caregivers perception of insulin dosage to meals with focus on efficacy, time consumption and adherence. Method A clinical prospective study was performed on data collected from the Swedish pediatric quality registry (Swediabkids). Children with diabetes onset between 2010 and 2014 registered at Astrid Lindgren Children’s hospital (n=371) were included and divided into two groups, carbohydrate counters and non-carbohydrate counters. Normal distribution was assumed and parametric tests were performed. The registry data was complemented with a web-based questionnaire providing information on perception of carbohydrate counting, answered by 78 subjects. Results Carbohydrate counting reduced insulin requirements (p<0.001) and eliminated differences between pump- and pen users (p<0.001) as well as differences between boys and girls. Glycemic control was not improved by carbohydrate counting one and two years after diabetes onset (p=0.233, p=0.295). An adverse effect was increased body mass index standard deviation score (BMI-sds) (p=0.044), especially amongst girls (p=0.038). Conclusion Carbohydrate counting lowers insulin requirements with maintained glycemic control. Contradictory, greater weight gain was found in the carbohydrate counting group, especially among girls. A plausible explanation is that carbohydrates have taken focus off protein- and fat intake in combination with a more liberal approach to energy dense foods, causing excess energy intake. The strength of carbohydrate counting does not lie in its ability to lower HbA1c-values but as a helpful tool, which patients are happy to use. / Bakgrund Kolhydraträkning är en metod som används för att beräkna insulindoser till måltider, i behandlingen av diabetes typ 1. Få studier finns för att ge en samlad konsensus gällande dess effekt på glykemisk kontroll och tillväxt hos barn och ungdomar. Syfte Att utvärdera om införandet av kolhydraträkning som behandlingsmetod vid diabetes typ 1 påverkat metabol kontroll och tillväxt i jämförelse med konventionell metod, ett och två år efter diabetesdebut. Ett andra syfte var att utforska patienters och vårdnadshavares uppfattning om insulindosering till måltider med fokus på effektivitet, tidskonsumtion och följsamhet. Metod En klinisk prospektiv studie utfördes med data inhämtad från Nationellt kvalitetsregister för barn och ungdomar med diabetes (Swediabkids). Barn och ungdomar som debuterade med diabetes typ 1 på Astrid Lindgrens barnsjukhus mellan 2010 och 2014 (n=371) inkluderades i studien och delades in i två grupper baserat på debutdatum; kolhydraträknare och icke-kolhydraträknare. Materialet bedömdes som normalfördelat och parametriska test utfördes. En tvärsnittsenkät administrerades till studiedeltagarna för att införskaffa fördjupad information om patienters och vårdnadshavares uppfattning om insulindosering till måltider. Den webbaserade enkäten besvarades av 78 deltagare. Resultat Kolhydraträkning reducerade insulinbehovet (p<0.001) och jämställde insulinbehovet mellan pump- och pennanvändare (p<0.001) liksom skillnader mellan pojkar och flickor inom gruppen. Glykemisk kontroll förändrades inte av kolhydraträkning ett och två år efter debut (p=0.233, p=0.295). En oönskad effekt av kolhydraträkningen var en ökning i BMI-sds (p=0.044), speciellt hos flickor (p=0.038). Slutsats Kolhydraträkning från diabetesdebut sänker insulinbehov med bibehållen glykemisk kontroll. Motsägelsefullt, så fanns en viktökning i gruppen som använde kolhydraträkning, speciellt hos flickor. En möjlig förklaring är att kolhydrater har tagit fokus från protein- och fettintag tillsammans med en mer frikostig syn på energität mat, vilket har orsakat ökat energiintag. Styrkan i kolhydraträkning ligger inte i dess förmåga att förbättra glykemisk kontroll men som ett användarvänligt verktyg som patienterna är nöjda med.

Les adolescents qui présentent un PC à l’adolescence sont à risque de vivre de nombreuses difficultés dans leur parcours de vie, comme le décrochage scolaire, la dépendance et la délinquance (Guedenay et Dugravier, 2006). La connaissance des facteurs de risque et de protection liés aux problèmes de comportement extériorisés est un outil essentiel pour mieux prévenir et intervenir auprès de cette clientèle. C’est dans cette optique que les quartiers résidentiels des adolescents sont étudiés. Le désordre physique, l’affluence et la pauvreté des quartiers résidentiels, en plus de la perception des résidents de leur quartier sont évaluées en lien avec la fréquence des problèmes de comportement chez un échantillon de 388 adolescents (50% filles), dont 192 participants qui présentent un PC et 196 participants qui ne présentent pas de PC. Les résultats des analyses indiquent que la perception du désordre du quartier par la mère des participants est faiblement corrélée aux PC chez les adolescents du groupe de comparaison.

A relevant subject in our globalized world concerns the relationship between language and identity, specifically amongst migrant youngsters’ experience of group belonging. This study therefore focused on how adolescents born to foreign parents in Sweden, perceived their multilingualism as part of their identity formation. I also aimed to include how socio-economic aspects could affect the process of identity construction. Thus, the investigation was performed with seventh grade students at a primary school located in the Stockholm suburb Bredäng. The methods consisted of a questionnaire, which was completed by the entire class and a group interview where six students participated. The results revealed that students adapted their language use based on the context, but Swedish was used most habitually. The informants viewed their multilingualism as beneficial but yet fully aware of the linguistic ideologies functioning in society. By combining their minority and majority language, the students were left with different ethnic identities and had diverse interpretations of what it meant to be Swedish. Even though all of them perceived themselves to have multiple ethnic identities, this was not solely seen positively. The issue of belonging was raised and the students claimed to be outcasts everywhere. However, the results differed depending on whether the students were born in Sweden or not. Also, most of them struggled with the process of assumed and ascribed identities, since they perceived themselves to be Swedish but experienced that society valued them as immigrants. Lastly, the study revealed that there were connections between their multilingualism and social mobility as the relationship towards the motherland was highly prioritized even with low levels of economic capital.

This study attempts to quantify the dissociative experiences reported by children and adolescents, and to determine whether the variance in degree of dissociation in children has useful diagnostic and treatment implications.

The purpose of this research design is to explore the meaning of death for the female adolescent. A qualitative design was used as the method of research. Twelve participants were selected from a snowball sample ten females and two males. Four participants reported witnessing the death of an individual, five reported a moderated death experience in which they were not present but were told after the fact and three reported no significant experience with death. The study indicated relationships and cause of death as among the pre-conditions towards meaning development for the adolescent female. The two main themes derived from the pre-conditions are an understanding of the inevitability of death for themselves and the experience of death as qualia. Consequences to the experience of death include increased emotional tolerance under stress and a perceived increased maturity suggesting resilience in the adolescent female following a loss. Future areas of research are also addressed.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.