Parent Perceptions on a Walking School Bus Program Among Low-Income Families: A Qualitative Study

in Journal of Physical Activity and Health

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Katie Teller
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Mark Abbey-Lambertz
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Nasira Sharma
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Alan Waite
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Scott Ickes
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Jason A. Mendoza
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Background: The walking school bus (WSB) is a promising intervention to increase walking to school and physical activity in school-age children. The aim of this qualitative study was to assess parent perceptions of a WSB program that was part of a randomized controlled trial to inform future programs. Methods: The authors interviewed 45 parents whose children had participated in a WSB program in the Seattle area, in which third- and fifth-grade students walked to/from school with adult chaperones along a set route. The authors performed a qualitative analysis of the interview transcripts and coded interview segments into 4 broad categories as follows: facilitators, barriers, general positive sentiments, and proposals. Results: Most parents spoke of the benefits of the WSB program; in particular, parents frequently applauded exercise/physical health benefits. Of the barriers, the most frequently cited was time, with work schedule and commute changes leading some families to walk less frequently. Conclusions: Most parents voiced support for the WSB program as a means to improve child health, to learn pedestrian safety, and to interact with positive adult role models. Parents made several suggestions to improve the program, including better recruitment methods, logistical improvements, and a platform for communicating with other parents.

Teller, Abbey-Lambertz, Sharma, Waite, and Mendoza are with Seattle Children’s Research Institute, Seattle, WA. Teller, Ickes, and Mendoza are with the University of Washington, Seattle, WA. Ickes is also with Wheaton College, Wheaton, IL. Mendoza is also with Fred Hutchinson Cancer Research Center, Seattle, WA.

Teller (kteller@uw.edu) is corresponding author.
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  • 1.

    Groner JA, Joshi M, Bauer JA. Pediatric precursors of adult cardiovascular disease: noninvasive assessment of early vascular changes in children and adolescents. Pediatrics. 2006;118(4):16831691. PubMed ID: 17015562 doi:10.1542/peds.2005-2992

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Poirier P, Giles TD, Bray GA, et al. Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss: an update of the 1997 American Heart Association scientific statement on obesity and heart disease from the obesity committee of the council on nutrition, physical activity, and metabolism. Circulation. 2006;113(6):898918. PubMed ID: 16380542 doi:10.1161/CIRCULATIONAHA.106.171016

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    McDonald N, Yang Y, Abbott S, Bullock A. Impact of the safe routes to school program on walking and biking: Eugene, Oregon study. Transport Policy. 2013;29:243248. doi:10.1016/j.tranpol.2013.06.007

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181188. PubMed ID: 18091006 doi:10.1249/mss.0b013e31815a51b3

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Nader PR, Bradley RH, Houts RM, McRitchie SL, O’Brien M. Moderate-to-vigorous physical activity from ages 9 to 15 years. JAMA. 2008;300(3):295305. PubMed ID: 18632544 doi:10.1001/jama.300.3.295

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Mendoza JA, Watson K, Nguyen N, Cerin E, Baranowski T, Nicklas TA. Active commuting to school and association with physical activity and adiposity among US youth. J Phys Act Health. 2011;8(4):488495. PubMed ID: 21597121 doi:10.1123/jpah.8.4.488

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Lubans DR, Boreham CA, Kelly P, Foster CE. The relationship between active travel to school and health-related fitness in children and adolescents: a systematic review. Int J Behav Nutr Phys Act. 2011;8:5. PubMed ID: 21269514 doi:10.1186/1479-5868-8-5

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Saunders LE, Green JM, Petticrew MP, Steinbach R, Roberts H. What are the health benefits of active travel? A systematic review of trials and cohort studies. PLoS ONE. 2013;8(8):e69912. PubMed ID: 23967064 doi:10.1371/journal.pone.0069912

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9.

    Smith L, Norgate SH, Cherrett T, Davies N, Winstanley C, Harding M. Walking school buses as a form of active transportation for children-a review of the evidence. J Sch Health. 2015;85(3):197210. PubMed ID: 25611942 doi:10.1111/josh.12239

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Brown A, Pullen N, Scully M, Zegeer C. Safe Routes to School Guide (Updated 2015). Chapel Hill, NC: National Center for Safe Routes to School; 2015.

    • Search Google Scholar
    • Export Citation
  • 11.

    National Center for Safe Routes to School. The Walking School Bus: Combining Safety, Fun and the Walk to School. Chapel Hill, NC: National Center for Safe Routes to School; 2006.

    • Search Google Scholar
    • Export Citation
  • 12.

    Larouche R, Saunders TJ, Faulkner G, Colley R, Tremblay M. Associations between active school transport and physical activity, body composition, and cardiovascular fitness: a systematic review of 68 studies. J Phys Act Health. 2014;11(1):206227. PubMed ID: 23250273 doi:10.1123/jpah.2011-0345

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Mendoza JA, Watson K, Chen TA, et al. Impact of a pilot walking school bus intervention on children’s pedestrian safety behaviors: a pilot study. Health Place. 2012;18(1):2430. PubMed ID: 22243904 doi:10.1016/j.healthplace.2011.07.004

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Greves HM, Lozano P, Liu L, Busby K, Cole J, Johnston B. Immigrant families’ perceptions on walking to school and school breakfast: a focus group study. Int J Behav Nutr Phys Act. 2007;4:64. PubMed ID: 18053259 doi:10.1186/1479-5868-4-64

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Krueger RA. Analyzing and Reporting Focus Group Results. Vol 6. Thousand Oaks, CA: Sage Publications; 1998.

  • 16.

    Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology . 2006;3(2):77101.

  • 17.

    Household Income in King County. King County Office of Financial and Economic Analysis. Olympia, WA: Washington State. Published 2017. Accessed May 102018.

    • Search Google Scholar
    • Export Citation
  • 18.

    Lu W, McKyer EL, Lee C, Ory MG, Goodson P, Wang S. Children’s active commuting to school: an interplay of self-efficacy, social economic disadvantage, and environmental characteristics. Int J Behav Nutr Phys Act. 2015;12:29. PubMed ID: 25889664 doi:10.1186/s12966-015-0190-8

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Kong AS, Sussman AL, Negrete S, Patterson N, Mittleman R, Hough R. Implementation of a walking school bus: lessons learned. J Sch Health. 2009;79(7):319325; quiz 333–314. PubMed ID: 19527414 doi:10.1111/j.1746-1561.2009.00416.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Bungum TJ, Clark S, Aguilar B. The effect of an active transport to school intervention at a Suburban Elementary School. Am J Health Educ. 2014;45(4):205209. doi:10.1080/19325037.2014.916635

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Garcia-Hermoso A, Saavedra JM, Olloquequi J, Ramirez-Velez R. Associations between the duration of active commuting to school and academic achievement in rural Chilean adolescents. Environ Health Prev Med. 2017;22(1):31. PubMed ID: 29165126 doi:10.1186/s12199-017-0628-5

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Van Dijk ML, De Groot RH, Van Acker F, Savelberg HH, Kirschner PA. Active commuting to school, cognitive performance, and academic achievement: an observational study in Dutch adolescents using accelerometers. BMC Public Health. 2014;14:799. PubMed ID: 25096713 doi:10.1186/1471-2458-14-799

    • Crossref
    • Search Google Scholar
    • Export Citation
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