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Reliability of an Audit Tool for Systematic Assessment of Urban Alleyways

Mona Seymour, Kim D. Reynolds, and Jennifer Wolch

Background:

Reliable audit tools are needed to examine the potential of built environment features for physical activity.

Methods:

An audit tool for alley environments was developed with land use, substrate, and use, condition, and safety items. Two audit teams independently audited 29 Los Angeles alleys, and interteam reliability was calculated with Cohen’s and prevalence-adjusted, bias-adjusted kappa (PABAK) statistics; intraclass correlation coefficients; and percent observed agreement.

Results:

Forty-two of 47 dichotomous items analyzed for reliability had PABAK values ≥ 0.61 (“substantial agreement”). Sixteen of 23 ordinal and continuous response items analyzed had ICCs ≥ 0.61, and an additional 6 with lower ICC values had observed agreement ≥ 79%. Items concerning the presence or absence of use-related alley features demonstrated the lowest reliability.

Conclusions:

The instrument has acceptable reliability for most of its items and appears to be a promising tool for use by other researchers and professionals in the measurement of alley environments.

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Understanding the Physical and Social Contexts of Children’s Nonschool Sedentary Behavior: An Ecological Momentary Assessment Study

Yue Liao, Stephen Intille, Jennifer Wolch, Mary Ann Pentz, and Genevieve Fridlund Dunton

Background:

Research on children’s sedentary behavior has relied on recall-based self-report or accelerometer methods, which do not assess the context of such behavior.

Purpose:

This study used ecological momentary assessment (EMA) to determine where and with whom children’s sedentary behavior occurs during their nonschool time.

Methods:

Children (N = 120) ages 9–13 years (51% male, 33% Hispanic) wore mobile phones that prompted surveys (20 total) for 4 days. Surveys measured current activity (eg, exercise, watching TV), physical location (eg, home, outdoors), and social company (eg, family, friends).

Results:

Children engaged in a greater percentage of leisure-oriented (eg, watching TV) than productive (eg, reading, doing homework) sedentary behavior (70% vs 30%, respectively). Most of children’s sedentary activity occurred at home (85%). Children’s sedentary activity took place most often with family members (58%). Differences in physical context of sedentary behavior were found for older vs. younger children (P < .05). Type of sedentary behavior differed by gender, racial/ethnic group, and social context (P < .05).

Conclusion:

Children may prefer or have greater opportunities to be sedentary in some contexts than others. Research demonstrates the potential for using EMA to capture real-time information about children’s sedentary behavior during their nonschool time.

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Physical and Social Contextual Influences on Children’s Leisure-Time Physical Activity: An Ecological Momentary Assessment Study

Genevieve F. Dunton, Yue Liao, Stephen Intille, Jennifer Wolch, and Mary Ann Pentz

Background:

This study used real-time electronic surveys delivered through mobile phones, known as Ecological Momentary Assessment (EMA), to determine whether level and experience of leisure-time physical activity differ across children’s physical and social contexts.

Methods:

Children (N = 121; ages 9 to 13 years; 52% male, 32% Hispanic/Latino) participated in 4 days (Fri.–Mon.) of EMA during nonschool time. Electronic surveys (20 total) assessed primary activity (eg, active play/sports/exercise), physical location (eg, home, outdoors), social context (eg, friends, alone), current mood (positive and negative affect), and enjoyment. Responses were time-matched to the number of steps and minutes of moderate-to-vigorous physical activity (MVPA; measured by accelerometer) in the 30 minutes before each survey.

Results:

Mean steps and MVPA were greater outdoors than at home or at someone else’s house (all P < .05). Steps were greater with multiple categories of company (eg, friends and family together) than with family members only or alone (all P < .05). Enjoyment was greater outdoors than at home or someone else’s house (all P < .05). Negative affect was greater when alone and with family only than friends only (all P < .05).

Conclusion:

Results describing the value of outdoor and social settings could inform context-specific interventions in this age group.

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The Association of Trail Features With Self-Report Trail Use by Neighborhood Residents

Christopher Johansen, Kim D. Reynolds, Jennifer Wolch, Jason Byrne, Chih-Ping Chou, Sarah Boyle, Donna Spruijt-Metz, Brianna A. Lienemann, Susan Weaver, and Michael Jerrett

Background: Urban trails are a useful resource to promote physical activity. This study identified features of urban trails that correlated with trail use. Methods: Multiuse urban trails were selected in Chicago, Dallas, and Los Angeles. An audit of each trail was completed using the Systematic Pedestrian and Cyclist Environmental Scan for Trails instrument, identifying built environmental features. A self-report of trail use was obtained from trailside residents (N = 331) living within 1 mile of each trail. Univariate and multivariate Poisson regressions controlled for trail time from home and motivation for physical activity. Results: Positive associations with the past month’s hours on the trail were observed for the presence of distance signs, vegetation height, vegetation maintenance, and trail crowding, and a negative association was observed for the presence of crossings on the trail. Positive associations with dichotomous trail use were observed for the presence of distance signs, vegetation height, and vegetation maintenance, and a negative association was observed for the presence of crossings on the trail. Conclusions: These correlates should be confirmed in other studies and, if supported, should be considered in the promotion and design of urban trails.

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Reasons for Urban Trail Use Predict Levels of Trail-Related Physical Activity

Genevieve Fridlund Dunton, Donna Spruijt-Metz, Jennifer Wolch, Chih-Ping Chou, Michael Jerrett, Jason Byrne, Susan Weaver, and Kim D. Reynolds

Background:

Efforts to increase community levels of physical activity through the development of multiuse urban trails could be strengthened by information about factors predicting trail use. This study examined whether reasons for trail use predict levels of physical activity on urban trails.

Methods:

Adults (N = 335) living within a 1-mile buffer zone of urban trails in Chicago, Dallas, and Los Angeles completed a self-report measure assessing demographics, reason for trail use, and physical activity on the trail. Accelerometers measured total daily moderate-to-vigorous physical activity (MVPA). Environmental features of the urban trail were assessed with the Systematic Pedestrian and Cyclist Environmental Scan for trails measure. Multivariate regression analyses were conducted that accounted for clustering of individuals within trail segments.

Results:

After controlling for demographic and environmental factors and total daily MVPA, reasons for trail use significantly predicted recreational but not transportation activity. Recreational trail activity was greater for participants who reported exercise and health reasons for trail use as compared with other reasons (ie, social interaction, enjoying nature, walking pets) for recreational trail use.

Conclusions:

To increase the use of urban trails, it may be useful to promote the health and exercise benefits of recreational trail use.