locations. Therefore, interventions based on traditional health education must be coupled with changes in the built environment to be most efficacious. Our current vehicle-friendly infrastructure needs to be modified to support increased active transportation and living. Ecological Model Interventions The
Michael C. Harding, Quinn D. Bott and Christopher E. Jonas
Andrea R. Taliaferro and Lindsay Hammond
Individuals with intellectual disabilities (ID) tend to have low rates of participation in voluntary or prescribed physical activity. The purpose of this study, therefore, was to identify the barriers, facilitators, and needs influencing physical activity participation of adults with ID within the framework of a social ecological model. A qualitative approach consisted of data collected from surveys and guided focus groups. Participants included adults with ID (n = 6) and their primary caregiver (n = 6). Barriers were categorized under three themes: organizational barriers, individual constraints, and external influences. Examples of subthemes included information dissemination, reliance on others, and caregiver considerations. Facilitators included primary caregivers as champions and camaraderie. Needs centered on family program involvement, improved programmatic structure, and programmatic support. Results indicate the need for community programs to examine barriers and facilitators applicable to their unique setting and population across all levels of a social ecological model.
Christina C. Loitz and Nancy Spencer-Cavaliere
Despite the health benefits associated with physical activity participation, activity levels of North American children are declining. In response, practitioners are placing emphasis on active forms of transportation to and from school. The purpose of this study was to explore the barriers and facilitators to active transportation to school (ATS) from the perspectives of practitioners.
The perspectives of 19 practitioners (eg, health promoters, traffic engineers, police, etc.) from 3 communities in Alberta, Canada were captured using focus group interviews followed by content analysis.
Subthemes tied to barriers included logistics, lifestyle, safety, and lack of resources; while facilitators were comprised of collaboration, education, and leadership. The results were interpreted using an ecological model of health behavior.
The most common ATS barriers: attitudes and safety concerns, lack of resources and time, and the nature of the natural and built environments were associated with the intrapersonal, organizational, and physical environmental factors, respectively. The most significant organizational facilitators concerned collaboration among parents, schools, businesses, community organizations, and government agencies. While the multifaceted nature of barriers and facilitators add complexity to the issue, it also challenges practitioners to think and act creatively in finding solutions.
This article proposes a theory- and practice-based model for adapting physical activities. The ecological frame of reference includes Dynamic and Action System Theory, World Health Organization International Classification of Function and Disability, and Adaptation Theory. A systematic model is presented addressing (a) the task objective, (b) task criteria, (c) limitation and enablement criteria, (d) performance errors, and (e) adaptation suggestions. Four individual case examples are described, referring to the conceptual model and depicting its use in various settings of physical activity, including physical education, rehabilitation, competition, and recreation.
Munira Abdulwasi, Meena Bhardwaj, Yuka Nakamura, Maha Zawi, Jennifer Price, Paula Harvey and Ananya Tina Banerjee
important consideration given the direct and indirect impact one’s environment plays in the ability to engage in physical activity. 21 , 22 Ecological models assess how physical and social contexts influence individual’s engagement in physical activity by supporting, promoting, or deterring this behavior
Kazuhiro Harada, Koichiro Oka, Ai Shibata, Kaori Ishii, Yoshio Nakamura, Shigeru Inoue and Teruichi Shimomitsu
The authors examined the relationship between strength-training behavior and perceived environment in older Japanese adults. An Internet-based survey was conducted of 293 adults age 68.2 ± 2.8 yr. The dependent variable was regular strength-training behavior. The IPAQ environment module, access to facilities for strength training, and home equipment for strength training were environmental factors. Logistic-regression analysis was employed. After demographic variables (gender, age, educational background, household income, body-mass index, self-rated health status, smoking habit, and residential area) were adjusted for, home equipment for strength training (OR = 2.14, 95% CI = 1.50–3.06), access to facilities for strength training (OR = 2.53, 95% CI = 1.32–4.85), and observing active people (OR = 2.20, 95% CI = 1.06–4.58) were positively correlated with regular strength-training behavior. In conclusion, environmental factors associated with strength-training behavior were access to facilities for strength training, having home equipment for strength training, and observing active people.
Matthew Chrisman, Faryle Nothwehr, Kathleen Janz, Jingzhen Yang and Jacob Oleson
Rural adults participate in lower levels of physical activity (PA) than urban or suburban adults. Due to known effects of the environment on PA participation, this study examined perceived ecological correlates (social, environmental, and policy) of domain- and intensity-specific PA in rural adults.
A cross-sectional survey was completed by 143 individuals residing in the rural Midwest. PA was measured using the International Physical Activity Questionnaire; correlates of PA were measured using a modified version of the PA in Communities Questionnaire. Multiple regression analyses were conducted using general linear modeling.
Predictors of PA included: employers providing time for exercise (P = .0003); available shopping malls (P = .0032); activity-friendly community aspects (P = .0048); favorable policy attitudes (P = .0018): participation in sports (P < .0001); encouragement from friends (P = .0136); awareness (P = .0015) and use (P = .0113) of community resources; and having hills (P = .0371).
Correlates of PA in various domains and intensities in rural adults are multifactorial and occur at different levels of the environment. Findings from this study can be used to tailor PA interventions in rural adults, with respect to specific domains and intensity in which the PA occurs.
Sylvia Titze, Billie Giles-Corti, Matthew W. Knuiman, Terri J. Pikora, Anna Timperio, Fiona C. Bull and Kimberly van Niel
This study investigated the relationship between individual and neighborhood environmental factors and cycling for transport and for recreation among adults living in Perth, Western Australia.
Baseline cross-sectional data from 1813 participants (40.5% male; age range 18 to 78 years) in the RESIDential Environment (RESIDE) project were analyzed. The questionnaire included information on cycling behavior and on cycling-specific individual, social environmental, and neighborhood environmental attributes. Cycling for transport and recreation were dichotomized as whether or not individuals cycled in a usual week.
Among the individual factors, positive attitudes toward cycling and perceived behavioral control increased the odds of cycling for transport and for recreation. Among the neighborhood environmental attributes, leafy and attractive neighborhoods, access to bicycle/walking paths, the presence of traffic slowing devices and having many 4-way street intersections were positively associated with cycling for transport. Many alternative routes in the local area increased the odds of cycling for recreation.
Effective strategies for increasing cycling (particularly cycling for transport) may include incorporating supportive environments such as creating leafy and attractive neighborhood surroundings, low traffic speed, and increased street connectivity, in addition to campaigns aimed at strengthening positive attitudes and confidence to cycle.
Adewale L. Oyeyemi, James F. Sallis, Adetoyeje Y. Oyeyemi, Mariam M. Amin, Ilse De Bourdeaudhuij and Benedicte Deforche
This study adapted the Physical Activity Neighborhood Environment Scale (PANES) to the Nigerian context and assessed the test-retest reliability and construct validity of the Nigerian version (PANES-N).
A multidisciplinary panel of experts adapted the original PANES to reflect the built and social environment of Nigeria. The adapted PANES was subjected to cognitive testing and test retest reliability in a diverse sample of Nigerian adults (N = 132) from different neighborhood types. Intraclass Correlation Coefficients (ICC) was used to assess test-retest reliability, and construct validity was investigated with Analysis of Covariance for differences in environmental attributes between neighborhoods.
Four of the 17 items on the original PANES were significantly modified, 3 were removed and 2 new items were incorporated into the final version of adapted PANES-N. Test-retest reliability was substantial to almost perfect (ICC = 0.62–1.00) for all items on the PANES-N, and residents of neighborhoods in the inner city reported higher residential density, land use mix and safety, but lower pedestrian facilities and aesthetics than did residents of government reserved area/new layout neighborhoods.
The PANES-N appears promising for assessing environmental perceptions related to physical activity in Nigeria, but further testing is required to assess its applicability across Africa.
Jelle Van Cauwenberg, Liesbeth De Donder, Peter Clarys, Ilse De Bourdeaudhuij, Neville Owen, Sarah Dury, Nico De Witte, Tine Buffel, Dominique Verté and Benedicte Deforche
Sedentary behaviors (involving prolonged sitting) can be associated detrimentally with health outcomes. Older adults, the most sedentary age group, are especially at risk due to their high levels of television viewing time. This study examined individual, social, and physical environmental correlates of older adults’ television viewing. Data on daily television viewing time, plus individual, social, and physical environmental factors were collected from 50,986 noninstitutionalized older adults (≥ 65 years) in Flanders (Belgium). The results showed significant relationships between television viewing time and individual, social, and physical environmental factors. Subgroups at risk for high levels of television viewing were those who were functionally limited, less educated, widowed, and (semi)urban-dwelling older adults. Our findings illustrate a cross-sectional link between older adults’ television viewing time and social composition of their neighborhood, formal participation, access to alternative activities, and safety from crime.