, private and voluntary entities that contribute to the delivery of essential public health services within a jurisdiction.” 10 Bringing groups together that represent the public health system in a specific community and organizing the group around a specific task, such as physical activity promotion, can
Margaret McGladrey, Angela Carman, Christy Nuetzman and Nicole Peritore
Becky H. Lankenau, Dianne Culhane and Maria Stefan
This symposium addressed the importance of selective partnering between public health and other sectors in order to enhance physical activity promotion. The speakers reviewed the potential benefits of partnering, common partnering concerns and their remedies, and important tasks for developing successful partnerships. Key leadership practices and a framework for convening conversations with potential partners were presented. Motivations for industry, trade associations, and other partners to engage with public health to promote physical activity were discussed, and the importance of using stakeholder relationship management to engage partners was emphasized.
Dawn E. Gillis, Melanie D. Grossman, Barbara Y. McLellan, Abby C. King and Anita L. Stewart
As new multifaceted programs are developed to facilitate increased physical activity in older adults, it is increasingly important to understand how useful various program components are in achieving program goals. On concluding a community-based physical-activity-promotion program. 80 older adults (M = 74 years) completed a helpfulness survey of 12 different aspects of the program. and 20 also attended focus groups for evaluation purposes. Results indicated that personal attention from staff, an informational meeting, and telephone calls from staff were most helpful. Ratings were similar across gender, age, and income groups, as well as between those who had previously been sedentary and underactive. Compared with more educated participants, those with less education reported higher ratings for 8 of 12 program components. Results contribute to a small literature on older adults' perceptions of physical activity programs and might be useful in planning future physical activity and other health-promotion programs relying on similar components.
Anita L. Stewart, Melanie Grossman, Nathalie Bera, Dawn E. Gillis, Nina Sperber, Martha Castrillo, Leslie Pruitt, Barbara McLellan, Martha Milk, Kate Clayton and Diana Cassady
Diffusing research-based physical activity programs in underserved communities could improve the health of ethnically diverse populations. We utilized a multilevel, community-based approach to determine attitudes, resources, needs, and barriers to physical activity and the potential diffusion of a physical activity promotion program to reach minority and lower-income older adults. Formative research using focus groups and individual interviews elicited feedback from multiple community sectors: community members, task force and coalition members, administrators, service implementers, health care providers, and physical activity instructors. Using qualitative data analysis, 47 transcripts (N = 197) were analyzed. Most sectors identified needs for culturally diverse resources, promotion of existing resources, demonstration of future cost savings, and culturally tailored, proactive outreach. The program was viewed favorably, especially if integrated into existing resources. Linking sectors to connect resources and expertise was considered essential. Complexities of such large-scale collaborations were identified. These results may guide communities interested in diffusing health promotion interventions.
Personal biography influences preservice classroom teachers’ (PCT) perceptions and attitudes related to school-based physical activity promotion (SPAP). Using an uncontrolled prepost design, this study investigated associations between biographical variables and changes in PCTs’ SPAP attitudes and perceived competence while enrolled in a 16-week SPAP course. PCTs (N = 201) completed baseline measures assessing biographical variables of year in school, sports participation, coaching/teaching experience, BMI, satisfaction with K-12 physical education (PE) and perceived physical activity (PA) competence, and prepost measures assessing SPAP attitudes and perceived competence. One-way repeated measures analysis of variance procedures showed statistically significant, positive changes in PCTs’ scores on all SPAP measures. Mixed-model analysis of variance/covariance techniques indicated sport participation, teaching/coaching experience, PE satisfaction and perceived PA competence were associated with changes in SPAP scores. Results suggest PCTs’ SPAP learning experiences should incorporate strategies for enhancing self-schemas and perceptions related to PE and PA.
Collin A. Webster, Heather Buchan, Melanie Perreault, Rob Doan, Panayiotis Doutis and Robert G. Weaver
Despite its recommended use, physical activity promotion in the academic classroom (PAPAC) has received little attention in terms of the factors that help to facilitate it. In this study, a social learning perspective was adopted to examine the role of physical activity biographies in generalist classroom teachers’ (CTs) PAPAC. CTs (N = 213) were assessed on their satisfaction with personal K-12 physical education (PE) experiences, perceived physical activity competence, self-reported physical activity, perceived PAPAC competence, and self-reported PAPAC. Structural equation modeling supported the hypothesized relationships between variables. Specifically, PE satisfaction predicted physical activity competence, which in turn predicted physical activity. Subsequently, physical activity predicted PAPAC competence, which predicted PAPAC. The specified model explained 41% of the variance in PAPAC, with PAPAC competence being the largest contributor. This study provides useful information for designing interventions to increase PAPAC, as it stresses the need to identify strategies that improve CTs’ physical activity-related, and PAPAC-related self-perceptions.
Kristin M. Mills, Anita L. Stewart, Barbara Y. McLellan, Carol J. Verboncoeur, Abby C. King and Byron W. Brown
Health-promotion programs’ success depends on their ability to enroll representative samples of the target population, particularly those who are hard to reach and those who can benefit the most from such programs. This article evaluates enrollment bias in the recruitment process, examines the usefulness of a 2-phased recruitment strategy in enrolling representative proportions of eligible individuals in a physical-activity-promotion program for older adults, and explores predictors of enrollment. Of 1,381 randomly selected Medicare HMO members. 519 were eligible. Of these, 54% attended an informational meeting and 33% enrolled in the program. Relative to the target population, a representative proportion of women was enrolled, but those who enrolled were slightly younger. Of those who were eligible, a representative proportion of sedentary participants was recruited, those who were overweight were overrep-resented, and the oldest old, less educated, ethnic minorities, and precontem-plators of physical activity were underrepresented. Modifiable predictors of enrollment included interest in health, previous health-class attendance, and having had a physician recommend exercise.
Ana C. Seabra, José Maia, André F. Seabra, Greg Welk, Robert Brustad and António M. Fonseca
The Youth Physical Activity Promotion (YPAP) model provides an integrated approach to understanding the predisposing, enabling, and reinforcing factors influencing physical activity (PA) behavior. The purpose of this study was to evaluate an adapted version of the YPAP model for explaining PA among Portuguese schoolchildren.
A random cross-sectional sample of 683 children (8–10 years of age) attending elementary public schools in the north of Portugal completed a detailed survey assessing attraction to PA, perceived physical competence, parental influences and leisure time PA. Structural equation modeling techniques were conducted (EQS6.1).
Attraction to PA was directly associated with children’s PA participation (β = 0.271, P < .05). Perceived physical competence imposed an indirect effect on children’s PA through children’s attraction to PA (β = 0.253, P < .05). Parental influence had an indirect effect on children’s PA through perceived physical competence and attraction to PA (β = 0.318 and 0.662, respectively, P < .05). Perceived physical competence and parental influence were not directly associated with children’s PA (β = 0.069 and 0.180, respectively, P > .05).
The adapted version of YPAP model was useful in explaining PA participation in elementary Portuguese schoolchildren. Intervention programs intended to enhance attraction to PA, perceived physical competence and favorable parental influence should be developed to promote children’s PA participation.
Peter G. Sepsis, Anita L. Stewart, Barbara McLellan, Kris Mill, Abby C. King and Wayne Shoumaker
This paper describes the support mechanisms of a 6-month program designed to increase the physical activity levels of older adults in congregate housing facilities and in the community at large. It also reports participant ratings of perceived helpfulness of the various mechanisms to determine the relative value of these mechanisms to enrollees attempting to change their behavior. In general, there was consistency with respect to the ratings of perceived helpfulness between those residing in the community and those from the congregate housing facilities. However, some differences were found. For example, those residing in the community generally rated the mechanisms as less helpful than did participants from congregate housing settings. Individualized attention was ranked among the most helpful features. Results should be useful to those who design and implement physical activity promotion programs for older adults.
David A. Rowe, Thomas D. Raedeke, Lenny D. Wiersma and Matthew T. Mahar
The purpose of the study was to investigate the measurement properties of questionnaires associated with the Youth Physical Activity Promotion (YPAP) model. Data were collected from 296 children in Grades 5–8 using several existing questionnaires corresponding to YPAP model components, a physical activity questionnaire, and 6 consecutive days of pedometer data. Internal validity of the questionnaires was tested using confirmatory factor analyses, and external validity was investigated via correlations with physical activity and body composition. Initial model fit of the questionnaires ranged from poor to very good. After item removal, all scales demonstrated good fit. Correlations with percentage body fat and objectively measured physical activity were low but in the theoretically predicted direction. The current study provides good internal validity evidence and acceptable external validity evidence for a brief set of questionnaire items to investigate the theoretical basis for the YPAP model.