Readiness to Adopt Physical Activity Policies in Rural Communities

2018 ◽  
Vol 21 (3) ◽  
pp. 430-439
Author(s):  
Melinda J. Ickes ◽  
Amanda Wiggins ◽  
Ellen J. Hahn
Keyword(s):  
Physical Activity ◽  
Rural Communities ◽  
Online Survey ◽  
Community Readiness ◽  
Political Climate ◽  
Dimension Score ◽  
Key Informants ◽  
Specific Dimension ◽  
Preparation Stage ◽  
Readiness To Adopt

The purpose was to explore community readiness to adopt physical activity (PA) policies by adapting and pilot testing an online survey (Physical Activity Readiness Survey [PARS]). PARS was adapted from the previously tested Community Readiness Survey-Short. In February/April 2016, key informants ( N = 17) involved in PA activities from two rural communities were invited to complete the PARS, representing six dimensions: knowledge, leadership, resources, community climate, existing voluntary PA policies, and political climate. First, participants were asked to respond to a presurvey to screen for overall readiness for up to four evidence-based PA policies. A main survey readiness score (0-6) was determined by averaging the key informants’ ratings across items: Raw scores were rescaled to range from 0 to 1, and dimension scores were summed. Participants identified two PA policies in the presurvey: neighborhood availability and point-of-decision prompts. For both policies, political climate had the highest dimension score (1.0) and the knowledge dimension scored lowest (0.05-0.38). Overall readiness scores ranged from 3.19 to 3.62, revealing the preparation stage for both policies. Readiness for the two PA policies were similar, but specific dimension scores varied by policy type and community, reinforcing the need for tailored interventions.

scholarly journals The Physical Activity–Related Barriers and Facilitators Perceived by Men Living in Rural Communities

2015 ◽  
Vol 11 (4) ◽  
pp. 1130-1132 ◽  
Author(s):  
Adam G. Gavarkovs ◽  
Shauna M. Burke ◽  
Robert J. Petrella
Keyword(s):  
Physical Activity ◽  
Rural Communities ◽  
Rural Areas ◽  
Online Survey ◽  
Protective Factor ◽  
Barriers And Facilitators ◽  
Activity Levels ◽  
National Guidelines ◽  
Small Communities ◽  
Response Options

Men, especially those living in rural areas, experience chronic disease at higher rates than the general population. Physical activity is a well-established protective factor against many chronic diseases; however, only a small fraction of men are meeting national guidelines for physical activity. The purpose of this study was to examine the perceived physical activity–related barriers and facilitators experienced by men living in rural areas in Canada. Participants completed a paper-and-pencil or online survey and asked to select personally relevant physical activity-related barriers and facilitators from a list of 9 and 10 choices, respectively. A total of 149 men completed the survey (50.3% between the ages of 18 and 55 years; 43.0% older than 55 years). Participants were predominantly from rural areas and smaller communities. Overall, the response options “I’m too tired,” “I don’t have enough time,” and “I think I get enough exercise as work” were the three most frequently cited barriers to regular physical activity. The response options “Personal motivation to be healthy,” “I enjoy it,” and “Support from family and/or friends” were the three most often cited facilitators to physical activity. Results are similar to those shown in other populations. Results can be used to inform the development of policies and programs that aim to increase the physical activity levels of men living in rural areas and small communities.

scholarly journals Adventure Tourism: Insight from Experienced Visitors of Romanian National and Natural Parks

Societies ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 41
Author(s):  
Diana E. Dumitras ◽  
Valentin C. Mihai ◽  
Ionel M. Jitea ◽  
Delia Donici ◽  
Iulia C. Muresan
Keyword(s):  
Physical Activity ◽  
Rural Communities ◽  
Natural Environment ◽  
Rural Areas ◽  
Online Survey ◽  
Cultural Immersion ◽  
Cultural Experience ◽  
Adventure Tourism ◽  
Natural Parks ◽  
Level Of Satisfaction

The rapid growth of adventure tourism is remarked all over the world, being considered as a modern form of tourism. This study attempted to investigate the preferences of experienced visitors of Romanian national and natural parks with the main focus on understanding what motives describe the three elements that define adventure tourism: physical activity, natural environment and cultural immersion, and what is the level of satisfaction regarding the quality of facilities and services. An online survey was filled in by 137 members of adventure tourism groups, being further grouped based on their experiences. Results indicate that experienced participants better appreciated the opportunity to be engaged in physical activity and to explore the natural environment. Cultural experience was perceived as similar by both groups. The level of satisfaction about facilities and services provided by the national and natural parks and adjacent rural communities was similar among groups, except for that about the existing information panels. Future development actions should address both groups to enhance their willingness to revisit the areas and increase the attractiveness of tourism in rural areas situated in the neighborhood of parks.

scholarly journals Readiness for Tobacco-Free Policy in a Statewide University System

2020 ◽  
pp. 152483992093479
Author(s):  
Melinda J. Ickes ◽  
Amanda T. Wiggins ◽  
Mary Kay Rayens ◽  
Ellen J. Hahn
Keyword(s):  
Online Survey ◽  
The United States ◽  
Survey Method ◽  
Political Climate ◽  
University System ◽  
Dimension Score ◽  
Factors Associated ◽  
Stage Of Readiness ◽  
Survey Results ◽  
Initiation Stage

Background. Almost 2,000 campuses have adopted tobacco-free (TF) policies across the United States. However, there is not a systematic process to help campuses implement successful policies. Readiness assessments can help provide assistance as campuses work to implement successful policies. Purpose. We assessed readiness for TF policies among campuses of a statewide university system and determined factors associated with readiness. Participants. Stakeholders from 23 campuses without 100% TF policies were invited to participate in an online survey. Method. System administrators provided contacts for five to eight stakeholders per campus. Included in the analysis were 10 of 23 campuses (43.5%) with at least three stakeholders completing the survey. Results. Of the 10 campuses, one was in Preplanning, five were in Preparation, and four were in the Initiation stage of readiness. Political Climate was the highest scored dimension on seven campuses (0.74–1.0); Resources was the lowest on eight campuses (0.0–0.67). Campus size and county rurality were each associated with one dimension score. Conclusions. Despite being part of a statewide university system, campuses are in varying stages of readiness for TF policies. Stage-based strategies to advance TF campus policies must be implemented to set campuses up for successful policies.

STUDY OF PARENTS 'ATTITUDES ON FITNESS CHILDREN'S VISITS

2018 ◽  
Vol 28 (7) ◽  
pp. 2567-2572
Author(s):  
Ivan Nedelchev
Keyword(s):  
Physical Activity ◽  
Young People ◽  
Online Survey ◽  
Adult Obesity ◽  
Compulsory Schooling ◽  
Strict Diet ◽  
Fitness Training ◽  
First Time ◽  
Active Training ◽  
The Eu

The European report "Bulgaria - Health Profile for the Country 2017" reflects statistics on the obesity and immobilization of young people in the country. Although adult obesity levels are below the EU average, they have increased by 25% since 2008, with statistics showing that among young people they have risen by two-thirds in the 2005-2006 and 2013- 2014 and have reached 20%. Also, more than half of Bulgarian pupils in 1-12 grades (51%) are extremely immobilized, one of the reasons being rare visits to physical education classes and lack of interest in additional sport outside compulsory schooling. Separately, every third grader in Bulgaria has a problem with extra pounds, although in most cases it is the parents who refuse to accept that their child needs change and help, not to mention a strict diet and encouragement to exercise sports. More than 50% of the children who crossed the classrooms for the first time this year in Bulgaria are already having vertebral distortion. Only 3% of Bulgarian teenagers say they sometimes go to the gym because they want to look good and build up muscle mass.However, a positive aspect is that a higher percentage of girls and boys at 15 years of age in Bulgaria report regular physical activity than in other EU countries, although less than 25% report moderate exercise intensive physical activity on a daily basis.This study aims to analyze, on the basis of an authoritative survey, the opinions and the vision of active training parents as to whether their children should be attending fitness training. The survey was conducted within 2 months through an online survey of 21 questions, with a total of 187 active sporting parents. Questions concern both the sporting aspects, the healthy diet and the overall condition of the child, through the eyes of his/her parents.

Unique views on obesity-related behaviors and environments: research using still and video images (Preprint)

2018 ◽  
Author(s):  
Jordan Carlson ◽  
J. Aaron Hipp ◽  
Jacqueline Kerr ◽  
Todd Horowitz ◽  
David Berrigan
Keyword(s):  
Physical Activity ◽  
Ethical Issues ◽  
Data Extraction ◽  
Dietary Assessment ◽  
Extraction Methods ◽  
Image Capture ◽  
Still Images ◽  
Key Informants ◽  
Technological Advances ◽  
Computer Scientists

BACKGROUND Image based data collection for obesity research is in its infancy. OBJECTIVE The present study aimed to document challenges to and benefits from such research by capturing examples of research involving the use of images to assess physical activity- or nutrition-related behaviors and/or environments. METHODS Researchers (i.e., key informants) using image capture in their research were identified through knowledge and networks of the authors of this paper and through literature search. Twenty-nine key informants completed a survey covering the type of research, source of images, and challenges and benefits experienced, developed specifically for this study. RESULTS Most respondents used still images in their research, with only 26.7% using video. Image sources were categorized as participant generated (N = 13; e.g., participants using smartphones for dietary assessment), researcher generated (N = 10; e.g., wearable cameras with automatic image capture), or curated from third parties (N = 7; e.g., Google Street View). Two of the major challenges that emerged included the need for automated processing of large datasets (58.8%) and participant recruitment/compliance (41.2%). Benefit-related themes included greater perspectives on obesity with increased data coverage (34.6%) and improved accuracy of behavior and environment assessment (34.6%). CONCLUSIONS Technological advances will support the increased use of images in the assessment of physical activity, nutrition behaviors, and environments. To advance this area of research, more effective collaborations are needed between health and computer scientists. In particular development of automated data extraction methods for diverse aspects of behavior, environment, and food characteristics are needed. Additionally, progress in standards for addressing ethical issues related to image capture for research purposes are critical. CLINICALTRIAL NA

Mental distress and its associations with behavioral outcomes during the COVID-19: A national survey of Chinese adults (Preprint)

2020 ◽  
Author(s):  
Lu Ma ◽  
Liwang Gao ◽  
Joseph Tak-Fai Lau ◽  
Rahman Atif ◽  
Blair T. Johnson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Weight ◽  
Educational Attainment ◽  
Structural Equation ◽  
Online Survey ◽  
Mental Distress ◽  
Structural Equation Models ◽  
Behavioral Outcomes ◽  
National Sample ◽  
Negative Consequences

BACKGROUND This study primarily aimed to evaluate the associations between mental distress and COVID-19-related changes in behavioral outcomes, and potential modifiers (age, gender, and educational attainment) of such associations. OBJECTIVE The COVID -19 pandemic has led to elevated levels of mental distress attributed to prolonged lockdowns, business closures, and social isolation. Its impact on behavioral outcomes is however less known. This study is designed to primarily evaluate the associations between mental distress and COVID-19-related changes in drinking, smoking, physical activity and body weight, and potential modifiers of such associations including age, gender, and educational attainment. METHODS An online survey using anonymous network sampling was conducted in China during April-May, 2020 using a 74-item questionnaire distributed through social media. A national sample of 10,545 adults in 31 provinces provided data on socio-demographic characteristics, COVID-19-related mental distress, and changes in behavioral outcomes. Structural equation models were used for data analyses. RESULTS About 13% of adults reported experiencing at least one symptom of mental distress. After adjusting for age, education, gender, ethnicity, marital status, residence, and number of chronic conditions, greater mental distress was associated with increased smoking and alcohol consumption (among current smokers and drinkers) and with both increased and decreased physical activity. Underweight adults were more likely to lose body weight (≥1 kg) whereas overweight adults were more likely to gain weight by the same amount. The association between mental distress and change in physical activity was stronger in adults aged 40 and above and those with high education. Mental distress was significantly associated with an increase in smoking in males but not females. CONCLUSIONS Mental distress was associated with increased smoking in males but not females. These findings inform the design of tailored public health interventions aimed to mitigate long-term negative consequences of mental distress on outcomes.

scholarly journals Income-related health inequality among Chinese adults during the COVID-19 pandemic: evidence based on an online survey

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Peng Nie ◽  
Lanlin Ding ◽  
Zhuo Chen ◽  
Shiyong Liu ◽  
Qi Zhang ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Health Outcomes ◽  
Family Member ◽  
Health Inequalities ◽  
Online Survey ◽  
Mainland China ◽  
Decomposition Analysis ◽  
National Sample ◽  
Vulnerable Groups

AbstractBackgroundPartial- or full-lockdowns, among other interventions during the COVID-19 pandemic, may disproportionally affect people (their behaviors and health outcomes) with lower socioeconomic status (SES). This study examines income-related health inequalities and their main contributors in China during the pandemic.MethodsThe 2020 China COVID-19 Survey is an anonymous 74-item survey administered via social media in China. A national sample of 10,545 adults in all 31 provinces, municipalities, and autonomous regions in mainland China provided comprehensive data on sociodemographic characteristics, awareness and attitudes towards COVID-19, lifestyle factors, and health outcomes during the lockdown. Of them, 8448 subjects provided data for this analysis. Concentration Index (CI) and Corrected CI (CCI) were used to measure income-related inequalities in mental health and self-reported health (SRH), respectively. Wagstaff-type decomposition analysis was used to identify contributors to health inequalities.ResultsMost participants reported their health status as “very good” (39.0%) or “excellent” (42.3%). CCI of SRH and mental health were − 0.09 (p < 0.01) and 0.04 (p < 0.01), respectively, indicating pro-poor inequality in ill SRH and pro-rich inequality in ill mental health. Income was the leading contributor to inequalities in SRH and mental health, accounting for 62.7% (p < 0.01) and 39.0% (p < 0.05) of income-related inequalities, respectively. The COVID-19 related variables, including self-reported family-member COVID-19 infection, job loss, experiences of food and medication shortage, engagement in physical activity, and five different-level pandemic regions of residence, explained substantial inequalities in ill SRH and ill mental health, accounting for 29.7% (p < 0.01) and 20.6% (p < 0.01), respectively. Self-reported family member COVID-19 infection, experiencing food and medication shortage, and engagement in physical activity explain 9.4% (p < 0.01), 2.6% (the summed contributions of experiencing food shortage (0.9%) and medication shortage (1.7%),p < 0.01), and 17.6% (p < 0.01) inequality in SRH, respectively (8.9% (p < 0.01), 24.1% (p < 0.01), and 15.1% (p < 0.01) for mental health).ConclusionsPer capita household income last year, experiences of food and medication shortage, self-reported family member COVID-19 infection, and physical activity are important contributors to health inequalities, especially mental health in China during the COVID-19 pandemic. Intervention programs should be implemented to support vulnerable groups.

379 Do Depressive Symptoms Mediate the Association Between Insomnia and Physical Activity?

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A150-A151
Author(s):  
Jamie Walker ◽  
Rebecca Campbell ◽  
Ivan Vargas
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Online Survey ◽  
Longitudinal Design ◽  
Energy Levels ◽  
Depression Scale ◽  
Severity Index ◽  
Future Research ◽  
Activity Levels ◽  
Insomnia Symptoms

Abstract Introduction Insomnia and depression are highly comorbid and have been shown to be independently associated with lower levels of physical activity. It is not clear, however, if being less physically active is a risk factor for or consequence of depression and insomnia. The factors that explain the associations between insomnia, depression, and physical activity are likely complex and overlapping. For example, insomnia may predict inactivity by impacting one’s energy levels, leaving them too tired to exercise. Insomnia may also interfere with one’s motivation to exercise due to low mood, as insomnia is associated with the development of depressive symptoms. The purpose of the present study was to explore whether depression mediated the link between insomnia and low levels of physical activity. Methods A national online survey was conducted from April-June 2020. Participants completed surveys to assess demographics, mood, sleep, and physical activity. Depressive symptoms were estimated with the Center for Epidemiologic Studies Depression Scale (CES-D). Insomnia symptoms were estimated with the Insomnia Severity Index (ISI). Physical activity levels were estimated with the International Physical Activity Questionnaire (IPAQ). Analyses were conducted using multiple linear regression, with separate models for depression, insomnia, and the combination of the two, on levels of physical activity. Results 3,952 adults (Mage = 46.9 years) completed the survey. According to the unadjusted models, greater insomnia symptoms were associated with greater depressive symptoms (b = 0.4523, SE = 0.019593, p &lt; .001), and lower levels of physical activity (b = -38.741, SE = 18.236, p = 0.0337). The relationship between insomnia and physical activity was no longer significant, however, when controlling for depression (b = -6.140, SE = 19.274, p = 0.75). According to the mediation analyses, there was an indirect effect of insomnia on physical activity that was explained by differences in depressive symptoms (Sobel Test = -4.895, SE = 6.518, p &lt; .001). Conclusion Our findings support previous research indicating associations between symptoms of insomnia and depression and physical activity. Future research should examine if these same results hold using a longitudinal design. Support (if any) Vargas: K23HL141581

scholarly journals How is the COVID-19 lockdown impacting the mental health of parents of school-age children in the UK? A cross-sectional online survey

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043397
Author(s):  
Austen El-Osta ◽  
Aos Alaa ◽  
Iman Webber ◽  
Eva Riboli Sasco ◽  
Emmanouil Bagkeris ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Social Isolation ◽  
Online Survey ◽  
Female Gender ◽  
School Age Children ◽  
School Age ◽  
Cross Sectional ◽  
The Uk ◽  
The Impact

ObjectiveInvestigate the impact of the COVID-19 lockdown on feelings of loneliness and social isolation in parents of school-age children.DesignCross-sectional online survey of parents of primary and secondary school-age children.SettingCommunity setting.Participants1214 parents of school-age children in the UK.MethodsAn online survey explored the impact of lockdown on the mental health of parents with school-age children, and in particular about feelings of social isolation and loneliness. Associations between the UCLA Three-Item Loneliness Scale (UCLATILS), the Direct Measure of Loneliness (DMOL) and the characteristics of the study participants were assessed using ordinal logistic regression models.Main outcome measuresSelf-reported measures of social isolation and loneliness using UCLATILS and DMOL.ResultsHalf of respondents felt they lacked companionship, 45% had feelings of being left out, 58% felt isolated and 46% felt lonely during the first 100 days of lockdown. The factors that were associated with higher levels of loneliness on UCLATILS were female gender, parenting a child with special needs, lack of a dedicated space for distance learning, disruption of sleep patterns and low levels of physical activity during the lockdown. Factors associated with a higher DMOL were female gender, single parenting, parenting a child with special needs, unemployment, low physical activity, lack of a dedicated study space and disruption of sleep patterns during the lockdown.ConclusionsThe COVID-19 lockdown has increased feelings of social isolation and loneliness among parents of school-age children. The sustained adoption of two modifiable health-seeking lifestyle behaviours (increased levels of physical activity and the maintenance of good sleep hygiene practices) wmay help reduce feelings of social isolation and loneliness during lockdown.

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