Effects of the COVID-19 Pandemic on Physical Activity Behavior Across Domains and Settings

Background: COVID-19 restrictions and alterations to daily living (e.g. working from home, caregiving responsibilities) necessitated changes in physical activity (PA) behavior. Purpose: The purpose of this study is to understand how PA within specific domains and behavior settings changed during the COVID-19 pandemic. Methods: An e-survey, conducted April-June 2020, examined changes in PA across domains and settings in a national sample of adults (N=805; M age=38.7 ± 14.9 yrs; 78.0% female). Results: Respondents reported domain-specific increases in household and recreational PA, but decreases in active transportation, occupational PA, and public transportation use. Weekly minutes of PA changed significantly across all behavior settings, with reported increases in home-based, neighborhood, parks/trails, and total PA, and decreases in PA through recreational sports and fitness facilities. Total weekly PA minutes increased by 10.6% (Z= 4.428, p < .000). Those with caregiving responsibilities reported increases in household PA (2=9.82, p=0.007) and PA frequency (2=8.21, p=0.02). Those without caregiving responsibilities were more likely to report increases in sitting (2=20.55, p<0.001). Those working from home reported a larger increase in neighborhood PA (F(1,638)=4.93, p=.027). Those working at a jobsite that also had caregiving responsibilities reported less weekly PA, while those working from home with caregiving responsibilities reported greater weekly PA (F(1, 646) = 4.23, p = .04).

Harnessing citizen science to assess and improve utilization of metropolitan parks: the Park Activity, Recreation, and Community, Study (PARCS) in St. Louis, MO

Access to and use of parks is associated with physical activity participation. Our Voice is a systematic method blending community-based participatory research (CBPR) and citizen science. As part of a comprehensive, mixed-methods study in St. Louis, Missouri (PARCS), we tested the feasibility of the Our Voice method for gathering community input on the barriers to and facilitators of accessibility and use of large metropolitan parks, by describing the implementation of the Our Voice method among recreational and commuter users of a large metropolitan park in St. Louis, MO. Due to challenges posed by COVID-19, the Our Voice methodology was adapted for remote participation. Twenty-three citizen scientists (14 recreational park users and 9 commuters) collected and analyzed geolocated route, photo, and audio or text data on facilitators and barriers to park use and access. They identified 6 priority themes and 12 solution ideas, and presented them to stakeholders. In contrast to previous Our Voice studies, separate user groups (recreation and commuter users) independently prioritized many of the same themes. Adaptation of the Our Voice protocol to virtual practices during COVID-19 revealed positive implications for cost, reach, and scale of studies grounded in CBPR and citizen science. We provide a set of recommended practices for using Our Voice as a method to evaluate and promote equity of access and use of metropolitan parks.

Adding family digital supports to classroom-based physical activity interventions to target in- and out-of-school activity: An evaluation of the Stay Active intervention during the COVID-19 pandemic

Introduction: Interventions targeting multiple levels of influence and settings may have a greater impact on children’s total daily physical activity than those targeting a single setting. This study evaluated the addition of family supports to a classroom-based physical activity intervention. Methods: 6 schools were randomized to a remotely delivered classroom-based physical activity only (CBPA) or classroom-based physical activity plus family (CBPA+) arm. The latter added behavior change tools (e.g., self-regulation) delivered via text messages and newsletters to caregiver/child dyads. The intervention lasted for 7 weeks with a 1-week baseline and 1-week post-intervention assessment (9 weeks total). Children who enrolled in the evaluation study received a Garmin activity monitor, which was used to tailor the text messages and evaluate changes in moderate to vigorous physical activity (MVPA). Caregivers completed surveys evaluating intervention acceptability. Results: The 53 child participants (CBPA n=35; CBPA+ n=18) were 9.7±0.7 years old, 64% were female, 59% were Black, and 23% were Hispanic/Latinx. Almost 90% of caregivers reported high satisfaction with the added family-based intervention content. Adherence to wearing the Garmin was higher in the CBPA+ arm. MVPA was low at baseline and during the first 3 weeks of the intervention (CBPA 7.5±3.1 minutes/day; CBPA+ 7.9±2.7 minutes/day) and increased by ~45 min/day by weeks 6-8 (CBPA 56.8±34.2 minutes/day; CBPA+ 49.2±18.7minutes/day). Changes in MVPA were similar between arms. Conclusion: The high acceptability and intervention engagement in the CBPA+ arm show promise for integrating mHealth tools to provide additional family support in multilevel multiapproach interventions targeting children’s physical activity.

Integrating Healthy Eating and Active Living through Knowledge Translation and Inter-Disciplinary Collaborations

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Supporting kids’ active travel during the pandemic: Milwaukee SRTS Program

The Milwaukee Safe Routes to School (SRTS) Program, a partnership between the city of Milwaukee Department of Public Works and the Wisconsin Bike Federation continued their commitment to children’s active travel during the COVID-19 pandemic through offering community walks and Black and Latinx neighborhoods to discuss and incorporate preferences for planned infrastructure improvements; urban summer bicycle camps for kids; and support for teachers as SRTS champions. Staff made modifications such as conducting programming outdoors; modifying materials and facilitation methods to support physical distancing; providing face coverings and minimizing touching equipment. The National Center for Safe Routes to School recognized their efforts with the 2021 Vision Zero for Youth Innovation Award.

Changes in urban walking before and during COVID-19 in a metropolitan city of South Korea

This study aimed to assess how the social distancing measures impacted the choice of walking as a transportation mode, environmental preferences for walking, and walking practice among urban residents in Seoul, the capital city of South Korea. Data were collected through an online survey from September 21 to September 28, 2020, when the second level of social distancing measures was implemented; 2,112 participants aged 19 or older were included in the analysis. During COVID-19, the choice of walking as a means of transportation increased by 10.1%p, while the choice of public transportation decreased by 16.9%p. Environmental preferences for walking were more than moderate in neighborhood public open spaces, neighborhood streets, and riverside trails. Walking practice by purposes decreased significantly during COVID-19, especially in utilitarian walking. The study suggests that social distancing measures have a visible negative effect on walking practice among urban residents, as well as an invisible effect on perceived environment and choice of transportation mode in the metropolitan city. To break the physical inactivity habits established during COVID-19, guidelines for promoting walking should be developed, focusing on the frequency of walking practice. In the post-COVID-19 era, urban and transportation planning in metropolitan cities need to be reviewed focusing on the development of neighborhood assets related to walking and activation of active transportation.

Neighborhood built environment impacts park use of diverse, low-income mothers and their children

Built environment features, including parks, often exacerbate health disparities. We examined built environment perceptions and park use among a population at high risk for physical health outcomes: racially diverse, low-income mothers across the United States. Perceived safety from crime and living near a park were associated with more frequent park use for mothers and their children, and neighborhood walkability was linked to longer park visits. However, only 40% of mothers lived within a ten-minute walk from a park, and perceptions of walkability and safety from crime were low. To enhance physical activity and health of low-income mothers and their children, investments are needed to close disparities in park access and improve neighborhood safety.

Examining the Validity and Reliability of Measures for Individual-Level Constructs related to Implementation of School-Based Physical Activity Approaches

Valid and reliable measures are important to understanding the implementation of physical activity approaches in schools. The study purpose is to examine the psychometric properties of measures of individual-level constructs (knowledge, attitudes, outcome expectations, self-efficacy, innovativeness, and support) in the context of implementing school-based physical activity approaches. We collected data from a sample of elementary school employees (administrators, classroom teachers, physical educators, and support staff) from an urban school district in southeast Texas. Confirmatory factor analysis (CFA) models were used to examine structural validity. We also examined correlations between constructs to assess discriminant and convergent validity. Last, we used a CFA-based approach to examine point estimates for reliability. The analytic sample consisted of 205 employees. CFA results for each individual measure revealed good-fitting models for most measures (χ2(df)>0.05, RMSEA<0.08, CFI>0.90, TLI>0.90, SRMR≤0.07). A combined model that included all the measures also indicated good fit across indices: χ2(306)=485, p<0.001; RMSEA=0.05, CFI=0.93, TLI=0.92, SRMR=0.07. All correlations between constructs were <0.70, and all but one construct (innovativeness) demonstrated moderate correlations with support for classroom-based physical activity approaches (>0.30). In addition, reliability point estimates were all >0.70. The measures tested in this study were found to have good reliability, as well as good structural, discriminant, and convergent validity. These measures are useful in efforts to better understand how individual-level constructs relate to implementation behaviors for physical activity approaches in schools.