International Journal of Behavioral Nutrition and Physical Activity | |
Environmental factors influencing older adults’ walking for transportation: a study using walk-along interviews | |
Benedicte Deforche3  Ilse De Bourdeaudhuij3  Jo Salmon5  Jack Nasar4  Liesbet Goubert1  Peter Clarys2  Riet Deridder2  Dorien Simons2  Veerle Van Holle3  Jelle Van Cauwenberg3  | |
[1] Department of Experimental – Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Henry Dunantlaan 2, B-9000, Ghent, Belgium;Department of Human Biometry and Biomechanics, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Pleinlaan 2, B-1050, Brussels, Belgium;Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, B-9000, Ghent, Belgium;City and Regional Planning, The Ohio State University, 230 Knowlton Hall, Columbus, OH, 43210, USA;School of Exercise & Nutrition Sciences, Deakin University, Burwood Highway 221, Burwood, VIC, 3125, Australia | |
关键词: Walk-along interviews; Qualitative study; Older adults; Walking for transportation; Physical activity; Physical environment; | |
Others : 824690 DOI : 10.1186/1479-5868-9-85 |
|
received in 2011-09-26, accepted in 2012-06-28, 发布年份 2012 | |
【 摘 要 】
Background
Current knowledge on the relationship between the physical environment and walking for transportation among older adults (≥ 65 years) is limited. Qualitative research can provide valuable information and inform further research. However, qualitative studies are scarce and fail to include neighborhood outings necessary to study participants’ experiences and perceptions while interacting with and interpreting the local social and physical environment. The current study sought to uncover the perceived environmental influences on Flemish older adults’ walking for transportation. To get detailed and context-sensitive environmental information, it used walk-along interviews.
Methods
Purposeful convenience sampling was used to recruit 57 older adults residing in urban or semi-urban areas. Walk-along interviews to and from a destination (e.g. a shop) located within a 15 minutes’ walk from the participants’ home were conducted. Content analysis was performed using NVivo 9 software (QSR International). An inductive approach was used to derive categories and subcategories from the data.
Results
Data were categorized in the following categories and subcategories: access to facilities (shops & services, public transit, connectivity), walking facilities (sidewalk quality, crossings, legibility, benches), traffic safety (busy traffic, behavior of other road users), familiarity, safety from crime (physical factors, other persons), social contacts, aesthetics (buildings, natural elements, noise & smell, openness, decay) and weather.
Conclusions
The findings indicate that to promote walking for transportation a neighborhood should provide good access to shops and services, well-maintained walking facilities, aesthetically appealing places, streets with little traffic and places for social interaction. In addition, the neighborhood environment should evoke feelings of familiarity and safety from crime. Future quantitative studies should investigate if (changes in) these environmental factors relate to (changes in) older adults’ walking for transportation.
【 授权许可】
2012 Van Cauwenberg et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20140713043232926.pdf | 1184KB | download | |
Figure 6. | 51KB | Image | download |
Figure 5. | 93KB | Image | download |
Figure 4. | 86KB | Image | download |
Figure 3. | 69KB | Image | download |
Figure 1. | 36KB | Image | download |
【 图 表 】
Figure 1.
Figure 3.
Figure 4.
Figure 5.
Figure 6.
【 参考文献 】
- [1]Centers for Disease Control and Prevention: U.S. physical activity statistics. http://apps.nccd.cdc.gov/brfss/age.asp?cat=PA&yr=2009&qkey=4418&state=US
- [2]Chodzko-Zajko W, Proctor D, Fiatarone Singh M, Minson C, Nigg C, Salem G, Skinner J: American College of Sports Medicine position stand: Exercise and physical activity for older adults. Med Sci Sports Exerc 2009, 41:1510-1530.
- [3]Eurobarometer 72.3: Sport and physical activity. 2010. http://ec.europa.eu/public_opinion/archives/ebs/ebs_334_en.pdf
- [4]Tafforeau J: Gezondheidsenquête. Wetenschappelijk instituut Volksgezondheid, Belgium; 2008.
- [5]De Fré B, De Martelaer K, Philippaerts R, Scheerder J, Lefevre J: Sportparticipatie en fysieke (in)activiteit van de Vlaamse bevolking: huidige situatie en seculaire trend (2003 – 2009). In Participatie in Vlaanderen 2. Eerste analyse van de participatiesurvey. Edited by Waege JL. Acco, Leuven/Den Haag; 2009.
- [6]Baranowski T, Anderson C, Carmack C: Mediating variable framework in physical activity interventions. How are we doing? How might we do better? Am J Prev Med 1998, 15(4):266-297.
- [7]Brownson RC, Hoehner CM, Day K, Forsyth A, Sallis JF: Measuring the built environment for physical activity: state of the science. Am J Prev Med 2009, 36(Suppl 4):S99-S123.
- [8]Brug J, van Lenthe FJ, Kremers SPJ: Revisiting Kurt Lewin: How to gain insight into environmental correlates of obesogenic behaviors. Am J Prev Med 2006, 31(6):525-529.
- [9]Trost SG, Owen N, Bauman AE, Sallis JF, Brown W: Correlates of adults’ participation in physical activity: review and update. Med Sci Sports Exerc 2002, 34(12):1996-2001.
- [10]Davison KK, Lawson CT: Do attributes in the physical environment influence children’s physical activity? A review of the literature. Int J Behav Nutr Phys Act 2006, 3:19. BioMed Central Full Text
- [11]Forsyth A, Oakes JM, Lee B, Schmitz KH: The built environment, walking, and physical activity: Is the environment more important to some people than others? Transp Res Part D 2009, 14:42-49.
- [12]Rantakokko M, Mänty M, Iwarsson S, Törmäkangas T, Leinonen R, Heikkinen E, Rantanen T: Fear of moving outdoors and development of outdoor walking difficulty in older adults. J Am Geriatric Soc 2009, 57:634-640.
- [13]Rantakokko M, Iwarsson S, Hirvensalo M, Leinonen R, Heikkinen E, Rantanen T: Unmet physical activity need in old age. J Am Geriatric Soc 2010, 58:707-712.
- [14]Van Cauwenberg J, De Bourdeaudhuij I, De Meester F, Van Dyck D, Salmon J, Clarys P, Deforche B: Relationship between the physical environment and physical activity in older adult: A systematic review. Health Place 2011, 17:458-469.
- [15]McGinn AP, Evenson KR, Herring AH, Huston SL, Rodriguez DA: Exploring associations between physical activity and perceived and objective measures of the built environment. J Urban Health 2007, 84(2):162-184.
- [16]Nasar JL: Assessing perceptions of environments for active living. Am J Prev Med 2008, 34(4):357-363.
- [17]Owen N, Humpel N, Salmon J, Oja P: Environmental influences on physical activity. Perspectives 2004, 6:1-46.
- [18]Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J: An ecological approach to creating active living communities. Annu Rev Publ Health 2006, 27:297-322.
- [19]Thomas JR: Research methods in physical activity. 5th edition. Human Kinetics, Leeds; 2005.
- [20]Strath S, Isaacs R, Greenwald M: Operationalizing environmental indicators for physical activity in older adults. J Aging Phys Act 2007, 15(4):412-424.
- [21]Lees E, Taylor WC, Hepworth JT, Feliz K, Cassells A, Tobin JN: Environmental Changes to Increase Physical Activity: Perceptions of Older Urban Ethnic-Minority Women. J Aging Phys Act 2007, 15:425-438.
- [22]Michael Y, Green M, Farquhar S: Neighborhood design and active aging. Health Place 2006, 12:734-740.
- [23]Grant TL, Edwards N, Sveistrup H, Andrew C, Egan M: Neighborhood Walkability: Older People’s Perspectives From Four Neighborhoods in Ottawa, Canada. J Aging Phys Act 2010, 18(3):1-20.
- [24]Gallagher NA, Gretebeck KA, Robinson JC, Torres ER, Murphy SL, Martyn KK: Neighborhood Factors Relevant for Walking in Older, Urban, African American Adults. J Aging Phys Act 2010, 18(1):99-115.
- [25]Lockett D, Willis A, Edwards N: Through seniors’ eyes: An exploratory qualitative study to identify environmental barriers to and facilitators of walking. Can J Nurs Res 2005, 37:48-65.
- [26]Carpiano R: Come take a walk with me: The “Go-Along” interview as a novel method for studying the implications of place for health and well-being. Health Place 2009, 15:263-272.
- [27]Kusenbach M: Street phenomenology: the go-along as ethnographic research tool. Ethnography 2003, 4(3):455-485.
- [28]Moles K: A walkin in third space: place, methods and walking. Sociol Res Online 2008, 13(4):2.
- [29]Lenders S, Lauwers L, Vervloet D, Kerselaers E: Delineation of Flemish rural areas, a statistical analysis. Vlaamse Overheid. , ; 2005. Available on: http://www2.vlaanderen.be/landbouw/downloads/volt/38.pdf
- [30]Haywood KL, Garat AM, Fitzpatrick R: Quality of life in older people: A structured review of generic self-assessed health instruments. Qual Life Res 2005, 14:1651-1668.
- [31]Ware JE, Kosinski M, Keller SD: SF-36 Physical and mental health summary scales: a user manual and interpretation guide. The Health Institute, New England Medical Center, Boston (MA); 1994.
- [32]Hurtig-Wennlöf A, Hagströmer M, Olsson L: The International Physical Activity Questionnaire modified for the elderly: aspects of validity and feasibility. Publ Health Nutr 2010, 13(11):1847-1854.
- [33]Berke EM, Koepsell TD, Moudon AV, Hoskins RE, Larson EB: Association of the built environment with physical activity and obesity in older persons. Am J Public Health 2007, 97:486-492.
- [34]Bird S, Kurowski W, Feldman S, Browning C, Lau R, Radermacher H, Thomas S, Sims J: The influence of the built environment and other factors on the physical activity of older women from different ethnic communities. J Women Aging 2009, 21:33-47.
- [35]Salvador E, Reis R, Florindo A: Practice of walking and its association with perceived environment among elderly Brazilians living in a region of low socioeconomic level. Int J Behav Nutr Phys Act 2010, 17(7):67.
- [36]Saelens BE, Sallis JF, Black JB, Chen D: Neighborhood-based differences in physical activity: an environmental scale evaluation. Am J Public Health 2003, 93(9):1552-1558.
- [37]Strauss AL: Qualitative analysis for social scientists. Cambridge University Press, ; 1987.
- [38]Spittaels H, Foster C, Oppert J-M, Rutter H, Oja P, Sjöström M, De Bourdeaudhuij I: Assessment of environmental correlates of physical activity: development of a European questionnaire. Int J Behav Nutr Phys Act 2009, 6:39. BioMed Central Full Text
- [39]Sandelowski M: Real qualitative researchers do not count: the use of numbers in qualitative research. Res Nurs Health 2001, 24:230-240.
- [40]Frank L, Kerr J, Rosenberg D, King A: Healthy aging and where you live: community design relationships with physical activity and body weight in older Americans. J Phys Act Health 2010, 7(Suppl 1):S82-S90.
- [41]King AC, Sallis JF, Frank LD, Saelens BE, Cain K, Conway TL, Chapman JE, Ahn DK, Kerr J: Aging in neighborhoods differing in walkability and income: Associations with physical activity and obesity in older adults. Soc Sci Med 2011, 73:1525-1533.
- [42]Borst HC, de Vries SI, Graham JMA, van Dongen JEF, Bakker I, Miedema HME: Influence of environmental street characteristics on walking route choice of elderly people. J Environ Psychol 2009, 29:477-484.
- [43]Fisher KJ, Li F, Michael Y, Cleveland M: Neighborhood-level influences on physical activity among older adults: a multilevel analysis. J Aging Phys Act 2004, 12:45-63.
- [44]Tucker P, Gilliland J: The effect of season and weather on physical activity: A systematic review. Publ Health 2007, 121:909-922.
- [45]Sallis JF, Bowles HR, Bauman A, Ainsworth BE, Bull FC, Craig CL, Sjöström M, De Bourdeaudhuij I, Lefevre J, Matsudo V, Matsudo V, Matsudo S, Macfarlane DJ, Gomez LF, Inoue S, Murase N, Volbekiene V, McLean G, Carr H, Heggebo LK, Tomten H, Bergman P: Neighborhood environments and physical activity among adults in 11 countries. Am J Prev Med 2009, 36(6):484-490.