Objective: This study evaluated the effect of a community-wide walking intervention (involving walking maps and events) on older residents’ walking and environmental perceptions. Method: In this nonrandomized quasi-panel study, older adults living in an intervention and control site were recruited at baseline and follow-up. All households in the intervention site received maps and were invited to participate in a walking event monthly. The intervention lasted for 21 months. The outcomes were walking frequency, duration, and perceptions of local environments. Results: We did not find a significant improvement in walking frequency or duration in the intervention site relative to the control site. However, there was a significant increase in the awareness of others being active and a marginal increase in the perception of aesthetics in the intervention site. Discussion: The increased awareness of others being active may be a positive step in the stages of change toward engagement in physical activity.
BakerP. R.FrancisD. P.SoaresJ.WeightmanA. L.FosterC. (2015). Community wide interventions for increasing physical activity. Cochrane Database of Systematic Reviews, 1, CD008366. doi:10.1002/14651858.CD008366.pub3
3.
BanduraA. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215.
4.
BarnettD. W.BarnettA.NathanA.Van CauwenbergJ.CerinE. (2017). Built environmental correlates of older adults’ total physical activity and walking: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 14(1), Article 103. doi:10.1186/s12966-017-0558-z
5.
BaumanA.MeromD.BullF. C.BuchnerD. M.Fiatarone SinghM. A. (2016). Updating the evidence for physical activity: Summative reviews of the epidemiological evidence, prevalence, and interventions to promote “active aging.”The Gerontologist, 56(Suppl. 2), S268-280. doi:10.1093/geront/gnw031
6.
CerinE.ConwayT. L.AdamsM. A.BarnettA.CainK. L.OwenN.. . . SallisJ. F. (2018). Objectively-assessed neighbourhood destination accessibility and physical activity in adults from 10 countries: An analysis of moderators and perceptions as mediators. Social Science & Medicine, 211, 282-293. doi:10.1016/j.socscimed.2018.06.034
7.
CerinE.MackinnonD. P. (2009). A commentary on current practice in mediating variable analyses in behavioural nutrition and physical activity. Public Health Nutrition, 12, 1182-1188. doi:10.1017/S1368980008003649
8.
CerinE.SitC. H.BarnettA.CheungM. C.ChanW. M. (2013). Walking for recreation and perceptions of the neighborhood environment in older Chinese urban dwellers. Journal of Urban Health, 90, 56-66. doi:10.1007/s11524-012-9704-8
9.
Corseuil GiehlM. W.HallalP. C.BrownsonR. C.d’OrsiE. (2017). Exploring associations between perceived measures of the environment and walking among Brazilian older adults. Journal of Aging and Health, 29, 45-67. doi:10.1177/0898264315624904
10.
de VausD. (2014). Surveys in social research (6th ed.). New York, NY: Routledge.
11.
DunnA. L. (2009). The effectiveness of lifestyle physical activity interventions to reduce cardiovascular disease. American Journal of Lifestyle Medicine, 3(1), 11S-18S. doi:10.1177/1559827609336067
12.
HarkinsK. A.KullgrenJ. T.BellamyS. L.KarlawishJ.GlanzK. (2017). A trial of financial and social incentives to increase older adults’ walking. American Journal of Preventive Medicine, 52(5), e123-e130. doi:10.1016/j.amepre.2016.11.011
13.
HeeschK. C.van UffelenJ. G.HillR. L.BrownW. J. (2010). What do IPAQ questions mean to older adults? Lessons from cognitive interviews. International Journal of Behavioral Nutrition and Physical Activity, 7, Article 35. doi:10.1186/1479-5868-7-35
14.
InoueS.MuraseN.ShimomitsuT.OhyaY.OdagiriY.TakamiyaT.. . . SallisJ. F. (2009). Association of physical activity and neighborhood environment among Japanese adults. Preventive Medicine, 48, 321-325. doi:10.1016/j.ypmed.2009.01.014
15.
KamadaM.KitayuguchiJ.AbeT.TaguriM.InoueS.IshikawaY.. . . KawachiI. (2018). Community-wide intervention and population-level physical activity: A 5-year cluster randomized trial. International Journal of Epidemiology, 47, 642-653. doi:10.1093/ije/dyx248
16.
KassavouA.TurnerA.FrenchD. P. (2013). Do interventions to promote walking in groups increase physical activity? A meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 10, Article 18. doi:10.1186/1479-5868-10-18
17.
KeadleS. K.McKinnonR.GraubardB. I.TroianoR. P. (2016). Prevalence and trends in physical activity among older adults in the United States: A comparison across three national surveys. Preventive Medicine, 89, 37-43. doi:10.1016/j.ypmed.2016.05.009
18.
KoohsariM. J.BadlandH.SugiyamaT.MavoaS.ChristianH.Giles-CortiB. (2015). Mismatch between perceived and objectively measured land use mix and street connectivity: Associations with neighborhood walking. Journal of Urban Health, 92, 242-252. doi:10.1007/s11524-014-9928-x
19.
LvJ.LiuQ. M.RenY. J.HeP. P.WangS. F.GaoF.. . . LiL. M. (2014). A community-based multilevel intervention for smoking, physical activity and diet: Short-term findings from the community interventions for health programme in Hangzhou, China. Journal of Epidemiology & Community Health, 68, 333-339. doi:10.1136/jech-2013-203356
20.
MarcusB. H.DubbertP. M.ForsythL. H.McKenzieT. L.StoneE. J.DunnA. L.. . . BlairS. N. (2000). Physical activity behavior change: Issues in adoption and maintenance. Journal of Health Psychology, 19(Suppl. 1), 32-41. doi:10.1037/0278-6133.19.Suppl1.32
21.
McNeillL. H.EmmonsK. (2012). GIS walking maps to promote physical activity in low-income public housing communities: A qualitative examination. Preventing Chronic Disease, 9, E17. doi:10.5888/pcd9.110086
22.
MeromD.DelbaereK.CummingR.VoukelatosA.RisselC.Van Der PloegH. P.. . . LordS. R. (2014). Incidental and planned exercise questionnaire for seniors: Validity and responsiveness. Medicine & Science in Sports & Exercise, 46, 947-954. doi:10.1249/MSS.0000000000000196
23.
MeromD.RisselC.PhongsavanP.SmithB. J.Van KemenadeC.BrownW. J.. . . BaumanA. E. (2007). Promoting walking with pedometers in the community: The step-by-step trial. American Journal of Preventive Medicine, 32, 290-297. doi:10.1016/j.amepre.2006.12.007
MuraseN.KatsumuraT.UedaC.InoueS.ShimomitsuT. (2002). Validity and reliability of Japanese version of International Physical Activity Questionnaire. Journal of Health and Welfare Statistics, 49, 1-9. (In Japanese)
26.
NelsonM. E.RejeskiW. J.BlairS. N.DuncanP. W.JudgeJ. O.KingA. C.. . . SceppaC. (2007). Physical activity and public health in older adults: Recommendation from the American college of sports medicine and the American heart association. Medicine & Science in Sports & Exercise, 39, 1435-1445. doi:10.1249/mss.0b013e3180616aa2
27.
NotthoffN.CarstensenL. L. (2014). Positive messaging promotes walking in older adults. Psychology and Aging, 29, 329-341. doi:10.1037/a0036748
28.
NykiforukC. I.NieuwendykL. M.MithaS.HoslerI. (2012). Examining aspects of the built environment: An evaluation of a community walking map project. Canadian Journal of Public Health, 103, eS67-eS72.
29.
OkamotoN.SonH.NonakaY.MatushitaM.AraoT.KubotaA. (2016). Development of community-based physical activity intervention using neighboring environmental data: Study profile. Bulletin, Faculty of Physical Education, Tokai University, 46, 87-93. (In Japanese)
30.
PhillipsG.BottomleyC.SchmidtE.TobiP.LaisS.YuG.. . . RentonA. (2014). Measures of exposure to the well London phase-1 intervention and their association with health well-being and social outcomes. Journal of Epidemiology & Community Health, 68, 597-605. doi:10.1136/jech-2013-202507
31.
RaineR.RobertsR.CallaghanL.SydenhamZ.BanniganC. (2016). Factors affecting sustained engagement in walking for health: A focus group study. British Journal of Occupational Therapy, 80, 183-190. doi:10.1177/0308022616662283
32.
RiebeD.BlissmerB. J.GreaneyM. L.GarberC. E.LeesF. D.ClarkP. G. (2009). The relationship between obesity, physical activity, and physical function in older adults. Journal of Aging and Health, 21, 1159-1178. doi:10.1177/0898264309350076
33.
RosenbergD. E.KerrJ.SallisJ. F.NormanG. J.CalfasK.PatrickK. (2012). Promoting walking among older adults living in retirement communities. Journal of Aging and Physical Activity, 20, 379-394.
34.
SaitoY.OgumaY.TanakaA.KamadaM.InoueS.InajiJ.. . . TakebayashiT. (2018). Community-wide physical activity intervention based on the Japanese physical activity guidelines for adults: A non-randomized controlled trial. Preventive Medicine, 107, 61-68. doi:10.1016/j.ypmed.2017.11.008
35.
SallisJ. F.OwenN. (2015). Ecological models of health behavior. In GlanzK.RimerB. K.ViswanathK. (Eds.), Health behavior theory: Theory, research, and practice (5th ed., pp. 43-64). San Francisco, CA: Jossey-Bass.
36.
SnyderC.AndersonG. (2005). Do quality improvement organizations improve the quality of hospital care for Medicare beneficiaries?The Journal of the American Medical Association, 293, 2900-2907. doi:10.1001/jama.293.23.2900
37.
StathokostasL.TheouO.LittleR. M.VandervoortA. A.RainaP. (2013). Physical activity-related injuries in older adults: A scoping review. Sports Medicine, 43, 955-963. doi:10.1007/s40279-013-0076-3
38.
SugiyamaT.CerinE.MridhaM.KoohsariM. J.OwenN. (2018). Prospective associations of local destinations and routes with middle-to-older aged adults’ walking. The Gerontologist, 58, 121-129. doi:10.1093/geront/gnx088
39.
VogelT.BrechatP. H.LepretreP. M.KaltenbachG.BerthelM.LonsdorferJ. (2009). Health benefits of physical activity in older patients: A review. International Journal of Clinical Practice, 63, 303-320. doi:10.1111/j.1742-1241.2008.01957.x
40.
WilsonD. K.Van HornM. L.SiceloffE. R.AliaK. A.St GeorgeS. M.LawmanH. G.. . . GadsonB. (2015). The results of the “Positive Action for Today’s Health” (PATH) trial for increasing walking and physical activity in underserved African-American communities. Annals of Behavioral Medicine, 49, 398-410. doi:10.1007/s12160-014-9664-1
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