Advancing Science and Policy Through a Coordinated International Study of Physical Activity and Built Environments: IPEN Adult Methods

Kerr, Jacqueline; Sallis, James F.; Owen, Neville; Bourdeaudhuij, Ilse De; Cerin, Ester; Sugiyama, Takemi; Reis, Rodrigo Siqueira; Sarmiento, Olga L.; Frömel, Karel; Mitáš, Josef; Troelsen, Jens; Christiansen, Lars Breum; Macfarlane, Duncan J.; Salvo, Deborah; Schofield, Grant; Badland, Hannah; Guillén-Grima, Francisco; Aguinaga-Ontoso, Inés; Davey, Rachel; Bauman, Adrian; Saelens, Brian E.; Riddoch, Chris; Ainsworth, Barbara; Pratt, Michael; Schmidt, Thomas M.; Frank, Lawrence D.; Adams, Marc A.; Conway, Terry L.; Cain, Kelli L.; Dyck, Delfien Van; Bracy, Nicole L.

doi:10.1123/jpah.10.4.581

Cited by 155 publications

(207 citation statements)

References 86 publications

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“…The methodology used in this study is based on the recommendations of the International Physical activity and the Environment Network (IPEN; www.ipenproject.org), an organization that has established common methods and measures for worldwide research on the BE and PA. 61 Study procedures were approved by the Institutional Review Board of Washington University in St. Louis.…”

Section: Methodsmentioning

confidence: 99%

“…As part of IPEN, state-of-the-art methods, measures, and instruments were used. 61,77 Overall, findings suggest that diverse, attractive, and walkable neighborhoods can support walking, bicycling, and use of public transit. Public health practitioners and researchers could benefit by utilizing domains and measures from this study for future BE assessments in India and with testing/adaptation, in other LMICs.…”

Section: Strengths and Implicationsmentioning

confidence: 99%

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“Can we walk?” Environmental supports for physical activity in India

Adlakha

Hipp

Brownson

et al. 2017

Preventive Medicine

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India is currently facing a non-communicable disease epidemic. Physical activity (PA) is a preventative factor for non-communicable diseases. Understanding the role of the built environment (BE) to facilitate or constrain PA is essential for public health interventions to increase population PA. The objective of this study was to understand BEs associations with PA occurring in two major life domains or life areas-travel and leisure-in urban India. Between December 2014 and April 2015, in-person surveys were conducted with participants (N=370; female=47.2%) in Chennai, India. Perceived BE characteristics regarding residential density, land use mix-diversity, land use mixaccess, street connectivity, infrastructure for walking and bicycling, aesthetics, traffic safety, and safety from crime were measured using the adapted Neighborhood Environment Walkability ScaleIndia (NEWS-India). Self-reported PA was measured the International Physical Activity Questionnaire. High residential density was associated with greater odds of travel PA (aOR=1.9, 95% CI=1.2, 3.2). Land use mix-diversity was positively related to travel PA (aOR=2.1, 95%CI=1.2, 3.6), but not associated with leisure or total PA. The aggregate NEWS-India score predicted a two-fold increase in odds of travel PA (aOR=1.9, 95% CI=1.1, 3.1) and a 40% decrease in odds of leisure PA (aOR=0.6, 95% CI=0.4, 1.0). However, the association of the aggregated score with leisure PA was not significant. Results suggest that relationships between BE and PA in low-and-middle income countries may be context-specific, and may differ markedly from higher income countries. Findings have public health implications for India suggesting that caution should be taken when translating evidence across countries. A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT

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Section: Methodsmentioning

confidence: 99%

Section: Strengths and Implicationsmentioning

confidence: 99%

“Can we walk?” Environmental supports for physical activity in India

Adlakha

Hipp

Brownson

et al. 2017

Preventive Medicine

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“…14 In the US, Frank et al 15 pioneered the use of GIS to capture neighbourhood 'walkability' by combining three subcomponent spatial measures: (1) residential density, (2) street connectivity and (3) land use mix. The use and validity of this walkability index have been replicated in studies globally, 16,17 including various studies across many Australian states, including South Australia, 18 Western Australia (WA) [19][20][21] and New South Wales. 22 …”

mentioning

confidence: 98%

Developing a research and practice tool to measure walkability: a demonstration project

Giles-Corti

Macaulay

Middleton

et al. 2014

Health Prom J of Aust

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Issue addressed: Growing evidence shows that higher-density, mixed-use, pedestrian-friendly neighbourhoods encourage active transport, including transport-related walking. Despite widespread recognition of the benefits of creating more walkable neighbourhoods, there remains a gap between the rhetoric of the need for walkability and the creation of walkable neighbourhoods. Moreover, there is little objective data to benchmark the walkability of neighbourhoods within and between Australian cities in order to monitor planning and design intervention progress and to assess built environment and urban policy interventions required to achieve increased walkability. This paper describes a demonstration project that aimed to develop, trial and validate a 'Walkability Index Tool' that could be used by policy makers and practitioners to assess the walkability of local areas; or by researchers to access geospatial data assessing walkability. The overall aim of the project was to develop an automated geospatial tool capable of creating walkability indices for neighbourhoods at user-specified scales. Methods: The tool is based on open-source software architecture, within the Australian Urban Research Infrastructure Network (AURIN) framework, and incorporates key sub-component spatial measures of walkability (street connectivity, density and land use mix). Results: Using state-based data, we demonstrated it was possible to create an automated walkability index. However, due to the lack of availability of consistent of national data measuring land use mix, at this stage it has not been possible to create a national walkability measure. The next stage of the project is to increase useability of the tool within the AURIN portal and to explore options for alternative spatial data sources that will enable the development of a valid national walkability index. Conclusion: AURIN's open-source Walkability Index Tool is a first step in demonstrating the potential benefit of a tool that could measure walkability across Australia. It also demonstrates the value of making accurate spatial data available for research purposes. So what?There remains a gap between urban policy and practice, in terms of creating walkable neighbourhoods. When fully implemented, AURIN's walkability tool could be used to benchmark Australian cities against which planning and urban design decisions could be assessed to monitor progress towards achieving policy goals. Making cleaned data readily available for research purposes through a common portal could also save time and financial resources.

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“…Briefly, IPEN was a multinational study involving 12 countries, with the objective of accurately assessing the strengths of association of built environment features with physical activity levels among adults, using a robust pooled sample from around the world. 27 We took advantage of existing ties to local neighborhoods, the recruitment experience, and the availability of neighborhood-level walkability and socioeconomic status data from IPEN-Mexico to conduct the Nuestra Voz-Mexico pilot study in Cuernavaca.…”

Section: Study Sitementioning

confidence: 99%

Harnessing Technology and Citizen Science to Support Neighborhoods that Promote Active Living in Mexico

et al. 2016

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Middle-and low-income countries bear 80 % of the global chronic disease burden. Population-level, multi-sectoral approaches to promoting healthful lifestyles that take into local physical, socioeconomic, and sociocultural characteristics of both the environment and the population are needed. The BNuestra Voz (Our Voice)^is one such approach that involves neighborhood residents acting as Bcitizen scientists^to systematically gather information on the barriers and facilitators of physical activity in their neighborhoods and then use their data to collectively advocate for local environmental-and policy-level changes to support active living. We pilot tested this approach in Cuernavaca, Mexico with adults and adolescents. This community-engaged and participatory approach is driven by residents, who utilize a GPS-enabled electronic tablet-based application with simple audio-based instructions to take photographs and record audio narratives of facets of their neighborhood that promote or hinder active living. After collecting these data, the citizen scientists come together in a community meeting and use their data to prioritize realistic, multi-level changes for promoting active living in their neighborhoods. A survey assessed participants' acceptability of the approach. Participating citizen scientists included 32 adults and 9 adolescents. The citizen scientists rated the acceptability of five of the nine acceptability survey items with an average of 4.0 or higher out of 5.0, indicating they thought it was Bfun,^were comfortable carrying the tablet, were likely to use it again, and would recommend it to friends and family. Items with average scores of less than 4 were all related to safety concerns. The most common barriers reported by citizen scientists using the tablet were poor sidewalk quality, presence of trash, negative characteristics of the streets, unpleasant aesthetics (e.g., graffiti), and presence of parks and recreational facilities. The Our Voice citizen scientist approach using the Discovery Tool has high potential for assisting communities in diverse settings to begin to identify both local barriers to active living as well as potentially useful strategies for promoting physical activity in culturally congruent ways that are appropriate and feasible in the local context.

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Advancing Science and Policy Through a Coordinated International Study of Physical Activity and Built Environments: IPEN Adult Methods

Cited by 155 publications

References 86 publications

“Can we walk?” Environmental supports for physical activity in India

“Can we walk?” Environmental supports for physical activity in India

Developing a research and practice tool to measure walkability: a demonstration project

Harnessing Technology and Citizen Science to Support Neighborhoods that Promote Active Living in Mexico

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