A natural experimental study of improvements along an urban canal: impact on canal usage, physical activity and other wellbeing behaviours.

A natural experimental study of improvements along an urban canal: impact on canal usage, physical activity and other wellbeing behaviours.
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DOI:
10.1186/s12966-021-01088-w
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发表时间:
2021-01-27
期刊:
The international journal of behavioral nutrition and physical activity
影响因子:
--
通讯作者:
French DP
French DP
中科院分区:
其他
文献类型:
--
作者:
Benton JS;Cotterill S;Anderson J;Macintyre VG;Gittins M;Dennis M;French DP

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关于改善城市绿色空间对身体活动和健康的影响,很少有可靠的自然实验研究。这项受控的自然实验研究的目的是研究沿着城市运河的绿色空间改善对运河使用,身体活动和其他两个健康行为(社会互动和注意环境)在英国大曼彻斯特的成年人的影响。干预措施包括重铺人行道,清除侵占的植被,改善入口,新的长椅和标志。两个比较网站相匹配的干预网站使用系统的五个步骤的过程中,根据八个相关的身体活动在邻里(如人口密度)和网站(如照明)的水平。使用基线和基线后7、12和24个月的系统观察结果评估结局。主要结果是使用运河路径的人数从基线到12个月的变化。其他结果是身体活动水平(久坐,步行,精力充沛),连接和注意行为的变化。使用多层次混合效应负二项回归模型对数据进行分析,比较干预组与匹配对照组的结果,控制天数、时间和降水量。一项过程评价使用拦截调查和观察评估了活动从单独的现有运河路径的潜在位移。在基线后12个月,观察到在干预部位使用髓腔路径的总人数比对照组增加更多(IRR 2.10,95% CI 1.79 - 2.48);在基线后7个月和24个月观察到相似的增加。有一些证据表明,干预措施增加了步行和剧烈的体育活动,社会交往和人们对环境的关注。过程评价表明,有一些活动的位移,但干预措施也鼓励现有用户更经常地使用运河。城市运河是鼓励使用绿色空间并有可能增加体育活动和其他健康行为的干预措施的有前途的环境。改善进入沿着运河的绿色走廊和为不同类型的体育活动提供单独路线的干预措施可能特别有效,值得进一步研究。研究方案于2018年7月在开放科学框架中发表,第一次随访数据收集完成之前(https://osf.io/zcm7v)。登记日期:2018年6月28日。在线版本包含补充材料,可通过10.1186/s12966 - 021 - 01088-w获得。
There are few robust natural experimental studies of improving urban green spaces on physical activity and wellbeing. The aim of this controlled natural experimental study was to examine the impact of green space improvements along an urban canal on canal usage, physical activity and two other wellbeing behaviours (social interactions and taking notice of the environment) among adults in Greater Manchester, UK. The intervention included resurfaced footpaths, removal of encroaching vegetation, improved entrances, new benches and signage. Two comparison sites were matched to the intervention site using a systematic five-step process, based on eight correlates of physical activity at the neighbourhood (e.g. population density) and site (e.g. lighting) levels. Outcomes were assessed using systematic observations at baseline, and 7, 12 and 24 months post-baseline. The primary outcome was the change in the number of people using the canal path from baseline to 12 months. Other outcomes were changes in physical activity levels (Sedentary, Walking, Vigorous), Connect and Take Notice behaviours. Data were analysed using multilevel mixed-effects negative binomial regression models, comparing outcomes in the intervention group with the matched comparison group, controlling for day, time of day and precipitation. A process evaluation assessed potential displacement of activity from a separate existing canal path using intercept surveys and observations. The total number of people observed using the canal path at the intervention site increased more than the comparison group at 12 months post-baseline (IRR 2.10, 95% CI 1.79–2.48); there were similar observed increases at 7 and 24 months post-baseline. There was some evidence that the intervention brought about increases in walking and vigorous physical activity, social interactions, and people taking notice of the environment. The process evaluation suggested that there was some displacement of activity, but the intervention also encouraged existing users to use the canal more often. Urban canals are promising settings for interventions to encourage green space usage and potentially increase physical activity and other wellbeing behaviours. Interventions that improve access to green corridors along canals and provide separate routes for different types of physical activities may be particularly effective and warrant further research. Study protocol published in Open Science Framework in July 2018 before the first follow-up data collection finished (https://osf.io/zcm7v). Date of registration: 28 June 2018. The online version contains supplementary material available at 10.1186/s12966-021-01088-w.
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