Development of the rural active living assessment tools: Measuring rural environments

Development of the rural active living assessment tools: Measuring rural environments
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DOI:
10.1016/j.ypmed.2009.08.018
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发表时间:
2010-01-01
影响因子:
5.1
通讯作者:
Hartley, David
Hartley, David
中科院分区:
医学2区
文献类型:
--
作者:
Yousefian, Anush;Hennessy, Erin;Hartley, David

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目标。开发针对农村的评估工具,供研究人员和从业人员使用,以衡量农村社区的活动友好性。这些工具是通过对农村人口体力活动决定因素的混合方法调查创建的。这为制定一个界定活动友好型农村环境的概念框架提供了信息。所产生的问题反映了适用的现有城市变量和农村概念模型要素。2008年秋季,在美国七个农村社区进行了试点测试。评估评估者间信度。农村积极生活评估(RALA)工具包括三个组成部分:全镇范围(18个城镇特色问题,15个娱乐设施清单),计划和政策(20个问题)和街道部分(28个问题)。我们发现,全镇范围内的项目和政策工具对社区成员来说是可行的。观察到的一致性和K统计量在街道段评估的所有项目是实质性的(分别为91.9%和0.78)。验证了RALA工具的可行性和可靠性。它们评估被认为有助于在农村环境中积极生活的特征,为用户提供评估农村环境是否有利于活动的资源,还可能为帮助农村社区变得更加积极和健康的干预措施的设计提供信息。(C) 2009爱思唯尔公司版权所有。
Objective. Develop rural-specific assessment tools to be used by researchers and practitioners to measure the activity-friendliness of rural communities.Method. The tools were created through a mixed-methods investigation into the determinants of physical activity among rural populations. This informed the development of a conceptual framework defining activity-friendly rural environments. Questions were generated to reflect applicable existing urban-based variables and rural conceptual model elements. Pilot testing was conducted in seven rural US communities during the fall of 2008. Inter-rater reliability was assessed.Results. The Rural Active Living Assessment (RALA) Tools include three components: Town-Wide (18 town characteristic questions, and inventory of 15 recreational amenities), Program and Policy (20 questions), and Street Segment (28 questions). We found that the Town-wide and Program and Policy tools were feasible for community members to implement. The observed agreement and K statistic across all items for the Street Segment Assessment were substantial (91.9% and 0.78, respectively).Conclusions. The RALA Tools were shown to be feasible and reliability was supported. They assess features believed to be supportive of active living in rural environments, offer users a resource to assess rural environments for activity-friendliness, and may also inform the design of interventions to help rural communities become more active and healthy. (C) 2009 Elsevier Inc. All rights reserved.