Abstract:
BACKGROUND:Levels of physical activity remain low, particularly in deprived areas. Improving the street environment to promote walking for transport using a community engagement approach is a potential strategy to increase physical activity. An understanding of the implementation of this intervention approach is needed to facilitate further research, replication and scale-up. The aim of this study was to evaluate the implementation of the Fitter for Walking (FFW) intervention in deprived neighbourhoods. METHODS:FFW was delivered in five regions of England between August 2008 and March 2012 and aimed to use a community engagement approach to improve the street environment to promote walking for transport. Implementation was assessed in relation to reach; dosage; implementation processes and adaptation; and factors influencing implementation. Three data sources were used: focus groups and face-to-face interviews with coordinators; implementation logs; and participation records. RESULTS:Reach: 155 community groups participated in FFW engaging 30,230 local residents. Dosage: A wide variety of environmental improvements were implemented by local authorities (LAs) (42 projects) and by communities (46 projects). Examples of LA-led improvements included removal of encroaching vegetation, new/improved pedestrian signage, new dropped kerbs/kerb improvements and new, repaired or improved footpaths. Examples of community-led improvements included planting bulbs, shrubs or bedding plants, clean-up days and litter pick-ups. In 32 projects, no environmental improvements were implemented. Promotional and awareness-raising activities were undertaken in 81 projects. Examples included led walks, themed walks, development of maps/resources to promote improved routes and community events. Processes and adaptation: The need for a planning phase, a preparatory phase, and a delivery phase with a four step process were identified. Adaptability to local context was important. Factors influencing implementation: Five key themes were identified in relation to the barriers and facilitators of implementing FFW: local knowledge and contacts; intervention delivery; coordinator role; working with LAs and other partners; and working with communities. CONCLUSIONS:FFW is one of few reported interventions which have used a community engagement approach to change the street environment to promote walking for transport in deprived neighbourhoods. Delivering these types of interventions is complex and requires considerable resource and time. A set of recommendations and an implementation framework are proposed for future delivery of this and similar types of programme.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Adams EJ,Cavill N,Sherar LBdoi
10.1186/s12889-017-4637-5subject
Has Abstractpub_date
2017-08-14 00:00:00pages
655issue
1issn
1471-2458pii
10.1186/s12889-017-4637-5journal_volume
17pub_type
杂志文章abstract:BACKGROUND:Hypertension, known as the silent killer, is a major risk factor for cardiovascular disease. Awareness and treatment of hypertension is not appropriate in the world, and this has led to an increase in mortality and morbidity caused by uncontrolled hypertension. This study aims to estimate awareness, treated,...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08831-1
更新日期:2020-05-12 00:00:00
abstract:BACKGROUND:Suicide is a serious global public health problem, with more than 800,000 people dying by suicide worldwide every year. 79% of suicides happen in Low and Middle-Income Countries (LMICs), where lack of national suicide prevention programs coupled with inadequate MH facilities for early identification and trea...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09081-x
更新日期:2020-06-23 00:00:00
abstract:BACKGROUND:Both diabetic and non-diabetic end stage renal disease (ESRD) are more common among Canadian First Nations people than among the general Canadian population. The purpose of this research was to determine the prevalence of and risk factors for albuminuria in a Canadian First Nation population at high risk for...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-290
更新日期:2012-04-20 00:00:00
abstract:BACKGROUND:The Kenyan Ministry of Health and partners implemented a community-based integrated prevention campaign (IPC) in Western Kenya in 2008. The aim of this study was to determine whether the IPC, compared to Voluntary Counselling and Testing (VCT) services, was able to identify HIV positive individuals earlier i...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1367-4
更新日期:2015-01-21 00:00:00
abstract:BACKGROUND:Vitamin D levels may differ between migrant and non-migrant populations, especially among non-western immigrants living in a country with limited sun exposure such as Germany. This study examined serum vitamin D concentration and associated factors among Berliners with and without Turkish background. METHOD...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6446-5
更新日期:2019-01-28 00:00:00
abstract:BACKGROUND:The prevalence of comorbidity is high, with 80% of the elderly population having three or more chronic conditions. Comorbidity is associated with a decline in many health outcomes and increases in mortality and use of health care resources. The aim of this study was to identify, review and summarise studies ...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-8-221
更新日期:2008-06-27 00:00:00
abstract:BACKGROUND:Overweight and obesity have become a global epidemic. The prevalence of overweight and obesity among U.S. adolescents has almost tripled in the last 30 years. Results from recent systematic reviews demonstrate that no single, particular intervention or strategy successfully assists overweight or obese adoles...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-465
更新日期:2010-08-09 00:00:00
abstract:BACKGROUND:Major changes in health policy, health service delivery, specific protocols, guidelines and recommendations for the management of common causes of maternal death have been developed in South Africa since the advent of the current democratic government. However, maternal mortality ratio remains high. The scie...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1597-5
更新日期:2015-03-19 00:00:00
abstract:BACKGROUND:In Poland, like in other European countries and in accordance with the global trend, the number of computer users and people who have access to the Internet has increased considerably. The study investigates trends and patterns of Polish health-related Internet use over a period of seven years. The main obje...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1473-3
更新日期:2015-02-27 00:00:00
abstract:BACKGROUND:Infants in utero during the terrorist attacks of September 11, 2001 may have been negatively affected by maternal stress. Studies to date have produced contradictory results. METHODS:Data for this retrospective cohort study were obtained from the Department of Defense Birth and Infant Health Registry and in...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-252
更新日期:2009-07-20 00:00:00
abstract:BACKGROUND:Traditionally, women have been the main respondents for most of knowledge, attitude and practice survey related to family planning and fertility intention. However it is not well known how responses of women about husbands reflect the husband's attitude and practices. Thus this study is conducted to examine ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-903
更新日期:2013-10-01 00:00:00
abstract::The 2009 pandemic of H1N1 influenza, compounded with seasonal influenza, posed a global challenge. Despite the announcement of post-pandemic period on 10 August 2010 by the WHO, H1N1 (2009) virus would continue to circulate as a seasonal virus for some years and national health authorities should remain vigilant due t...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-661
更新日期:2010-11-02 00:00:00
abstract:BACKGROUND:Mass screening for celiac disease (CD) as a public health intervention is controversial. Prior to implementation, acceptability to the targeted population should be addressed. We aimed at exploring adolescents' and parents' experiences of having the adolescents' CD detected through mass screening, and their ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-822
更新日期:2011-10-21 00:00:00
abstract:BACKGROUND:Let's Get Moving (LGM) is a systematic approach to integrating physical activity promotion into the primary care setting. LGM combines a number of recommended strategies to support behavior change including brief interventions, goal-setting, written resources, and follow-up support. This study involved a pro...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-463
更新日期:2010-08-09 00:00:00
abstract::Though numbers alone may be insufficient to capture the nuances of population health, they provide a common language of appraisal and furnish clear evidence of disparities and inequalities. Over the past 30 years, facilitated by high speed computing and electronics, considerable investment has been made in the collect...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-015-1827-x
更新日期:2015-05-16 00:00:00
abstract:BACKGROUND:A longstanding challenge of community-based participatory research (CBPR) has been to anchor evaluation and practice in a relevant theoretical framework of community change, which articulates specific and concrete evaluative benchmarks. Social movement theories provide a broad range of theoretical tools to u...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5412-y
更新日期:2018-04-12 00:00:00
abstract:BACKGROUND:Self-management support interventions can improve health outcomes, but their impact is limited by the numbers of people able or willing to access them. Men's attendance at existing self-management support services appears suboptimal despite their increased risk of developing many of the most serious long ter...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-14-1230
更新日期:2014-11-27 00:00:00
abstract:BACKGROUND:Despite smoking cessation efforts, cigarette smoking remains a serious general and oral health problem. We aimed to investigate the putative benefits of smoking cessation on dentition and to analyse whether the time elapsed since smoking cessation associated positively with the remaining number of teeth. ME...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3556-1
更新日期:2016-08-24 00:00:00
abstract:BACKGROUND:Although various HIV prevention programs targeting men who have sex with men (MSM) are operating in China, whether and how these programs are being utilized is unclear. This study explores participation of HIV prevention programs and influencing factors among MSM in two cities in China. METHODS:This is a mi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-847
更新日期:2012-10-08 00:00:00
abstract:BACKGROUND:Religion plays an important role in youth behaviours, making it a significant factor in the discourse on youth sexuality in sub-Saharan Africa. Several studies have found that religion and religiosity play an important role in the sexual behaviours of young people. However, little research in Nigeria has exa...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6732-2
更新日期:2019-04-18 00:00:00
abstract:BACKGROUND:Research about the relationship between premenstrual syndrome (PMS) and major depression is limited. This study examined the relationship between moderate to severe PMS and major depression in a population-based sample of women of reproductive age. The objectives of the study were to assess the association b...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-795
更新日期:2011-10-12 00:00:00
abstract:BACKGROUND:Screen-related behaviours are highly prevalent in schoolchildren. Considering the adverse health effects and the relation of obesity and screen time in childhood, efforts to affect screen use in children are warranted. Parents have been identified as an important influence on children's screen time and there...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-14-857
更新日期:2014-08-18 00:00:00
abstract:BACKGROUND:Many unmarried young people in low- and middle-income countries (LMIC) want to avoid pregnancy but do not use modern methods of contraception-as a result, half of teen births in these countries are unintended. Researchers have identified numerous barriers that prevent youth from using contraception. However,...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09131-4
更新日期:2020-06-29 00:00:00
abstract:BACKGROUND:This study was conducted to assess the lifestyle behaviours of a national sample of hospital doctors working in Ireland. We also sought to compare the prevalence of these behaviours in doctors to the general Irish population. METHODS:This was a national cross-sectional study of a randomised sample of hospit...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6451-8
更新日期:2019-02-11 00:00:00
abstract:BACKGROUND:Though lead (Pb)-gasoline has been banned for decades in China, Pb continues to be a vital risk factor for various diseases. Traditional studies, without large sample size, were unable to identify explicitly the associations among Pb, its disease profile, and the related medical burden. This study was design...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7515-5
更新日期:2019-08-27 00:00:00
abstract:BACKGROUND:The role of an individual's social network satisfaction (SNS) in the association of social isolation or living alone and incident type 2 diabetes (T2D) is unclear. We assessed the association of SNS with incident T2D and analysed potential modifications of the SNS-T2D association by social isolation or livin...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4323-7
更新日期:2017-05-02 00:00:00
abstract:BACKGROUND:Hospital-based providers' willingness to report to work during an influenza pandemic is a critical yet under-studied phenomenon. Witte's Extended Parallel Process Model (EPPM) has been shown to be useful for understanding adaptive behavior of public health workers to an unknown risk, and thus offers a framew...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-436
更新日期:2010-07-26 00:00:00
abstract:BACKGROUND:School recess provides an important opportunity for children to engage in physical activity. Previous studies indicate that children and adults of South Asian origin are less active than other ethnic groups in the United Kingdom, but have not investigated whether activity differs within the shared school env...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-1087
更新日期:2012-12-18 00:00:00
abstract:BACKGROUND:Sugira Muryango is a father-engaged early child development and violence-prevention home-visiting programme delivered by trained lay workers. This cluster-randomised trial evaluates whether families living in extreme poverty (Ubudehe 1, the poorest category in the Government of Rwanda's wealth ranking) who r...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-020-08693-7
更新日期:2020-05-06 00:00:00
abstract:BACKGROUND:A worldwide outbreak of swine flu H1N1 pandemic influenza occurred in April 2009. To determine the mechanism underlying the spread of infection, we prospectively evaluated a survey implemented at a local university. METHODS:Between August 2009 and March 2010, we surveyed 3 groups of subjects: 2318 children ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-79
更新日期:2011-02-04 00:00:00