A multilevel approach for promoting physical activity in rural communities: a cluster randomized controlled trial

Beck, Alan; Eyler, Amy A.; Hipp, J. Aaron; King, Abby C.; Tabak, Rachel G.; Yan, Yan; Reis, Rodrigo Siqueira; Duncan, Dixie; Gilbert, Amanda; Serrano, Natalicio; Brownson, Ross C.

doi:10.1186/s12889-019-6443-8

Cited by 24 publications

(23 citation statements)

References 106 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The communities were chosen as part of a larger intervention study, based on location, population size, and presence of at least one local walking trail. Walking trail used to promote PA is part of this larger study intervention and therefore a focus of this current study [26]. Rurality was defined by the US classification system whereby each community was at the nonmicropolitan level (less than 9,999) or micropolitan level (10,000 to 49,999) [27].…”

Section: Methodsmentioning

confidence: 99%

A Qualitative Study Identifying Barriers and Facilitators of Physical Activity in Rural Communities

Gilbert

Duncan

Beck

et al. 2019

Journal of Environmental and Public Health

Self Cite

View full text Add to dashboard Cite

Background. Physical activity (PA) rates are lower in rural populations, compared to urban and suburban counterparts. Since PA is shown to decrease the risk of cancers and chronic diseases, increasing PA in rural environments is an important disease-prevention strategy. However, in order to develop effective interventions for rural populations, more research is needed. The purpose of the study was to elicit rural residents’ thoughts and perceptions related to PA and walking trail use. Methods. Key informant interviews were conducted via telephone, with 62 adults, living in six rural communities in southeast Missouri, who identified as stakeholders, walking trail users, and nontrail users. Participants were recruited through word of mouth and snowball sampling. Interviews were digitally audio-recorded, transcribed, and qualitatively analyzed. Findings. Analysis revealed variation within the rural population, with each town unique in what constituted barriers and facilitators to PA. Life priorities other than physical health were found to be important motivators to PA and also influenced how PA was obtained. Community size was found to impact community resources and infrastructure, although this was mitigated by poverty rates. Conclusion. Rural communities are distinct from one another with different views and approaches to PA. Future interventions designed to increase PA should be mindful of differences at the individual and town levels and avoid a one-size-fits-all approach. Interventions would benefit from insight and support from community members and stakeholders, to facilitate a tailored approach to increase PA.

show abstract

Section: Methodsmentioning

confidence: 99%

A Qualitative Study Identifying Barriers and Facilitators of Physical Activity in Rural Communities

Gilbert

Duncan

Beck

et al. 2019

Journal of Environmental and Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…These types of strategies are recommended and have proved effective to successfully increase physical activity behaviours [47,48]. Although there appear to be setting-specific barriers to physical activity in rural areas, such as lack of sports infrastructure and public parks [46], there is a paucity of interventions addressing these barriers [49]. Additionally, it is unclear if the interventions aimed at increasing physical activity in urban settings are scalable to rural locations [47].…”

Section: Strategies For the Promotion Of Physical Activitymentioning

confidence: 99%

Are people in the bush really physically active? A systematic review and meta-analysis of physical activity and sedentary behaviour in rural Australians populations

Castrillon¹,

Beckenkamp²,

Ferreira³

et al. 2020

Journal of Global Health

View full text Add to dashboard Cite

Are people in the bush really physically active? A systematic review and meta-analysis of physical activity and sedentary behaviour in rural Australians populations Background Physical inactivity is a major risk factor for non-communicable disease and premature mortality. People who live in rural settings are usually regarded as more physically active than those living in urban areas, however, direct comparisons between these populations are scarce. We aimed to summarise the prevalence of physical inactivity and sedentary behaviour in rural settings in Australia, compared to urban counterparts. MethodsWe searched six databases (AMED, Embase, Medline; CINAHL, SPORTDiscus; and RURAL) and identified 28 observational studies that investigated the levels of physical inactivity and/or sedentary behaviour in adults aged 18 years and over in rural Australia. Random effects meta-analysis was used to generate pooled prevalence estimates. ResultsPhysical inactivity was four percentage points (95% confidence interval (CI) = 0.4 to 8) higher in rural populations compared to urban populations. There was a one percentage point (95% CI = -3 to 5) prevalence difference of physical activity in the rural populations. Rural populations reported on average 7.8 hours of sedentary time per day (95% CI = 5 to 10) and the prevalence of high levels of sedentary behaviour (≥to 8 hours per day) was 7% (95% CI = -8 to -7) greater in urban areas compared to rural areas.Conclusions People living in rural areas are just as physically inactive as people who live in urban areas. Our findings challenge the popular views that rural lifestyles result in people engaging more frequently in physical activity. Public health campaigns promoting physical activity in rural settings are just as necessary as in urban settings. Electronic supplementary material:The online version of this article contains supplementary material.

show abstract

“…Overall, a structured pickleball program appears to be a promising way to motivate this target population to engage in physical activity. This study's findings are especially relevant given the paucity of evidence on physical activity interventions targeting rural communities [20,21]. One key improvement in our sample following pickleball training was increased vertical jump height.…”

Section: Discussionmentioning

confidence: 79%

“…The rural environment poses unique physical activity barriers [13] which are further aggravated by lack of transportation (to facilities) and limited social support available to rural older adults [12]. Yet, prior studies have examined physical activity promotion mainly in the context of urban settings [20,21], leaving a gap in the evidence base on the effectiveness of interventions in rural communities.…”

Section: Introductionmentioning

confidence: 99%

Pickleball for Inactive Mid-Life and Older Adults in Rural Utah: A Feasibility Study

Wray

Ward

Nelson

et al. 2021

IJERPH

View full text Add to dashboard Cite

Many diseases, disabilities, and mental health conditions associated with aging can be delayed or prevented through regular exercise. Several barriers to exercise, many of which are exacerbated in rural communities, prevent mid-life and older adults from accessing its benefits. However, recently, a racquet sport named pickleball has become popular among older adults, and it appears to overcome some of these barriers. We conducted a feasibility study to evaluate the impact of a six-week pickleball intervention on measures of muscle function, cognitive function, perceived pain, and cardio-metabolic risk, as well as several psychosocial factors contributing to adherence in sedentary rural participants. Participants improved their vertical jump, cognitive performance, and reported a decrease in self-reported pain, suggesting improved physical and cognitive health across the sample. Participants also reported high levels of satisfaction and demonstrated good adherence over the duration of the study. Perhaps of greatest value was the overwhelmingly positive response from participants to the intervention and follow-up interviews reporting a desire to continue pickleball play beyond the study period. Overall, pickleball appears to be a promising intervention to, (1) elicit functional- and cognitive-related improvements, and (2) motivate mid-life and older adults to adhere to exercise sufficiently long to benefit their health.

show abstract

A multilevel approach for promoting physical activity in rural communities: a cluster randomized controlled trial

Cited by 24 publications

References 106 publications

A Qualitative Study Identifying Barriers and Facilitators of Physical Activity in Rural Communities

A Qualitative Study Identifying Barriers and Facilitators of Physical Activity in Rural Communities

Are people in the bush really physically active? A systematic review and meta-analysis of physical activity and sedentary behaviour in rural Australians populations

Pickleball for Inactive Mid-Life and Older Adults in Rural Utah: A Feasibility Study

Contact Info

Product

Resources

About