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Rural Food and Physical Activity Assessment Using an Electronic Tablet-Based Application, New York, 2013-2014.

Seguin RA, Morgan EH, Connor LM, Garner JA, King AC, Sheats JL, Winter SJ, Buman MP - Prev Chronic Dis (2015)

Bottom Line: Rural populations experience significant health disparities, yet built environment studies in these settings are limited.In general, participants found the assessment tool to be simple and enjoyable to use.This resident-led assessment approach may also be helpful for informing and evaluating rural community-based interventions.

View Article: PubMed Central - PubMed

Affiliation: Division of Nutritional Sciences, Cornell University, 412 Savage Hall, Ithaca, NY 14853. Telephone: 607-255-8250. Email: rs946@cornell.edu.

ABSTRACT

Introduction: A community's built environment can influence health behaviors. Rural populations experience significant health disparities, yet built environment studies in these settings are limited. We used an electronic tablet-based community assessment tool to conduct built environment audits in rural settings. The primary objective of this qualitative study was to evaluate the usefulness of the tool in identifying barriers and facilitators to healthy eating and active living. The second objective was to understand resident perspectives on community features and opportunities for improvement.

Methods: Participants were recruited from 4 rural communities in New York State. Using the tool, participants completed 2 audits, which consisted of taking pictures and recording audio narratives about community features perceived as assets or barriers to healthy eating and active living. Follow-up focus groups explored the audit experience, data captured, and opportunities for change.

Results: Twenty-four adults (mean age, 69.4 y (standard deviation, 13.2 y), 6 per community, participated in the study. The most frequently captured features related to active living were related to roads, sidewalks, and walkable destinations. Restaurants, nontraditional food stores, and supermarkets were identified in the food environment in relation to the cost, quality, and selection of healthy foods available. In general, participants found the assessment tool to be simple and enjoyable to use.

Conclusion: An electronic tablet-based tool can be used to assess rural food and physical activity environments and may be useful in identifying and prioritizing resident-led change initiatives. This resident-led assessment approach may also be helpful for informing and evaluating rural community-based interventions.

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The Stanford Healthy Neighborhood Discovery Tool installed on a tablet and showing 3 steps for using the tool: 1) instructions for use and prompts for capturing photographs and narration, 2) review of the data collected, and 3) postassessment survey.
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Figure 1: The Stanford Healthy Neighborhood Discovery Tool installed on a tablet and showing 3 steps for using the tool: 1) instructions for use and prompts for capturing photographs and narration, 2) review of the data collected, and 3) postassessment survey.

Mentions: The Discovery Tool is a handheld electronic tablet-based assessment tool that records photographs, audio narratives, and walking routes (Figure 1) to help residents characterize built environment features in their communities (17). It was developed through a community-based participatory research approach (18) and extends the Photovoice methodology (19) by leveraging GPS technology to geocode data. It also includes a built-in postassessment survey to gather demographic characteristics of users and additional community-level information (Post-Assessment Survey, Appendix).


Rural Food and Physical Activity Assessment Using an Electronic Tablet-Based Application, New York, 2013-2014.

Seguin RA, Morgan EH, Connor LM, Garner JA, King AC, Sheats JL, Winter SJ, Buman MP - Prev Chronic Dis (2015)

The Stanford Healthy Neighborhood Discovery Tool installed on a tablet and showing 3 steps for using the tool: 1) instructions for use and prompts for capturing photographs and narration, 2) review of the data collected, and 3) postassessment survey.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4492214&req=5

Figure 1: The Stanford Healthy Neighborhood Discovery Tool installed on a tablet and showing 3 steps for using the tool: 1) instructions for use and prompts for capturing photographs and narration, 2) review of the data collected, and 3) postassessment survey.
Mentions: The Discovery Tool is a handheld electronic tablet-based assessment tool that records photographs, audio narratives, and walking routes (Figure 1) to help residents characterize built environment features in their communities (17). It was developed through a community-based participatory research approach (18) and extends the Photovoice methodology (19) by leveraging GPS technology to geocode data. It also includes a built-in postassessment survey to gather demographic characteristics of users and additional community-level information (Post-Assessment Survey, Appendix).

Bottom Line: Rural populations experience significant health disparities, yet built environment studies in these settings are limited.In general, participants found the assessment tool to be simple and enjoyable to use.This resident-led assessment approach may also be helpful for informing and evaluating rural community-based interventions.

View Article: PubMed Central - PubMed

Affiliation: Division of Nutritional Sciences, Cornell University, 412 Savage Hall, Ithaca, NY 14853. Telephone: 607-255-8250. Email: rs946@cornell.edu.

ABSTRACT

Introduction: A community's built environment can influence health behaviors. Rural populations experience significant health disparities, yet built environment studies in these settings are limited. We used an electronic tablet-based community assessment tool to conduct built environment audits in rural settings. The primary objective of this qualitative study was to evaluate the usefulness of the tool in identifying barriers and facilitators to healthy eating and active living. The second objective was to understand resident perspectives on community features and opportunities for improvement.

Methods: Participants were recruited from 4 rural communities in New York State. Using the tool, participants completed 2 audits, which consisted of taking pictures and recording audio narratives about community features perceived as assets or barriers to healthy eating and active living. Follow-up focus groups explored the audit experience, data captured, and opportunities for change.

Results: Twenty-four adults (mean age, 69.4 y (standard deviation, 13.2 y), 6 per community, participated in the study. The most frequently captured features related to active living were related to roads, sidewalks, and walkable destinations. Restaurants, nontraditional food stores, and supermarkets were identified in the food environment in relation to the cost, quality, and selection of healthy foods available. In general, participants found the assessment tool to be simple and enjoyable to use.

Conclusion: An electronic tablet-based tool can be used to assess rural food and physical activity environments and may be useful in identifying and prioritizing resident-led change initiatives. This resident-led assessment approach may also be helpful for informing and evaluating rural community-based interventions.

Show MeSH