Do changes to the local street environment alter behaviour and quality of life of older adults? The ‘DIY Streets’ intervention

Autor: Angela Curl, Susana Alves, Peter Aspinall, Catharine Ward Thompson, Affonso Zuin
Rok vydání: 2012
Předmět:
Gerontology
Longitudinal study
residential street
cross-sectional studies
ambulatory
health status
Level design
environment design
health behavior
11. Sustainability
80 and over
Intervention effectiveness
Orthopedics and Sports Medicine
Outdoor activity
humans
Neighbourhood (mathematics)
older adults
Built environment
Aged
80 and over
longitudinal study
health
General Medicine
residence characteristics
Active ageing
aged
female
Walkability
outdoor medicine
walking
accelerometry
aged
80 and over
male
monitoring
ambulatory
prospective studies
surveys and questionnaires
United Kingdom
quality of life
Psychology
Short Report
Monitoring
Ambulatory
Physical Therapy
Sports Therapy and Rehabilitation
Quality of life (healthcare)
Environmental health
activity
interests
interests.interest
environmental intervention
monitoring
Zdroj: Ward Thompson, C, Curl, A, Aspinall, P, Alves, S & Zuin, A 2014, ' Do changes to the local street environment alter behaviour and quality of life of older adults? The ‘DIY Streets’ intervention ', British Journal of Sports Medicine, vol. 48, no. NA, NA, pp. 1059-1065 . https://doi.org/10.1136/bjsports-2012-091718
British Journal of Sports Medicine
ISSN: 1473-0480
0306-3674
DOI: 10.1136/bjsports-2012-091718
Popis: Background: The burden of ill-health due to inactivity has recently been highlighted. Better studies on environments that support physical activity are called for, including longitudinal studies of environmental interventions. A programme of residential street improvements in the UK (Sustrans ‘DIY Streets’) allowed a rare opportunity for a prospective, longitudinal study of the effect of such changes on older adults’ activities, health and quality of life.\ud \ud Methods: Pre–post, cross-sectional surveys were carried out in locations across England, Wales and Scotland; participants were aged 65+ living in intervention or comparison streets. A questionnaire covered health and quality of life, frequency of outdoor trips, time outdoors in different activities and a 38-item scale on neighbourhood open space. A cohort study explored changes in self-report activity and well-being postintervention. Activity levels were also measured by accelerometer and accompanying diary records.\ud \ud Results: The cross-sectional surveys showed outdoor activity predicted by having a clean, nuisance-free local park, attractive, barrier-free routes to it and other natural environments nearby. Being able to park one's car outside the house also predicted time outdoors. The environmental changes had an impact on perceptions of street walkability and safety at night, but not on overall activity levels, health or quality of life. Participants’ moderate-to-vigorous activity levels rarely met UK health recommendations.\ud \ud Conclusions: Our study contributes to methodology in a longitudinal, pre–post design and points to factors in the built environment that support active ageing. We include an example of knowledge exchange guidance on age-friendly built environments for policy-makers and planners.
Databáze: OpenAIRE
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