HHP final
what is the Complete Streets?
accommodation for all user of the road way so this induces cars, mass transits, bike and walker
what are policy approaches?
affect changes in physical, economic and social environments
what is the motivation-self determination theory?
basic human needs for .... autonomy, competence and relatedness
what is enhancing interpersonal support intervention options?
-create social network= NEW social group. example= develop walking club -enhance social network= enhance EXISTING social network. teach members of a group how to be supportive. participants recruit a buddy to a PA program -provide social resources=professionals, physicians, nurses, dietitians, counselors, exercise professionals, resources to do PA such as childcare and transportation
what are is access for PA environmental approaches?
-creating or enhancing access to places to do PA ----> plus, informational approach ---->not enough to just create new opportunities
what is the community scale design: street community?
-crosswalks, frequent intersections, short blocks -direct routes for residents
what is land use
-density of residents and employments -mixed land use (homes, shops and services)
what is autonomy?
-feeling of control in decision making -low pressure -initiate actions on own for own reason
what is secondary analysis techniques?
-geographic information system -inputs of social data (density, traffic, crime, resources, green space)
what is a built environment?
-human modified places that influence opportunities for PA. can be + or -
what are aesthetics?
clean, maintained, shade, benches
what is predisopoing factors
cognitive factors related to making the decision to engage in particular behavior -self efficeny, motivation, enjoyment, beliefs, knowledge, existing skills
what is self efficiency?
confidence in ones ability to perform specific behavior in specific situations -influence activities selected -effort expended -degree of persistence source of self efficiency on phone
what is directness of route?
connectivity
what is enjoyment associated with?
consistently associated with PA
what is hilliness
-ppl prefer flat terrain
what is intangible
emotional appraisial
what is the outcome of the complete streets policy?
"safer streets, stronger economies" complete project outcomes across the country
whats an example of a community wide campaign?
-"step into cuba" ---> trails, walking and PA program -comprehensive program --->goal= decrease chronic disease --->communication material --->events ---> walking groups --->community designs --->trails and walkways
whats a determinant or mediate?
-a causal factor -changes in this factor causes changes in PA behavior
what sustains PA for outcome exceptions?
-attainable and realistic outcomes -health benefits -improved body image -psychological benefits
what are the PA opportunities?
-availability- do resources exist? -accessibility- can i get there? how far? convienet? -affordable- can i afford them -acceptance- do i feel comfortable there? safe? welcomed? -appropriate- suitable for a particular purpose, person, occasion?
whats a process goal?
-behavior -short term -something you do -dependent on willingness/ effect -need to be challenging/ achievable
what is bicycle infrastructure and paths?
-bike paths -lanes separate cyclist from traffic
what are recreational resources?
-close proximity -parks, trails, open space
what are the transtheroetical model process of change?
-cognitive --->increasing knowledge --->caring about consequences to others --->comprehending benefits ---> increasing healthy opportunities -Behavioral --->substituting alternative --->enlisting social support --->rewarding yourself --->committing yourself --->reminding yourself
what are the strategies of the community scale urban design?
-connecting transportation arteries -tax incentives for developers to build sidewalks and trails -community wide programs to encourage biking/walking
what is process change PA behaviors?
-identify readiness to change -select approriate strategies for given stage --->tailored to the individual --->overcome unique barriers --->skill training ----------->develop skills efficiency and PA enjoyment -----------> opportunities for social support ----------->PA competence
what are successful support that comes from individuals?
-important to you -trust -similar(personal attributes, life experiences)
what do healthy and supportive relationships provide?
-inclusion and acceptance -social interaction -emotional support
what is the community guide: informational approaches?
-increased knowledge and reinforce our desire to change when we are motivated -may change behavior through several pathways: ---> increased knowledge of benefits and risk --->increased knowledge about where and and how to be active --->identify personal and environmental barriers and how to overcome barriers
what is the community guide: behavior and social approaches?
-individual strategies -develop skills for behavioral change -address social support for PA -grounded in behavioral theories and models
what is landscape and urban design PA environmental approaches?
-land use ---->management,, planning and development of land in defined space ---->types of use within an area -urban design ---->form, function and outward appearance of physical environment ----->landscape design, sheet design, recreation center design
what are the 3 broad classifications for policy approaches?
-laws rules and regulations= carry legal authority -nonlegal, but accepted and written standards -unwritten social norms
what are ideally the policy approaches?
-make PA safer -provide incentives/disincentives -affect large number of ppl
what is the PA log assignment?
-monitor PA for 2 weeks. week 1 is baseline week and week 2 is goal setting week. the process is to wear step counting device and take daily quizes.
what is the higher socioeconomic position?
-more likely to engage in healthy behaviors, change to adapt to healthy behaviors and reduce risky behaviors
what is a outcome goal?
-physcial change or achievement -long term -dependent on other factors other tahn willingness/effort
what are direct observations (audits)?
-ppl looking specifically at sidewalks, noise, traffic(etc) they're comparing it to the standard. standardized
what are social and community support?
-ppl seen exercising -precieve social support ------->walkability supported by Surgeon General ------->bikeability supported features
what is set goals and plans, self monitoring PA and evaluate
-problem solve and regroup -prevent relapse
what are physical activity mediators?
-process of change -decisional balance -self efficacy -outcome enjoyment -social support
what are interpersonal relationships?
-provide social support and establish social norms -social networks
what are the promises of PA policies?
-quality physical education in schools -joint use polices= shared use of space btw a school and community -community trail policies=funding for trails -worksite policies= allow time during day for PA, incentives for PA -policies for active transportation to and from school=safe routes to school -complete street polcity
what is a road diet
-reallocation of road space ---->typically 4 lanes to 3 lanes ---->space for bike lanes, sidewalks, turn lanes, parking -reduces speed, fewer lanes to cross
how does the complete streets achieve through?
-restructure procedures polices and programs -rewrite design norms or standards -offer training opportunities to planners and engineers -create new performance measures ----->new or repaired sidewalks ------># of bus stops ------>miles of bicycle lanes
what is a smart goal?
-s= specific (what exactly do I want to achieve) -m= measurable (what is the metric I will use" -a= attainable (is this possible?) -r= realistic (given the time?) -t=time (when)
how can enjoyment be modified?
-select or identifying enjoying actives -alter the options available to be enjoyable ---> music, friends, settings, games
how do we measure understanding PA environments?
-self reports of perceptions of environments ------>interview internet, mail survey ------->may or may not reflect reality (matter?)
what are street scale designs:neighborhoods?
-sidewalks (maintained, continuos, wide) -street buffers, street lights, crosswalks, speed bumps, traffic circles
what is competence?
-skilled -clear and realistic exceptions -positive feedback
what are neighborhood and community characteristics?
-social cohesion and social capital -neighborhood factors -home ownership, perceptions of resources, crime
what is relatedness?
-social interactions -connectedness/ emotional support -experience for caring for others
why do we enjoy activities?
-social interactions -self perceptions of abilities -social recognition of PA -mastery and achievement of skills -movement sensation
what are social inequalities?
-socioeconomic position -income inequalities -social discrimination
what are the transtheroretical model constructs?
-stage of change (readiness) -process of change( how we change) -decisional balance (pros/cons) -self efficiency (confidence)
what are the results after the complete streets policy?
-streets were usually safe after complete streets improvements than before -encouraged more multimodel travel -remarkably affordable -examined how complete street projects relate to economic goals
what is individual adapted health behavior change?
-support by the community guide -strategies teach behavioral skills to help participants incorporate PA into daily routine
what are mechanisms influencing PA?
-unequal distribution PA resources(trails, equipment, parks) -lack of access to health care -economic and social deprivation -targeted marking of legal and illegal drugs and substances
what is social support?
-what other ppl do to allow PA to occur -multiple sources, necessary for change --->specific to PA
what is the ideal distance from point A to point B that encourages walking?
1/2 mile
what distance is "sufficiently short"?
3-4 miles distance, 20 min max
what is motivation to develop and select PA that offers autonomy, competence and relatedness?
Autonomy -control= decisions about PA -individuals decide when, how, where and type Competence -allows for skills development -classes=allow for varying lvls of expertise Relatedness -active with others -seek support for our efforts -related to important aspects of our life
what are the pros and cons of pedometers and accelerometers?
PROS -tracks PA daily, deed back, cue to action -relatively inexpensive, small, easy to use CONS -most do not track all types of PA -accuracy based on device -many do not have FITT or specific guidelines -some models are expensive
what is enabling factors
factors that allow one to engage in particular behavior -access, environmental and new skill development
what is reinforcing factors
factors that reinforce a particular behavior -other ppl, positive and negative consequences
which of the following are related outcomes in the result of complete street policy?
fewer collisions, more trips made by walking and economic growth in an area
what is the community scale urban design?
focus- large geographical areas -design elements that address: -------> proximity of home to stores, jobs schools and recreation -------->safety travel by bike or foot
what is street scale for urban design?
focus- smaller geographical area -design components include: ------>improved street lighting ------>increase safety of street crossing ------>use of traffic calming approaches (speed bumps, traffic circles) ------>enhancing street landscape understandment
what is public health goal?
have PA part of daily life
what is lower socioeconomic position?
high lvl of job related PA and walking that may limit non work PA
what are the PA outcomes for outcome expectations?
immediate- energy, satisfaction longer term- fitness, health, weight loss
what is tangible?
informational instrumental
what is road users and safety
lower traffic volume and speed limits
what are policies?
necessary to cause changes @ multiple lvls of influence -policies for individuals -policies for organizations -policies for communities
what are aesthetics and natural environments?
pleasant sights and pollution free
what is decisional balance?
ratio of perceived benefits to barriers -consider benefits -overcome barriers balance shifts along continum
what are the walkability supportive features?
recreational resources, land use, community scale design:street community , street scale design: neighborhoods, aesthetics, social community support
whats correlate?
reproducible association -positive - one variable increases, the other one increases -negative- one variable increase, the other decreases
what are the types of support?
tangible and intangible
what is continuity of trip
traffic calming and red lights
what are the transtheroetical model stages of change?
what needs to change -see reasons to change -make easy change -structure change -maintain change -prevent relapse
what are outcome expectations?
what we expect to happen as a result of a behavior