Well@Work: promoting active and healthy workplaces

Well@Work: promoting active and healthy workplace

An assessment of self-reported physical activity instruments in young people for population surveillance: Project ALPHA

<p>Abstract</p> <p>Background</p> <p>The assessment of physical activity is an essential part of understanding patterns and influences of behaviour, designing interventions, and undertaking population surveillance and monitoring, but it is particularly problematic when using self-report instruments with young people. This study reviewed available self-report physical activity instruments developed for use with children and adolescents to assess their suitability and feasibility for use in population surveillance systems, particularly in Europe.</p> <p>Methods</p> <p>Systematic searches and review, supplemented by expert panel assessment.</p> <p>Results</p> <p>Papers (n = 437) were assessed as potentially relevant; 89 physical activity measures were identified with 20 activity-based measures receiving detailed assessment. Three received support from the majority of the expert group: Physical Activity Questionnaire for Children/Adolescents (PAQ-C/PAQ-A), Youth Risk Behaviour Surveillance Survey (YRBS), and the Teen Health Survey.</p> <p>Conclusions</p> <p>Population surveillance of youth physical activity is strongly recommended and those involved in developing and undertaking this task should consider the three identified shortlisted instruments and evaluate their appropriateness for application within their national context. Further development and testing of measures suitable for population surveillance with young people is required.</p

Are perceptions of the environment in the workplace ‘neighbourhood’ associated with commuter walking?

Walking for the daily commute is one potential strategy for increasing physical activity levels. Understanding the behaviour-specific environmental correlates associated with commuter walking will help effective interventions to be identified and developed. The aim of this study was to examine the associations of perceptions of the environment in the workplace ‘neighbourhood’ and commuter walking. Participants in the baseline survey of the Walking Works intervention study reported perceptions of ten environmental attributes in their workplace neighbourhood, availability of public transport, time spent walking to and from work in the last seven days, their participation in physical activity and socio-demographic characteristics (n=676). We built a series of multivariate logistic regression models to examine associations between each environmental item, public transport availability and commuter walking. Half (52%) of respondents were classified as commuter walkers (n=352) (66% female; 47% aged <30 years). Respondents were significantly more likely to walk for their daily commute if they reported there to be convenient walking routes (OR (odds ratio) 2.05, 95% CI (confidence interval) 1.23-3.42), suitable pavements (OR 2.23, 95% CI 1.23-4.04), maintained pavements (OR 1.64, 95% CI 1.02-2.62) or convenient public transport (OR 4.98, 95% CI 3.34-7.44) after adjusting for socio-demographic characteristics, free car parking at work and distance lived from work. Creating ‘pedestrian friendly’ environments in workplace surroundings may be important for encouraging walking for the daily commute to work. Such environments would include convenient routes, suitable and maintained pedestrian infrastructure and convenient access to public transport. Improving and maintaining the walking environment around existing workplaces and ensuring infrastructure around new workplaces is designed to support commuter walking should be considered a priority area for investment

Are perceptions of the environment in the workplace 'neighbourhood' associated with commuter walking?

AbstractWalking for the daily commute is one potential strategy for increasing physical activity levels. Understanding the behaviour-specific environmental correlates associated with commuter walking will help effective interventions to be identified and developed. The aim of this study was to examine the associations of perceptions of the environment in the workplace ‘neighbourhood’ and commuter walking.Participants in the baseline survey of the Walking Works intervention study reported perceptions of ten environmental attributes in their workplace neighbourhood, availability of public transport, time spent walking to and from work in the last seven days, their participation in physical activity and socio-demographic characteristics (n=676). We built a series of multivariate logistic regression models to examine associations between each environmental item, public transport availability and commuter walking.Half (52%) of respondents were classified as commuter walkers (n=352) (66% female; 47% aged <30 years). Respondents were significantly more likely to walk for their daily commute if they reported there to be convenient walking routes (OR (odds ratio) 2.05, 95% CI (confidence interval) 1.23–3.42), suitable pavements (OR 2.23, 95% CI 1.23–4.04), maintained pavements (OR 1.64, 95% CI 1.02–2.62) or convenient public transport (OR 4.98, 95% CI 3.34–7.44) after adjusting for socio-demographic characteristics, free car parking at work and distance lived from work.Creating ‘pedestrian friendly’ environments in workplace surroundings may be important for encouraging walking for the daily commute to work. Such environments would include convenient routes, suitable and maintained pedestrian infrastructure and convenient access to public transport. Improving and maintaining the walking environment around existing workplaces and ensuring infrastructure around new workplaces is designed to support commuter walking should be considered a priority area for investment

Estimating the burden of disease attributable to physical inactivity in South Africa in 2000

Objectives. To quantify the burden of disease attributable to physical inactivity in persons 15 years or older, by age group and sex, in South Africa for 2000. Design. The global comparative risk assessment (CRA) methodology of the World Health Organization was followed to estimate the disease burden attributable to physical inactivity. Levels of physical activity for South Africa were obtained from the World Health Survey 2003. A theoretical minimum risk exposure of zero, associated outcomes, relative risks, and revised burden of disease estimates were used to calculate population-attributable fractions and the burden attributed to physical inactivity. Monte Carlo simulation-modelling techniques were used for the uncertainty analysis. Setting. South Africa. Subjects. Adults ≥ 15 years. Outcome measures. Deaths and disability-adjusted life years (DALYs) from ischaemic heart disease, ischaemic stroke, breast cancer, colon cancer, and type 2 diabetes mellitus. Results. Overall in adults ≥ 15 years in 2000, 30% of ischaemic heart disease, 27% of colon cancer, 22% of ischaemic stroke, 20% of type 2 diabetes, and 17% of breast cancer were attributable to physical inactivity. Physical inactivity was estimated to have caused 17 037 (95% uncertainty interval 11 394 - 20 407), or 3.3% (95% uncertainty interval 2.2 - 3.9%) of all deaths in 2000, and 176 252 (95% uncertainty interval 133 733 - 203 628) DALYs, or 1.1% (95% uncertainty interval 0.8 - 1.3%) of all DALYs in 2000. Conclusions. Compared with other regions and the global average, South African adults have a particularly high prevalence of physical inactivity. In terms of attributable deaths, physical inactivity ranked 9th compared with other risk factors, and 12th in terms of DALYs. There is a clear need to assess why South Africans are particularly inactive, and to ensure that physical activity/inactivity is addressed as a national health priority

Effect of questionnaire length, personalisation and reminder type on response rate to a complex postal survey: randomised controlled trial.

BACKGROUND: Minimising participant non-response in postal surveys helps to maximise the generalisability of the inferences made from the data collected. The aim of this study was to examine the effect of questionnaire length, personalisation and reminder type on postal survey response rate and quality and to compare the cost-effectiveness of the alternative survey strategies. METHODS: In a pilot study for a population study of travel behaviour, physical activity and the environment, 1000 participants sampled from the UK edited electoral register were randomly allocated using a 2×2 factorial design to receive one of four survey packs: a personally addressed long (24 page) questionnaire pack, a personally addressed short (15 page) questionnaire pack, a non-personally addressed long questionnaire pack or a non-personally addressed short questionnaire pack. Those who did not return a questionnaire were stratified by initial randomisation group and further randomised to receive either a full reminder pack or a reminder postcard. The effects of the survey design factors on response were examined using multivariate logistic regression. RESULTS: An overall response rate of 17% was achieved. Participants who received the short version of the questionnaire were more likely to respond (OR=1.48, 95% CI 1.06 to 2.07). In those participants who received a reminder, personalisation of the survey pack and reminder also increased the odds of response (OR=1.44, 95% CI 1.01 to 1.95). Item non-response was relatively low, but was significantly higher in the long questionnaire than the short (9.8% vs 5.8%; p=.04). The cost per additional usable questionnaire returned of issuing the reminder packs was £23.1 compared with £11.3 for the reminder postcards. CONCLUSIONS: In contrast to some previous studies of shorter questionnaires, this trial found that shortening a relatively lengthy questionnaire significantly increased the response. Researchers should consider the trade off between the value of additional questions and a larger sample. If low response rates are expected, personalisation may be an important strategy to apply. Sending a full reminder pack to non-respondents appears a worthwhile, albeit more costly, strategy.RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are

Correlates of walking and cycling for transport and recreation: factor structure, reliability and behavioural associations of the perceptions of the environment in the neighbourhood scale (PENS).

BACKGROUND: Emerging evidence suggests that walking and cycling for different purposes such as transport or recreation may be associated with different attributes of the physical environment. Few studies to date have examined these behaviour-specific associations, particularly in the UK. This paper reports on the development, factor structure and test-retest reliability of a new scale assessing perceptions of the environment in the neighbourhood (PENS) and the associations between perceptions of the environment and walking and cycling for transport and recreation. METHODS: A new 13-item scale was developed for assessing adults' perceptions of the environment in the neighbourhood (PENS). Three sets of analyses were conducted using data from two sources. Exploratory and confirmatory factor analyses were used to identify a set of summary environmental variables using data from the iConnect baseline survey (n = 3494); test-retest reliability of the individual and summary environmental items was established using data collected in a separate reliability study (n = 166); and multivariable logistic regression was used to determine the associations of the environmental variables with walking for transport, walking for recreation, cycling for transport and cycling for recreation, using iConnect baseline survey data (n = 2937). RESULTS: Four summary environmental variables (traffic safety, supportive infrastructure, availability of local amenities and social order), one individual environmental item (street connectivity) and a variable encapsulating general environment quality were identified for use in further analyses. Intraclass correlations of these environmental variables ranged from 0.44 to 0.77 and were comparable to those seen in other similar scales. After adjustment for demographic and other environmental factors, walking for transport was associated with supportive infrastructure, availability of local amenities and general environment quality; walking for recreation was associated with supportive infrastructure; and cycling for transport was associated only with street connectivity. There was limited evidence of any associations between environmental attributes and cycling for recreation. CONCLUSION: PENS is acceptable as a short instrument for assessing perceptions of the urban environment. Previous findings that different attributes of the environment may be associated with different behaviours are confirmed. Policy action to create supportive environments may require a combination of environmental improvements to promote walking and cycling for different purposes.RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are