12 research outputs found
Recruitment and retention strategies for community-based longitudinal studies in diverse urban neighborhoods
Longitudinal, natural experiments provide an ideal evaluation approach to better understand the impact of built environment interventions on community health outcomes, particularly health disparities. As there are many participant engagement challenges inherent in the design of large-scale community-based studies, adaptive and iterative participant engagement strategies are critical. This paper shares practical lessons learned from the Physical Activity and Redesigned Community Spaces (PARCS) study, which is an evaluation of the impact of a citywide park renovation initiative on physical activity, psychosocial health, and community well-being. The PARCS study, although ongoing, has developed several approaches to improve participant engagement: building trust with communities, adapting the study protocol to meet participants’ needs and to reflect their capacity for participation, operational flexibility, and developing tracking systems. These strategies may help researchers anticipate and respond to participant engagement challenges in community-based studies, particularly in low-income communities of color
Correlates of accelerometry non-adherence in an economically disadvantaged minority urban adult population
Objectives: The purpose of this study was to examine socio-demographic and psychosocial correlates of non-adherence to an accelerometry protocol in an economically disadvantaged urban population. Design: Cross-sectional study. Methods: We analyzed 985 New York City adult participants aged 18–81 years from the Physical Activity and Redesigned Community Spaces (PARCS) study. Participants were asked to wear a hip-worn ActiGraph GT3X-BT accelerometer for one week. Adherent accelerometer wear was defined as ≥3 days of ≥8 h/day of wear over a 7-day period and non-adherent accelerometry wear was defined as any wear less than adherent wear from returned accelerometers. Examined correlates of adherence included sociodemographic and psychosocial characteristics (e.g., general physical/mental health-related quality of life, self-efficacy for exercise, stress, sense of community/neighborhood well-being, and social cohesion). Results: From the total sample, 636 (64.6%) participants provided adherent wear and 349 (35.4%) provided non-adherent wear. In multivariable analysis, younger age (odds ratio [OR] = 0.63, 95% confidence interval [CI]: 0.53–0.75), poorer health-related quality of life (OR = 0.80, 95% CI: 0.65–0.98 for physical health and OR = 0.77, 95% CI: 0.62–0.94 for mental health), lower sense of community (OR = 0.79, 95% CI: 0.62–1.00) and current smoking status (OR = 1.97, 95% CI: 1.35–2.86) were associated with non-adherent wear. Conclusions: Non-adherent wear was associated with younger age, smoking, and lower self-reported physical/mental functioning and sense of community. This information can inform targeted adherence strategies to improve physical activity and sedentary behavior estimates from accelerometry data in future studies involving an urban minority population
Glaciohydraulic supercooling and englacial sediment entrainment in temperate glaciers
We present evidence of glaciohydraulic supercooling under jökulhlaup and ablation- dominated conditions from two temperate Icelandic glaciers. Observations show that freezing of sediment-laden meltwater leads to intraglacial debris entrainment during normal and extreme hydrologic regimes. Intraglacial frazil ice propagation under normal ablation-dominated conditions can trap copious volumes of sediment, which forms anomalously thick sections of debris-rich ice. Glaciohydraulic supercooling plays an important role in intraglacial debris entrainment and should be given more attention in models of basal ice development. Extreme jökulhlaup conditions can result in significant intraglacial sediment accretion by supercooling, which may explain the concentration of englacial sediments deposited in Heinrich layers in the North Atlantic during the last glaciation