Please use this identifier to cite or link to this item: http://hdl.handle.net/10125/50873

Community Interventions to Promote Physical Activity

File Description SizeFormat 
2015-05-dph-choy_r.pdfVersion for non-UH users. Copying/Printing is not permitted1.64 MBAdobe PDFView/Open
2015-05-dph-choy_uh.pdfFor UH users only1.77 MBAdobe PDFView/Open

Item Summary

Title: Community Interventions to Promote Physical Activity
Authors: Choy, Lehua
Keywords: built environment
community-based participatory research
community coalitions
physical activity
social ecological model
Issue Date: May 2015
Publisher: [Honolulu] : [University of Hawaii at Manoa], [May 2015]
Abstract: Physical activity (PA) is an essential health-promoting behavior. Unfortunately, the majority of U.S. adults are not sufficiently active, and certain groups are even less likely to engage in regular PA. To increase population-levels of PA and resolve PA disparities, community interventions are needed to address multiple levels of a social ecological framework. The purpose of this dissertation research was to contribute to the knowledge about effective community interventions for PA, with a particular focus on the process of engaging community members to participate in the design and implementation of community interventions.
The dissertation research was comprised of three studies. The first study was a systematic literature review of community-based participatory research interventions for PA. The major finding of the systematic review was that community participation was integrated rather inconsistently in the intervention process, but nearly all interventions were able to impact multiple levels of a social ecological framework. In the second study, a grounded theory approach was used to develop a theory of change for how a community coalition, Get Fit Kaua‘i, was able to create policy and environmental changes. This qualitative study was comprised of semi-structured interviews with a purposeful sample of 25 coalition stakeholders. The theory resulting from the interviews highlighted the importance of capacity building, the influence of community context, and the complementary programmatic activities that enabled built environment policy changes. In the third study, a secondary data analysis employed structural equation modeling to assess the cross-sectional association between perceived social and built environment factors with PA levels in a sample of 3,626 Hawai‘i adults. The resulting model confirmed that community interventions must address intrapersonal factors, along with modifiable factors in the built and social environments.
Together, the dissertation studies contribute to the evidence supporting the utility of community interventions to promote PA. The studies reflect the challenges facing community interventions that seek to address the upper levels of policy and environmental change in the social ecological model. Based on the dissertation findings and study limitations, the final chapter provides practice implications and directions for future research.
Description: D.P.H. University of Hawaii at Manoa 2015.
Includes bibliographical references.
URI/DOI: http://hdl.handle.net/10125/50873
Appears in Collections:D.P.H. - Public Health


Please contact sspace@hawaii.edu if you need this content in an ADA compliant alternative format.

Items in ScholarSpace are protected by copyright, with all rights reserved, unless otherwise indicated.