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Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study

Obesity is an increasing public health concern in the U.S. and a contributor to chronic illness, with trends revealing a rise in adult obesity and chronic disease rates among the most vulnerable and disadvantaged populations, including those in rural communities. A mixed-methods approach was used to...

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Autores principales: Jones, Natalie, Dlugonski, Deirdre, Gillespie, Rachel, DeWitt, Emily, Lianekhammy, Joann, Slone, Stacey, Cardarelli, Kathryn M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8303275/
https://www.ncbi.nlm.nih.gov/pubmed/34300097
http://dx.doi.org/10.3390/ijerph18147646
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author Jones, Natalie
Dlugonski, Deirdre
Gillespie, Rachel
DeWitt, Emily
Lianekhammy, Joann
Slone, Stacey
Cardarelli, Kathryn M.
author_facet Jones, Natalie
Dlugonski, Deirdre
Gillespie, Rachel
DeWitt, Emily
Lianekhammy, Joann
Slone, Stacey
Cardarelli, Kathryn M.
author_sort Jones, Natalie
collection PubMed
description Obesity is an increasing public health concern in the U.S. and a contributor to chronic illness, with trends revealing a rise in adult obesity and chronic disease rates among the most vulnerable and disadvantaged populations, including those in rural communities. A mixed-methods approach was used to examine perspectives on perceived physical activity barriers, resources, and level of community support. Researchers utilized the socioecological model to examine the multiple domains that support physical activity in rural Appalachia. The present study focuses on baseline data, including a cohort survey to assess physical activity, health status, and barriers to physical activity, and five focus groups with elected community leaders, community residents, members, and key stakeholders to assess perspectives on physical activity barriers and resources within the county. The cohort survey sample (N = 152) reported a median of 6 barriers (range 0–13) to participating in at least 30 min of physical activity daily. The qualitative analysis yielded three overarching themes related to physical activity participation: lack of motivation, physical environment, and cultural barriers. This mixed-methods study revealed the challenges and perceptions among rural residents across the socioecological model when assessing physical inactivity. Findings can be used to tailor future interventions focused on expanding social support, designing infrastructure, and creating policies that promote physical activity.
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spelling pubmed-83032752021-07-25 Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study Jones, Natalie Dlugonski, Deirdre Gillespie, Rachel DeWitt, Emily Lianekhammy, Joann Slone, Stacey Cardarelli, Kathryn M. Int J Environ Res Public Health Article Obesity is an increasing public health concern in the U.S. and a contributor to chronic illness, with trends revealing a rise in adult obesity and chronic disease rates among the most vulnerable and disadvantaged populations, including those in rural communities. A mixed-methods approach was used to examine perspectives on perceived physical activity barriers, resources, and level of community support. Researchers utilized the socioecological model to examine the multiple domains that support physical activity in rural Appalachia. The present study focuses on baseline data, including a cohort survey to assess physical activity, health status, and barriers to physical activity, and five focus groups with elected community leaders, community residents, members, and key stakeholders to assess perspectives on physical activity barriers and resources within the county. The cohort survey sample (N = 152) reported a median of 6 barriers (range 0–13) to participating in at least 30 min of physical activity daily. The qualitative analysis yielded three overarching themes related to physical activity participation: lack of motivation, physical environment, and cultural barriers. This mixed-methods study revealed the challenges and perceptions among rural residents across the socioecological model when assessing physical inactivity. Findings can be used to tailor future interventions focused on expanding social support, designing infrastructure, and creating policies that promote physical activity. MDPI 2021-07-19 /pmc/articles/PMC8303275/ /pubmed/34300097 http://dx.doi.org/10.3390/ijerph18147646 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jones, Natalie
Dlugonski, Deirdre
Gillespie, Rachel
DeWitt, Emily
Lianekhammy, Joann
Slone, Stacey
Cardarelli, Kathryn M.
Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study
title Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study
title_full Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study
title_fullStr Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study
title_full_unstemmed Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study
title_short Physical Activity Barriers and Assets in Rural Appalachian Kentucky: A Mixed-Methods Study
title_sort physical activity barriers and assets in rural appalachian kentucky: a mixed-methods study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8303275/
https://www.ncbi.nlm.nih.gov/pubmed/34300097
http://dx.doi.org/10.3390/ijerph18147646
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