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BMC Public Health
Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Study protocol

A natural experiment to examine the impact of park renewal on park-use and park-based physical activity in a disadvantaged neighbourhood: the REVAMP study methods

Authors: Jenny Veitch, Jo Salmon, Alison Carver, Anna Timperio, David Crawford, Elly Fletcher, Billie Giles-Corti

Published in: BMC Public Health | Issue 1/2014

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Abstract

Background

Modifying the built environment by improving parks is potentially a sustainable way to increase population level physical activity. Despite considerable investment in parks and park renovations, few natural experiments on the impact of improving amenities on park use and park-based physical activity have been conducted. REVAMP is a natural experiment that aims to examine whether park improvement increases overall park usage, park-based physical activity and active travel to and from the park in the intervention compared with the control park over a two-year period; and to identify which specific aspects of the park refurbishment attracts park visitors and encourages park users to be more active. This paper describes the methods of the REVAMP study.

Methods

The intervention park is a large regional park (329 hectares) located in a low socio-economic status (SES) area in the north-eastern suburbs of Melbourne, Australia. The control park is a regional park (120 hectares) located in a high SES area in the eastern suburbs of Melbourne. Multiple methodologies to evaluate the impact of the park renovation are being employed including: cross-sectional surveys of local residents living near the two parks, direct observations of park users, intercept surveys with park users, and electronic monitoring of path usage and car traffic within the parks. Baseline measures were conducted in April-May 2013 (T1), and an innovative play space suitable for children of all ages and abilities was installed at the intervention park between September 2013 and February 2014. Follow-up measures will be repeated in April-May 2014 (T2) and April-May 2015 (T3). All methodologies will be completed at both the intervention and control parks at all three time-points, with the exception of the cross-sectional survey of local residents which will only be conducted at T1 and T3.

Conclusion

This research will inform future park developments, and will contribute to creating an evidence base of the impact of park refurbishment, and the development of natural experiment methodology.

Trial Registration

Current controlled trial ISRCTN50745547, registration date 11.1.2014.
Appendix
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Literature
1.
Godbey GC, Caldwell LL, Floyd M, Payne LL: Contributions of leisure studies and recreation and park management research to the active living agenda. Am J Prev Med. 2005, 28 (2 Suppl 2): 150-158.CrossRefPubMed
2.
Kaczynski AT, Henderson KA: Environmental correlates of physical activity: a review of evidence about parks and recreation. Leisure Sci. 2007, 29 (4): 315-354.CrossRef
3.
Hansen-Ketchum PA, Halpenny EA: Engaging with nature to promote health: bridging research silos to examine the evidence. Health Promot Int. 2011, 26 (1): 100-108.CrossRefPubMed
4.
Pretty J, Peacock J, Sellens M, Griffin M: The mental and physical health outcomes of green exercise. Int J Env Health Research. 2005, 15 (5): 319-337.CrossRef
5.
Mitchell R: Is physical activity in natural environments better for mental health than physical activity in other environments?. Soc Sci Med. 2013, 91: 130-134.CrossRefPubMed
6.
Haskell W, Lee I-M, Pate R, Powell K, Blair S, Franklin B, Macera C, Heath G, Thompson P, Bauman A: Physical activity and public health: updated recommendations for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007, 39 (8): 1423-1434.CrossRefPubMed
7.
Begg S, Vos T, Barker B, Stevenson C, Stanley L, Lopez AD: The burden of disease and injury in Australia 2003. PHE 82. 2007, Canberra: AIHW
8.
Sugiyama T, Neuhaus M, Cole R, Giles-Corti B, Owen N: Destination and route attributes associated with adults' walking: a review. Med Sci Sports Exerc. 2012, 44 (7): 1275-1286.CrossRefPubMed
9.
Sugiyama T, Francis J, Middleton NJ, Owen N, Giles-Corti B: Associations between recreational walking and attractiveness, size, and proximity of neighborhood open spaces. Am J Public Health. 2010, 100 (9): 1752-1757.CrossRefPubMedPubMedCentral
10.
Cohen DA, McKenzie TL, Sehgal A, Williamson S, Golinelli D, Lurie N: Contribution of public parks to physical activity. Am J Public Health. 2007, 97 (3): 509-514.CrossRefPubMedPubMedCentral
11.
Floyd MF, Spengler JO, Maddock JE, Gobster PH, Suau LJ: Park-based physical activity in diverse communities of two U.S. cities. An observational study. Am J Prev Med. 2008, 34 (4): 299-305.CrossRefPubMed
12.
Giles-Corti B, Broomhall M, Knuiman M, Collins C, Douglas K, Ng K, Lange A, Donovan R: Increased walking. How important is distance to, attractiveness, and size of public open space?. Am J Prev Med. 2005, 28 (2S2): 169-176.CrossRefPubMed
13.
Kaczynski A, Potwarka L, Saelens B: Association of park size, distance, and features with physical activity in neighbourhood parks. Am J Public Health. 2008, 98 (8): 1451-1456.CrossRefPubMedPubMedCentral
14.
Schipperijn J, Bentsen P, Troelsen J, Toftager M, Stigsdotter UK: Associations between physical activity and characteristics of urban green space. Urban Forestry Urban Greening. 2013, 12 (1): 109-116.CrossRef
15.
Turrell G, Haynes M, Burton NW, Giles-Corti B, Oldenburg B, Wilson LA, Giskes K, Brown WJ: Neighborhood disadvantage and physical activity: baseline results from the HABITAT multilevel longitudinal study. Annals Epidemiology. 2010, 20 (3): 171-181.CrossRef
16.
Ball K, Crawford D: Socio-economic factors in obesity: a case of slim chance in a fat world?. Asia Pac J Clin Nutr. 2006, 15 (Suppl): 15-20.PubMed
17.
Mitchell R, Popham F: Effect of exposure to natural environment on health inequalities: an observational population study. Lancet. 2008, 372 (9650): 1655-1660.CrossRefPubMed
18.
Timperio A, Ball K, Salmon J, Roberts R, Crawford D: Is availability of public open space equitable across areas?. Health Place. 2007, 13: 335-340.CrossRefPubMed
19.
Crawford D, Timperio A, Giles-Corti B, Ball K, Hume C, Roberts R, Andrianopoulos N, Salmon J: Do features of public open spaces vary according to neighbourhood socio-economic status?. Health Place. 2008, 14 (4): 889-893.CrossRefPubMed
20.
Pearce JR, Maddison R: Do enhancements to the urban built environment improve physical activity levels among socially disadvantaged populations?. Int J Equity Health. 2011, 10: 28-CrossRefPubMedPubMedCentral
21.
Craig P, Cooper C, Gunnell D, Haw S, Lawson K, Macintyre S, Ogilvie D, Petticrew M, Reeves B, Sutton M, Thompson S: Using natural experiments to evaluate population health interventions: new Medical Research Council guidance. J Epidemiol Community Health. 2012, 66 (12): 1182-1186.CrossRefPubMedPubMedCentral
22.
Sallis JF, Story M, Lou D: Study designs and analytic strategies for environmental and policy research on obesity, physical activity, and diet: recommendations from a meeting of experts. Am J Prev Med. 2009, 36 (2, Supplement 1): S72-S77.CrossRefPubMedPubMedCentral
23.
Story M, Giles-Corti B, Yaroch AL, Cummins S, Frank LD, Huang TTK, Lewis LB: Work group IV: future directions for measures of the food and physical activity environments. Am J Prev Med. 2009, 36 (4, Supplement 1): S182-S188.CrossRefPubMed
24.
Fitzhugh EC, Bassett DR, Evans MF: Urban trails and physical activity: a natural experiment. Am J Prev Med. 2010, 39 (3): 259-262.CrossRefPubMed
25.
Tester J, Baker R: Making the playfields even: evaluating the impact of an environmental intervention on park use and physical activity. Prev Med. 2009, 48 (4): 316-320.CrossRefPubMed
26.
Ogilvie D, Bull F, Cooper A, Rutter H, Adams E, Brand C, Ghali K, Jones T, Mutrie N, Powell J, Preston J, Sahlqvist S, Song Y: Evaluating the travel, physical activity and carbon impacts of a 'natural experiment' in the provision of new walking and cycling infrastructure: methods for the core module of the iConnect study. BMJ Open. 2012, 2: e000694-CrossRefPubMedPubMedCentral
27.
Tully MA, Hunter RF, McAneney H, Cupples ME, Donnelly M, Ellis G, Hutchinson G, Prior L, Stevenson M, Kee F: Physical activity and the rejuvenation of Connswater (PARC study): protocol for a natural experiment investigating the impact of urban regeneration on public health. BMC Public Health. 2013, 13 (1): 774-CrossRefPubMedPubMedCentral
28.
Giles-Corti B, Bull F, Knuiman M, McCormack G, Van Niel K, Timperio A, Christian H, Foster S, Divitini M, Middleton N, Boruff B: The influence of urban design on neighbourhood walking following residential relocation: longitudinal results from the RESIDE study. Soc Sci Med. 2013, 77: 20-30.CrossRefPubMed
29.
Cohen DA, Golinelli D, Williamson S, Sehgal A, Marsh T, McKenzie TL: Effects of park improvements on park use and physical activity: policy and programming implications. Am J Prev Med. 2009, 37 (6): 475-480.CrossRefPubMedPubMedCentral
30.
Cohen DA, Marsh T, Williamson S, Golinelli D, McKenzie TL: Impact and cost-effectiveness of family fitness zones: a natural experiment in urban public parks. Health Place. 2012, 18 (1): 39-45.CrossRefPubMedPubMedCentral
31.
Bohn-Goldbaum EE, Phongsavan P, Merom D, Rogers K, Kamalesh V, Bauman AE: Does playground improvement increase physical activity among children? A quasi-experimental study of a natural experiment. J Envir Public Health. 2013, 2013: 109841-CrossRef
32.
Veitch J, Ball K, Crawford D, Abbott GR, Salmon J: Park improvements and park activity: a natural experiment. Am J Prev Med. 2012, 42 (6): 616-619.CrossRefPubMed
33.
34.
Sallis JF, Cervero R, Ascher W, Henderson K, Kraft M, Kerr J: An ecological approach to creating active living communities. Ann Review Public Health. 2006, 27: 297-322.CrossRef
35.
Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003, 35 (8): 1381-1395.CrossRefPubMed
36.
Cohen S, Kamarck T, Mermelstein R: A global measure of perceived stress. J Health Social Behavior. 1983, 24 (4): 385-396.CrossRef
37.
Radloff L: The CES-D scale: a self-report depression scale for research in the general population. App Psychological Measurement. 1977, 1: 385-401.CrossRef
38.
Mujahid MS, Diez Roux AV, Morenoff JD, Raghunathan T: Assessing the measurement properties of neighborhood scales: from psychometrics to ecometrics. Am J Epidemiol. 2007, 165 (8): 858-867.CrossRefPubMed
39.
Sampson RJ, Raudenbush SW, Earls F: Neighborhoods and violent crime: a multilevel study of collective efficacy. Science. 1997, 277 (5328): 918-924.CrossRefPubMed
40.
41.
Sim J, Wright C: Research in health care: concepts, designs and methods. 2000, Glos.: Stanley Thornes
42.
Portney L, Watkins M: Foundations of clinical research: applications to practice. 2000, Upper Saddle River, New Jersey: Prentice-Hall, 2
43.
Campbell MJ, Julious SA, Altman DG: Estimating sample sizes for binary, ordered categorical, and continuous outcomes in two group comparisons. BMJ. 1995, 311 (7013): 1145-1148.CrossRefPubMedPubMedCentral
44.
McKenzie TL, Cohen DA, Sehgal A, Williamson S, Golinelli D: System for observing play and recreation in communities (SOPARC): reliability and feasibility measures. J Phys Act Health. 2006, 3 (Suppl 1): S208-S222.PubMed
45.
Parra DC, McKenzie TL, Ribeiro IC, Ferreira Hino AA, Dreisinger M, Coniglio K, Munk M, Brownson RC, Pratt M, Hoehner CM, Simoes EJ: Assessing physical activity in public parks in Brazil using systematic observation. Am J Public Health. 2010, 100 (8): 1420-1426.CrossRefPubMedPubMedCentral
46.
Hino AAF, Reis RS, Ribeiro IC, Parra DC, Brownson RC, Fermino RC: Using observational methods to evaluate public open spaces and physical activity in Brazil. J Phys Act Health. 2010, 7: S146-S154.
47.
Petticrew M, Cummins S, Ferrell C, Findlay A, Higgins C, Hoy C, Kearns A, Sparks L: Natural experiments: an underused tool for public health?. Public Health. 2005, 119 (9): 751-757.CrossRefPubMed
48.
Krishnaswami J, Martinson M, Wakimoto P, Anglemeyer A: Community-engaged interventions on diet, activity, and weight outcomes in U.S. schools: a systematic review. Am J Prev Med. 2012, 43 (1): 81-91.CrossRefPubMed
49.
Walker JT, Mowen AJ, Hendricks WW, Kruger J, Morrow JR, Bricker K: Physical activity in the park setting (PA-PS) questionnaire: reliability in a California statewide sample. J Phys Activity Health. 2009, 6 (Suppl 1): S97-104.
50.
Bai H, Wilhelm Stanis SA, Kaczynski AT, Besenyi GM: Perceptions of neighborhood park quality: associations with physical activity and body mass index. Annals Behav Med. 2013, 45 (Suppl 1): S39-48.CrossRef
51.
Dobbinson SJ, White V, Wakefield MA, Jamsen KM, White V, Livingston PM, English DR, Simpson JA: Adolescents' use of purpose built shade in secondary schools: cluster randomised controlled trial. BMJ. 2009, 338: b95-CrossRefPubMedPubMedCentral
52.
Cerin E, Conway TL, Saelens BE, Frank LD, Sallis JF: Cross-validation of the factorial structure of the neighborhood environment walkability scale (NEWS) and its abbreviated form (NEWS-A). Int J Behav Nutr Phys Act. 2009, 6: 32-CrossRefPubMedPubMedCentral
53.
54.
Burdette HL, Whitaker RC, Daniels SR: Parental report of outdoor playtime as a measure of physical acticivity in preschool-aged children. Arch Pediatr Adol Med. 2004, 158: 353-357.CrossRef
55.
Cleland V, Crawford D, Baur LA, Hume C, Timperio A, Salmon J: A prospective examination of children’s time spent outdoors, objectively measured physical activity and overweight. Int J Obesity. 2008, 1-9.
56.
Prochaska JJ, Sallis JF, Long B: A physical activity screening measure for use with adolescents in primary care. Arch Pediatric Adoles Medicine. 2001, 155: 554-9.CrossRef
57.
Telford A, Salmon J, Jolley D, Crawford D: Reliability and validity of physical activity questionnaires for children: the children’s leisure activities study survey (CLASS). Pediatr Exerc Sci. 2004, 16: 64-78.
Metadata
Title
A natural experiment to examine the impact of park renewal on park-use and park-based physical activity in a disadvantaged neighbourhood: the REVAMP study methods
Authors
Jenny Veitch
Jo Salmon
Alison Carver
Anna Timperio
David Crawford
Elly Fletcher
Billie Giles-Corti
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-600

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