1
|
Morgenthaler T, Lynch H, Loebach J, Pentland D, Schulze C. Using the Theory of Affordances to Understand Environment-Play Transactions: Environmental Taxonomy of Outdoor Play Space Features-A Scoping Review. Am J Occup Ther 2024; 78:7804185120. [PMID: 38805416 DOI: 10.5014/ajot.2024.050606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2024] Open
Abstract
IMPORTANCE The transactions between the physical environment and children's play have not been well studied. The theory of affordances provides a way to better understand how environmental characteristics offer opportunities for play occupation. OBJECTIVE To investigate the relationship between environmental characteristics of outdoor play spaces and children's outdoor play and to develop an environmental taxonomy to support the analysis of play affordances in community play spaces. DATA SOURCES Peer-reviewed literature (1974-2023) was sourced from a previously published scoping review (Morgenthaler, Schulze, et al., 2023). The Academic Search Complete, Avery Index to Architectural Periodicals, CINAHL, MEDLINE, PsycINFO, Scopus, and Web of Science databases were searched using the keywords and synonyms of playground, environmental qualities, and children with and without disabilities. STUDY SELECTION AND DATA COLLECTION A secondary analysis of the previously published scoping review was conducted. Included studies were those that provided descriptions of physical environment-play activity transactions. FINDINGS A qualitative content analysis of 45 articles was conducted and used to form an environmental taxonomy. This taxonomy consisted of 14 space and object categories defined by their functional qualities and linked to play affordances. An array of 284 play occupations were identified in different forms. Play affordances of spaces and object categories and their functional environmental qualities were subsequently identified. CONCLUSIONS AND RELEVANCE This study provides evidence to support the understanding of how the physical environment shapes children's outdoor play occupations. Plain-Language Summary: The study authors developed the Environmental Taxonomy of Outdoor Play Space Features as a tool that occupational therapists can use to better understand and describe how the physical environment shapes opportunities for play. The tool could also be useful to justify environmental intervention in schools and public playgrounds to create spaces that support more play for a diversity of children.
Collapse
Affiliation(s)
- Thomas Morgenthaler
- Thomas Morgenthaler, MSc, is PhD Candidate and P4Play Research Fellow, Department of Occupational Science and Occupational Therapy, University College Cork, Cork, Ireland, and Division of Occupational Therapy & Arts Therapies, Queen Margaret University, Edinburgh, United Kingdom;
| | - Helen Lynch
- Helen Lynch, PhD, MSc, is Senior Lecturer and Graduate Programme Director, P4Play Consortium, Department of Occupational Science and Occupational Therapy, University College Cork, Cork, Ireland
| | - Janet Loebach
- Janet Loebach, PhD, MEDS, is Assistant Professor, Department of Human Centered Design, and Director, DECA Lab (Design Environments with|for Children & Adolescents), Cornell University, Ithaca, New York
| | - Duncan Pentland
- Duncan Pentland, D Health Soc Sci, MSc, is Division Head, P4Play Consortium, Division of Occupational Therapy & Arts Therapies, Queen Margaret University, Edinburgh, United Kingdom
| | - Christina Schulze
- Christina Schulze, PhD, MSc, is Professor, P4Play Consortium, Institute of Occupational Therapy, School of Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
| |
Collapse
|
2
|
Haq AN, Ito Y, Suyama N, Bontje P, Hanifah H, Inoue K. Usability of Public Play Spaces for Children with Disabilities. Occup Ther Int 2023; 2023:4306627. [PMID: 38187036 PMCID: PMC10769761 DOI: 10.1155/2023/4306627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 11/15/2023] [Accepted: 12/12/2023] [Indexed: 01/09/2024] Open
Abstract
Purpose To investigate the usability of public play spaces for children with disabilities by exploring their experiences in accessing and using these spaces and to further discuss recommendations for designing such spaces that are usable for these children. Methods A hermeneutic phenomenological approach was employed to explore the experience of children with disabilities regarding the public play spaces. Seven children and their caregivers from two inclusive elementary schools in Central Java Province, Indonesia, participated in the study. Online semistructured interviews with the children were held using Zoom, followed by telephonic interviews with their parents. In addition, video recordings of the observation of the children's participation in the play spaces were gathered. The interview and video observation data were analyzed using van Manen's hermeneutic phenomenology thematic analysis method. Results Five themes arose regarding the experiences of children with disabilities of accessing and using the public play spaces: (1) where time appeared to speed up, (2) "I like the tall one … I like extreme," (3) fostering connectedness, (4) the need for a safe space, and (5) how a play space should be. Conclusion The public play spaces have meaningful values for the children with disabilities and their family, as they offered the opportunities to play, explore, interact with friends and families, enjoy nature, interact with animals, and learn. However, it is essential to provide a safe space in which children are free from physical and emotional harm, so that they can fully participate with confidence and a sense of autonomy. Nevertheless, it was also found that children, regardless of their abilities, craved risky and challenging play opportunities. This study also highlights the necessity of awareness-raising intervention programs to foster the inclusion of children with disabilities in public play space settings.
Collapse
Affiliation(s)
- Asma Nidaul Haq
- Department of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan
| | - Yuko Ito
- Department of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan
| | - Natsuka Suyama
- Department of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan
| | - Peter Bontje
- Department of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan
| | - Hana Hanifah
- Department of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan
- Department of Humanities, Illinois Institute of Technology, Chicago, IL, USA
| | - Kaoru Inoue
- Department of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan
| |
Collapse
|
3
|
Moore A, Boyle B, Lynch H. Designing for inclusion in public playgrounds: a scoping review of definitions, and utilization of universal design. Disabil Rehabil Assist Technol 2023; 18:1453-1465. [PMID: 35138989 DOI: 10.1080/17483107.2021.2022788] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Accepted: 12/18/2021] [Indexed: 10/19/2022]
Abstract
PURPOSE Public playgrounds afford children and families important opportunities for outdoor play, social participation, and inclusion. Unfortunately, many children and families experience barriers to accessing, using, and being included in public playgrounds. Consequently, Universal Design (UD) is promoted for providing conceptual guidance for designing for inclusion in public playgrounds. However, a lack of research evidence means researchers have engaged in the ongoing interpretation of the UD concept and related non-discriminatory planning and design concepts. Therefore, the aim of this study was to examine how UD, and related concepts, are used in peer-reviewed articles concerning public playgrounds. MATERIALS AND METHODS A scoping review was conducted in November 2019, which identified 15 peer-reviewed articles that met the inclusion criteria. RESULTS Analysis revealed that the terms UD, inclusive design, accessibility, and usability are all being used to describe non-discriminatory planning and design concepts arbitrarily and without regard for higher or lower order concepts. Two broad interpretations were evident: (a) UD is synonymous with accessibility for some, and (b) UD is a higher-order concept that goes beyond accessibility for others. Nevertheless, findings highlight the utility of UD in underpinning the design of public playgrounds in many developed countries; however, the concept requires further clarity and specificity as it pertains to playground design and more pertinently inclusion in outdoor play. CONCLUSIONS We argue for further conceptual refinement to consolidate the importance and future application of UD for Play (UDP) in the design of public playgrounds that promote outdoor play, social participation, and inclusion.IMPLICATIONS FOR REHABILITATIONMost peer-reviewed journal articles reviewed fail to define what is meant by the term Universal Design.Of those that do provide a definition, the outcome of inclusion in play, or the application of Universal Design to enable play in public playgrounds was unclear.Research to date has mostly focused on related concepts, including accessibility and usability, with less emphasis on Universal Design.Recommend a tailored perspective of Universal Design for Play (UDP).
Collapse
Affiliation(s)
- Alice Moore
- Department of Occupational Science and Occupational Therapy, University College Cork, Cork, Ireland
| | - Bryan Boyle
- Department of Occupational Science and Occupational Therapy, University College Cork, Cork, Ireland
| | - Helen Lynch
- Department of Occupational Science and Occupational Therapy, University College Cork, Cork, Ireland
| |
Collapse
|
4
|
Movahed M, Martial L, Poldma T, Slanik M, Shikako K. Promoting Health through Accessible Public Playgrounds. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1308. [PMID: 37628308 PMCID: PMC10453442 DOI: 10.3390/children10081308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Revised: 07/21/2023] [Accepted: 07/25/2023] [Indexed: 08/27/2023]
Abstract
Every child, irrespective of socioeconomic status, ethnicity, or ability, deserves the fundamental right to experience play, which is a powerful and enriching activity that fosters their physical and mental health. Regrettably, most public play spaces hinder the complete inclusion of children with disabilities, with the main reason being a lack of universal accessibility. This study identified existing international and Canadian policies and community best practices related to inclusive playgrounds, and gathered stakeholders' opinions on the present condition of playgrounds, including challenges faced by children with disabilities and recommendations to make playgrounds inclusive. The questionnaires were completed by 97 participants. In addition, 10 individual interviews and three focus groups were performed. Ten policy documents and five community best practices were found. Our investigation identified factors that influence the design and implementation of inclusive playgrounds, categorized into three main areas: physical, social, and political environments. The results indicate that children with disabilities lack opportunities to engage fully in the physical and social aspects of playgrounds and spontaneous play activities with their peers. Notably, children with multiple disabilities may not feel welcomed or included in existing public play spaces.
Collapse
Affiliation(s)
- Mehrnoosh Movahed
- School of Physical and Occupational Therapy, McGill University, Montreal, QC H3G 1Y5, Canada; (M.M.)
| | - Luca Martial
- School of Physical and Occupational Therapy, McGill University, Montreal, QC H3G 1Y5, Canada; (M.M.)
| | - Tiiu Poldma
- School of Design, University of Montreal, Montreal, QC H3C 3J7, Canada
| | - Monica Slanik
- School of Physical and Occupational Therapy, McGill University, Montreal, QC H3G 1Y5, Canada; (M.M.)
| | - Keiko Shikako
- School of Physical and Occupational Therapy, McGill University, Montreal, QC H3G 1Y5, Canada; (M.M.)
| |
Collapse
|
5
|
Jansens R, Prellwitz M, Olofsson A, Lynch H. The Representation of Children's Participation in Guidelines for Planning and Designing Public Playspaces: A Scoping Review with "Best Fit" Framework Synthesis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5823. [PMID: 37239550 PMCID: PMC10218453 DOI: 10.3390/ijerph20105823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 05/08/2023] [Accepted: 05/11/2023] [Indexed: 05/28/2023]
Abstract
For children, meaningful participation in community life includes being able to access places for play. Such community playspaces are potentially important for all children, including those with disabilities. Yet, children are rarely asked for their views on the design of playspaces, which can further contribute to exclusionary practices and undermine children's rights to share their views on matters that affect them. In this scoping review, we aim to analyze guidelines and identify strategies for supporting children's participation rights when planning public playspaces. Guidelines are practical tools used by local policymakers when creating community playspaces, which are important sites for children's outdoor play. In total, forty-two guidelines were identified that addressed children's participation rights, along with community involvement. Qualitative evidence synthesis with a "best fit" framework approach was used, informed by Lundy's model of children's participation. The findings revealed the importance of initial community involvement as a critical prerequisite. Strategies for children's participation mostly concerned "space and voice" (for children of diverse abilities), with little attention paid to giving their views due weight. This evidence shows that there is a significant gap in knowledge surrounding policy development and implementation to support adults and children to cooperate equally in designing playspaces. Future directions for research in children's participation require a focus on combined community-children participation approaches in public playspace design. Such work could strengthen and facilitate the role of adults as bearers of the duty to implement the rights of children. This review generated inclusive strategies in planning public playspaces, which could support local policymakers in this complex multi-layered process.
Collapse
Affiliation(s)
- Rianne Jansens
- Department of Health, Education and Technology, Luleå University of Technology, 971 87 Luleå, Sweden; (M.P.); (A.O.)
- Department of Occupational Science and Occupational Therapy, University College Cork, T12 AK54 Cork, Ireland;
| | - Maria Prellwitz
- Department of Health, Education and Technology, Luleå University of Technology, 971 87 Luleå, Sweden; (M.P.); (A.O.)
| | - Alexandra Olofsson
- Department of Health, Education and Technology, Luleå University of Technology, 971 87 Luleå, Sweden; (M.P.); (A.O.)
| | - Helen Lynch
- Department of Occupational Science and Occupational Therapy, University College Cork, T12 AK54 Cork, Ireland;
| |
Collapse
|
6
|
Morgenthaler T, Schulze C, Pentland D, Lynch H. Environmental Qualities That Enhance Outdoor Play in Community Playgrounds from the Perspective of Children with and without Disabilities: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1763. [PMID: 36767130 PMCID: PMC9913926 DOI: 10.3390/ijerph20031763] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 01/11/2023] [Accepted: 01/12/2023] [Indexed: 06/18/2023]
Abstract
For children, playgrounds are important environments. However, children's perspectives are often not acknowledged in playground provision, design, and evaluation. This scoping review aimed to summarize the users' (children with and without disabilities) perspectives on environmental qualities that enhance their play experiences in community playgrounds. Published peer-reviewed studies were systematically searched in seven databases from disciplines of architecture, education, health, and social sciences; 2905 studies were screened, and the last search was performed in January 2023. Included studies (N = 51) were charted, and a qualitative content analysis was conducted. Five themes were formed which provided insights into how both physical and social environmental qualities combined provide for maximum play value in outdoor play experiences. These multifaceted play experiences included the desire for fun, challenge, and intense play, the wish to self-direct play, and the value of playing alone as well as with known people and animals. Fundamentally, children wished for playgrounds to be children's places that were welcoming, safe, and aesthetically pleasing. The results are discussed in respect to social, physical, and atmospheric environmental affordances and the adult's role in playground provision. This scoping review represents the valuable insights of children regardless of abilities and informs about how to maximise outdoor play experiences for all children.
Collapse
Affiliation(s)
- Thomas Morgenthaler
- Department Health, Institute of Occupational Therapy, Zurich University of Applied Science, 8401 Winterthur, Switzerland
- Department of Occupational Science & Occupational Therapy, University College Cork, T12 AK54 Cork, Ireland
- Division of Occupational Therapy & Arts Therapies, Queen Margret University Edinburgh Scotland, Musselburgh EH21 6UU, UK
| | - Christina Schulze
- Department Health, Institute of Occupational Therapy, Zurich University of Applied Science, 8401 Winterthur, Switzerland
| | - Duncan Pentland
- Division of Occupational Therapy & Arts Therapies, Queen Margret University Edinburgh Scotland, Musselburgh EH21 6UU, UK
| | - Helen Lynch
- Department of Occupational Science & Occupational Therapy, University College Cork, T12 AK54 Cork, Ireland
| |
Collapse
|
7
|
Brown DMY, Ross T, Leo J, Buliung RN, Shirazipour CH, Latimer-Cheung AE, Arbour-Nicitopoulos KP. A Scoping Review of Evidence-Informed Recommendations for Designing Inclusive Playgrounds. FRONTIERS IN REHABILITATION SCIENCES 2021; 2:664595. [PMID: 36188796 PMCID: PMC9397725 DOI: 10.3389/fresc.2021.664595] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Accepted: 03/05/2021] [Indexed: 11/13/2022]
Abstract
Background: Playgrounds provide children with many sensory, motor, and socioemotional experiences that are critical to child development. Unfortunately, playgrounds also represent an environment where children with disabilities experience barriers to accessing play. Structures and materials that are prominently found in almost all playground designs (e.g., swings, slides, sand) can present as obstacles for many children with disabilities to engage in independent play.Aims: This scoping review engaged in the empirical literature to address the research question, “What are the evidence-informed recommendations for designing inclusive playgrounds to enable participation for children with disabilities?” Consideration was given not only to the physical design of playgrounds, but also the playgrounds' surrounding built and social environments.Methods: A systematic search of Medline, PsycINFO, CINAHL, EMBase, ERIC and Scopus was conducted. Only peer-reviewed literature published in English between January 1990 and January 2021, with a primary focus on inclusive playground structure design related to any type of disability were included. Data extraction included the study author(s), year of publication, country of origin, purpose, disability types considered, methods, sample characteristics and key findings. Key findings were synthesized into evidence-informed recommendations, which were later collated, using inductive content analysis, into five broader thematically congruent groups.Results: Thirty-five studies were included using case study (n = 17); observational (n = 6); survey (n = 5); experimental (n = 4); and multiple study (n = 3) designs. Thirteen evidence-based recommendations and one promising practice were categorized into five broad playground elements: entry points; surfacing and paths; features to foster inclusive play; staffing/supervision; and design process.Conclusion: These recommendations build upon previous design-based best-practices that focused exclusively on the physical design of the playground. Our recommendations have implications for how future playgrounds should be designed to maximize usability and inclusiveness and the overall playground experiences for children with disabilities.
Collapse
Affiliation(s)
- Denver M. Y. Brown
- Faculty of Kinesiology and Physical Education, Mental Health and Physical Activity Research Centre, University of Toronto, Toronto, ON, Canada
| | - Timothy Ross
- Department of Geography and Planning, University of Toronto, Toronto, ON, Canada
- Holland Bloorview Kids Rehabilitation Hospital, Bloorview Research Institute, Toronto, ON, Canada
- Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
| | - Jennifer Leo
- The Steadward Centre for Personal and Physical Achievement, University of Alberta, Faculty of Kinesiology, Sport, and Recreation, Edmonton, AB, Canada
| | - Ron N. Buliung
- Department of Geography, Geomatics and Environment, University of Toronto Mississauga, Mississauga, ON, Canada
| | - Celina H. Shirazipour
- Cancer Research Center for Health Equity, Cedar-Sinai Medical Center, Los Angeles, CA, United States
- Department of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
| | | | - Kelly P. Arbour-Nicitopoulos
- Faculty of Kinesiology and Physical Education, Mental Health and Physical Activity Research Centre, University of Toronto, Toronto, ON, Canada
- *Correspondence: Kelly P. Arbour-Nicitopoulos
| |
Collapse
|
8
|
Moore A, Lynch H, Boyle B. Can universal design support outdoor play, social participation, and inclusion in public playgrounds? A scoping review. Disabil Rehabil 2020; 44:3304-3325. [PMID: 33300821 DOI: 10.1080/09638288.2020.1858353] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
PURPOSE To synthesize evidence regarding the physical design features and non-physical aspects of public playgrounds that facilitate/hinder outdoor play, social participation, and inclusion; identify design recommendations; and explore the current discourses and concepts around designing for outdoor play, social participation, and inclusion in public playgrounds in the context of Universal Design (UD). METHODS Published studies addressing public playgrounds, inclusion, and design, were identified via a systematic search of eleven databases from health, science, education, and humanities. RESULTS Fifteen documents met the inclusion criteria. Three main themes were identified concerning physical design features and non-physical aspects of public playgrounds that facilitate/hinder outdoor play, social participation, and inclusion, with associated design recommendations. Although UD is recognized to have the potential to support the design of public playgrounds, no studies examined UD solutions for playgrounds or tested them for effectiveness. CONCLUSION We cannot yet determine whether UD can support outdoor play, social participation, and inclusion in public playgrounds. Research to date has mostly focused on understanding users' perspectives; future research should continue to be informed by diverse users' perspectives to address gaps in knowledge concerning children's voice from migrants, lower socioeconomic communities, and intergenerational users with disabilities alongside researching design solutions for play.Implications for rehabilitationChildren, particularly children with disabilities and their families, continue to experience marginalization and exclusion in public playgrounds, despite a commitment to inclusion in international treaties.Universal design is recognized to have the potential to support the design of public playgrounds, however, the evidence is currently very sparse.While accessibility is an important consideration for playground design, it does not ensure that play occupations can take place.Extending knowledge on universal design as it applies explicitly to playgrounds and play occupation requires multi- and trans-disciplinary collaboration that includes a play-centered perspective.
Collapse
Affiliation(s)
- Alice Moore
- Department of Occupational Science and Occupational Therapy, University College Cork, Cork, Ireland
| | - Helen Lynch
- Department of Occupational Science and Occupational Therapy, University College Cork, Cork, Ireland
| | - Bryan Boyle
- Department of Occupational Science and Occupational Therapy, University College Cork, Cork, Ireland
| |
Collapse
|
9
|
Wenger I, Schulze C, Lundström U, Prellwitz M. Children's perceptions of playing on inclusive playgrounds: A qualitative study. Scand J Occup Ther 2020; 28:136-146. [PMID: 32857665 DOI: 10.1080/11038128.2020.1810768] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Inclusive playgrounds aim to enable all children to participate and be socially included on playgrounds through the way they are designed. However, knowledge is lacking about how children with and without disabilities perceive playing on inclusive playgrounds and whether these playgrounds lead to more social inclusion. AIMS/OBJECTIVES The study explores the experiences of children, with and without disabilities, of playing on inclusive playgrounds. MATERIAL AND METHODS Semi-structured interviews and observations were conducted on six inclusive playgrounds in Switzerland. Overall, 32 children aged 7-12 years participated; 14 children had a disability while 18 children did not. A qualitative content analysis was used for data analysis. RESULTS The children's experiences of playing on an inclusive playground resulted in the creation of three categories describing: how children with and without disabilities experience play activities on inclusive playgrounds; invisible barriers on inclusive playgrounds; and the fact that children with disabilities have recommendations for the design of inclusive playgrounds. CONCLUSIONS AND SIGNIFICANCE The results showed that achieving inclusion on a playground is complex and must be considered as a transaction among different environments. For occupational therapists, this could mean that, to support play as an activity on inclusive playgrounds, intervention is necessary at the community and political levels.
Collapse
Affiliation(s)
- Ines Wenger
- Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.,School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland
| | - Christina Schulze
- School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland
| | | | - Maria Prellwitz
- Department of Health Sciences, Luleå University of Technology, Luleå, Sweden
| |
Collapse
|
10
|
Kepper MM, Staiano AE, Katzmarzyk PT, Reis RS, Eyler AA, Griffith DM, Kendall ML, ElBanna B, Denstel KD, Broyles ST. Neighborhood Influences on Women's Parenting Practices for Adolescents' Outdoor Play: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E3853. [PMID: 31614711 PMCID: PMC6843699 DOI: 10.3390/ijerph16203853] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 10/07/2019] [Accepted: 10/09/2019] [Indexed: 01/04/2023]
Abstract
Understanding factors that influence parenting decisions for outdoor play is necessary to promote physical activity during critical years for adolescent adjustment. This study explored physical and social environmental influences on parenting decisions and rules for their child's outdoor play using semistructured in-depth interviews with parents (n = 30, 29 of whom were mothers) of adolescents. Mothers from low- (n = 16) and high-disadvantage (n = 13) neighborhood environments were recruited to identify environmental factors that resulted in parenting decisions that either promoted or hindered outdoor play and identify differences across neighborhood types. Data were analyzed using a grounded theory approach. Mothers limit their child's independent play, as well as the location and time of outdoor play, due to both social and physical aspects of their neighborhood. Seven themes (safety, social norms, sense of control, social cohesion and neighborhood composition, walkability, and access to safe places for activity) were identified as influencers of parenting practices. Mothers in high-disadvantage neighborhoods reported facing greater neighborhood barriers to letting their child play outside without supervision. Physical and social neighborhood factors interact and differ in low- and high-disadvantage neighborhoods to influence parenting practices for adolescent's outdoor play. Community-level interventions should target both physical and social environmental factors and be tailored to the neighborhood and target population, in order to attenuate parental constraints on safe outdoor play and ultimately increase physical activity and facilitate adolescent adjustment among developing youth.
Collapse
Affiliation(s)
- Maura M Kepper
- Prevention Research Center, Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA.
| | - Amanda E Staiano
- Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA 70808, USA.
| | - Peter T Katzmarzyk
- Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA 70808, USA.
| | - Rodrigo S Reis
- Prevention Research Center, Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA.
| | - Amy A Eyler
- Prevention Research Center, Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA.
| | - Derek M Griffith
- Center for Medicine, Health and Society, Vanderbilt University, 2301 Vanderbilt Place, Nashville, TN 37235, USA.
| | - Michelle L Kendall
- School of Public Health, Louisiana State University Health Sciences Center, 2020 Gravier Street, New Orleans, LA 70112, USA.
| | - Basant ElBanna
- Prevention Research Center, Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA.
| | - Kara D Denstel
- Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA 70808, USA.
| | - Stephanie T Broyles
- Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA 70808, USA.
| |
Collapse
|