Exploring Gender Differences in Predicting Physical Activity Among Elementary Aged Children: An Application of the Integrated Behavioral Model

Lessons from sustainability of Play Streets in the United States

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Sustaining Play Streets gives more children access to a health promoting program.

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Play Streets organizers can face challenges in sustaining the program.

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City governments can support Play Streets through funding and access to permits.

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Engaging the community in organizing can limit resistance to programming.

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Evaluation, with the help of local researchers, can illustrate impact to funders.

Communities around the world lack safe places for children to play and be physically active. One solution to this issue is Play Streets, which involves the temporary closure of streets for several hours to create a safe space for active play and physical activity. While the benefits of these programs are greater when they are recurring over many years, there is a dearth of literature regarding how to successfully sustain Play Streets. To understand how Play Streets can be sustained in the long term, we conducted semi-structured interviews with 24 Play Streets organizers representing 22 Play Streets programs across the United States. Four recurring sustainability challenges were highlighted from the thematic analysis: 1) securing and sustaining funding, 2) managing community and city resistance to street closures, 3) navigating government bureaucracy, and 4) retaining interest amongst organizers and volunteers. With each challenge, we describe how Play Streets organizers navigated those challenges, with a goal of generating recommendations for those wishing to sustain Play Streets programs in the long term.

Application of the extended theory of planned behavior to understand Chinese students' intention to improve their oral health behaviors: a cross-sectional study

BACKGROUND

The present study aimed to develop and test an extended theory of planned behavior (TPB), which includes attitudes, subjective norms and perceived behavioral control, oral health knowledge, and past oral health behavior on the intention to improve oral health behaviors among primary school students in Shanghai, China.

METHODS

A school-based cross-sectional study was conducted with 414 students in the third-grade from 10 classes of Mingqiang Primary School located in Shanghai, China. Participants were recruited in October 2019. Data were collected through self-reported questionnaires, consisting of demographic characteristics, TPB variables, oral health knowledge and past oral health behaviors. Exploratory factor analysis was used to analyze TPB items. Pearson's correlation and hierarchical regression analyses were conducted to identify the associated factors of intention to improve oral health behaviors.

RESULTS

The study showed that among students in the third grade, attitudes, subjective norms, perceived behavioral control, and past oral health behaviors were associated with the intention to improve oral health behaviors. In the hierarchical regression analysis, age and sex were entered in Model 1 which significantly explained 3.00% of the variance (F = 6.26, p < 0.01). The addition of Model 2 variables of attitudes, perceived behavioral control, subjective norms, and oral health knowledge revealed that TPB variables explained 26.70% (F = 29.59, p < 0.01). For Model 3, the addition of past oral health behaviors accounted for a further 1% of variance, and the full model has accounted for 28.30% of the variance with the intention to improve oral health behaviors (F = 22.8, p < 0.01). Regression analyses supported that among the significant variables, perceived behavioral control had the largest beta weight, followed by subjective norms and past oral health behaviors.

CONCLUSION

The extended TPB model constructed in this study could be used to explain children's intentions to improve oral health behaviors. Children's oral health-related perceived behavioral control, subjective norms, and past oral health behaviors may serve as priority intervention targets in oral health promotion practices aimed at children.

Structural equation model of physical activity in Turkish schoolchildren: an application of the integrated behavioural model

OBJECTIVES

Childhood obesity is increasingly prevalent in the developing world including Turkey. This study examined constructs of the integrated behavioural model associated with physical activity in a sample of schoolchildren in Ankara, Turkey using structural equation modelling.

DESIGN

Cross-sectional survey by probability sampling.

SETTING

Fifteen schools of different socioeconomic strata in Ankara, Turkey with grade 4 students.

PARTICIPANTS

2066 (969 girls and 1097 boys) grade 4 schoolchildren and their parents selected using a probability-based sampling frame.

PRIMARY OUTCOME MEASURES

Three primary outcomes were used: moderate-to-vigorous physical activity, team sport participation, sedentary behaviour.

RESULTS

Data were collected from 2066 fourth-grade children from schools of three socioeconomic strata. Missing data were imputed using multiple imputation. To examine the integrated behavioural model, a structural equation model containing latent constructs for physical activity outcome expectancies, self-efficacy, home environment and social norms were fitted with the three outcomes above. Adequate model fit was achieved in the structural equation model (χ²=1821.97, df=872, p<0.001, Comparative Fit Index=0.91, Tucker Lewis Index=0.91, root mean square error of approximation=0.02, standardised root mean square residual=0.04). All scale items were significantly associated with their respective latent constructs (all p<0.001). Several significant pathways between latent constructs and outcomes of interest were observed (p<0.05). Self-efficacy was positively associated with moderate-to-vigorous physical activity (p<0.001) and team sport participation (p<0.001) and negatively associated with sedentary behaviour (p<0.001). Negative outcome expectancies were negatively associated with moderate-to-vigorous physical activity (p<0.01) and sedentary behaviour (p<0.01) while positive outcome expectancies were positively associated with team sport behaviour (p<0.001) and negatively associated with sedentary behaviour (p<0.05). Home support was positively associated with moderate-to-vigorous physical activity (p<0.01) and team sport participation (p<0.05). Finally, physical activity social norms were negatively associated with sedentary behaviour only (p<0.05).

CONCLUSIONS

This study supported the extension to Turkish children of the integrated behavioural model in relation to physical activity behaviours. Results illustrate multiple targets for interventions to increase physical activity.

Exploring the influencing paths of natives' conservation behavior and policy incentives in protected areas: Evidence from China

To enhance ecosystem conservation in protected areas, natives' behavior, mainly the use of natural resources or direct human disturbance to ecosystems, must be well intervened and regulated. To explore the determinants and incentives of the conservation behavior of natives, this paper establishes a theoretical behavior model emphasizing livelihood assets and conservation policy impacts, and specifies it with structural equation modeling. The protected areas of Chishui county in southwest China and the Three-River-Source National Park in the Qinghai-Tibet Plateau were selected for empirical analyses based on household surveys. Results show that conservation intentions that shape the natives' conservation behavior are collectively decided by conservation attitude, subjective norm, and perceived behavioral control. Livelihood assets exert indirect positive effects on conservation behavior by influencing the aforementioned psychological variables. The impacts on conservation behavior of the governmental policy instruments, Grain to Green Program, Grassland Ecological Protection Subsidy and Incentive Policy, and Ecological Ranger Post Setting are evaluated. The command & control functions of the first two instruments are verified to be effective. The propaganda & education functions of all three policy instruments affect conservation intention and behavior by influencing conservation attitude, subjective norm, and perceived behavioral control of the natives. The ecological compensation functions of the policies prevent the loss of the natives' livelihood assets but fail to enhance it. The findings demonstrate that besides the direct impacts on conservation behavior of the protection policy instruments, the indirect policy impacts affecting the protection consciousness of natives should not be underestimated. In the long run, a suggestion is to strengthen eco-compensation to improve livelihood assets, to better promote the protection behavior of the local residents and obtain sustainable ecosystem conservation in the protected areas. This research demonstrates applicability and feasibility of the behavioral theory and causal model method in natural conservation study and shows strong policy implication.