National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Am J Prev Med. 2010 Dec;39(6):537-45. doi: 10.1016/j.amepre.2010.09.013.
Active living integrates physical activity into one's daily routine. Current understanding of active living among children and their families living in rural communities is limited. A community perspective is critical to understand the contextual factors that influence children's physical activity in rural areas.
The purpose of this study was to identify the perceived environmental factors that support or hinder physical activity among rural children to develop testable hypotheses to inform future interventions for reducing unhealthy weight gain and preventing chronic diseases associated with physical inactivity.
PhotoVOICE was used to explore active living opportunities and barriers for children living in four low-income, rural U.S. communities. In 2007, parents (n=99) and elementary school staff (n=17) received disposable cameras to document their perspective. Using their photographs and narratives, participants developed emergent themes during a facilitated group discussion. In 2008, study authors used the Analysis Grid for Environments Linked to Obesity (ANGELO) framework to categorize the themes.
Microenvironment themes include physical (e.g., natural features, topography); sociocultural (e.g., isolation); policy (e.g., time for school recess); and economic (e.g., funding for physical activity programs). Macroenvironmental themes related to the built and natural environments and transportation infrastructure.
This study identified rural environment elements that community members perceived as influencing children's physical activity patterns. Certain aspects were unique to rural areas, whereas other urban and suburban factors may be generalizable to rural settings. PhotoVOICE was a useful participatory research method to gain insight into perceived factors affecting rural children's physical activity behaviors.
积极生活是将身体活动融入日常生活的一种方式。目前对于居住在农村社区的儿童及其家庭的积极生活方式的了解有限。从社区的角度来理解影响农村地区儿童身体活动的各种因素是至关重要的。
本研究的目的是确定支持或阻碍农村儿童身体活动的感知环境因素，以提出可检验的假设，为减少不健康体重增加和预防与身体活动不足相关的慢性疾病提供信息。
PhotoVOICE 用于探索生活在四个低收入美国农村社区的儿童的积极生活机会和障碍。2007 年，家长（n=99）和小学工作人员（n=17）收到了一次性相机，以记录他们的观点。参与者利用他们的照片和叙述，在小组讨论中形成了新兴主题。2008 年，研究人员使用肥胖相关环境分析网格（ANGELO）框架对主题进行了分类。
微观环境主题包括自然特征、地形等物理因素；孤立等社会文化因素；学校课间休息时间等政策因素；以及体育活动计划的资金等经济因素。宏观环境主题与建筑和自然环境以及交通基础设施有关。
本研究确定了社区成员认为影响儿童身体活动模式的农村环境因素。某些方面是农村特有的，而其他城市和郊区的因素可能适用于农村环境。PhotoVOICE 是一种有用的参与式研究方法，可以深入了解影响农村儿童身体活动行为的感知因素。
