175645 Participatory Survey Development to Examine the Role of the Social and Physical Environment in Physical Activity

Monday, October 27, 2008

Adam Becker, PhD, MPH , Consortium to Lower Obesity in Chicago Children, Childrens Memorial Hospital, Chicago, IL
Jeanette Gustat, PhD MPH , Department of Epidemiology, Tulane University, New Orleans, LA
Janet C. Rice, PhD , Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Thomas Farley, MD, MPH , NYC Department of Health and Mental Hygiene, New York, NY
Reggie Lawson , Crescent City Peace Alliance, New Orleans, LA
Population-based surveys are often recommended to provide data to guide intervention planning and evalute impact. Traditional survey research methods have involved investigator-driven survey development based on hypothesized or previously developed models that describe relationships among key predictors and outcome variables of interest. Community-Based Participatory Research (CBPR) methods have gained increasing recognition for their ability to incorporate community expertise in the development of culturally appropriate and context-specific interventions. CBPR approaches require the involvement of community and academic partners in all phases of the research, including the development of data collection instruments. Funding and publishing, key elements of effective intervention planning and dissemination; require certain scientific standards that may seem to preclude community involvement in survey design. This paper describes a participatory process through which community representatives were involved in building a model that guided survey development for data collection in an intervention to increase physical activity through changes in the social and physical environment. A series of questions were posed in an interactive exercise with community leaders (residents of the intervention neighborhood) to elicit dimensions of physical activity, facilitators, barriers, and potential strategies for increasing activity. Resulting themes were used to guide questionnaire development and the sequencing of factors in the model. The resulting survey is grounded in community realities, yet similar to empirical models developed to assess the role of environment in other health issues (e.g., diet). Data gathered using the survey instrument have desired psychometric properties and the ability to both guide and evaluate intervention strategies.

Learning Objectives:
Articulate the steps in a participatory survey develpment process. Identify the elements of a model to describe the role of the social and physical environment in physical activity. Adapt the described process to local issues and contexts.

Keywords: Physical Activity, Survey

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the principal investigator on the project at the time that the described work was carried out.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.