Yes / Physically active lessons present a key paradigm shift in educational practice. However, little is known about the barriers to implementing physically active lessons. To address this, 31 practising primary teachers (23 = female) from 9 primary schools across West Yorkshire, England, were engaged in focus group interviews. Drawing on the socio-ecological model, findings revealed that barriers influencing the implementation of physically active lessons are multifaceted. Teacher’s confidence and competence, concerns over classroom space, preparation time and resources, coupled with the wider school culture that is influenced by governors and parents, reinforce a didactic approach and act as barriers to physically active lessons.

Philosophiae Doctor - PhD / The importance of health enhancing physical activity participation (HEPA) has always been emphasized globally, as one of the means to reduce the risk of Non-Communicable Diseases (NCDs) occurrence. In Africa, it is more relevant currently, due to the growing burden of NCDs that is coupled with the existing encumbrance of communicable diseases. In Rwanda, specifically, there are limited national strategies to promote health-enhancing physical activity. Consequently, the level of physical activity among Rwandans, especially government office workers, is likely to diminish, which could possibly be attributed to the rapid urbanization that comes with lifestyle changes. Basically, most people tend to abandon the traditional labour-intensive activities, which are associated with high energy expenditure, to more sedentary activities. Therefore, the need to promote health enhancing physical activity participation is crucial. Physical activity participation is an intricate and multifaceted behaviour that may not be viewed from a linear perspective. This current study adopted a socio-ecological framework to assess the factors that influence Leisure Time Physical Activity (LTPA) among government employees in Kigali City. The study used an exploratory, sequential, mixed methods of qualitative and quantitative designs, in order to comprehensively explore and understand the research problem. Qualitatively, a Case study and exploratory design was used to collect data, specifically from the Rwanda Sport Policy and its implementing stakeholders. Quantitatively, a cross-sectional, descriptive design was used to assess and describe the levels of LTPA among government workers in Kigali City, as well as highlight the various factors that influence, or limit, their participation.

Home environment and family lifestyle practices have an influence on child obesity risk, thereby making it critical to systematically examine these factors. Thus, parents (n = 489) of preschool children completed a cross-sectional online survey which was the baseline data collection conducted, before randomization, in the HomeStyles program. The survey comprehensively assessed these factors using a socio-ecological approach, incorporating intrapersonal, interpersonal and environmental measures. Healthy intrapersonal dietary behaviors identified were parent and child intakes of recommended amounts of 100% juice and low intakes of sugar-sweetened beverages. Unhealthy behaviors included low milk intake and high parent fat intake. The home environment's food supply was found to support healthy intakes of 100% juice and sugar-sweetened beverages, but provided too little milk and ample quantities of salty/fatty snacks. Physical activity levels, sedentary activity and the home's physical activity and media environment were found to be less than ideal. Environmental supports for active play inside homes were moderate and somewhat better in the area immediately outside homes and in the neighborhood. Family interpersonal interaction measures revealed several positive behaviors, including frequent family meals. Parents had considerable self-efficacy in their ability to perform food-and physical activity-related childhood obesity protective practices. This study identified lifestyle practices and home environment characteristics that health educators could target to help parents promote optimal child development and lower their children's risk for obesity.

Although U.S. breastfeeding rates have steadily increased since 2000, there continues to be a disparity in breastfeeding rates for African American (AA) women compared to their non-Hispanic White counterparts. A male partner's perception, specifically his positive attitude toward breastfeeding, may influence breastfeeding initiation and duration rates. This study was an exploration of AA male perceptions and attitudes toward breastfeeding and what effect masculinity ideology (gender norms) has on such attitudes. The socio-ecological model (SEM) was used as the theoretical framework to examine the various environmental levels that intersect with one another to influence these attitudes. A mixed methods study design, using (a) an online survey combining the Iowa Infant Feeding Attitudes Scale (IIFAS) and the Male Role Norms Scales (MRNS) (N =206) and (b) 3 focus group sessions (N = 17), was used to collect data. African American men ages 18 and older were eligible to participate in the study. Results of the regression analysis showed a negative correlation between positive breastfeeding attitudes and traditional masculinity ideology. Nvivo analysis of focus group transcripts revealed themes of gender norms, knowledge of breastfeeding, and public opinions. The themes from the focus groups were categorized using the 4 levels of the SEM: Individual, Relationships, Community, and Societal; themes corresponded with Levels 1 (Individual) and 4 (Societal) of the SEM. These results indicate that a gender-transformative approach may be used to strengthen breastfeeding-promotion interventions targeting AA males. The positive social change implications of this research include a paradigm shift in views on gender norms and increased engagement of men in decisions that affect infant and child health and development.

Yes / Greenspace is important for physical and mental health. Low-income, multi-ethnic populations in deprived urban areas experience several barriers to using greenspace. This may exacerbate health inequalities. The current study explored structural and individual determinants of greenspace use amongst parents of young children in an urban, deprived, multi-cultural area situated in the North of England, UK. Semi-structured in-depth interviews and focus group discussions were conducted with 30 parents of children aged 0–3 between December 2016 and May 2017 from a range of ethnic groups. Thematic analyses were informed by the Human Health Habitat Map and the Theoretical Domains Framework. The results show that whilst all families recognised the benefits of greenspaces, use was bounded by a variety of structural, community, and individual determinants. Individual determinants preventing use included lack of knowledge about where to go, or how to get there and confidence in managing young children whilst outdoors. Fear of crime, antisocial behaviour and accidents were the overriding barriers to use, even in high quality spaces. Social and community influences both positively encouraged use (for example, positive social interactions, and practical support by others) and prevented use (antisocial or inappropriate behaviours experienced in greenspace). The built environment was a key barrier to use. Problems related to unsuitable or unsafe playgrounds, no gardens or safe areas for children's play, poor accessibility, and lack of toilets were identified. However, the value that parents and children placed on natural blue and green features was an enabler to use. Contextual influences included external time pressures, difficulties of transporting and caring for young children and poor weather. Multi-sectoral efforts are needed to tackle the uneven playing field experienced by multi-ethnic, urban, deprived communities. Initiatives to increase use should tackle structural quality issues, addressing fears about safety, whilst simultaneously encouraging communities to reclaim their local greenspaces. / received funding through a peer review process from the Big Lottery Fund as part of the A Better Start programme. RM is partly funded by the NIHR CLAHRC Yorkshire and Humber.

Master of Science / Department of Human Nutrition / Koushik Adhikari / Obesity in adolescence is associated with a complex web of ecological, psychosocial, and physiological factors, and many of these factors relate to nutrition and physical activity behaviors. Before interventions are developed, researchers need to know what factors specifically influence an adolescent’s food choices and physical activity within the community context. Cultural norms, school environment, and neighborhood attributes are examples of factors that may vary across different communities, and accounting for this variation can be quite challenging, unless community perspectives are acknowledged. The use of qualitative data from focus groups has shown to be an effective way of gathering community perspectives about the diversity of their views and experiences. The current study used focus groups to reveal facilitators and barriers to healthy eating behavior and physical activity engagement in 6th to 8th grade youth in a low-income community in South-Western Kansas. This methodology enabled community members (adolescents, parents, and teachers) to discuss and articulate their perceptions in relation to 6th to 8th grade youth’s eating habits and physical activity, and assessed available resources, needs, and opportunities for developing effective and sustainable intervention approaches in the community. Using the socio-ecological model, individual influences (e.g., taste preferences), social influences (e.g., parent and peer influences), and larger contextual influences (e.g., school) on early adolescent health were assessed. This information will be used to develop interventions addressing factors at these different levels of influence that are needed to improve eating habits and physical activity of youth in the community.

Physical inactivity is one of the major public health problems of the 21st Century. In England it is reported that two thirds of adults ( > 16 yr) and one third of children ( < 16 yr) do not do sufficient physical activity to gain the health benefits that leading a physically active lifestyle has to offer. The benefits of physical activity and dangers of a sedentary lifestyle to health outcomes are well documented and numerous studies have investigated physical activity participation. Indeed, many interventions have been trialled to increase engagement in physical activity; however results are weak and generally do not correlate to sustained physical activity participation. Furthermore, much debate exists on how best to encourage both children and adults alike to engage in sufficient physical activity to maintain a healthy lifestyle. The purpose of this research was to address this important research gap and to assess the physical activity levels and other factors for promoting engagement in physical activity of school aged children in Devon aged 7-15 years in order to assess the feasibility of using social marketing within the school setting to increase sustained physical activity participation. A mixed methods approach was adopted to gather data and consisted of both quantitative and qualitative methods, in two phases. The initial phase was quantitative in nature and utilised a self-report survey based on the theory of planned behaviour (TPB) (Azjen, 1991) and social cognitive theory (SCT) (Bandura, 1977) to measure the participants’ physical activity levels; it also measured their beliefs and attitudes, subjective norms, perceived behavioural control and self-efficacy pertaining to physical activity participation. The second phase utilised qualitative methods adopting the socio-ecological model (McLeroy et al., 1988) to identify opportunities to promote participation in physical activity in recognising the multiple factors (individual, social environment, physical environment and policy) that influence an individual’s behaviour. This phase consisted of a series of interviews with the students, teachers and head-teachers to enable the researcher to gain in depth information into physical activity patterns and beliefs. During phase two, ethnographic research was also conducted across a number of schools in Devon to complement and enhance the data collected in the survey. The results revealed that of the 1124 participants (‘students’) surveyed, 48% were not sufficiently active to meet the government guidelines. Males were 30% more active than females. Physical activity decreased with age (e.g. 15 yr olds on average taking part in 3 hours less activity than 7 yr olds). Lifestyle/recreational activities were the most regularly participated activities (e.g. walking – 52%, running – 31%, football – 29%, outdoor play – 28%). Moreover, attitudes, subjective norms and perceptions of behavioural control affected physical activity participation both in and out of the school setting. Self-efficacy also played a role in physical activity participation. The results of the thesis show that interview and ethnographic data produced a rich source of evidence. Physical activity provision within schools played a major role in students’ physical activity. Overwhelmingly the qualitative data revealed that students want greater choice in the physical activities they participate in and suggest that the focus of PE lessons should be on having fun and enjoyment rather than skills and rules. Transition from primary to secondary school affected physical activity participation and therefore experiences in schools, may affect children’s general views on physical activity which it is suggested may impact on physical activity participation beyond the school gates and also in adulthood. This thesis provides substantial evidence to support the link between the school environment and participation in physical activity in children and adolescents. More specifically it highlights a need to incorporate a ‘whole school approach’ to physical activity participation. This research has demonstrated that there is an urgent need to combine theory based physical activity research in schools with that of social marketing. Physical activity researchers and social marketers should combine their knowledge to bring together social marketing campaigns within schools to enhance the health and wellbeing of the whole school environment for both staff and students. An innovative school based social marketing campaign should encourage physical activity both within and outside the school environment and lead to sustained levels of physical activity participation across the life stages.

No description available.

The McMaster Children and Youth University (MCYU) was founded at McMaster University in Hamilton Ontario, Canada. The MCYU delivers free educational programming to children and youth to empower and prepare youth, especially those at a socioeconomic disadvantage, to aspire to higher education (MCYU, 2022). Parents are invited to attend the lectures alongside their children, making parent involvement a key component of the program (MCYU, 2018; Paquin et al, 2018). Participation in educational activities, such as out-of-school programming, school-run field trips, or extracurriculars have been correlated with improved academic achievement and social adjustment (Holloway & Pimlott-Wilson, 2014; Weininger et al., 2015). However, children and youth from disadvantaged backgrounds are less likely to participate in learning enrichment activities outside of school (Siddiqui et al., 2019). These barriers to participation have often been attributed to lower economic status (Chanfreau, et al., 2016; Farthing, 2014; Holloway & Pimlott-Wilson, 2014; Siddiqui et al., 2019). A grounded theory study was employed addressing the following question: How do socio-ecological factors shape parental decision-making for childhood involvement in the MCYU? Twenty parents who participate in the MCYU were interviewed and asked to complete an accompanying survey. After thorough data collection and analysis, the results indicated that positive educational experiences in the lives of parents shape their approach to their children’s education. Their life experiences have led to an intrinsic and extrinsic desire to learn, and the MCYU is an invaluable tool for parents to instill these values in their children through 1) education, 2) exposure, 3) enjoyment, and 4) engagement. This research may inform an expansion of MCYU type programs across Canada as well as aid the MCYU in reaching members of the community who are unable to benefit from the program. While the MCYU is for kids, the appeal for parents should be emphasized in future iterations. / Thesis / Master of Arts (MA) / The McMaster Children and Youth University (MCYU) was founded at McMaster University in Hamilton Ontario, Canada. The MCYU delivers free educational programming to children and youth to empower and prepare youth, especially those at a socioeconomic disadvantage, to aspire to higher education (MCYU, 2022). Parents are invited to attend the lectures alongside their children, making parent involvement a key component of the program (MCYU, 2018; Paquin et al, 2018). This research addresses the following question: How do socio-ecological factors shape parental decision-making for childhood involvement in the MCYU? The results indicated that positive educational experiences in the lives of parents shape their approach to their children’s education. Their life experiences have led to an intrinsic and extrinsic desire to learn, and the MCYU is an invaluable tool for parents to instill these values in their children through 1) education, 2) exposure, 3) enjoyment, and 4) engagement.

Barn och unga på landsbygden tenderar att bli mer stillasittande än barn som växer upp i staden. Landsbygden besitter särskilda utmaningar som gör det svårt att få barn och unga att öka sina aktivitetsnivåer. I denna studie används intervjuer och dokumentanalys för att undersöka hur Uppsala kommun arbetar med att öka den fysiska aktiviteten bland barn och unga som växer upp på landsbygden. Utifrån den socio-ekologiska modellen skapas en förståelse för hur påverkansfaktorer för fysiska aktivitetsnivåer hänger samman med synen kring hur utmaningarna ska hanteras. Resultatet från studien visar att Uppsala kommun tar itu med utmaningarna på ett holistiskt sätt, med en övergripande syn på hela kommunen. Landsbygdens utmaningar tenderar således att hamna mellan stolarna där ansvaret att hantera dem förs över mellan olika aktörer. / Children and adolescents in rural areas tend to be more sedentary than children who grow up in the city. Rural areas have specific challenges that make it difficult to get children and adolescents to increase their physical activity. In this study, interviews and document analysis are used to investigate how the municipality of Uppsala works to increase physical activity among children and adolescents who grow up in rural areas. Based on the socio-ecological model, an understanding is created of how influencing factors for physical activity levels are connected with the view of how challenges should be handled. The results from the study show that the municipality of Uppsala works with the challenges from a municipal perspective, which creates problems when the countryside has its own challenges. The challenges of the countryside thus tend to fall through the cracks where the responsibility for handling them is shifted between different actors.