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Encouraging running for exercise can be an important part of a comprehensive strategy for making communities more attractive for healthy physical activity. In order to make communities more runnerriendly, research must identify the features of the physical environment that are important for runners. This study identified these features through five focus groups of twenty-two runners. The focus group participants discussed the places they had run within the study community and described their positive and negative qualities. These discussions were then analyzed by examining direct quotations of the discussion transcripts and by noting the amount of participants concerned about particular issues. The findings showed that the participants chose their routes based on their ability to meet their exercise needs, safety, ease of access, and potential to be a fun experience. These insights into these runners’ preferences can be used to help make communities more conducive to physical activity.

Public transportation ridership levels have decreased since the end of World War II. Transit systems in small cities struggle to maintain ridership levels high enough to continue receiving local subsidies. Individuals with refugee status, and those with limited English proficiency (LEP), represent an opportunity to increase ridership. The bus system increases mobility for people without a car or driver’s license, including many refugees and LEP people, thereby increasing their accessibility to work and education. This thesis places the local bus system in Manchester, New Hampshire in a historical context and identifies some barriers and potentials for increasing refugee and LEP ridership. In addition to increasing headways and hours of operation, recommendations point to improved publicity, including distributing route maps and schedules more widely, using clearer bus stop signs, and providing bus passes for refugees in the first few months after arrival. It should be noted that language did not arise as a barrier to transit ridership in this study.

Objective: The purpose of this study was to discover how college students conduct dinner groups and students' perceptions of the benefits and difficulties of participation. Design: Qualitative study conducted with seven focus groups. Setting: A university campus. Participants: Thirty-six college students participating in dinner groups. Dinner groups were defined as a group of ≥3 people cooking for each other (or together) and eating together ≥4 times a week. Analysis: The focus groups were recorded, transcribed, coded, and reconciled. NUDIST® NVivo software was used in identifying themes and subthemes. Results: Dinner groups were composed of roommates and/or other students living nearby. They rotated who made each dinner. Benefits identified included social interaction, increasing confidence in cooking, saving money and time, and eating more varied and healthier foods. Difficulties were mentioned but were much less common. They included increased time spent on days the student cooked and stresses related to cooking on a schedule. Students found that the benefits far outweighed the difficulties and universally wanted to continue in a dinner group. Conclusions and Implications: College students enjoy dinner groups and promoting them may be an option for improving college students' eating habits. Nearly all students felt that they ate better in a dinner group but research is needed to assess actual intake.

Drill and practice systems provide students with an informal learning environment to learn programming languages. In a traditional classroom setting, while feedback is personalized for each individual, it is a time consuming process. These online environments possess the ability to provide instantaneous feedback and can be accessed from any location. However, while these are conveniences, there is still an issue with the quantity and quality of feedback that is provided to each user by the system, and whether it is helpful towards helping them solve the exercise with a large understanding of the concept being tested. In this thesis we investigate how students perceive additional feedback would help them in completing coding exercises in CodeWorkout. We conducted these investigations through user studies, across two focus groups, with Computer Science students from various years. The study was conducted over one semester with a total of seventeen participants. A discussion based frequently asked questions (FAQ) tool, the ability to request a hint during submissions and the option to provide a hint to other users, to encourage active learning, were all options presented to participants during these focus groups. The information gathered though these group discussions formed the basis of our conclusion and implications. The overall feedback on all three tools was both positive and constructive. The idea of having a less traditional FAQ tool, complete anonymity in responses, as well as the ability to vote on hints provided were strong emergent themes through the study. The majority of Participants felt that they would utilize all these tools in some fashion, were they provided, and would find them helpful in completing a coding exercise if they were stuck. Lastly, we conclude with suggestions for potential design and feature options for the system. / Master of Science

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Yes / Personalised nutrition (PN) has the potential to reduce disease risk and optimise health and performance. Although previous research has shown good acceptance of the concept of PN in the UK, preferences regarding the delivery of a PN service (e.g. online v. face-to-face) are not fully understood. It is anticipated that the presence of a free at point of delivery healthcare system, the National Health Service (NHS), in the UK may have an impact on end-user preferences for deliverances. To determine this, supplementary analysis of qualitative data obtained from focus group discussions on PN service delivery, collected as part of the Food4Me project in the UK and Ireland, was undertaken. Irish data provided comparative analysis of a healthcare system that is not provided free of charge at the point of delivery to the entire population. Analyses were conducted using the ‘framework approach’ described by Rabiee (Focus-group interview and data analysis. Proc Nutr Soc 63, 655-660). There was a preference for services to be led by the government and delivered face-to-face, which was perceived to increase trust and transparency, and add value. Both countries associated paying for nutritional advice with increased commitment and motivation to follow guidelines. Contrary to Ireland, however, and despite the perceived benefit of paying, UK discussants still expected PN services to be delivered free of charge by the NHS. Consideration of this unique challenge of free healthcare that is embedded in the NHS culture will be crucial when introducing PN to the UK.

Yes / Background: We wanted to understand older adults’ experiences of learning how to use a tablet computer in the context of an intervention trial, including what they found helpful or unhelpful about the tablet training, to guide future intervention studies. Methods: Mixed methods study using questionnaire and focus group approaches. Forty-three participants aged between 65 and 76 years old from the “Tablet for Healthy Ageing” study (comprising 22 in the intervention group and 21 controls) completed a post-intervention tablet experience questionnaire. Those who completed the tablet training intervention were invited to share their experiences of engaging with new technology in post-intervention focus groups. We conducted three separate focus groups with 14 healthy older adults (10 females). Results: Questionnaire data suggested that the overall experience of the 22 participants who participated in the tablet training intervention was positive. The majority of participants said that it was likely or very likely they would use a tablet in the future. The focus group themes that emerged were related to the perception of tablet training, the experience of using tablets, and suggestions for future studies. Participants mentioned that their confidence was increased, that they enjoyed being part of a social group and downloading applications, but they also felt challenged at times. Advantages of using tablets included the ability to keep in touch with family and friends, a motivation to contribute to the community, and the potential for tablets to improve mental abilities and overall health and wellbeing. Participants made suggestions that would enable tablet usage, including improvement of features, and suggestions that would improve future tablet training studies, including smaller classes. Conclusion: Our findings have implications for the development of interventions utilizing new technologies that might promote the health and wellbeing of older adults. / This work was supported by The Dunhill Medical Trust (R359/0514).

Yes / Background: New technologies provide opportunities for the delivery of broad, flexible interventions with older adults. Focus groups were conducted to: (1) understand older adults’ familiarity with, and barriers to, interacting with new technologies and tablets; and (2) utilize user-engagement in refining an intervention protocol. Methods: Eighteen older adults (65–76 years old; 83.3%female) who were novice tablet users participated in discussions about their perceptions of and barriers to interacting with tablets. We conducted three separate focus groups and used a generic qualitative design applying thematic analysis to analyse the data. The focus groups explored attitudes toward tablets and technology in general. We also explored the perceived advantages and disadvantages of using tablets, familiarity with, and barriers to interacting with tablets. In two of the focus groups, participants had previous computing experience (e.g., desktop), while in the other, participants had no previous computing experience. None of the participants had any previous experience with tablet computers. Results: The themes that emerged were related to barriers (i.e., lack of instructions and guidance, lack of knowledge and confidence, health-related barriers, cost); disadvantages and concerns (i.e., too much and too complex technology, feelings of inadequacy, and comparison with younger generations, lack of social interaction and communication, negative features of tablets); advantages (i.e., positive features of tablets, accessing information, willingness to adopt technology); and skepticism about using tablets and technology in general. After brief exposure to tablets, participants emphasized the likelihood of using a tablet in the future. Conclusions: Our findings suggest that most of our participants were eager to adopt new technology and willing to learn using a tablet. However, they voiced apprehension about lack of, or lack of clarity in, instructions and support. Understanding older adults’ perceptions of technology is important to assist with introducing it to this population and maximize the potential of technology to facilitate independent living. / The Dunhill Medical Trust [R359/0514].