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Group Outdoor Health Walks Using Activity Trackers: Measurement and Implementation Insight from a Mixed Methods

Katherine N Irvine1, Melissa R Marselle2,3, Alan Melrose4

  • 1Social, Economic and Geographical Sciences, James Hutton Institute, Craigiebuckler, Aberdeen AB14 8QH, UK.

International Journal of Environmental Research and Public Health
|April 11, 2020
PubMed
Summary

Group outdoor health walks with activity trackers motivated inactive adults to meet physical activity guidelines. The Self-assessment of Change scale effectively measured improvements in wellbeing.

Keywords:
biopsychosocial–spiritual healthgreen exercisehealth promotionimplementation researchnature-based interventionsnature-based therapiesnearby natureolder adultsphysical activitywellbeing

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Area of Science:

  • Environmental Health
  • Behavioral Science
  • Gerontology

Background:

  • Nature-based interventions (NBIs) like outdoor walking groups promote health but face challenges in participant motivation and accurate measurement.
  • Inactive adults require effective strategies to engage in health-promoting behaviors.

Purpose of the Study:

  • To assess the feasibility of a 12-week group outdoor health walk (GOHW) incorporating activity trackers and the Self-assessment of Change (SAC) scale.
  • To explore participant recruitment, retention, program delivery, and measures of physical activity and wellbeing.

Main Methods:

  • A mixed-methods design was employed, collecting pre-post questionnaires, daily step counts, and interviews from participants.
  • Programme delivery was monitored via weekly checklists, staff reflections, and stakeholder meeting minutes.
  • Thirteen older adults (63-81 years) participated in the feasibility study.

Main Results:

  • Activity trackers enhanced motivation and physical activity levels, with all participants meeting national guidelines by week 12.
  • The SAC scale proved easy to use and indicated clinically relevant improvements in sleep, sensory experience, energy, focus, joy, calmness, and wholeness.
  • While trackers aided motivation, they presented some delivery complexities.

Conclusions:

  • Activity trackers are feasible tools for motivating engagement and measuring physical activity in GOHWs.
  • The SAC scale is a promising measure for nature-health research.
  • A conceptual model for future large-scale NBI studies, including GOHWs, was developed.