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Developing the Active Communities Tool to Implement the Community Guide's Built Environment Recommendation for

Kelly R Evenson1,2,3, Anna K Porter1,4, Kristine L Day5

  • 1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina - Chapel Hill, Chapel Hill, North Carolina.

Preventing Chronic Disease
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Summary

Communities with supportive walking and bicycling infrastructure see higher physical activity. The Active Communities Tool was developed to help communities implement strategies for built environments that promote physical activity.

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Area of Science:

  • Public Health
  • Urban Planning
  • Environmental Science

Background:

  • Communities with supportive features for walking and bicycling demonstrate higher levels of physical activity.
  • The Community Preventive Services Task Force (2016) recommended combining transportation system improvements with land use and environmental design for physical activity.
  • The Centers for Disease Control and Prevention identified a need for an assessment tool to address these multifaceted recommendations.

Purpose of the Study:

  • To describe the systematic development of the Active Communities Tool.
  • To create a resource that assists communities in implementing built environment strategies for physical activity.

Main Methods:

  • Development of a logic model and theory of change for the tool.
  • Systematic review and abstraction of key elements from 42 existing community-based tools.
  • Development and pilot testing of the Active Communities Tool with 9 diverse teams.

Main Results:

  • No existing tool fully addressed the Community Guide recommendations for communities.
  • The Active Communities Tool was developed, comprising 6 modules covering all 8 recommended interventions.
  • Pilot testing and expert input informed final revisions of the tool.

Conclusions:

  • The Active Communities Tool aids cross-sector teams in creating action plans for built environments that promote physical activity.
  • The tool can assist in monitoring progress towards community conditions known to support physical activity.