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Promoting Health and Behavior Change through Evidence-Based Landscape Interventions in Rural Communities: A Pilot

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Rural wellness hubs, integrating walking trails and therapeutic landscapes, can improve community health by addressing physical inactivity and obesity. This evidence-based landscape intervention (EBLI) offers a replicable model for rural healthcare settings.

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Area of Science:

  • Public Health
  • Environmental Psychology
  • Community Health Interventions

Background:

  • Rural communities face significant public health challenges, including high rates of physical inactivity, obesity, and non-communicable diseases.
  • Limited access to safe exercise facilities exacerbates health disparities in rural areas.
  • Primary healthcare settings can play a role in promoting behavior change through tailored physical activity prescriptions.

Purpose of the Study:

  • To design and implement a rural wellness hub at a West Virginia clinic.
  • To integrate walking trails and therapeutic landscape features into the clinic's site.
  • To support physician-prescribed activities and treatments within a community-focused environment.

Main Methods:

  • A participatory, evidence-based landscape intervention (EBLI) protocol was followed.
  • Four phases included: pre-design survey, design and development, post-design interview, and post-occupancy evaluation.
  • Data were collected and analyzed from 58 user representatives (49 patients, 9 clinic employees).

Main Results:

  • Preliminary results suggest the redesigned clinic campus can foster community health programs.
  • Walking trails were specifically highlighted for their potential health benefits.
  • The EBLI protocol demonstrated a viable approach for creating supportive health environments.

Conclusions:

  • The rural wellness hub concept shows promise for enhancing health in underserved areas.
  • Evidence-based landscape interventions can be effectively implemented in primary care settings.
  • The EBLI protocol can serve as a scalable template for rural health initiatives.