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Related Experiment Video

Updated: Jul 16, 2025

Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity
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Demonstration Projects to Test Built Environment Changes: A Systematic Review.

Laura E Balis1, Gwenndolyn Porter, Michelle Grocke-Dewey

  • 1Gretchen Swanson Center for Nutrition, Omaha, Nebraska (Dr Balis); University of Nebraska Medical Center, Omaha, Nebraska (Dr Porter); and Montana State University, Bozeman, Montana (Dr Grocke-Dewey).

Journal of Public Health Management and Practice : JPHMP
|September 15, 2023
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Summary

Demonstration projects for built environment changes show effectiveness and community acceptance but rarely lead to permanent infrastructure improvements. More guidance is needed for robust data collection on physical activity impacts.

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Area of Science:

  • Public Health
  • Urban Planning
  • Environmental Science

Background:

  • Built environment interventions aim to increase physical activity by making healthy choices default.
  • Demonstration projects test these interventions before permanent implementation, but their long-term impact is unclear.

Approach:

  • Systematic review of peer-reviewed and gray literature (March-September 2022).
  • Included policy, systems, or environmental interventions with temporary implementation and evaluation data.
  • Utilized the expanded RE-AIM framework and Implementation Outcomes Framework for data extraction.

Key Points:

  • 31 unique demonstration projects evaluated, focusing on traffic calming, pedestrian/bicycle infrastructure.
  • Projects primarily reported effectiveness (e.g., improved safety), acceptability, and appropriateness.
  • Most projects did not result in permanent built environment changes.

Conclusions:

  • Overall public health impacts are unknown due to inconsistent reporting of reach and physical activity changes.
  • Community feedback was generally positive, but long-term change impact remains uncertain.
  • Improved guidance for demonstration projects is recommended to enhance data collection and evaluation.