AnAppliedEcologicalFrameworkforEvaluatingInfrastructure toPromoteWalkingandCycling:TheiConnectStudy

Improving infrastructure for walking and cycling is increasingly recommended as a means to promote physical activity, prevent obesity, and reduce traffic congestion and carbon emissions. However, limited evidence from intervention studies exists to support this approach. Drawing on classic epidemiological methods, psychological and ecological models of behavior change, and the principles of realistic evaluation, we have developed an applied ecological framework by which current theories about the behavioral effects of environmental change may be tested in heterogeneous and complex intervention settings. Our framework guides study design and analysis by specifying the most important data to be collected and relations to be tested to confirm or refute specific hypotheses and thereby refine the underlying theories. (Am J Public Health. 2011;101:473‐481. doi:10.2105/AJPH.2010.198002)

[1]  W Broeg,et al.  Increasing walking trips through TravelSmart Individualised Marketing , 2001 .

[2]  Trisha Greenhalgh,et al.  How do you modernize a health service? A realist evaluation of whole-scale transformation in london. , 2009, The Milbank quarterly.

[3]  Greet Cardon,et al.  International Journal of Behavioral Nutrition and Physical Activity Moderators and Mediators of Pedometer Use and Step Count Increase in the "10,000 Steps Ghent" Intervention , 2022 .

[4]  Alan Shiell,et al.  Complex interventions: how “out of control” can a randomised controlled trial be? , 2004, BMJ : British Medical Journal.

[5]  R Wentz,et al.  Area-wide traffic calming for preventing traffic related injuries. , 2003, The Cochrane database of systematic reviews.

[6]  Kevin J. Krizek,et al.  Explaining Changes in Walking and Bicycling Behavior: Challenges for Transportation Research , 2009 .

[7]  M. Petticrew,et al.  Natural experiments: an underused tool for public health? , 2005, Public health.

[8]  J. Sallis,et al.  An ecological approach to creating active living communities. , 2006, Annual review of public health.

[9]  R. Shephard Limits to the measurement of habitual physical activity by questionnaires , 2003, British journal of sports medicine.

[10]  Mark I. McCarthy Transport and health , 2009 .

[11]  F. Bull,et al.  Developing a framework for assessment of the environmental determinants of walking and cycling. , 2003, Social science & medicine.

[12]  B. Boardman,et al.  Taming of the few—The unequal distribution of greenhouse gas emissions from personal travel in the UK , 2008 .

[13]  A. Bauman,et al.  Toward a better understanding of the influences on physical activity: the role of determinants, correlates, causal variables, mediators, moderators, and confounders. , 2002, American journal of preventive medicine.

[14]  J. Prochaska,et al.  The transtheoretical model: Applications to exercise. , 1994 .

[15]  Nanette Mutrie,et al.  Promoting walking to school: results of a quasi-experimental trial , 2007, Journal of Epidemiology and Community Health.

[16]  R. Merton Social Theory and Social Structure , 1958 .

[17]  A. Bauman,et al.  Understanding environmental influences on walking; Review and research agenda. , 2004, American journal of preventive medicine.

[18]  B. Gardner Modelling motivation and habit in stable travel mode contexts , 2009 .

[19]  N. Mutrie,et al.  Interventions to promote walking: systematic review , 2007, BMJ : British Medical Journal.

[20]  M. Petticrew,et al.  Promoting walking and cycling as an alternative to using cars: systematic review , 2004, BMJ : British Medical Journal.

[21]  A. Prentice,et al.  Energy and transport , 2007, The Lancet.

[22]  Adrian Bauman,et al.  The physical environment and physical activity: moving from ecological associations to intervention evidence , 2005, Journal of Epidemiology and Community Health.

[23]  J. Sallis,et al.  Environmental correlates of walking and cycling: Findings from the transportation, urban design, and planning literatures , 2003, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[24]  Anna F Timperio,et al.  International Journal of Behavioral Nutrition and Physical Activity Understanding Environmental Influences on Nutrition and Physical Activity Behaviors: Where Should We Look and What Should We Count? , 2022 .

[25]  N. Mutrie,et al.  “Walk in to Work Out”: a randomised controlled trial of a self help intervention to promote active commuting , 2002, Journal of epidemiology and community health.

[26]  A Killoran,et al.  Transport interventions promoting safe cycling and walking - evidence briefing , 2006 .

[27]  B. Giles-Corti,et al.  The relative influence of individual, social and physical environment determinants of physical activity. , 2002, Social science & medicine.

[28]  Michael Joffe,et al.  Complex causal process diagrams for analyzing the health impacts of policy interventions. , 2006, American journal of public health.

[29]  Susan Michie,et al.  Developing and Evaluating Complex Interventions , 2015 .

[30]  I. Ajzen The theory of planned behavior , 1991 .

[31]  U. Ekelund,et al.  Temporal trends in physical activity in England: the Health Survey for England 1991 to 2004. , 2007, Preventive medicine.

[32]  A. Bandura Health promotion from the perspective of social cognitive theory , 1998 .

[33]  L. Steg,et al.  Promoting physical activity and reducing climate change: opportunities to replace short car trips with active transportation. , 2009, Preventive medicine.

[34]  I-Min Lee,et al.  Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. , 2007, Medicine and science in sports and exercise.

[35]  Susan Michie,et al.  Designing and implementing behaviour change interventions to improve population health , 2008, Journal of health services research & policy.

[36]  Paul Rosen,et al.  The UK National Cycle Network: an assessment of the benefits of a sustainable transport infrastructure , 2003 .

[37]  Tracy McMillan,et al.  The relative influence of urban form on a child’s travel mode to school , 2007 .