Rural–Urban Differences in Physical Activity Tracking and Engagement in a Web-Based Platform.

Objectives: Despite the well-established health benefits of regular participation in physical activity, most adults do not meet recommended exercise guidelines. In rural communities, limited local resources and geographic dispersion make engaging in regular activity particularly difficult. Web-based...

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Published in:Public Health Reports Vol. 138; no. 1; pp. 76 - 85
Main Authors: Pickett, Andrew C., Bowie, Maria, Berg, Alison, Towne Jr, Samuel D., Hollifield, Stephanie, Smith, Matthew Lee
Format: Article
Published: Sage Publications Inc. Jan2023
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Jan2023
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      pub: Sage Publications Inc.
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        atl: Rural–Urban Differences in Physical Activity Tracking and Engagement in a Web-Based Platform.
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        au:
          Pickett, Andrew C.
          Bowie, Maria
          Berg, Alison
          Towne Jr, Samuel D.
          Hollifield, Stephanie
          Smith, Matthew Lee
        affil:
          Division of Kinesiology & Sport Management, University of South Dakota, Vermillion, SD, USA
          School of Education Research Center, University of South Dakota, Vermillion, SD, USA
          Office of the Associate Dean, Cooperative Extension Service, University of Georgia, Athens, GA, USA
          Department of Health Policy and Management, College of Public Health, University of Georgia, Athens, GA, USA
          Department of Nutritional Sciences, College of Family and Consumer Sciences, University of Georgia, Athens, GA, USA
          School of Global Health Management and Informatics, University of Central Florida, Orlando, FL, USA
          Disability, Aging, and Technology Cluster, University of Central Florida, Orlando, FL, USA
          Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, College Station, TX, USA
          Southwest Rural Health Research Center, Texas A&M University, College Station, TX, USA
          Center for Population Health and Aging, Texas A&M University, College Station, TX, USA
          Southwest District Extension, University of Georgia, Tifton, GA, USA
      su:
        Patient participation
        Social support
        Rural conditions
        Population geography
        Metropolitan areas
        World Wide Web
        Application software
        Physical activity
        T-test (Statistics)
        Descriptive statistics
        Exercise intensity
      sug:
        subj:
          Patient participation
          Social support
          Rural conditions
          Population geography
          Metropolitan areas
          World Wide Web
          Software Publishers
          Software publishers (except video game publishers)
          Custom Computer Programming Services
          Internet Publishing and Broadcasting and Web Search Portals
          Other Individual and Family Services
          Application software
          Physical activity
          T-test (Statistics)
          Descriptive statistics
          Exercise intensity
      keyword:
        exercise
        health disparities
        health promotion
        technology
        exercise
        health disparities
        health promotion
        technology
      ab: Objectives: Despite the well-established health benefits of regular participation in physical activity, most adults do not meet recommended exercise guidelines. In rural communities, limited local resources and geographic dispersion make engaging in regular activity particularly difficult. Web-based solutions offer a potential solution for addressing physical activity disparities between rural and urban areas. Methods: This study examined the physical activity logs of users (n = 6695) of a web-based platform called Walk Georgia, comparing residents of metropolitan and nonmetropolitan areas. We tabulated descriptive statistics for variables of interest, cross-tabulated for metropolitan and nonmetropolitan groups. We then used independent-samples t tests to compare logged activity between metropolitan and nonmetropolitan residing user groups. Results: In the analysis of group type (n = 6654), users were more likely to enroll in the program as part of a group than as individuals (n = 4391; 65.9%), particularly for users in metropolitan areas (3558 of 5192; 68.5%). Although the groups shared certain activities, nonmetropolitan residents were more likely than metropolitan residents to engage in maintenance-based activities. Nonmetropolitan residents earned fewer program points for their activity than metropolitan users (P =.007), largely because of lower average exercise difficulty (P <.001). Conclusions: The web-based platform was effective in helping individuals track physical activity. Despite engaging in similar amounts of physical activity by time, on average, users in nonmetropolitan areas engaged in less rigorous and more maintenance-based tasks than users in metropolitan areas. One strategy for increasing physical activity among rural populations may be to leverage social support provided by group enrollment in such programming.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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