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Somta S, Völker M, Widyastari DA, Mysook S, Wongsingha N, Potharin D, Katewongsa P. Willingness-to-pay in physical activity: how much older adults value the community-wide initiatives programs? Front Public Health 2023; 11:1282877. [PMID: 38026321 PMCID: PMC10644721 DOI: 10.3389/fpubh.2023.1282877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 10/16/2023] [Indexed: 12/01/2023] Open
Abstract
Background Previous studies have shown insufficient physical activity (PA) as a significant global health concern and a major risk factor for non-communicable diseases (NCDs). Community-wide initiatives in physical activity (CWIPA) is considered as a best-buy for Community-wide initiatives in physical activity (CWIPA) is considered as a best-buy for NCDs prevention. However, assessment regarding resource allocation and cost-effectiveness of existing programs is lacking. This study investigated local residents' willingness-to-pay (WTP) for community PA programs in Southern Thailand. Methods The contingent valuation method (CVM) using the payment card approach was employed to elicit the WTP of 472 residents aged 45 years and over in selected provinces in which community PA programs had been implemented. Respondents were asked to indicate their WTP for the continuous offering of free CWIPA by choosing how much they were willing to pay from eight bid-value options, payable through their monthly electricity bill. Results The mean WTP of Thai older adults was found to be 72 baht/month ($2/month) or 868 baht/year ($25/year). This indicated the maximum amount an older person was willing to pay for any community-based PA program. More than half the sample (54.2%) chose zero as their answer, while there was a fairly large variation in other levels of WTP. The WTP was lower among older respondents and those who resided in rural areas but was higher among those with a history of participation in an organized PA program. Conclusion The level of WTP can be interpreted as an indicator of community satisfaction with CWIPA. That finding can be used as evidence for the government and policy makers in allocating resources and designing future CWIPA. A variety of organized PA programs should be offered to all community members to ensure inclusivity and also to provide equal access for senior citizens.
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Affiliation(s)
- Sittichat Somta
- Thailand Physical Activity Knowledge Development Centre (TPAK), Salaya, Nakhon Pathom, Thailand
| | - Marc Völker
- Institute for Population and Social Research, Mahidol University, Salaya, Nakhon Pathom, Thailand
| | | | - Sirinapa Mysook
- Sisaket Provincial Public Health Office, Mueang, Sisaket, Thailand
| | - Narakorn Wongsingha
- Thailand Physical Activity Knowledge Development Centre (TPAK), Salaya, Nakhon Pathom, Thailand
| | - Danusorn Potharin
- Thailand Physical Activity Knowledge Development Centre (TPAK), Salaya, Nakhon Pathom, Thailand
| | - Piyawat Katewongsa
- Institute for Population and Social Research, Mahidol University, Salaya, Nakhon Pathom, Thailand
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Dubash SD, Schafer MH. Social Network Negativity and Physical Activity: New Longitudinal Evidence for Young and Older Adults 2015-2018. Res Q Exerc Sport 2023:1-8. [PMID: 37369138 DOI: 10.1080/02701367.2023.2205910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Accepted: 04/12/2023] [Indexed: 06/29/2023]
Abstract
Purpose: Physical activity (PA) has considerable public health benefits. Positive aspects of the interpersonal environment are known to affect PA, yet few studies have investigated whether negative dimensions also influence PA. This study examines the link between changing social network negativity and PA, net of stable confounding characteristics of persons and their environments. Method: Polling respondents in the San Francisco Bay Area over three waves (2015-2018), the UCNets project provides a panel study of social networks and health for two cohorts of adults. Respondents were recruited through stratified random address sampling, and supplemental sampling was conducted through Facebook advertising and referral. With weights, the sample is approximately representative of Californians aged 21-30 and 50-70. Personal social networks were measured using multiple name-generating questions. Fixed effects ordered logistic regression models provide parameter estimates. Results: Younger adults experience significant decreases in PA when network negativity increases, while changes in other network characteristics (e.g. support, size) did not significantly predict changes in PA. No corresponding association was found for older adults. Results are net of baseline covariate levels, stable social and individual differences, and select time-varying characteristics of persons and their environments. Conclusion: Leveraging longitudinal data from two cohorts of adults, this study extends understanding on interpersonal environments and PA by considering the social costs embedded in social networks. This is the first study to investigate how changes in network negativity pattern PA change. Interventions that help young adults resolve or manage interpersonal conflicts may have the benefit of helping to promote healthy lifestyle choices.
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Tripette J, Gando Y, Murakami H, Kawakami R, Tanisawa K, Ohno H, Konishi K, Tanimoto M, Tanaka N, Kawano H, Yamamoto K, Morishita A, Iemitsu M, Sanada K, Miyatake N, Miyachi M. Effect of a 1-year intervention comprising brief counselling sessions and low-dose physical activity recommendations in Japanese adults, and retention of the effect at 2 years: a randomized trial. BMC Sports Sci Med Rehabil 2021; 13:133. [PMID: 34696811 PMCID: PMC8543897 DOI: 10.1186/s13102-021-00360-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 10/11/2021] [Indexed: 11/25/2022]
Abstract
Background In an effort to increase people’s adherence to active lifestyles, contemporary physical activity (PA) guidelines now include low-dose PA. Methods PA was evaluated in 583 participants of the Nutritional and Physical Activity Intervention Study (NEXIS) cohort (30–65 years old); 349 inactive participants (MVPA, 2.7 ± 1.0 MET-h/day) were randomly assigned to the intervention or control groups, and 235 active participants participated in follow-up visits. The intervention aimed to increase MVPA and comprised five brief counseling sessions over 1 year. The 1-year target for the participant was increasing their step-count to 10,000 steps/d or +3000 steps/d, relative to the baseline score. The counseling sessions were designed to stimulate progressive changes in physical behaviors by recommendations promoting small and/or light-intensity bouts of PA. PA was measured at baseline, the end of the intervention, and 1 year after the intervention ended. Additionally, several nutrition, health, and fitness parameters were measured. Results Participants in the intervention group significantly increased their step-count from 8415 ± 1924 at baseline to 9493 ± 2575 at the end of the 1-year period. During the same period, MVPA significantly increased by 0.9 MET-h. The daily time spent in ≥ 3, ≥ 4 and ≥ 5 MET activities increased by 11, 6, and 3 min, respectively. This increase in PA remained observable 1 year after intervention concluded. The active group maintained higher physical activity levels throughout the two years. The intervention group showed smaller energy intakes at the end of the 2-year period. Significant correlations were noted between the 1-year change in MVPA and the change in resting heart rate (r = − 0.22), and between the 2-year change in MVPA and the change in waist circumference (r = − 0.08) and peak oxygen consumption capacity (r = 0.23) in the intervention group only. Conclusions A prolonged and progressive PA intervention promoting small bouts of light-to-moderate PA may be used in healthy, not-optimally-active people to increase PA beyond the strict period of the intervention. Further studies are necessary to understand whether low-dose PA messages can be effective in initiating a progressive increase toward larger amounts of PA. Trial registration: Clinical Trials.gov, NCT00926744, retrospectively registered. Supplementary Information The online version contains supplementary material available at 10.1186/s13102-021-00360-7.
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Affiliation(s)
- Julien Tripette
- Center for Interdisciplinary AI and Data Science, Ochanomizu University, Bunkyo, Tokyo, Japan.,Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Shinjuku, Tokyo, Japan
| | - Yuko Gando
- Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Shinjuku, Tokyo, Japan.,Faculty of Sports Science, Surugadai University, Hanno, Saitama, Japan
| | - Haruka Murakami
- Faculty of Sport and Health Science, Ritsumeikan University, Kusatsu, Shiga, Japan
| | - Ryoko Kawakami
- Faculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan
| | - Kumpei Tanisawa
- Faculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan
| | - Harumi Ohno
- Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Shinjuku, Tokyo, Japan.,Faculty of Health Care, Kiryu University, Midori, Gunma, Japan
| | - Kana Konishi
- Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Shinjuku, Tokyo, Japan.,Faculty of Food and Nutritional Sciences, Toyo University, Itakura, Gunma, Japan
| | - Michiya Tanimoto
- Faculty of Biology-Oriented Science and Technology, Kindai University, Kinokawa, Wakayama, Japan
| | - Noriko Tanaka
- Research Center of Health, Physical Fitness and Sports, University of Nagoya, Nagoya, Aichi, Japan
| | - Hiroshi Kawano
- Faculty of Letters, Kokushikan University, Setagaya, Tokyo, Japan
| | - Kenta Yamamoto
- Faculty of Pharmaceutical Sciences, Teikyo Heisei University, Nakano, Tokyo, Japan
| | - Akie Morishita
- Okayama Southern Institute of Health, Okayama Health Foundation, Okayama, Okayama, Japan
| | - Motoyuki Iemitsu
- Faculty of Sport and Health Science, Ritsumeikan University, Kusatsu, Shiga, Japan
| | - Kiyoshi Sanada
- Faculty of Sport and Health Science, Ritsumeikan University, Kusatsu, Shiga, Japan
| | | | - Motohiko Miyachi
- Department of Physical Activity Research, National Institutes of Biomedical Innovation, Health and Nutrition, Shinjuku, Tokyo, Japan. .,Faculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan.
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