Outdoor walking groups insufficiently address inequalities: Findings from a scoping review
ISPAH ePoster Library. Rigby B. Oct 15, 2018; 225083; 178
Mr. Benjamin Rigby
Mr. Benjamin Rigby
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Abstract Introduction:<\b>
Outdoor walking groups are purportedly accessible physical activity interventions which may therefore address health inequalities. Critiquing this position, this paper presents findings from an equity-focused scoping review of published outdoor walking group literatures. Methods:<\b>
Arksey and O’Malley’s protocol was followed to develop a comprehensive search strategy and identify relevant academic and grey literatures, which were screened using pre-defined inclusion and exclusion criteria. An extraction form was developed to chart data and collate article characteristics. Data were organised by Cochrane PROGRESS-Plus equity characteristics and thematically analysed across: (1) equity integration strategies; (2) intervention reach; (3) effectiveness; (4) potential social determinants of engagement. Results:<\b>
Sixty-two articles were included. Key findings in each theme were: (1) Intervention trials were commonly targeted. Delivered programmes demonstrated principles of proportionate universalism by tailoring national schemes to regional activity and health needs. However, participant demographics seldom informed analyses. (2) Participation was more likely among white, middle-class, middle-to-older aged, female and able-bodied adults. (3) Positive physical and psychological outcomes did not extend along social gradients. (4) Interventions primarily addressed intermediary determinants (e.g. psychosocial barriers; material resource). Social capital (e.g. friend-making) was identified as potentially important for addressing physical activity inequities.Conclusions: Outdoor walking groups insufficiently address inequalities as advantaged subpopulations are typically afforded preferential access. Future research may address inequalities through multi-paradigmatic approaches, which focus on social determinants, rather than individualistic ecological perspectives. External funding details ESRC/Wolfson Research Institute (Durham, UK).
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