, 2012) and within their neighborhoods. Heckler and colleagues highlighted that their study participants combined recreational and utilitarian walking (e.g., active transportation) to meet physical activity guidelines (Hekler et al., 2012). Therefore the use of public transport Obeticholic Acid clinical trial may encourage more physical activity (Rissel et al., 2012). Of note, after the introduction of a UK national free bus pass program for adults 60 years + there was an increase in use of public transportation and therefore,
associated increased opportunities for walking (Coronini-Cronberg et al., 2012). Thus, municipal and provincial decision makers must take into account the importance of public transportation to enhance walking opportunities for older adults. Yang and Matthews (2010) noted that the built environment is more obvious than the social environment. Despite this, our participants Everolimus chemical structure made statements during the brainstorming session that spoke to aspects of the social environment. Many of these (perceptions of neighborhood safety, community events/activities, and social capital) were considered both important and feasible and fell within the ‘go-zone’ for action. The mechanism might be that social factors increase the desire and willingness of older adults to navigate their neighborhoods. Importantly, socialization encourages activity (Fried et al., 2004) and reduces the risk of
disability (Buchman et al., 2010, De Leon et al., 1999 and Unger et al., 1999) and the development of dementia (Rovio et al., 2005). How communities and local governments may best harness the potential of the social environment to encourage outdoor walking is still to be evaluated. The decision to walk outdoors is also influenced by older adult’s assessment of his/her physical capacity and perceived self-efficacy to safely complete the task. Older adults can ‘disengage’ from an activity if they until feel unable to overcome the demands of challenging environments (Gagliardi et al., 2010)
and when there are no other transportation options. During brainstorming, stakeholders generated responses related to individual attributes or characteristics that might influence older adult walking, including physical stamina, strength, and/or sense of mastery/control. Although we did not anticipate comments on person-level characteristics, during sorting and rating we chose to retain these responses and included them in the Personal Ability cluster and also in our analyses. These findings highlight the interaction of the person within their environment and this is a key component of the social ecological model. Further, while statements in this cluster were rated as highly important, stakeholders considered them not as feasible to implement. This surprise finding recognizes that often behavior change is difficult to initiate and many people encounter challenges with maintaining positive health behaviors, such as outdoor walking.