Table 2 Key barriers for the of the intervention as identified by providers and parents with relevant quotes
From: Project nature: promoting outdoor physical activity in children via primary care
Key Barriers | Examples & Suggestions | Illustrative Quotes | |
|---|---|---|---|
Provider | Parent | ||
Transportation & expenses | • The tool does not address structural barriers | It’s amazing we live in this beautiful place with amazing outdoor resources, but … transportation can be a barrier, having to get somewhere, having to pay for parking … having things that are very neighborhood-based that are pointing out the ways in which nature is available in small doses, even in your apartment complex, and ways to be able to encourage physical activity with things that are best done outdoors. [1-FG-PR-EN-105] | I’m just concerned about other families. What if they do have no transportation to go out?....Would there be some type of assistance for them so that they can go out? Just any type of assistance, or financial assistance to support them. [1-IN-PA-EN-13] |
Neighborhood context and safety | • The tool does not address structural barriers | …how close are they to this source and how safe is it for them to – or does mom drive? Can mom get them there, or a parent, or whoever? And how safe is it for them to walk if nobody can drive them there? [1-FG-PR-EN-113] | it has a space to do the activities that need to be done, as I live in an apartment and do not have a balcony and I would have to go out to the hallway and it does not stop being complicated because they do not let plant any flowers, nor dig. [1-IN-PA-SP-05] |
Children preferring sedentary, indoor activities | • Fun activities may overcome children’s desire to be indoors and sedentary | If they make this into a big, special activity or something fun, and make it more exciting and appealing than their iPads, and iPhones, and videogames, then I think it could totally work. [1-FG-PR-EN-113] | I would say, things that will persuade kids to go out more. I don’t necessarily have anything in mind. But definitely not like, eat junk food or something that will encourage them to stay indoors, right? [1-IN-PA-EN-00] |
Parent energy, time, absence | • Toolkit should be easy to use | I’m not sure if a lot of parents would be able to put in all that enthusiasm, especially if they’re already having all these other barriers and if they’re tired or if they don’t have time. Things like that. [1-FG-PR-EN-113] | I think maybe only things that would get in the way would be the same issues of we’re too tired. I think that is probably the biggest issue. …. I think it’s mostly us just being exhausted. [1-IN-PA-EN-15] |
Winter weather | • Rain gear may mitigate this barrier • Toys and activities should be suitable for winter weather | The concept of having rain gear, I imagine there’s some basic awareness of that, but the parents themselves have never seen this. [1-FG-PR-EN-101] | …even a little bucket they could dig in our front yard. The weather though it’s cold. It’s cold and the dirt’s cold and they don’t want to put their little hands in the cold dirt. So, weather. [1-IN-PA-EN-102] |
Clinic feasibility | • Storage space • Clinic culture/staffing • Visit duration | I don’t think it would be something that I, personally, or any of the other providers in my clinic would want to take on as a responsibility of making sure we have an inventory of this. [1-FG-PR-EN-108] | N/A |