Restructuring the built environment to change adult health behaviors: A scoping review integrated with behavior change frameworks

Wilkie, Stephanie, Townshend, Tim, Thompson, Emine and Ling, Jonathan (2019) Restructuring the built environment to change adult health behaviors: A scoping review integrated with behavior change frameworks. Cities & Health. ISSN 2374-8834

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Abstract

Built environment restructuring can improve public health through increased opportunity for healthy behaviors. Behavioral science targets individual health behaviors within place, suggesting the potential to integrate these approaches. This scoping review was one of the first to summarise the impact built environment restructuring has on health outcomes and behaviors and integrate these findings with the Capability-Opportunity-Motivation-Behavior model and Theoretical Domains Framework of behavior change. Potential studies were identified from 12 academic databases in urban design, psychology and public health. Search parameters involved 50 environment types, for example green space or healthy cities, combined with both an intervention (e.g. green infrastructure, active transport) and a measurable health outcome (e.g. exercise, wellbeing). Searches were limited to North America, Europe, or Australia/New Zealand. Of 536 potential studies reviewed against defined inclusion/exclusion criteria, 23 contributed to the findings. Evidence supported the positive influence of restructuring on varied health outcomes, many of which were drivers and domains of health behavior. Most studies indicated a clear contribution to increased physical activity. Recommendations include the need for explicit communication of theories guiding restructuring project design, consideration of health outcomes beyond physical activity, and better investigation of unanticipated barriers to health behaviors arising from built environment restructuring projects.

Item Type: Article
Additional Information: To cite this article: Stephanie Wilkie, Tim Townshend, Emine Thompson & Jonathan Ling (2019): Restructuring the built environment to change adult health behaviors: a scoping review integrated with behavior change frameworks, Cities & Health, DOI: 10.1080/23748834.2019.1574954 To link to this article: https://doi.org/10.1080/23748834.2019.1574954
Subjects: Sciences > Health Sciences
Divisions: Faculty of Health Sciences and Wellbeing
Depositing User: Stephanie Wilkie
Date Deposited: 21 Feb 2019 09:20
Last Modified: 20 May 2019 11:32
URI: http://sure.sunderland.ac.uk/id/eprint/10305

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