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Barriers and Facilitators to Being Physically Active on a Rural U.S. Northern Plains American Indian Reservation

Author

Listed:
  • Lisa Jahns

    (Grand Forks Human Nutrition Research Center, Agricultural Research Service, United States Department of Agriculture, 2420 2nd Avenue North, Grand Forks, ND 58203, USA)

  • Leander R. McDonald

    (Spirit Lake Dakota Nation, P.O. Box 359, Fort Totten, ND 58335, USA)

  • Ann Wadsworth

    (Cankdeska Cikana Community College, Spirit Lake Dakota Nation, P.O. Box 269, Fort Totten, ND 58370, USA)

  • Charles Morin

    (Tate Topa Tribal School, Spirit Lake Dakota Nation, P.O. Box 211, St. Michael, ND 58370, USA)

  • Yan Liu

    (Department of Pediatrics, Children's Nutrition Research Center, Baylor College of Medicine, 1100 Bates Street, Houston, TX 77030, USA)

Abstract

The objective of the present study was to identify barriers to and facilitators of physical activity among American Indian adults living on a rural, U.S. Northern Plains reservation using the nominal group technique (NGT). NGT is a method of data generation and interpretation that combines aspects of qualitative (free generation of responses) and quantitative (systematic ranking of responses) methodologies. Adults participated in one of two NGT sessions asking about either barriers to (n = 6), or facilitators of (n = 5), being physically active. Participants nominated and ranked 21 barriers and 18 facilitators. Barriers indicated lack of knowledge of how to fit physical activity into a daily schedule, work, caring for family members, and prioritizing sedentary pursuits. Other responses included environmental barriers such as lack of access and transportation to a gym, unsafe walking conditions, and inclement weather. Facilitators to following recommendations included knowledge of health benefits of physical activity and the perception of physical activity as enjoyable, including feeling good when working out. Environmental facilitators included being outdoors walking and biking as well as parks and exercise facilities. Responses provided direction for locally designed community-based programs to promote facilitators and decrease barriers to individual’s engagement in physical activity.

Suggested Citation

  • Lisa Jahns & Leander R. McDonald & Ann Wadsworth & Charles Morin & Yan Liu, 2014. "Barriers and Facilitators to Being Physically Active on a Rural U.S. Northern Plains American Indian Reservation," IJERPH, MDPI, vol. 11(11), pages 1-11, November.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:11:p:12053-12063:d:42637
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    References listed on IDEAS

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    1. Jernigan, V.B.B. & Duran, B. & Ahn, D. & Winkleby, M., 2010. "Changing patterns in health behaviors and risk factors related to cardiovascular disease among American Indians and Alaska natives," American Journal of Public Health, American Public Health Association, vol. 100(4), pages 677-683.
    2. Cobb, N. & Espey, D. & King, J., 2014. "Health behaviors and risk factors among American Indians and Alaska natives, 2000û2010," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 481-489.
    3. Van de Ven, A.H. & Delbecq, A.L., 1972. "The nominal group as a research instrument for exploratory health studies," American Journal of Public Health, American Public Health Association, vol. 62(3), pages 337-342.
    4. Rebecca Newlin Hutchinson & Sonya Shin, 2014. "Systematic Review of Health Disparities for Cardiovascular Diseases and Associated Factors among American Indian and Alaska Native Populations," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-9, January.
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    Cited by:

    1. Xue Zhang & Mildred E. Warner & Elaine Wethington, 2020. "Can Age-Friendly Planning Promote Equity in Community Health Across the Rural-Urban Divide in the US?," IJERPH, MDPI, vol. 17(4), pages 1-16, February.

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