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Contributions of the US state park system to nature recreation.

ABSTRACT: Nature recreation in the United States concentrates in publicly provided natural areas. They are costly to establish and maintain, but their societal contributions are difficult to measure. Here, a unique approach is developed to quantifying nature recreation services generated by the US state park system. The assessment first uses data from five national surveys conducted between 1975 and 2007 to consistently measure the amount of time used for nature recreation. The surveys comprise two official federal surveys and their predecessors. Each survey was designed to elicit nationally representative, detailed data on how people divide their time into different activities. State-level data on time use for nature recreation were then matched with information on the availability of state parks and other potentially important drivers of recreation, so that statistical estimation methods for nonexperimental panel data (difference-in-differences) could be used to examine the net contribution of state parks to nature recreation. The results show that state parks have a robust positive effect on nature recreation. For example, the approximately 2 million acres of state parks established between 1975 and 2007 are estimated to contribute annually 600 million hours of nature recreation (2.7 h per capita, approximately 9% of all nature recreation). All state parks generate annually an estimated 2.2 billion hours of nature recreation (9.7 h per capita; approximately 33% of all nature recreation). Using conventional approaches to valuing time, the estimated time value of nature recreation services generated by the US state park system is approximately $14 billion annually.

SUBMITTER: Siikamaki J

PROVIDER: S-EPMC3161538 | biostudies-literature | 2011 Aug

REPOSITORIES: biostudies-literature

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Contributions of the US state park system to nature recreation.

Siikamäki Juha J

Proceedings of the National Academy of Sciences of the United States of America 20110809 34

Nature recreation in the United States concentrates in publicly provided natural areas. They are costly to establish and maintain, but their societal contributions are difficult to measure. Here, a unique approach is developed to quantifying nature recreation services generated by the US state park system. The assessment first uses data from five national surveys conducted between 1975 and 2007 to consistently measure the amount of time used for nature recreation. The surveys comprise two offici ...[more]

PMID: 21831838

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Project description:BackgroundThis process evaluation explored the implementation and mechanisms of impact of a Park Prescription Intervention trial (PPI), including the effects of hypothesised mediators (motivation, social support, recreational physical activity [PA], park use and park PA) on trial outcomes.MethodsParticipants from the community were randomly allocated to intervention (n?=?80) or control (n?=?80) group. The intervention included baseline counselling, a prescription of exercise in parks, materials, three-month follow-up counselling and 26 weekly group exercise sessions in parks. Process evaluation indicators were assessed at three- and six-months. Implementation indicators included participation rates in intervention components and survey questions plus focus group discussions (FGDs) to understand which components participants valued. FGDs further assessed barriers and facilitators to intervention participation. To explore mechanisms of impact, linear regression was used to compare objectively measured PA between quantiles of group exercise participation. Structural equation modelling (SEM) explored hypothesised mediation of the significant intervention effects. Framework analysis was conducted for FGDs.ResultsParticipants were middle-aged (mean 51, SD?±?6.3?years), predominantly female (79%) and of Chinese ethnicity (81%). All intervention participants received baseline counselling, the park prescription and materials, whilst 94% received the follow-up counselling. Mean minutes of moderate-to-vigorous PA/week (95% CI) differed by group exercise participation (p?=?0.018): 0% participation (n?=?18) 128.3 (69.3, 187.2) minutes, >?0-35.9% participation (n?=?18) 100.3 (36.9, 163.6) minutes, >?35.9-67.9% participation (n?=?17) 50.5 (-?4.9, 105.9) minutes and?>?67.9% participation (n?=?18) 177.4 (122.0, 232.8) minutes. Park PA at three-months had significant mediating effects (95% CI) on recreational PA 26.50 (6.65, 49.37) minutes/week, park use 185.38 (45.40, 353.74) minutes/month, park PA/month 165.48 (33.14, 334.16) minutes and psychological quality of life score 1.25 (0.19, 2.69) at six-months. Prioritising time with family and preferences for unstructured activities were barriers to intervention participation. Human interaction via follow-up or group exercise were facilitators.ConclusionThis process evaluation showed park PA consistently mediated effects of the PPI, suggesting activity in parks was a mechanism of its effects. To optimise effectiveness, participants' preference for prioritising time with family through family involvement and tailoring the intervention to participants' preferences for structured or unstructured PA could be considered in future studies.Trial registrationClinicalTrials.gov NCT02615392 , 26 November 2015.

Project description:Background eHealth technologies offer an efficient method to integrate park prescriptions into clinical practice by primary health care (PHC) providers to help patients improve their health via tailored, nature-based health behavior interventions. This paper describes the protocol of the GoalRx Prescription Intervention (GPI) which was designed to leverage community resources to provide tailored park prescriptions for PHC patients. Methods The GPI study was designed as a 3-arm, multi-site observational study. We enrolled low-income, rural adults either at-risk of or living with hypertension or diabetes (n = 75) from Federally Qualified Health Centers (FQHC) in two counties in North Carolina, USA into the 3-month intervention. Eligible participants self-selected to receive (1) a tailored park prescription intervention; (2) a tailored home/indoor PA prescription intervention; or (3) a healthy eating prescription (with no PA prescription beyond standard PA counseling advice that is already routinely provided in PHC) as the comparison group. The GPI app paired patient health data from the electronic health record with stated patient preferences and triggered app-integrated SMS motivation and compliance messaging directly to the patient. Patients were assessed at baseline and at a 3-month follow-up upon the completion of the intervention. The primary outcome (mean difference in weekly physical activity from baseline (T0) to post-intervention (T1) as measured by the Fitbit Flex 2) was assessed at 3 months. Secondary outcomes included assessment of the relationship between the intervention and biological markers of health, including body mass index (BMI), systolic and diastolic blood pressure, HbA1c or available glucose test (if applicable), and a depression screen score using the Patient Health Questionnaire 9. Secondary outcomes also included the total number of SMS messages sent, number of SMS messages responded to, number of SMS messages ignored, and opt-out rate. Discussion The goal was to create a protocol utilizing eHealth technologies that addressed the specific needs of rural low-income communities and fit into the natural rhythms and processes of the selected FQHC clinics in North Carolina. This protocol offered a higher standard of health care by connecting patients to their PHC teams and increasing patient motivation to make longer-lasting health behavior changes.

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Contributions of the US state park system to nature recreation.

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Contributions of the US state park system to nature recreation.

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