Form 10 PARA

The Healthy Communities Study: How Communities Shape Childrens Health (NHLBI)

FINAL_HCS_SSA_ATTACH 16_SCHOOL PARA_Jan 2013

Physical Education Instructiors

OMB: 0925-0649

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SSA ATTACHMENT 16

HEALTHY COMMUNITIES STUDY


HEALTHY COMMUNITIES STUDY

SCHOOL PHYSICAL ACTIVITY ENVIRONMENTAL ASSESSMENT PROTOCOL

SCHOOL PHYSICAL ACTIVITY RESOURCE ASSESSMENT (PARA)


The following document contains the physical activity environmental assessment protocol that will be followed to assess the physical activity resources available at the schools. A modified version of the Physical Activity Resource Assessment (PARA) form will be completed based upon observations in up to four schools (two elementary and two middle schools) per community from which the sample of children/families was recruited. The Battelle community liaison will observe the school’s outdoor features of the environment related to physical activity. This form characterizes the features, amenities, and incivilities of the physical activity environment(s) in the school, the hours, availability, and capacity of the facilities, and size and cost of use of these environments.


THE SCHOOL PHYSICAL ACTIVITY RESOURCE ASSESSMENT (SCHOOL PARA)


There is little to no public reporting burden of this collection of information as it is completed by research staff. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.







PLEASE COMPLETE THE FOLLOWING FORM FOR THE FOUR SCHOOLS SELECTED FOR OBSERVATIONS IN THE COMMUNITY DURING THE LIAISON’S VISIT.





B1.

: AM/PM

Start Time


: AM/PM

End Time





B1a.

Shape1

School ID


B1b.

Liaison ID (Observer)





B2.

Approximate size (size of entire school property)


small (1/2 square block) 1

medium (>1/2 square block

up to 1 square block) 2

large (>1 square block) 3

Don’t Know -2





B3.

Capacity (posted fire capacity for indoor facilities)


Don’t Know -2





B4.

Cost


Free 1

Pay at the door 2

Pay for only certain programs 3

Other ___________________ 4

Don’t Know -2





B5.

Hours of Operation


a) open : AM/PM

Don’t Know -2


b) close : AM/PM

Don’t Know -2






B6.

Signage – Hours


Yes 1

No 0

Don’t Know -2





B7.

Signage – Rules


Yes 1

No 0

Don’t Know -2



Rating




Rating



Feature

Not present

Poor

Mediocre

Good



Amenity

Not present

Poor

Mediocre

Good


B8.

Baseball field

0

1

2

3


B19.

Wading pool <3ft

0

1

2

3


B9.

Basketball courts

0

1

2

3


B20.

Access points

0

1

2

3


B10.

Soccer field

0

1

2

3


B21.

Bathrooms

0

1

2

3


B11.

Bike rack

0

1

2

3


B22.

Benches

0

1

2

3


B12.

Play equipment

0

1

2

3


B23.

Drinking fountain

0

1

2

3


B13.

Pool >3 ft deep

0

1

2

3


B24.

Landscaping efforts

0

1

2

3


B14.

Sandbox

0

1

2

3


B25.

Lighting

0

1

2

3


B15.

Sidewalk

0

1

2

3


B26.

Picnic tables

0

1

2

3


B16.

Tennis courts

0

1

2

3


B27.

Shelters

0

1

2

3


B17.

Trails – running/ biking

0

1

2

3


B28.

Shower/Locker room

0

1

2

3


B18.

Volleyball courts

0

1

2

3


B29.

Trash containers

0

1

2

3




Rating




Rating



Incivilities

Not Present

Present



Incivilities

Not Present

Present


B30.

Auditory annoyance

0

1


B35.

Graffiti/tagging

0

1


B31.

Broken glass

0

1


B36.

Litter

0

1


B32.

Dog refuse

0

1


B37.

Overgrown grass

0

1


B33.

Evidence of alcohol use

0

1


B38.

Sex paraphernalia

0

1


B34.

Evidence of substance use

0

1


B39.

Vandalism

0

1






Comments: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________




THE SCHOOL PHYSICAL ACTIVITY RESOURCE ASSESSMENT (SCHOOL PARA)

Sources and References



  1. Lee RE, Booth KM, Reese-Smith JY, Regan G, Howard HH. The Physical Activity Resource Assessment (PARA) instrument: evaluating features, amenities, and incivilities of physical activity resources in urban neighborhoods. Int J Behav Nutr Phys Act. 14 September 2005; 2:13.


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