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OBJECTIVE: Recent research grounded in the experiences of elite female athletes has shed light on the complex challenges of navigating sport environments that do not support or value pregnant or postpartum athletes. The purpose of this study was to explore the unique experiences of coaches and healthcare providers working with pregnant and postpartum elite athletes, and to identify actionable steps for research, policy and culture change to support them. METHODS: Sixteen participants (five coaches, three physicians and eight physiotherapists), who have worked with pregnant and/or postpartum elite athletes within the last 5 years, participated in this qualitative study. Thirteen participants self-identified as women, and three as men. Data were generated via semistructured one-on-one interviews that were audiorecorded, transcribed verbatim and analysed through a process of content analysis. RESULTS: The findings of this research are represented by five main themes: (a) lack of female athlete reproductive research, (b) need for evidence-informed education and training, (c) need to develop evidence-based progression for sport participation in pregnancy and postpartum, (d) open communication to support athlete-centred care and (e) essential supports and changes required for pregnant/postpartum athletes. CONCLUSION: Findings from this study, which are grounded in the unique perspectives of coaches and healthcare providers, outline specific recommendations to inform policy and practices that support athletes through the perinatal period, such as developing evidence-based return-to-sport protocols.
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Fisioterapeutas , Médicos , Esportes , Masculino , Gravidez , Humanos , Feminino , Atletas , Período Pós-PartoRESUMO
BACKGROUND: For decades, dominant weight discourses have led to physical, mental, and social health consequences for young women in larger bodies. While ample literature has documented why these discourses are problematic, knowledge is lacking regarding how they are socially organized within institutions, like fashion and media, that young women encounter across their lifespan. Such knowledge is critical for those in public health trying to shift societal thinking about body weight. Therefore, we aimed to investigate how young women's weight work is socially organized by discourses enacted in fashion and media, interpreting work generously as any activity requiring thought or intention. METHODS: Using institutional ethnography, we learned from 14 informants, young women aged 15-21, in Edmonton, Canada about the everyday work of growing up in larger bodies. We conducted 14 individual interviews and five repeated group interviews with a subset (n = 5) of our informants. A collaborative investigation of weight-related YouTube videos (n = 45) elicited further conversations with two informant-researchers about the work of navigating media. Data were integrated and analyzed holistically. RESULTS: Noticing the perpetual lack of larger women's bodies in fashion and media, informants learned from an early age that thinness was required for being seen and heard. Informants responded by performing three types of work: hiding their weight, trying to lose weight, and resisting dominant weight discourses. Resistance work was aided by social media, which offered informants a sense of community and opportunities to learn about alternative ways of knowing weight. However, social media alleging body acceptance or positivity content often still focused on weight loss. While informants recognized the potential harm of engagement with commercial weight loss industries like diet and exercise, they felt compelled to do whatever it might take to achieve a "normal woman body". CONCLUSIONS: Despite some positive discursive change regarding body weight acceptance in fashion and media, this progress has had little impact on the weight work socially expected of young women. Findings highlight the need to broaden public health thinking around how weight discourses are (re)produced, calling for intersectoral collaboration to mobilize weight stigma evidence beyond predominantly academic circles into our everyday practices.
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Exercício Físico , Mídias Sociais , Peso Corporal , Dieta , Feminino , Humanos , Redução de PesoRESUMO
OBJECTIVES: Athletes train and compete at the elite level during their reproductive years, yet sport policies that support pregnant athletes are lacking. The experiences of elite athletes during pregnancy are vastly under-represented, and such voices are needed to support evidence-informed policy. Thus, the purpose of this qualitative study was to describe the experiences of elite female athletes as they navigate pregnancy, and to identify sport policy considerations regarding participation during pregnancy. METHODS: Twenty athletes (mean age 35±5 years) who, within the last 5 years, had trained or competed at the elite level immediately prior to becoming pregnant were included. Data were generated via one-on-one semistructured interviews that were audio-recorded, transcribed verbatim and analysed through a process of content analysis. RESULTS: The findings of this study are represented by one overarching message: mother versus athlete, and five main themes: (1) pregnancy planning and fertility, (2) pregnancy disclosure and discrimination, (3) training pregnant athletic bodies, (4) safety concerns, and (5) supportive network and equitable funding. CONCLUSION: In-depth stories shared by participants highlight the many significant decisions athletes must make as they navigate pregnancy alongside elite sport participation. The shared experiences of pregnant athletes highlight clear challenges that should be considered in the development of sport policy and practices that are inclusive and supportive of female athletes.
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Atletas , Esportes , Adulto , Feminino , Humanos , Gravidez , Pesquisa QualitativaRESUMO
The Indigenous Youth Mentorship Program (IYMP) is a peer-led health promotion program grounded in the teachings of Indigenous scholars. IYMP is delivered as a multi-sited community-university partnership (CUP) with Indigenous communities across Canada for elementary students. A local young adult health leader and high school youth mentors offer students healthy snacks, physical activity games, relationship building activities and traditional cultural teachings. IYMP aims to improve children's health and wellbeing and empower Indigenous youth and communities. The purpose of this descriptive qualitative study was to describe the essential characteristics of this multi-sited CUP as perceived by the IYMP principal investigators (PIs). Key informant interviews were conducted with 5 IYMP PIs (2 Indigenous) and analysed using content analysis. The overarching theme was forming a community of practice (CoP), where people with a common interest share best practices as they interact regularly. Four sub-themes were shared interest for Indigenous health/wellbeing and social justice, relationships, mentorship and taking a decolonizing research approach. The IYMP CoP allowed mentorship to occur across regions. The essential characteristics that made the IYMP CUPs successful could be used to inform other multi-sited CUPs with Indigenous communities. Those with mutual interests in Indigenous health and partnership with Indigenous communities could consider forming a CoP. Within a newly formed CoP, relationships and mentorship can be developed through discussion and activities. It is imperative within the CoP to take a decolonizing approach to research and acknowledge the impact that colonial policies and practices have had on generations of Indigenous peoples.
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Serviços de Saúde do Indígena , Mentores , Adolescente , Canadá , Criança , Humanos , Grupo Associado , Instituições Acadêmicas , Universidades , Adulto JovemRESUMO
The Indigenous Youth Mentorship Program (IYMP) is a peer-led health promotion program developed for elementary school students in Indigenous school communities in Canada. A local young adult health leader (YAHL) and high school mentors offer students healthy snacks, physical activity games, relationship building activities and cultural teachings. IYMP aims to improve children's health and wellbeing and empower Indigenous youth and communities. The purpose of this focused ethnography was to describe the key characteristics of successful IYMP delivery. Two focus groups were conducted with 16 participants (8 YAHLS and 8 youth mentors) from 7 schools followed by 4 individual interviews (3 YAHLs, 1 youth peer mentor). Transcripts were analyzed using content analysis. Findings were triangulated with IYMP program field observations and notes from IYMP national team meetings. The five characteristics identified as important for IYMP delivery were a sense of ownership by those delivering the program, inclusion of Indigenous Elders/knowledge keepers, establishing trusting relationships, open communication among all stakeholder groups, including community and academic partners, and adequate program supports in the form of program funding, manuals that described program activities, and local and national gatherings between academic and community partners for sharing ideas about the program and its components. This study indicates the importance of respectful partnerships between community and academic leads for program success and sustainability. As IYMP is implemented in more communities and becomes community autonomous, program sustainability may be ensured and implementation challenges mitigated by embedding the identified five essential characteristics within the fabric of IYMP.
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Mentores , Grupo Associado , Adolescente , Idoso , Canadá , Criança , Grupos Focais , Humanos , Avaliação de Programas e Projetos de Saúde , Instituições Acadêmicas , Adulto JovemRESUMO
BACKGROUND: Children and youth who meet the physical activity, sedentary, and sleep behaviour recommendations in the Canadian 24-Hour Movement Guidelines are more likely to have desirable physical and psychosocial health outcomes. Yet, few children and youth actually meet the recommendations. The family is a key source of influence that can affect lifestyle behaviours. The purpose of this paper is to describe the process used to develop the Consensus Statement on the Role of the Family in the Physical Activity, Sedentary, and Sleep Behaviours of Children and Youth (0-17 years) and present, explain, substantiate, and discuss the final Consensus Statement. METHODS: The development of the Consensus Statement included the establishment of a multidisciplinary Expert Panel, completion of six reviews (three literature, two scoping, one systematic review of reviews), custom data analyses of Statistics Canada's Canadian Health Measures Survey, integration of related research identified by Expert Panel members, a stakeholder consultation, establishment of consensus, and the development of a media, public relations, communications and launch plan. RESULTS: Evidence from the literature reviews provided substantial support for the importance of family on children's movement behaviours and highlighted the importance of inclusion of the entire family system as a source of influence and promotion of healthy child and youth movement behaviours. The Expert Panel incorporated the collective evidence from all reviews, the custom analyses, other related research identified, and stakeholder survey feedback, to develop a conceptual model and arrive at the Consensus Statement: Families can support children and youth in achieving healthy physical activity, sedentary and sleep behaviours by encouraging, facilitating, modelling, setting expectations and engaging in healthy movement behaviours with them. Other sources of influence are important (e.g., child care, school, health care, community, governments) and can support families in this pursuit. CONCLUSION: Family is important for the support and promotion of healthy movement behaviours of children and youth. This Consensus Statement serves as a comprehensive, credible, and current synopsis of related evidence, recommendations, and resources for multiple stakeholders.
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Exercício Físico/fisiologia , Família , Comportamento Sedentário , Sono/fisiologia , Adolescente , Canadá , Criança , Pré-Escolar , Consenso , Humanos , Lactente , Recém-NascidoRESUMO
Participation in sport and recreation may contribute to various holistic benefits among Indigenous youth in Canada. However, there is a need for a consolidated evidence base to support the development of sport and recreation opportunities that could facilitate such holistic benefits. The purpose of this research was to produce a meta-study of qualitative research examining sport and recreation experiences of Indigenous youth in Canada. Following record identification and screening, 20 articles were retained for analysis and synthesis. Strengths and weaknesses of included studies were identified through the meta-method and meta-theory analysis. The meta-data analysis revealed five themes that represent the sport and recreation experiences of Indigenous youth. Working collaboratively with community members, our final meta-synthesis situated these five themes within the integrated Indigenous ecological model. This review consolidates the qualitative evidence base, and provides direction for future research and practice.
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Indígenas Norte-Americanos/psicologia , Pesquisa Qualitativa , Recreação/psicologia , Esportes/psicologia , Adolescente , Canadá , Características Culturais , Feminino , Humanos , Relações Interpessoais , Masculino , Projetos de PesquisaRESUMO
Empirical evidence directly associating early sport specialization with burnout and dropout is lacking, although a relationship is theorized. Research in this area relies on time-intensive retrospective interviews or questionnaires that generate large amounts of data. The optimal use of these data for assessing early specialization (ES) and its relationship with key criterion variables is unclear. The purpose of this study was to add empirical evidence to the literature regarding ES, burnout, and dropout. This involved examining a large number of hypothesized markers of ES and reducing them to a smaller set useful for predicting burnout and dropout. Survey data were collected from 137 swimmers, age 12-13 years, and their parents, including descriptions of swimmers' sport backgrounds from age 6 until present. Contrary to what was expected, the ES items were not positively related to burnout and dropout. The authors present several possible explanations, including key motivational considerations.
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Atletas/psicologia , Esgotamento Psicológico , Natação/psicologia , Adolescente , Criança , Feminino , Humanos , Masculino , Motivação , Pais , Inquéritos e QuestionáriosRESUMO
This study aimed to understand how positive youth development through sport and physical activity is understood and experienced by urban indigenous youth. Research in positive youth development claims that structured physical activities are critical for development. The 5 Cs (i.e., confidence, competence, character, connection, caring) are a gold standard when discussing positive outcomes and are important characteristics for youth to possess to attain the sixth C-contribution. Indigenous leaders recognize the value of sport for indigenous children and youth. Recent works in sport psychology have called for research to understand youth sport and physical activity from diverse cultural perspectives. The current study used a community-based participatory framework, and 43 youth from across 3 Canadian settings were recruited. Talking circles were used to collect the data. Results point to some unique understandings of the 5 Cs by the participants-namely, the inclusion of the self within each C.
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Indígenas Norte-Americanos , Esportes Juvenis/psicologia , Adolescente , Desenvolvimento do Adolescente , Canadá , Cidades , Exercício Físico , Feminino , Humanos , Relações Interpessoais , Masculino , Psicologia do Adolescente , Autoimagem , Apoio Social , População UrbanaRESUMO
The purpose of this study was to explore female athletes' experiences of positive growth following deselection from provincial sport teams. Interviews were conducted with 18 women (Mage = 22.45 years, SD = 1.38) who were deselected from provincial soccer, ice hockey, and volleyball teams as adolescents. Interpretative phenomenological analysis methodology was used. The analysis was guided by Tedeschi and Calhoun's model of posttraumatic growth. Results showed that participants questioned their identity and ability as athletes following deselection. Growth was a gradual process that unfolded over several years, experienced through a greater appreciation of the role of sport in the participants' lives and sport becoming a priority, an enhanced sense of personal strength, developing closer social relationships, and a recognition of new and other opportunities. These findings show that cognitive processes and social relationships are critical components in the process of positive growth.
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Atletas/psicologia , Rejeição em Psicologia , Autoimagem , Canadá , Feminino , Humanos , Identificação Social , Adulto JovemRESUMO
The purpose of this research was to describe and interpret the positive body image experiences of women actively engaged in pole fitness. A total of seven women between the ages of 20 and 36 years participated in semistructured one-on-one interviews and follow-up interviews. Participant observation was also used to generate data. Data were analyzed using an interpretative phenomenological analysis approach, and the positive body image experiences of women are represented by five themes: (a) observation and exposure fostering body acceptance, (b) performance promoting self-confidence, (c) personal growth and sexual expression, (d) unconditional community support creates comfort, and (e) body appreciation through physical skill development. Findings suggest that women engaging in pole fitness may experience positive body image, and the words of participants provide insight into the components of pole fitness that may foster positive body image. Pole fitness may provide a unique exercise context whereby women can develop and maintain positive body image.
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Imagem Corporal , Dança/psicologia , Aptidão Física/psicologia , Autoimagem , Adulto , Feminino , Humanos , Adulto JovemRESUMO
Bullying among youth is rampant and research suggests that young Aboriginal women may be particularly susceptible to bullying. Sport participation has been identified as a possible mechanism to prevent bullying behaviors, yet few researchers have explored bullying within the context of sport. The purpose of this qualitative description study was to explore young Aboriginal women's experiences of bullying in team sports. Eight young Aboriginal women participated in one-on-one semistructured interviews and follow-up phone interviews. Data were analyzed using a content analysis, and findings were represented by five themes: (1) mean mugging, (2) sport specific, (3) happens all the time, (4) team bonding to address bullying, and (5) prevention through active coaches. The detailed descriptions shared by participants provide insight into a broad range of bullying experiences and serve as a foundation for addressing the bullying that occurs in sport.
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Atletas/psicologia , Bullying , Indígenas Norte-Americanos/etnologia , Esportes/psicologia , Adolescente , Alberta/etnologia , Feminino , Seguimentos , Processos Grupais , Humanos , Pesquisa QualitativaRESUMO
Our objective is to describe the development of evidence-based policy and practice recommendations for pregnant, postpartum and parenting Canadian high-performance athletes. A community-based participatory research approach was employed as the study design, and data were generated via a rapid review of existing sport policy for pregnant and postpartum athletes, followed by an extensive consultation and engagement process with key sport stakeholders via survey and one-on-one and group interviews. 102 sport stakeholders participated via the survey (n=56), individual and group interviews (n=33), and follow-up interviews (n=13). Individuals represented a range of summer/winter Olympic and Paralympic athletes, medical and support staff, National Sport Organisations and Sport Canada representatives. Seven evidence-based policy and practice recommendations were developed for Sport Canada decision-makers. Recommendations include the need for Sport Canada to (a) establish two new cards for pregnant and parenting athletes, (b) develop a policy to support pregnant, postpartum and parenting athletes, (c) create new funding sources for facilities that accommodate the needs of pregnant, postpartum and parenting athletes, (d) create new funding source for athletes to train and/or compete during infants' first year, (e) develop training and educational modules related to pregnant, postpartum and parenting athletes, (f) increase visibility of pregnant, postpartum and parenting athletes and (g) invest in research on high-performance sport participation during and following pregnancy. The collaborative processes employed in this research serve as a model for sports organisations to develop evidence-based policies and practices that can support pregnant, postpartum and parenting athletes.
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OBJECTIVES: The purpose of this study was to develop a grounded theory of how to promote personal development in high-performance sport environments. METHODOLOGY: Individual interviews were conducted with 32 members of the Canadian junior and senior national biathlon teams, including 18 athletes (9 women, 9 men, Mage = 20.8 years, SD = 2.9), 5 coaches (1 woman, 4 men), 3 technical leaders (2 women, 1 man), and 6 parents (3 mothers, 3 fathers). Follow-up interviews were conducted with five key participants. Straussian grounded theory methodology was used. Analytic techniques included open coding, constant comparison, questioning, memoing, diagramming, and theoretical integration. RESULTS: The grounded theory is based on the core category that personal development is a continual and individualized process. Three propositions represent how to promote athletes' personal development process. Proposition 1: Athletes use realistic self-evaluation and goal setting. Proposition 2: Athletes experience different situations and reflect on their areas for personal development. Proposition 3: Athletes perceive and receive social support. CONCLUSION: The grounded theory portrays propositions that can be used to promote athletes' personal development in high-performance sport environments. It may inform future applied research and the delivery of sport psychology support to high-performance athletes.
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Esportes , Masculino , Humanos , Feminino , Adulto Jovem , Adulto , Teoria Fundamentada , Canadá , Esportes/psicologia , Atletas/psicologia , Apoio SocialRESUMO
BACKGROUND AND OBJECTIVE: As the visibility and acceptance of athlete-mothers increase, so does the number of women athletes considering parenthood. Yet, many athletes struggle with the decision to become a parent while competing at the elite level due to the significant changes and uncertainties that have been reported by pregnant and parenting athletes. The experiences of women athletes considering parenthood are under-represented in the vast sport literature but are necessary for developing evidenced-based policies and practices that can support women's equitable participation in high-performance sport contexts. Thus, the purpose of this qualitative study was to describe the experiences of elite women athletes that are considering parenthood. METHODS: Participants were ten elite North American athletes (29-36 years) who are considering becoming parents in the next 5 years. Each participant self-identified as a woman and competed at the highest level in their respective sport. Data were generated via one-on-one semi-structured interviews that were audio-recorded, transcribed verbatim, and analyzed through a process of content analysis. RESULTS: The experiences of elite women athletes considering parenthood are represented by five themes: (a) calls for essential mandates and leadership, (b) how do you support yourself?, (c) hesitation of body changes, (d) age inequities, and (e) being proactive about reproductive health. Such findings support an in-depth understanding of gender-specific stressors that limit women's equitable participation in high-performance contexts. CONCLUSION: This research is grounded in the voices of elite women athletes and identifies actionable steps necessary for research and culture change. Findings provide necessary evidence to inform the development of sport policies to support those athletes that are considering becoming parents.
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BACKGROUND: A growing number of athletes return to elite sport following childbirth. Yet, they face significant barriers to do so safely and successfully. The experiences of elite athletes returning to sport following delivery are necessary to support evidence-informed policy. OBJECTIVE: The purpose of this qualitative description was to describe the experiences of elite athletes as they returned to sport following childbirth, and to identify actionable steps for research, policy and culture-change to support elite athlete mothers. METHODS: Eighteen elite athletes, primarily from North America, who had returned to sport following childbirth in the last 5 years were interviewed. Data were generated via one-on-one semi-structured interviews that were audio-recorded, transcribed verbatim, and analyzed through a process of content analysis. RESULTS: The findings of this study are represented by one overarching theme: Need for More Time, and five main themes: (a) Training "New Bodies" Postpartum, (b) Injuries and Safe Return to Sport, (c) Breastfeeding While Training, (d) Critical Supports for Return to Sport, (e) Navigating Motherhood and Sport. The athletes identified the urgent need to develop best-practice policies and funding to support return to sport, as well as develop evidence-based return-to-sport protocols to support a safe and injury-free return. CONCLUSION: Athletes shared detailed stories highlighting the challenges, barriers and successes elite athletes experience returning to elite-level sport following childbirth. Participants provided clear recommendations for policy and research to better support the next generation of elite athlete mothers.
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Volta ao Esporte , Esportes , Feminino , Humanos , Gravidez , AtletasRESUMO
Academic literature and sport policy documents have cited concerns about an increasing prevalence of early sport specialization, with associated burnout, dropout, and injury. However, evidence to support such statements is limited. Definitions of early specialization vary, but a common criterion is continued participation in a single sport, prior to adolescence. We explored the prevalence of single-sport participation and other patterns of sport involvement from ages 6-12 in a Canadian swimming sample using retrospective longitudinal methods. Parents of 236 competitive swimmers (ages 12-17) completed surveys on their children's sport backgrounds, including the number of sports participated in annually from age 6-12. A cluster heat map elucidated single- and multi-sport patterns over time. Mixed analyses of variance tested for differences by gender and club type. Fourteen percent of our sample showed stable participation in either one sport or multiple sports per year over time, 25% decreased their annual number of sports, and 60% increased. This trend of increasing, rather than decreasing the number of sports in their annual activity roster when approaching age 12 was particularly pronounced for girls. Only 10 participants (4% of the sample) consistently engaged in a single sport each year from age 6-12. Summer (seasonal) swimmers consistently did more sports than year-round swimmers. Overall, our findings showed highly idiosyncratic longitudinal patterns of sport participation that did not easily conform to current sport activity guidelines. We also found similar idiosyncrasy in an ad-hoc analysis of participants who had dropped out of swimming a year later. If single-sport participation is considered a key criterion for defining early specialization, our findings suggest the prevailing narrative around early specialization may be overstated in relation to the number of single-sport athletes. Alternatively, other components of early specialization may be more prevalent and deserving of attention due to possible associations with harmful outcomes.
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Atletas , Natação , Criança , Feminino , Adolescente , Humanos , Estudos Retrospectivos , Canadá , Esgotamento PsicológicoRESUMO
PURPOSE: We examined dietary intakes among Nova Scotia youth, and analyzed whether these intakes met existing dietary guidelines. METHODS: Data from 1469 students in grades 7 and 11 from randomly selected schools were collected via a web-based dietary assessment tool, including a 24-hour recall. Nutrient analysis products were subjected to descriptive and inferential statistical analyses. RESULTS: Reported dietary intakes across sexes and grades showed the vast majority of youth did not meet minimum recommendations for fibre (96% to 98%) or vegetable and fruit servings (83.3% to 90.7%). Girls in grade 11 reported greater intakes of folate and lower intakes of saturated fat, and were less likely to report iron intakes at or above the Estimated Average Requirement than were grade 7 girls. Across ages, more than 75% of girls reported low calcium and folate intakes. Boys in both grades reported consuming more energy than did girls, and older boys reported consuming more than did younger boys. Foods outside the four main food groups contributed about 25% of total reported energy intake. Students in grade 7 consumed pop, salty snacks, and french fries more frequently than did students in grade 11. CONCLUSIONS: Adolescents' self-reported dietary intakes may not meet current dietary recommendations. Continued efforts are needed to develop innovative strategies to ensure healthy eating patterns.
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Dieta , Política Nutricional , Adolescente , Dieta/efeitos adversos , Inquéritos sobre Dietas , Feminino , Humanos , Internet , Masculino , Nova EscóciaRESUMO
BACKGROUND: Pedometer-facilitated interventions encourage physical activity via the accumulation of steps. Mixed evidence suggests that neighborhood walkability might influence the effectiveness of physical activity interventions, including pedometer-facilitated interventions. Our study investigated the moderating effect of neighborhood walkability on immediate (4-week) and short-term (12-week) changes in self-reported neighborhood-specific leisure and transportation walking, leisure-based moderate and vigorous-intensity physical activity, and leisure-based screen time during a pedometer-facilitated intervention (UWALK). METHODS: This quasi-experiment undertaken in Calgary (Canada) compared behavior changes during the 12-week intervention between two neighborhood groups classified as 'walkable' or 'car dependent' based on Walk Score®. Of the 573 volunteers (adults in the contemplation and preparation stages of physical activity behavior change), 466 participated in UWALK. Surveys captured sociodemographic characteristics, perceived neighborhood walkability, neighborhood preferences, motivation, physical activity and screen-based leisure. Covariate-adjusted linear mixed models estimated the differences in physical activity and leisure screen time between the neighborhood walkability groups at baseline, 4-weeks, and 12-weeks. RESULTS: UWALK participants included mostly females (83%) and had an average age of 49.2 years. Weekly minutes of walking for transport inside the neighborhood was higher (p < .001) among participants from walkable versus car dependent neighborhoods at baseline (42.5 vs. 21.1), 4-weeks (81.2 vs. 48.2), and 12-weeks (87.2 vs. 48.0). Regardless of neighborhood walkability, all physical activity outcomes were higher and leisure screen time lower at 4-weeks and 12-weeks compared with baseline. We found no significant neighborhood group by time interactions. CONCLUSIONS: Pedometer-facilitated interventions may be effective for supporting short-term changes in physical activity and sedentary behavior even among adults residing in low walkable neighborhoods.