Grant Number:	4R01CA164137-05 Interpret this number
Primary Investigator:	Dubowitz, Tamara
Organization:	Rand Corporation
Project Title:	Impact of Greenspace Improvement on Physical Activity in a Low Income Community
Fiscal Year:	2016

DESCRIPTION (provided by applicant): Impact of greenspace improvement on physical activity in a low income community Dubowitz/PI PA-10-027 Regular physical activity (PA) contributes to a variety of positive health outcomes, including the prevention of obesity. Increasing evidence suggests that there are associations between a neighborhood environment conducive to PA (e.g., maintained greenspace) and levels of PA among its residents. However, it is unknown whether self-selection biases account for the associations, or whether geographic accessibility causally leads to greater PA. There have been repeated calls for longitudinal studies that could provide empirical evidence on environmental-level changes and their impact on PA behaviors, to strengthen the evidence base to inform greenspace policies and the use of public funds for environmental interventions, especially in low-income neighborhoods. In the near future, a low-income, predominantly African American neighborhood (the Hill District) in Pittsburgh, Pennsylvania will undergo a multi-million dollar endeavor to renovate approximately 30 acres of greenspace. This research will capitalize on a rare opportunity to evaluate this large natural experiment by assessing greenspace use and PA before and after renovations as well as changes in physical activity levels as measured by accelerometry among Hill residents relative to residents of Homewood, a demographically similar neighborhood in Pittsburgh that also has very limited greenspace but no immediate plans for renovation. We hypothesize that the greenspace renovations will result in increased PA, including more active transport and utilization of greenspace (i.e., parks, outdoor stairwells, connecting trails). Further, we will examine to the extent to which effects are mediated by social cognitive factors and moderated by perceived accessibility, social cohesion, and safety. We propose three specific aims: Specific Aim 1: Determine the impact of greenspace renovations on PA (e.g., minutes of moderate-to- vigorous PA (MVPA), sedentary behavior, active transport), measured by accelerometry and self-report, before renovations and 12 and 24 months post renovations compared to a matched control group. Specific Aim 2: Examine greenspace utilization for PA before and after renovations through direct observation and user surveys in the intervention and control neighborhoods. Specific Aim 3: Determine to what extent the impact of renovations on PA is: a) mediated by social norms and self-efficacy to engage in PA, and b) moderated by physical proximity to greenspace, perceived accessibility, social cohesion and safety. We will engage a large random sample (n=1320) of households from the Hill District and in Homewood. We will collect individual-level, greenspace utilization, and greenspace user data at baseline, 6-12 months and at 18 - 24 months post- renovations.




Prevalence and correlates of obstructive sleep apnea in urban-dwelling, low-income, predominantly African-American women.
Authors: Dong L. , Dubowitz T. , Haas A. , Ghosh-Dastidar M. , Holliday S.B. , Buysse D.J. , Hale L. , Gary-Webb T.L. , Troxel W.M. .
Source: Sleep medicine, 2020 09; 73, p. 187-195.
EPub date: 2020-06-29.
PMID: 32846281
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Virtual audits of the urban streetscape: comparing the inter-rater reliability of GigaPan® to Google Street View.
Authors: Bromm K.N. , Lang I.M. , Twardzik E.E. , Antonakos C.L. , Dubowitz T. , Colabianchi N. .
Source: International journal of health geographics, 2020-08-12; 19(1), p. 31.
EPub date: 2020-08-12.
PMID: 32787861
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The association between discrimination and PTSD in African Americans: exploring the role of gender.
Authors: Brooks Holliday S. , Dubowitz T. , Haas A. , Ghosh-Dastidar B. , DeSantis A. , Troxel W.M. .
Source: Ethnicity & health, 2020 07; 25(5), p. 717-731.
EPub date: 2018-02-28.
PMID: 29490467
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Improved Street Walkability, Incivilities, and Esthetics Are Associated with Greater Park Use in Two Low-Income Neighborhoods.
Authors: Richardson A.S. , Ghosh-Dastidar M. , Collins R.L. , Hunter G.P. , Troxel W.M. , Colabianchi N. , Cohen D.A. , Dubowitz T. .
Source: Journal of urban health : bulletin of the New York Academy of Medicine, 2020 04; 97(2), p. 204-212.
PMID: 31989419
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A preliminary study of a composite sleep health score: associations with psychological distress, body mass index, and physical functioning in a low-income African American community.
Authors: DeSantis A.S. , Dubowitz T. , Ghosh-Dastidar B. , Hunter G.P. , Buman M. , Buysse D.J. , Hale L. , Troxel W.M. .
Source: Sleep health, 2019 10; 5(5), p. 514-520.
EPub date: 2019-06-14.
PMID: 31208939
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Results from a natural experiment: initial neighbourhood investments do not change objectively-assessed physical activity, psychological distress or perceptions of the neighbourhood.
Authors: Dubowitz T. , Ghosh Dastidar M. , Richardson A.S. , Colabianchi N. , Beckman R. , Hunter G.P. , Sloan J.C. , Nugroho A.K. , Collins R.L. .
Source: The international journal of behavioral nutrition and physical activity, 2019-03-27; 16(1), p. 29.
EPub date: 2019-03-27.
PMID: 30917831
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Reliability and validity of environmental audits using GigaPan® technology in parks.
Authors: Nelson D.S. , Nezich T. , Antonakos C.L. , Dubowitz T. , Clarke P. , Colabianchi N. .
Source: Preventive medicine reports, 2019 Mar; 13, p. 293-297.
EPub date: 2019-01-21.
PMID: 30792943
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Do Sleep and Psychological Distress Mediate the Association Between Neighborhood Factors and Pain?
Authors: Brooks Holliday S. , Dubowitz T. , Ghosh-Dastidar B. , Beckman R. , Buysse D. , Hale L. , Buman M. , Troxel W. .
Source: Pain medicine (Malden, Mass.), 2019-02-01; 20(2), p. 278-289.
PMID: 29767771
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Neighborhood disadvantage is associated with actigraphy-assessed sleep continuity and short sleep duration.
Authors: Troxel W.M. , DeSantis A. , Richardson A.S. , Beckman R. , Ghosh-Dastidar B. , Nugroho A. , Hale L. , Buysse D.J. , Buman M.P. , Dubowitz T. .
Source: Sleep, 2018-10-01; 41(10), .
PMID: 30016507
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Validity of environmental audits using GigaPan^® and Google Earth Technology.
Authors: Twardzik E. , Antonakos C. , Baiers R. , Dubowitz T. , Clarke P. , Colabianchi N. .
Source: International journal of health geographics, 2018-07-06; 17(1), p. 26.
EPub date: 2018-07-06.
PMID: 29980207
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Attitudes and Barriers to Healthy Diet and Physical Activity: A Latent Profile Analysis.
Authors: Vaughan C.A. , Ghosh-Dastidar M. , Dubowitz T. .
Source: Health education & behavior : the official publication of the Society for Public Health Education, 2018 06; 45(3), p. 381-393.
EPub date: 2017-08-17.
PMID: 28817966
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The power of social networks and social support in promotion of physical activity and body mass index among African American adults.
Authors: Flórez K.R. , Richardson A.S. , Ghosh-Dastidar M.B. , Troxel W. , DeSantis A. , Colabianchi N. , Dubowitz T. .
Source: SSM - population health, 2018 Apr; 4, p. 327-333.
EPub date: 2018-03-17.
PMID: 29854917
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Park Use in Low-Income Urban Neighborhoods: Who Uses the Parks and Why?
Authors: Vaughan C.A. , Colabianchi N. , Hunter G.P. , Beckman R. , Dubowitz T. .
Source: Journal of urban health : bulletin of the New York Academy of Medicine, 2018 04; 95(2), p. 222-231.
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Can the introduction of a full-service supermarket in a food desert improve residents' economic status and health?
Authors: Richardson A.S. , Ghosh-Dastidar M. , Beckman R. , Flórez K.R. , DeSantis A. , Collins R.L. , Dubowitz T. .
Source: Annals of epidemiology, 2017 12; 27(12), p. 771-776.
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Pathways through which higher neighborhood crime is longitudinally associated with greater body mass index.
Authors: Richardson A.S. , Troxel W.M. , Ghosh-Dastidar M. , Hunter G.P. , Beckman R. , Colabianchi N. , Collins R.L. , Dubowitz T. .
Source: The international journal of behavioral nutrition and physical activity, 2017-11-09; 14(1), p. 155.
EPub date: 2017-11-09.
PMID: 29121957
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One size doesn't fit all: cross-sectional associations between neighborhood walkability, crime and physical activity depends on age and sex of residents.
Authors: Richardson A.S. , Troxel W.M. , Ghosh-Dastidar M.B. , Beckman R. , Hunter G.P. , DeSantis A.S. , Colabianchi N. , Dubowitz T. .
Source: BMC public health, 2017-01-19; 17(1), p. 97.
EPub date: 2017-01-19.
PMID: 28103842
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Is the association between neighborhood characteristics and sleep quality mediated by psychological distress? An analysis of perceived and objective measures of 2 Pittsburgh neighborhoods.
Authors: DeSantis A. , Troxel W.M. , Beckman R. , Ghosh-Dastidar B. , Hunter G.P. , Hale L. , Buysse D.J. , Dubowitz T. .
Source: Sleep health, 2016 12; 2(4), p. 277-282.
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The Power of Place: Social Network Characteristics, Perceived Neighborhood Features, and Psychological Distress Among African Americans in the Historic Hill District in Pittsburgh, Pennsylvania.
Authors: Flórez K.R. , Ghosh-Dastidar M.B. , Beckman R. , de la Haye K. , Duru O.K. , Abraído-Lanza A.F. , Dubowitz T. .
Source: American journal of community psychology, 2016 09; 58(1-2), p. 60-8.
EPub date: 2016-09-09.
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Are Food Deserts Also Play Deserts?
Authors: Cohen D.A. , Hunter G. , Williamson S. , Dubowitz T. .
Source: Journal of urban health : bulletin of the New York Academy of Medicine, 2016 Apr; 93(2), p. 235-43.
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Rx exercise: physical activity is good medicine.
Authors: Stein B.D. , Dubowitz T. .
Source: Journal of the American Academy of Child and Adolescent Psychiatry, 2015 Oct; 54(10), p. 795-6.
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Are our actions aligned with our evidence? The skinny on changing the landscape of obesity.
Authors: Dubowitz T. , Ghosh-Dastidar M.B. , Steiner E. , Escarce J.J. , Collins R.L. .
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