Environmental Supports for Physical Activity Questionnaire
The Environmental Supports for Physical Activity Questionnaire
was prepared by the University of South Carolina Prevention Research
Center for a Special Interest Project funded by the Centers for
Disease Control and Prevention. The goal of the project was to develop
and test questions for a future Behavioral Risk Factor Surveillance
System (BRFSS) module to assess individual perceptions of physical
activity supports in the social and physical environment. The questionnaire
was administered to adults by telephone then was tested for validity
and reliability. A Geographic Information System (GIS) was used
to validate the environmental surveillance items against objective
measures of the social and physical environment. Responses to this
questionnaire and self-report of physical activity and walking behavior
were analyzed using univariate and multivariate tests to determine
if a relationship exists between perceptions of environmental supports
for physical activity and levels of physical activity.
The validity and reliability of the environmental questionnaire
are reported in: Kirtland KA, Porter DE, Addy CL, Neet MJ, Williams
JE, Sharpe PA, Neff LJ, Kimsey CD, Ainsworth BE. Environmental measure
of physical activity supports: Perception versus reality. American
Journal of Preventitive Medicine 2003; 24(4):323-331.
Survey items from the environmental questionnaire were also used
in a separate study that looked at reliability of environmental
questions that are reported in: Brownson RC, Chang JJ, Eyler AA,
Ainsworth BE, Kirtland KA, Saelens BE, Sallis JF. Measuring the
environment for physical activity: A comparison of the reliability
of three questionnaires. American Journal of Public Health
Associations detected between environmental perceptions and self-report
of physical activity are reported in: Addy CL, Wilson DK, Kirtland
KA, Ainsworth BE, Sharpe PA, Kimsey CD. Associations of perceived
social and physical environmental supports for physical activity
and walking behaviors. American Journal of Public Health
Environmental Supports for Physical Activity Questionnaire:
The links below will lead you to the original survey items used.
Of these original items, 11 were considered an accurate and reliable
measurement of an individual's perceptions of the environment. A
5-item short BRFSS module and an 11-item long BRFSS module were
created. If you are interested in obtaining these modules to use,
please contact the USC Prevention Research Center at email@example.com.
More information on the project is available at: http://prevention.sph.sc.edu/sips/sip4.htm.
||File Download Format
|Environmental Supports for Physical Activity Questionnaire
|Short Form (5 item)
|Long Form (11 item)
Questionnaire developed in collaboration with B.E.
Ainsworth, C.L. Addy, D.E. Porter, M.J. Neet, K.A. Kirtland, C.D.
Kimsey, Jr., L.J. Neff, P.A. Sharpe, J.E. Williams, C.L. Tudor-Locke.
SIP 4-99 Research Group (2002, October). Environmental Supports
for Physical Activity Questionnaire. Prevention Research Center,
Norman J. Arnold School of Public Health, University of South Carolina.
Retrieved [date] from the World Wide Web.
* Note: To view the documents in PDF format, you
will need to have Adobe Reader. You may download this program free
of charge from Adobe.