Creating community, assessing need: preparing for a community physical activity intervention.

This paper describes the preliminary steps needed to begin a community physical activity intervention in a rural context, including forming a community coalition and assessing values, beliefs, and knowledge about physical activity. A random mail survey (N = 171) indicated relatively high activity rates, and perceived barriers consistent with the literature (time, program convenience, safety issues). Perceived benefits included improving/sustaining health and looking better/improving appearance. Five focus groups added additional barriers (e.g., physical isolation, lack of transportation). Residents were unaware of many existing services and indicated a desire for more walking trails, health-related activities, and low-cost exercise facilities. The discussion focuses on the importance of establishing a community coalition and implications for future program development and research.