@article{cosco_wells_zhang_goodell_monsur_xu_moore_2022, title={Hands-on childcare garden intervention: A randomized controlled trial to assess effects on fruit and vegetable identification, liking, and consumption among children aged 3-5 years in North Carolina}, volume={13}, ISSN={["1664-1078"]}, DOI={10.3389/fpsyg.2022.993637}, abstractNote={Gardening at childcare centers may have a potent influence on young children's learning about fruits and vegetables and their development of healthy dietary behaviors. This randomized controlled trial examined the effect of a garden intervention on fruit and vegetable (FV) identification, FV liking, and FV consumption among 3-5-year-old children enrolled in childcare centers in Wake County, North Carolina, USA. Eligible childcare centers (serving primarily low-income families) were randomly selected and then randomly assigned to one of three groups: (1) intervention; (2) waitlist-control that served as a control in year 1 and received the intervention in year 2; or (3) no-intervention control. From the 15 participating childcare centers, 285 children aged 3-5 years were consented by their parents or guardians to participate. The intervention comprised six standardized, raised, mulched garden beds, planted with warm-season annual vegetables and fruits, and perennial fruits. A Gardening Activity Guide describing 12 age-appropriate, sequential gardening activities was distributed for teachers to lead hands-on gardening activities during the growing season. Data were gathered between Spring 2018 and Fall 2019. FV identification and liking were measured using an age-appropriate tablet-enabled protocol. FV consumption was measured by weighing each child's fruit and vegetable snack tray before and after tasting sessions. Compared to children receiving no-intervention, children who received the garden intervention showed a greater increase in accurate identification of both fruits and vegetables as well as consumption of both fruit and vegetables during the tasting sessions. Consistent with prior research, the effects on fruit consumption were greater than on vegetable consumption. There was no significant effect of the garden intervention on children's FV liking. Garden interventions implemented early in life foster learning about FV and promote healthy eating. Early exposure to gardening may yield a return on investment throughout the lifecourse, impacting healthy diet and associated health outcomes, which are particularly important within disadvantaged communities where children's health is challenged by a host of risk factors. Clinical Trials Registration #NCT04864574 (clinicaltrials.gov).}, journal={FRONTIERS IN PSYCHOLOGY}, author={Cosco, Nilda G. G. and Wells, Nancy M. M. and Zhang, Daowen and Goodell, L. Suzanne and Monsur, Muntazar and Xu, Tong and Moore, Robin C. C.}, year={2022}, month={Nov} } @book{moore_cosco_2021, place={Raleigh, NC}, edition={2nd}, title={Preschool Outdoor Play and Learning Environments: Best Practice Toolkit.}, url={https://naturalearning.org/preschool-outdoor-toolkit}, journal={Natural Learning Initiative}, institution={Natural Learning Initiative, NC State University}, author={Moore, R. and Cosco, N.}, editor={Cosco, Nilda G.Editor}, year={2021} } @article{cosco_wells_monsur_goodell_zhang_xu_hales_moore_2021, title={Research Design, Protocol, and Participant Characteristics of COLEAFS: A Cluster Randomized Controlled Trial of a Childcare Garden Intervention}, volume={18}, ISSN={["1660-4601"]}, DOI={10.3390/ijerph182413066}, abstractNote={Childcare garden interventions may be an effective strategy to increase fruit and vegetable (FV) consumption and physical activity among young children. The objective of this paper is to describe the research design, protocol, outcome measures, and baseline characteristics of participants in the Childcare Outdoor Learning Environments as Active Food Systems ("COLEAFS") study, a cluster randomized controlled trial (RCT) examining the effect of a garden intervention on outcomes related to diet and physical activity. Fifteen childcare centers in low-income areas were randomly assigned to intervention (to receive garden intervention in Year 1), waitlist control (to receive garden intervention in Year 2), and control group (no intervention). The garden intervention comprised six raised beds planted with warm-season vegetables and fruits, and a garden activity booklet presenting 12 gardening activities. FV knowledge and FV liking were measured using a tablet-enabled protocol. FV consumption was measured by weighing FV before and after a snack session. Physical activity was measured using Actigraph GT3x+ worn by children for three consecutive days while at the childcare center. Of the 543 eligible children from the 15 childcare centers, 250 children aged 3-5 years received parental consent, assented, and participated in baseline data collection. By employing an RCT to examine the effect of a garden intervention on diet and physical activity among young children attending childcare centers within low-income communities, this study offers compelling research design and methods, addresses a critical gap in the empirical literature, and is a step toward evidence-based regulations to promote early childhood healthy habits.}, number={24}, journal={INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH}, author={Cosco, Nilda Graciela and Wells, Nancy M. and Monsur, Muntazar and Goodell, Lora Suzanne and Zhang, Daowen and Xu, Tong and Hales, Derek and Moore, Robin Clive}, year={2021}, month={Dec} } @article{stevenson_n_mf_w_l_2020, title={A national research agenda supporting green schoolyard development and equitable access to nature}, volume={8}, number={1}, journal={Elementa: Science of the Anthropocene}, author={Stevenson, Moore R. and N, Cosco and Mf, Floyd and W, Sullivan and L, Brink}, year={2020} } @article{stevenson_moore_cosco_floyd_sullivan_brink_gerstein_jordan_zaplatosch_2020, title={A national research agenda supporting green schoolyard development and equitable access to nature}, volume={8}, ISSN={["2325-1026"]}, url={https://doi.org/10.1525/elementa.406}, DOI={10.1525/elementa.406}, abstractNote={The diverse benefits of nature are increasingly well-known, but access to nature and its associated benefits are inequitable. In parallel, because school attendance is compulsory, schools are ubiquitous in every community. However, only a small fraction extend classroom settings into outdoor spaces developed as educational resources richly endowed with nature. By greening schoolyards, every community in the United States would provide safe, accessible, natural areas, greatly expanding available educational space and resources benefiting the entire school community. Greening schoolyards offers a promising strategy to ensure all children and communities have access to the health, wellness, learning, and myriad other benefits contact with nature provides. This paper makes the case for green schoolyards as a tool for providing access to nature for all children and sets a research agenda to support that goal.}, number={1}, journal={ELEMENTA-SCIENCE OF THE ANTHROPOCENE}, author={Stevenson, Kathryn T. and Moore, Robin and Cosco, Nilda and Floyd, Myron F. and Sullivan, William and Brink, Lois and Gerstein, Dana and Jordan, Cathy and Zaplatosch, Jaime}, year={2020} } @book{cosco_sledge_moore_bradley_2020, place={Raleigh, North Carolina}, title={Gardening Activity Guide}, url={https://naturalearning.org/gardening-activity-guide/}, journal={Natural Learning Initiative}, institution={Natural Learning Initiative, College of Design, NC State University}, author={Cosco, N. and Sledge, B. and Moore, R. and Bradley, L.}, year={2020} } @inbook{moore_cosco_2020, place={Newcastle-Upon-Tyne}, title={Re-Naturing Urban Childhood: A Sustainable Development Strategy}, url={https://www.cambridgescholars.com/product/978-1-5275-5029-2}, booktitle={Forests and Public Health}, publisher={Cambridge Scholars Publishing}, author={Moore, R. and Cosco, N.}, editor={Gallis, C.Editor}, year={2020} } @misc{cosco_moore_2019, title={Creating Inclusive Naturalized Outdoor Play Environments}, url={http://www.child-encyclopedia.com/outdoor-play/according-experts/creating-inclusive-naturalized-outdoor-play-environments}, note={Published May 2019. Accessed May 7, 2019}, journal={Encyclopedia on Early Childhood Development}, author={Cosco, N. and Moore, R.}, editor={Tremblay, R.E. and Boivin, M. and RDeV, Peters and Brussoni, M. eds. and topicEditors}, year={2019}, month={May} } @misc{moore_cosco_2019, title={Early Childhood Outdoor Play and Learning Spaces (ECOPALS):Achieving Design Quality}, url={http://www.child-encyclopedia.com/outdoor-play/according-experts/early-childhood-outdoor-play-and-learning-spaces-ecopals-achieving}, note={Published May 2019. Accessed May 7, 2019.}, journal={Encyclopedia on Early Childhood Development}, author={Moore, R. and Cosco, N.}, editor={Tremblay, R.E. and Boivin, M. and RDeV, Peters and Brussoni, M. eds. and topicEditors}, year={2019}, month={May} } @misc{cosco_moore_2019, title={Impact of Naturalized Early Childhood Outdoor Learning Environments: Research Brief. }, url={https://naturalearning.org/Research+Brief}, journal={The Natural Learning Initiative. NC State University}, publisher={The Natural Learning Initiative. NC State University}, author={Cosco, N. and Moore, R.}, year={2019}, month={Mar} } @article{cosco_moore_monsur_goodell_2018, title={Outdoor Learning Environments as Active Food Systems: Effectiveness of the Preventing Obesity by Design Gardening Component}, volume={50}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/J.JNEB.2018.04.263}, DOI={10.1016/J.JNEB.2018.04.263}, number={7}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Cosco, Nilda and Moore, Robin and Monsur, Muntazar and Goodell, Lora S.}, year={2018}, month={Jul}, pages={S118–S119} } @article{islam_moore_cosco_2016, title={Child-Friendly, Active, Healthy Neighborhoods: Physical Characteristics and Children's Time Outdoors}, volume={48}, ISSN={["1552-390X"]}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84964903705&partnerID=MN8TOARS}, DOI={10.1177/0013916514554694}, abstractNote={Relationships between neighborhood built environment characteristics and children’s average time outdoors on weekdays were investigated in Dhaka, Bangladesh. A total of 22 built environment variables, 8 socio-demographic variables, and 1 perceptual variable were tested for their relationship to children’s ( N = 109) self-reported average time outdoors on weekdays, measured in minutes. Built environment variables were measured using Geographic Information Systems (GIS)-based urban form variables and systematic, direct observation. Analysis was conducted using multiple linear regression. Results ( p < .01) suggest that additional minutes of children’s average time outdoors on weekdays are associated with availability of adjacent space (23 min), male child (23 min), dead-end instead of through street in front of residence (15 min), perception of neighborhood safety by parents (10 min), one story lower in level of residence floor (3 min), and 1,000 m 2 less of total building footprint area within the neighborhood (1 min).}, number={5}, journal={ENVIRONMENT AND BEHAVIOR}, author={Islam, Mohammed Zakiul and Moore, Robin and Cosco, Nilda}, year={2016}, month={Jun}, pages={711–736} } @article{smith_moore_cosco_wesoloski_danninger_ward_trost_ries_2016, title={Increasing Physical Activity in Childcare Outdoor Learning Environments: The Effect of Setting Adjacency Relative to Other Built Environment and Social Factors}, volume={48}, ISSN={["1552-390X"]}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84962706855&partnerID=MN8TOARS}, DOI={10.1177/0013916514551048}, abstractNote={The problem of childhood obesity can be addressed through study of how built environment characteristics can foster physical activity (PA) among preschool children. A sample of 355 behavior settings in 30 childcare center outdoor learning environments (OLEs) was studied using behavioral mapping techniques. Observers coded activity levels of preschool children across behavior settings. The level of PA observed in 6,083 behavioral displays of children aged 3 to 5 was modeled using multi-level statistical techniques. Both adjacency and centrality of play settings were found to be important factors in increasing the degree of PA, net the effect of numerous other variables. In addition, child-to-child interaction was found to foster PA (more for boys than girls) whereas a teacher’s custodial actions limit PA. Results demonstrate that design of OLE form (particularly adjacency of behavior settings) and content (use of manipulable items such as wheeled toys and balls) facilitates higher levels of PA.}, number={4}, journal={ENVIRONMENT AND BEHAVIOR}, author={Smith, William R. and Moore, Robin and Cosco, Nilda and Wesoloski, Jennifer and Danninger, Tom and Ward, Dianne S. and Trost, Stewart G. and Ries, Nicole}, year={2016}, month={May}, pages={550–578} } @article{bocarro_floyd_smith_edwards_schultz_baran_moore_cosco_suau_2015, title={Social and Environmental Factors Related to Boys’ and Girls’ Park-Based Physical Activity}, volume={12}, ISSN={1545-1151}, url={http://dx.doi.org/10.5888/pcd12.140532}, DOI={10.5888/pcd12.140532}, abstractNote={Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Chronic Disease Prevention and Health Promotion. PCD provides an open exchange of information and knowledge among researchers, practitioners, policy makers, and others who strive to improve the health of the public through chronic disease prevention.}, number={E97}, journal={Preventing Chronic Disease}, publisher={Centers for Disease Control and Prevention (CDC)}, author={Bocarro, Jason N. and Floyd, Myron F. and Smith, William R. and Edwards, Michael B. and Schultz, Courtney L. and Baran, Perver and Moore, Robin A. and Cosco, Nilda and Suau, Luis J.}, year={2015}, month={Jun} } @inbook{boldemann_2015, place={Newcastle upon Tyne, UK}, title={The Health-Promoting Potential of Preschool Outdoor Environments: Linking Research to Policy }, booktitle={Revisiting “Social Factors”: Advancing Research Into People and Place}, publisher={Cambridge Scholars Publishing}, author={Boldemann, C.; Sördeström}, editor={G. and Morhayim, L.Editors}, year={2015} } @article{cosco_moore_smith_2014, title={Childcare Outdoor Renovation as a Built Environment Health Promotion Strategy: Evaluating the Preventing Obesity by Design Intervention}, volume={28}, ISSN={["2168-6602"]}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84892504130&partnerID=MN8TOARS}, DOI={10.4278/ajhp.130430-quan-208}, abstractNote={Purpose. To evaluate the effectiveness of Preventing Obesity by Design (POD), a childcare center outdoor renovation intervention. Design. Pre-post intervention evaluation. Setting. North Carolina licensed childcare centers (N = 27). Subjects. Preschool children. Intervention. Outdoor renovation, teacher training. Measures. Behavior mapping, Preschool Outdoor Environment Measurement Scale (POEMS), center director interview. Analysis. Descriptive statistics, ordinary least squares and logistic regressions calculated to assess levels of association between environmental change, children's physical activity (PA), social behaviors, and environmental quality. Qualitative interview data analyzed to help understand intervention impact. Results. Behavior mapping showed that site layout attributes, such as the form (i.e., “single loop” and “double loop”) of pathways (functioning as circulation routes and wheeled toy settings), are associated with higher levels of PA. Teacher interaction was associated with decreased children's PA. Absence of teacher or lack of child/child interaction was associated with increased PA. POEMS assessment of environmental quality was higher after renovation. POEMS domains (Physical Space and Teacher/Caregiver Roles) were positively associated with PA. After renovation, 68% of center directors reported positive changes in children's behavior and 40% mentioned edible plant installations as greatest success. Conclusion. Built environment renovation of childcare center outdoors, including looped pathways installation, coupled with teacher training, may support increased PA. Renovation, including food gardens, may be a key to success for preschool health promotion and support change in childcare policy.}, number={3}, journal={AMERICAN JOURNAL OF HEALTH PROMOTION}, author={Cosco, Nilda G. and Moore, Robin C. and Smith, William R.}, year={2014}, pages={S27–S32} } @article{baran_smith_moore_floyd_bocarro_cosco_danninger_2014, title={Park Use Among Youth and Adults: Examination of Individual, Social, and Urban Form Factors}, volume={46}, ISSN={["1552-390X"]}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84903973570&partnerID=MN8TOARS}, DOI={10.1177/0013916512470134}, abstractNote={This article examines park use in relation to neighborhood social (safety and poverty) and urban form (pedestrian infrastructure and street network pattern) characteristics among youth and adult subpopulations defined by age and gender. We utilized System for Observing Play and Recreation in Communities (SOPARC) and Geographic Information Systems to objectively measure park use and park and neighborhood characteristics in 20 neighborhood parks. Heterogeneous negative binomial regression models indicated that the relationship between park use and types of activity settings, and park use and neighborhood attributes vary by age and gender. In general, the study found that park and activity setting size; activity settings such as playgrounds, basketball courts, pool and water features, shelters, and picnic areas; and availability of sidewalks and intersections in the park’s neighborhood were positively associated with park use, whereas crime, poverty, and racial heterogeneity of the surrounding neighborhood were negatively associated with park use.}, number={6}, journal={Environment & Behavior}, author={Baran, P.K. and Smith, W.R. and Moore, R.C. and Floyd, M.F. and Bocarro, J.N. and Cosco, N. and Danninger, T.}, year={2014}, pages={768–800} } @book{moore_cosco_2014, title={The Outdoor Learning Environment Toolkit}, journal={Natural Learning Initiative}, institution={Natural Learning Initiative, North Carolina State University}, author={Moore, R. and Cosco, N.}, editor={Eds)Editor}, year={2014} } @article{raustorp_pagels_boldemann_cosco_soderstrom_martensson_2012, title={Accelerometer Measured Level of Physical Activity Indoors and Outdoors During Preschool Time in Sweden and the United States}, volume={9}, ISSN={["1543-5474"]}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84864986167&partnerID=MN8TOARS}, DOI={10.1123/jpah.9.6.801}, abstractNote={Background: It is important to understand the correlates of physical activity (PA) to influence policy and create environments that promote PA among preschool children. We compared preschoolers’ PA in Swedish and in US settings and objectively examined differences boys’ and girls’ indoor and outdoor PA regarding different intensity levels and sedentary behavior. Methods: Accelerometer determined PA in 50 children with mean age 52 months, (range 40–67) was recorded during preschool time for 5 consecutive weekdays at 4 sites. The children wore an Actigraph GTIM Monitor. Results: Raleigh preschool children, opposite to Malmö preschoolers spent significantly more time indoors than outdoors ( P < .001). Significantly more moderate-to-vigorous intensity physical activity (MVPA) was observed outdoors ( P < .001) in both settings. Malmö children accumulated significantly more counts/min indoors ( P < .001). The percent of MVPA during outdoor time did not differ between children at Raleigh and Malmö. Conclusion: Physical activity counts/minutes was significantly higher outdoors vs. indoors in both Malmö and Raleigh. Malmö preschoolers spent 47% of attendance time outdoors compared with 18% for Raleigh preschoolers which could have influenced the difference in preschool activity between the 2 countries. Time spent in MVPA at preschool was very limited and predominantly adopted outdoors.}, number={6}, journal={JOURNAL OF PHYSICAL ACTIVITY & HEALTH}, author={Raustorp, Anders and Pagels, Peter and Boldemann, Cecilia and Cosco, Nilda and Soderstrom, Margareta and Martensson, Fredrika}, year={2012}, month={Aug}, pages={801–808} } @article{refshauge_stigsdotter_cosco_2012, title={Adults’ motivation for bringing their children to park playgrounds}, volume={11}, ISSN={1618-8667}, url={http://dx.doi.org/10.1016/j.ufug.2012.06.002}, DOI={10.1016/j.ufug.2012.06.002}, abstractNote={Abstract Children's independent access to the outdoors is often restricted by parents, making young children dependent on adult motivation for visits. Since access to play in nature can be beneficial to children's development and health, this study examines the accompanying adults’ motivational factors for bringing their children to playgrounds in urban green spaces. The study used on-site questionnaires to collect data in six public park playgrounds in the U.S. and Denmark, to reveal cultural similarities and differences. The results show that the respondents have different motivations for going to a park playground. The Danish respondents find it most important to be together with their children, while the American respondents find it most important that their children are physically active whilst being there. Other results show that different factors can influence both frequency of visits and length of stays. For Danish respondents, location is very important. Pleasing green surroundings and a nearby location tends to result in more frequent visits. All respondents stay longer and visit more often if they like the social atmosphere of the playground. However, male respondents, who are more active with their children than female respondents, have shorter stays if they dislike the variety of play equipment. Based on the results of this paper, suggestions are made as to how designers, planners and park managers can implement the results into practice, with the aim of increasing adults’ motivation for taking their children to park playgrounds.}, number={4}, journal={Urban Forestry & Urban Greening}, publisher={Elsevier BV}, author={Refshauge, Anne Dahl and Stigsdotter, Ulrika K. and Cosco, Nilda G.}, year={2012}, month={Jan}, pages={396–405} } @article{floyd_bocarro_smith_baran_moore_cosco_edwards_suau_fang_2011, title={Park-Based Physical Activity Among Children and Adolescents}, volume={41}, ISSN={0749-3797}, url={http://dx.doi.org/10.1016/j.amepre.2011.04.013}, DOI={10.1016/j.amepre.2011.04.013}, abstractNote={Availability of parks is associated with higher levels of physical activity among children and adolescents. Few studies examine actual park use and park-based physical activity in these populations.This study examined associations among individual, park, and neighborhood environmental characteristics and children's and adolescent's park-based physical activity.Data were collected in 2007 on 2712 children in 20 randomly selected parks in Durham NC. The System for Observing Play and Recreation in Communities (SOPARC) provided measures of physical activity. Hierarchic regression analysis assessed associations among individual, park, and neighborhood environmental characteristics and children's park-based physical activity. Data were analyzed in 2010.Of the 2712 children observed, 34.2% and 13.2% were engaged in walking or vigorous physical activity. Environmental features of parks were associated with activity levels whereas neighborhood characteristics were not. Physical activity was negatively associated with gender (girls) (p=0.003); presence of a parent (p<0.0001); presence of nonparental adult (p=0.006); and an interaction involving the 0-5 years age group and style of play (p=0.017). Higher level of physical activity was associated with presence of other active children (p<0.0001); courts (e.g., basketball); and an interaction between number of recreation facilities and formal activities (p=0.004).These social factors and design features should be considered in order to stimulate higher levels of park-based physical activity among children and adolescents.}, number={3}, journal={American Journal of Preventive Medicine}, publisher={Elsevier BV}, author={Floyd, Myron F. and Bocarro, Jason N. and Smith, William R. and Baran, Perver K. and Moore, Robin C. and Cosco, Nilda G. and Edwards, Michael B. and Suau, Luis J. and Fang, Kunsheng}, year={2011}, month={Sep}, pages={258–265} } @article{boldemann_dal_martensson_cosco_moore_bieber_blennow_pagels_raustorp_wester_et al._2011, title={Preschool outdoor play environment may combine promotion of children's physical activity and sun protection. Further evidence from Southern Sweden and North Carolina}, volume={26}, ISSN={["0765-1597"]}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-79956330910&partnerID=MN8TOARS}, DOI={10.1016/j.scispo.2011.01.007}, abstractNote={Preschool outdoor play environment may combine promotion of childrens physical activity and sun protection. Further evidence from Southern Sweden and North Carolina : Les aires de jeux exterieures en ecole maternelle peuvent associer promotion de l´activite physique et protection solaire. Noveaux arguments de Suede du Sud et de Caroline Nord}, number={2}, journal={SCIENCE & SPORTS}, author={Boldemann, C. and Dal, H. and Martensson, F. and Cosco, N. and Moore, R. and Bieber, B. and Blennow, M. and Pagels, P. and Raustorp, A. and Wester, U. and et al.}, year={2011}, month={Apr}, pages={72–82} } @article{cosco_moore_islam_2010, title={Behavior Mapping: A Method for Linking Preschool Physical Activity and Outdoor Design}, volume={42}, ISSN={["0195-9131"]}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-77249105546&partnerID=MN8TOARS}, DOI={10.1249/mss.0b013e3181cea27a}, abstractNote={The preschool that children attend has been shown to be a significant but variable predictor of physical activity of 3- to 5-yr-olds, whereas the time outdoors has been found to be a strong correlate of physical activity. Researchers speculate that variations in preschool physical activity may be attributed to variations in preschool policies and practices, including the form and content of outdoor physical environments. However, assessment methods linking them to physical activity are limited. Improved understanding of links between environment and activity could be used to influence childcare policy, which is highly regulated, usually at state level, to create outdoor environments more conducive to children's informal play and physical activity. The purpose of this article was to introduce behavior mapping as a direct observation method on the basis of the theories of behavior setting and affordance and to demonstrate its sensitivity to gathering physical activity and associated environmental data at a sufficiently detailed level to affect built environment design policy. Methods: Behavior mapping data, including outdoor environmental characteristics and children's physical activity levels, were obtained in two preschool centers at the Research Triangle region, NC. Results: Physical activity levels at the two centers varied across different types of behavior settings, including pathways, play structures, and open areas. The same type of setting with different attributes, such as circular versus straight pathways, and open areas with different ground surfaces, such as asphalt, compacted soil, woodchips, and sand, attracted different levels of physical activity. Conclusions: Behavior mapping provides a promising method for objectively measuring relationships between physical behavior settings and directly associated activity levels.}, number={3}, journal={MEDICINE AND SCIENCE IN SPORTS AND EXERCISE}, author={Cosco, Nilda G. and Moore, Robin C. and Islam, Mohammed Z.}, year={2010}, month={Mar}, pages={513–519} } @inbook{moore_cosco_2010, title={Using behaviour mapping to investigate healthy outdoor environments for children and families: Conceptual framework, procedures and applications}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84866433658&partnerID=MN8TOARS}, DOI={10.4324/9780203853252}, booktitle={Innovative Approaches to Researching Landscape and Health: Open Space: People Space 2}, author={Moore, R.C. and Cosco, N.G.}, year={2010}, pages={33–73} } @article{bocarro_floyd_moore_baran_danninger_smith_cosco_2009, title={Adaptation of the System for Observing Physical Activity and Recreation in Communities (SOPARC) to Assess Age Groupings of Children}, volume={6}, ISSN={["1543-5474"]}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-73349133665&partnerID=MN8TOARS}, DOI={10.1123/jpah.6.6.699}, abstractNote={Background: To better measure physical activity (PA) in outdoor environments, McKenzie and colleagues developed the System for Observing Play and Recreation in Communities (SOPARC). However, previous SOPARC research has focused on adults, seniors, teens and children. One avenue for extending this work is to expand the child age group code to capture important nuances that can influence children's PA and their environments. This study reports on the reliability of a measure designed to account for PA in parks among children in different childhood age groups. Methods: Three groups were developed: 0 to 5 years old (Young Children); 6 to 12 (Middle Childhood) and 13 to 18 (Older Children) based on Erikson's stages of child development. Data were obtained by direct observation in 3 neighborhood parks in Raleigh, NC and 20 neighborhood parks in Durham, NC. Results: Kappa coefficients showed high agreement for all age group, gender, and PA codes. For the 3 assessments, the results show that the 3 age group category exhibit acceptable reliability for measuring PA in parks among children. Conclusions: The reliability of measuring PA among children by segmenting children by 3 age groups was established. This approach is recommended for future studies of PA among children in parks and other outdoor environments.}, number={6}, journal={JOURNAL OF PHYSICAL ACTIVITY & HEALTH}, publisher={Human Kinetics}, author={Bocarro, Jason N. and Floyd, Myron and Moore, Robin and Baran, Perver and Danninger, Tom and Smith, William and Cosco, Nilda}, year={2009}, month={Nov}, pages={699–707} } @article{sensory integration and contact with nature: designing outdoor inclusive environments_2009, url={https://shop.montessori-namta.org/products/sensory-integration-and-contact-with-nature-designing-outdoor-inclusive-environments-21896}, journal={North American Montessori Teachers Association. NAMTA Journal}, year={2009} } @inbook{moore_cosco_2007, title={What makes a park inclusive and universally designed?: A multi-method approach}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-84911171921&partnerID=MN8TOARS}, DOI={10.4324/9780203961827}, abstractNote={Foreword Laurie Olin Preface Penny Travlou and Catharine Ward-Thompson Part 1 Policy Issues: What are the current challenges in planning for inclusive access? 1. Public spaces for a changing public life Jan Gehl 2. health of the people is the highest law: Public health, public policy and green space Ken Worpole 3. Playful nature: what makes the difference between some people going outside and others not? Catharine Ward Thompson Part 2 The Nature of Exclusion: What is the experience of exclusion in different contexts? 4. Culture, heritage and access to open spaces Judy Ling Wong 5. Landscape perception as a reflection of quality of life and social exclusion in rural areas: what does it mean in an expanded Europe? Simon Bell and Alicia Montarzino 6. Mapping youth spaces in the public realm: identity, space and social exclusion Penny Travlou Part 3 Design Issues: Where are the Design challenges and what does inclusive design mean in practice? 7. What makes a park inclusive and universally designed? A multi-method approach Robin C. Moore and Nilda G. Cosco 8. 'You Just Follow the Signs': Understanding Visitor Wayfinding Problems in the Countryside Katherine Southwell and Catherine Findlay 9. Developing evidence-based design: environmental interventions for healthy development of young children in the outdoors Nilda Cosco 10. Healing Gardens for People Living with Alzheimer's: Challenges to creating an evidence base for treatment outcomes John Zeisel Part 4 Research Issues: Where are the research challenges and which theories and methods offer most promise? 11. Measuring the quality of the outdoor environment relevant to older people's lives Takemi Sugiyama and Catharine Ward Thompson 12. Three Steps to Understanding Restorative Environments as Health Resources Terry Hartig 13. On quality of life, analysis, and evidence based belief Peter A Aspinall}, booktitle={Open Space: People Space}, author={Moore, R.C. and Cosco, N.D.}, year={2007}, pages={85–110} } @article{debord_hestenes_moore_cosco_mcginnis_2002, title={Paying attention to the outdoor environment is as important as preparing the indoor environment}, volume={57}, url={http://www.scopus.com/inward/record.url?eid=2-s2.0-0042306241&partnerID=MN8TOARS}, number={3}, journal={Young Children}, author={Debord, K. and Hestenes, L.L. and Moore, R.C. and Cosco, N. and McGinnis, J.R.}, year={2002}, pages={32-X} }