ABSTRACT
Due to the COVID-19 pandemic, rethinking lifestyle and quality of life through the appropriate use of public space is necessary. This study aims to verify the measures of social distancing in Chapinero Centro, which, according to the mobility survey 2019 of Bogota, has an average of 4,633 trips on foot between 10 and 20 minutes according to the travel patterns in the areas of transportation analysis studied. Despite having great social and economic dynamics, this area has small sidewalks that hinder compliance with social distancing, which is necessary to mitigate the coronavirus pandemic. Therefore, geographic analysis of this area was performed using data provided by the vulnerability map of the Coronavirus web in Colombia by the National Planning Department, the Institute for Health Technology Assessment, and the National Administrative Department of Statistics. This geographic analysis made it possible to calculate the variables of population indicator per block, maximum population per sidewalk, and the criterion of compliance with social distancing. When developing the vulnerability and social distancing maps, it became evident that 37% of the sidewalks do not comply with the 2 meters of social distancing between people, so we propose extending them to 3.5 meters and reducing this same value in the vehicular space to design an effective social distancing map. We concluded that the widening of the sidewalks allows flexible use of the streets oriented to a healthy distance, which could be complemented with an accessibility study and a study of vehicular traffic to measure the impact of this intervention. © 2022, Pontificia Universidad Javeriana. All rights reserved.
ABSTRACT
BACKGROUND: The Stroke Recovery in Motion Implementation Planner guides teams through the process of planning for the implementation of community-based exercise programs for people with stroke, in alignment with implementation science frameworks. OBJECTIVE: The purpose of this study was to conduct a field test with end users to describe how teams used the Planner in real-world conditions; describe the effects of Planner use on participants' implementation-planning knowledge, attitudes, and activities; and identify factors influencing the use of the Planner. METHODS: This field test study used a longitudinal qualitative design. We recruited teams across Canada who intended to implement a community-based exercise program for people with stroke in the next 6 to 12 months and were willing to use the Planner to guide their work. We completed semistructured interviews at the time of enrollment, monitoring calls every 1 to 2 months, and at the end of the study to learn about implementation-planning work completed and Planner use. The interviews were analyzed using conventional content analysis. Completed Planner steps were plotted onto a timeline for comparison across teams. RESULTS: We enrolled 12 participants (program managers and coordinators, rehabilitation professionals, and fitness professionals) from 5 planning teams. The teams were enrolled in the study between 4 and 14 months, and we conducted 25 interviews. We observed that the teams worked through the planning process in diverse and nonlinear ways, adapted to their context. All teams provided examples of how using the Planner changed their implementation-planning knowledge (eg, knowing the steps), attitudes (eg, valuing community engagement), and activities (eg, hosting stakeholder meetings). We identified team, organizational, and broader contextual factors that hindered and facilitated uptake of the Planner. Participants shared valuable tips from the field to help future teams optimize use of the Planner. CONCLUSIONS: The Stroke Recovery in Motion Implementation Planner is an adaptable resource that may be used in diverse settings to plan community-based exercise programs for people with stroke. These findings may be informative to others who are developing resources to build the capacity of those working in community-based settings to implement new programs and practices. Future work is needed to monitor the use and understand the effect of using the Planner on exercise program implementation and sustainability.