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<article article-type="research-article" dtd-version="1.2" xml:lang="en" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id journal-id-type="issn">2732-4184</journal-id>
<journal-title-group>
<journal-title>Active Travel Studies: An Interdisciplinary Journal</journal-title>
</journal-title-group>
<issn pub-type="epub">2732-4184</issn>
<publisher>
<publisher-name>University of Westminster Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.16997/ats.1222</article-id>
<article-categories>
<subj-group>
<subject>Research article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Active Travel in Rural New Zealand: A Study of Rural Adolescents&#8217; Perceptions of Walking and Cycling to School</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Calverley</surname>
<given-names>Jessica</given-names>
</name>
<xref ref-type="aff" rid="aff-1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hopkins</surname>
<given-names>Debbie</given-names>
</name>
<xref ref-type="aff" rid="aff-2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bengoechea</surname>
<given-names>Enrique Garc&#237;a</given-names>
</name>
<xref ref-type="aff" rid="aff-3">3</xref>
<xref ref-type="aff" rid="aff-4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Coppell</surname>
<given-names>Kirsten</given-names>
</name>
<xref ref-type="aff" rid="aff-5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Spence</surname>
<given-names>John C.</given-names>
</name>
<xref ref-type="aff" rid="aff-6">6</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Mandic</surname>
<given-names>Sandra</given-names>
</name>
<email>sandy.mandic@aut.ac.nz</email>
<xref ref-type="aff" rid="aff-7">7</xref>
<xref ref-type="aff" rid="aff-8">8</xref>
<xref ref-type="aff" rid="aff-9">9</xref>
</contrib>
</contrib-group>
<aff id="aff-1"><label>1</label>School of Physical Education, Sport and Exercise Sciences, University of Otago, Dunedin, NZ</aff>
<aff id="aff-2"><label>2</label>Department for Continuing Education and School of Geography and the Environment, University of Oxford, Oxford, GB</aff>
<aff id="aff-3"><label>3</label>Health Research Institute, Department of Physical Education and Sport Sciences, Faculty of Education and Health Sciences, University of Limerick, Limerick, IE</aff>
<aff id="aff-4"><label>4</label>Research and Innovation Unit, Sport Ireland, IE</aff>
<aff id="aff-5"><label>5</label>Department of Medicine, University of Otago, Dunedin, NZ</aff>
<aff id="aff-6"><label>6</label>Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, CA</aff>
<aff id="aff-7"><label>7</label>School of Sport and Recreation, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, NZ</aff>
<aff id="aff-8"><label>8</label>Centre for Sustainability, University of Otago, Dunedin, NZ</aff>
<aff id="aff-9"><label>9</label>AGILE Research Ltd., Wellington, NZ</aff>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2022-11-17">
<day>17</day>
<month>11</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>2</volume>
<issue>2</issue>
<elocation-id>8</elocation-id>
<history>
<date date-type="received" iso-8601-date="2021-11-24">
<day>24</day>
<month>11</month>
<year>2021</year>
</date>
<date date-type="accepted" iso-8601-date="2022-09-23">
<day>23</day>
<month>09</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; 2022 The Author(s)</copyright-statement>
<copyright-year>2022</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See <uri xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</uri>.</license-p>
</license>
</permissions>
<self-uri xlink:href="https://activetravelstudies.org/articles/10.16997/ats.1222/"/>
<abstract>
<sec>
<title>Background:</title>
<p>Understanding students&#8217; perceptions of walking and cycling to school informs active travel interventions and policy. However, perceptions of students in rural settings are unknown, yet they are important predictors of active travel use. This study examined perceptions of walking and cycling to school among adolescents ineligible for school transport financial assistance (living &#8804;4.8 km of school) in rural New Zealand.</p>
</sec>
<sec sec-type="methods">
<title>Methods:</title>
<p>Adolescents (n = 62; 53.2% female; 15.6 &#177; 1.5 years; five schools) residing and attending a secondary school in a rural setting (population &lt; 1,000) completed an online survey about their perceptions of walking and cycling to school (attitudes, subjective norms, perceived behavioural control/intention). Home-to-school distance was calculated using a geographic information system&#8217;s shortest network path analysis.</p>
</sec>
<sec>
<title>Results:</title>
<p>Overall, 73% walked and 11% cycled to school. Compared to cycling, adolescents reported a greater desire (57% vs 26%) and intention (74% vs 13%) to walk to school and perceived more support from friends (37% vs 30%), parents (81% vs 40%), and schools (61% vs 34%) (all <italic>p</italic> &lt; 0.001). Adolescents also reported better physical infrastructure (presence/availability of footpaths vs cycle lanes) for walking versus cycling to school (86% vs 36%, <italic>p</italic> &lt; 0.001). Over 95% perceived both walking and cycling to school as safe.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>Compared to cycling, walking to school was a more common and preferred transport mode with greater perceived social support and physical infrastructure. The findings suggest that supportive social and built environments appear to encourage walking to school in rural areas. Mode-specific approaches may be required to encourage cycling to school for rural adolescents.</p>
</sec>
</abstract>
<kwd-group>
<kwd>active transport</kwd>
<kwd>rural</kwd>
<kwd>adolescents</kwd>
<kwd>walking</kwd>
<kwd>cycling</kwd>
<kwd>perceptions</kwd>
</kwd-group>
<funding-group specific-use="crossref">
<award-group>
<funding-source id="gs1" country="NZL">
<institution-wrap>
<institution>University of Otago</institution>
<institution-id institution-id-type="doi" vocab="open-funder-registry" vocab-identifier="10.13039/open_funder_registry">10.13039/100008247</institution-id>
</institution-wrap>
</funding-source>
<award-id>UORG 2018</award-id>
</award-group>
<award-group>
<funding-source id="gs2" country="NZL">
<institution-wrap>
<institution>Otago Medical Research Foundation</institution>
<institution-id institution-id-type="doi" vocab="open-funder-registry" vocab-identifier="10.13039/open_funder_registry">10.13039/501100001563</institution-id>
</institution-wrap>
</funding-source>
<award-id>2018</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
<body>
<sec>
<title>1. Introduction</title>
<p>Walking and cycling to school are the two most common modes of active transport to and from school (ATS). They are convenient and environmentally friendly ways to foster daily physical activity among adolescents (<xref ref-type="bibr" rid="B4">Aubert et al., 2018</xref>; <xref ref-type="bibr" rid="B30">Guthold et al.; 2020</xref>; <xref ref-type="bibr" rid="B38">Khan et al., 2020</xref>) while also providing a range of health, personal, and social benefits (<xref ref-type="bibr" rid="B36">Kek et al., 2019</xref>; <xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>; <xref ref-type="bibr" rid="B12">Carver et al., 2005</xref>). In New Zealand, fewer than 50% of adolescents use ATS (<xref ref-type="bibr" rid="B74">Smith et al., 2018</xref>), with walking being more popular than cycling to school (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>). Walking to school is also more popular in other countries, including Canada (59% vs 3%) (<xref ref-type="bibr" rid="B39">Larsen et al., 2009</xref>), China (40% vs 16%) (<xref ref-type="bibr" rid="B81">Sun, Liu and Tao, 2015</xref>), Great Britain (40% vs 16%) (<xref ref-type="bibr" rid="B22">Department for Transport, 2017</xref>), Ireland (18% vs 2%) (<xref ref-type="bibr" rid="B55">Murtagh, Dempster and Murphy, 2016</xref>), Spain (46% vs 2%) (<xref ref-type="bibr" rid="B13">Chill&#243;n et al., 2013</xref>), and Switzerland (34% vs 10%) (<xref ref-type="bibr" rid="B9">Bringolf-Isler et al., 2008</xref>). However, in some countries, such as Denmark (<xref ref-type="bibr" rid="B16">Cooper et al., 2006</xref>), Germany (<xref ref-type="bibr" rid="B69">Reimers et al., 2013</xref>), and the Netherlands (<xref ref-type="bibr" rid="B6">Bere et al., 2008</xref>), cycling to school is more popular than walking among adolescents at least in part due to a complex mix of socio-historical and cultural factors, ongoing investment in cycling-friendly infrastructure, and supportive policies (<xref ref-type="bibr" rid="B67">Pucher and Buehler, 2008</xref>).</p>
<p>In general, most studies have examined walking and cycling to school combined under the term &#8220;active transport&#8221; (<xref ref-type="bibr" rid="B49">Martin, Lee and Lowry, 2007</xref>; <xref ref-type="bibr" rid="B5">Babey et al., 2009</xref>; <xref ref-type="bibr" rid="B25">Evenson et al., 2006</xref>; <xref ref-type="bibr" rid="B70">Robertson-Wilson, Leatherdale and Wong, 2008</xref>) or focused on walking only (<xref ref-type="bibr" rid="B53">Mitra and Buliung, 2015</xref>) or cycling only (<xref ref-type="bibr" rid="B19">de Bruijn et al., 2005</xref>). However, walking and cycling are distinct modes of transport with distinct characteristics. For example, mode-specific enablers and barriers have been identified by both New Zealand adolescents (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>; <xref ref-type="bibr" rid="B44">Mandic et al., 2022</xref>) and their parents (<xref ref-type="bibr" rid="B45">Mandic et al., 2020</xref>), suggesting the importance of examining these two modes of ATS separately. In these New Zealand studies, both parents and adolescents perceived cycling as less safe with less social support and more environmental barriers than walking to school.</p>
<p>Further, most studies examining adolescents&#8217; school travel have been conducted in main urban centres (<xref ref-type="bibr" rid="B49">Martin, Lee and Lowry, 2007</xref>; <xref ref-type="bibr" rid="B54">Mitra, Buliung and Roorda, 2010</xref>; <xref ref-type="bibr" rid="B35">Jones and Sliwa, 2016</xref>; <xref ref-type="bibr" rid="B24">Easton and Ferrari, 2015</xref>; <xref ref-type="bibr" rid="B5">Babey et al., 2009</xref>; <xref ref-type="bibr" rid="B13">Chill&#243;n et al., 2013</xref>), with few studies focusing on rural areas (<xref ref-type="bibr" rid="B11">Bungum et al., 2008</xref>; <xref ref-type="bibr" rid="B72">Sjolie and Thuen, 2002</xref>). As these geographic settings have distinct social, cultural, economic, and built environment contexts, the rates of adolescents&#8217; walking and cycling to school as well as enablers of and barriers to their use are likely to differ in rural and urban areas. Typically, a higher prevalence of ATS is observed among adolescents in urban versus rural areas (<xref ref-type="bibr" rid="B60">Pabayo and Gauvin, 2008</xref>; <xref ref-type="bibr" rid="B5">Babey et al., 2009</xref>; <xref ref-type="bibr" rid="B85">Yang, Diez Roux and Bingham, 2011</xref>; <xref ref-type="bibr" rid="B66">Potoglou and Arslangulova, 2017</xref>; <xref ref-type="bibr" rid="B72">Sjolie and Thuen, 2002</xref>; <xref ref-type="bibr" rid="B70">Robertson-Wilson, Leatherdale and Wong, 2008</xref>; <xref ref-type="bibr" rid="B28">Fulton et al., 2005</xref>). This observation may at least in part be attributed to longer distances to school travelled by rural adolescents. In contrast, a New Zealand study reported a higher prevalence of ATS among adolescents in rural versus urban areas (<xref ref-type="bibr" rid="B47">Mandic et al., 2015</xref>).</p>
<p>Distance from home to school is the strongest predictor of ATS in adolescents (<xref ref-type="bibr" rid="B34">Ikeda et al., 2018</xref>; <xref ref-type="bibr" rid="B47">Mandic et al., 2015</xref>; <xref ref-type="bibr" rid="B20">De Meester et al., 2013</xref>). Threshold distances for adolescents walking to school range from 1.4 km to 3.0 km (<xref ref-type="bibr" rid="B6">Bere et al., 2008</xref>; <xref ref-type="bibr" rid="B63">Pocock et al., 2018</xref>; <xref ref-type="bibr" rid="B56">Nelson et al., 2008</xref>, <xref ref-type="bibr" rid="B15">Chill&#243;n et al., 2015</xref>), whereas reasonable cycling distances range from 3.0 km to 8.0 km (<xref ref-type="bibr" rid="B17">D&#8217;Haese et al., 2011</xref>; <xref ref-type="bibr" rid="B56">Nelson et al., 2008</xref>; <xref ref-type="bibr" rid="B6">Bere et al., 2008</xref>; <xref ref-type="bibr" rid="B83">Van Dyck et al., 2010</xref>), with large variability between countries. In addition, parental (<xref ref-type="bibr" rid="B45">Mandic et al., 2020</xref>) and adolescents&#8217; (<xref ref-type="bibr" rid="B44">Mandic et al., 2022</xref>) perceptions and rates of walking and cycling to school change with increasing home-to-school distance. Thus, efforts to promote ATS will most likely only be effective among adolescents living within a <italic>reasonable</italic> walking and/or cycling distance from their school. Therefore, studies examining adolescents&#8217; perceptions of walking and/or cycling to school should be conducted in adolescents for whom using ATS is potentially feasible.</p>
<p>In New Zealand, adolescents living within 4.8 km of their closest school are ineligible for school transport financial assistance (<xref ref-type="bibr" rid="B51">Ministry of Education, no date</xref>); consequently, they rely on walking, cycling, private vehicle transport, or public transport for their school travel. Although fare-based public buses are available in the main urban centres and some medium-sized urban areas, limited public transport provision is characteristic of rural areas internationally, including in New Zealand (<xref ref-type="bibr" rid="B59">Nutley, 2003</xref>; <xref ref-type="bibr" rid="B58">Nutley, 1996</xref>).</p>
<p>To address the paucity of rural transport knowledge, rural-specific transport habits and perceptions need to be investigated to develop appropriate place-based interventions and policies to promote ATS and ultimately increase adolescents&#8217; physical activity. Research questions for this study were guided by socio-ecological frameworks of travel behaviour (<xref ref-type="bibr" rid="B61">Panter, 2008</xref>; <xref ref-type="bibr" rid="B71">Sallis, 2006</xref>) and the theory of planned behaviour (<xref ref-type="bibr" rid="B2">Ajzen, 2002</xref>). Socio-ecological frameworks of travel behaviour suggest that a wide range of individual, social, environmental, and policy factors influence how adolescents travel to school (<xref ref-type="bibr" rid="B62">Panter et al., 2010</xref>; <xref ref-type="bibr" rid="B18">Davison and Lawson, 2006</xref>; <xref ref-type="bibr" rid="B64">Pont et al., 2009</xref>). In addition, the theory of planned behaviour (<xref ref-type="bibr" rid="B2">Ajzen, 2002</xref>) illustrates the role of individual beliefs and perceptions. Briefly, this theory posits that the intention to use ATS, as a direct antecedent of the behaviour itself, can be predicted based on attitudes towards walking and cycling, subjective norms, and perceived behavioural control. Therefore, this study compared the perceptions of walking and cycling to school among adolescents attending a secondary school within 4.8 km (3.0 mi) of their home in rural settings in the Otago region of New Zealand.</p>
</sec>
<sec sec-type="methods">
<title>2. Materials and methods</title>
<sec>
<title>2.1. Setting</title>
<p>Currently, there is no internationally agreed upon definition of &#8220;rural&#8221; areas in New Zealand (<xref ref-type="bibr" rid="B79">Statistics New Zealand, no date</xref>). In the present study, &#8220;rural settings&#8221; were settlements/areas with populations of less than 1,000 residents, as defined by the New Zealand government (<xref ref-type="bibr" rid="B79">Statistics New Zealand, no date</xref>; <xref ref-type="bibr" rid="B78">Statistics New Zealand, 2020</xref>). The Built Environment and Active Transport to School (BEATS) Rural Study was conducted between February and September 2018 in the Otago region, New Zealand (<xref ref-type="bibr" rid="B84">White et al., 2021</xref>). Aside from the city of Dunedin, the region is made up of rural settlements and small urban (1,000&#8211;9,999 residents) and medium urban (10,000&#8211;29,999 residents) areas (<xref ref-type="bibr" rid="B78">Statistics New Zealand, 2020</xref>; <xref ref-type="bibr" rid="B76">Statistics New Zealand, 2018</xref>; <xref ref-type="bibr" rid="B77">Statistics New Zealand, 2019</xref>). Data were analysed for adolescents living in rural settlements who attended a secondary school in a rural area.</p>
</sec>
<sec>
<title>2.2. Participants</title>
<p>Adolescents (13 to 18 years of age; school years 9 to 13) from 11 out of 15 secondary schools outside of Dunedin city participated in this study. Years 9 to 13 are the last five years of school in New Zealand. This study focused on adolescents, as lower rates of ATS have been observed among adolescents versus children, at least partly due to increasing distance from home to secondary versus primary school (<xref ref-type="bibr" rid="B60">Pabayo and Gauvin, 2008</xref>; <xref ref-type="bibr" rid="B9">Bringolf-Isler et al., 2008</xref>). Adolescents provided written consent before participating; parental consent was not required. Survey and anthropometry data were collected using BEATS Study research methodology (<xref ref-type="bibr" rid="B48">Mandic, Williams et al., 2016</xref>; <xref ref-type="bibr" rid="B84">White et al., 2021</xref>) during one 50- to 60-minute school period under research staff supervision. This study protocol was approved by the University of Otago Human Ethics Committee (Ref. 17/178). Among 1,015 adolescents who participated, 961 had complete written consent forms and valid survey data, of whom 62 lived in rural settlements/areas in the Otago region and attended one of the five schools there (<xref ref-type="fig" rid="F1">Figure 1</xref>). Inclusion criteria of home-to-school distance of up to 4.8 km was chosen because in the Otago region of New Zealand, rural high school students living within 4.8 km of school did not have any other obvious available mode of transport to school (e.g., public bus, subsidised school bus) and therefore needed to choose between ATS or being driven by a parent/self-driving.</p>
<fig id="F1">
<label>Figure 1</label>
<caption>
<p>Flowchart of participant selection for data analysis.</p>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ats-2-2-1222-g1.png"/>
</fig>
</sec>
<sec>
<title>2.3. Student survey measures</title>
<p>The structure of the BEATS survey was underpinned by socio-ecological models of physical activity and active transport (<xref ref-type="bibr" rid="B62">Panter et al., 2010</xref>; <xref ref-type="bibr" rid="B75">Spence and Lee, 2003</xref>) and the theory of planned behaviour (<xref ref-type="bibr" rid="B2">Ajzen, 2002</xref>). In the BEATS Rural Study, participants completed an online questionnaire that included items related to adolescents&#8217; sociodemographic characteristics, transport to school habits, attitudes towards and perceptions of walking and cycling to school, and enablers of cycling to school. The items analysed for this article have been previously published (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>; <xref ref-type="bibr" rid="B44">Mandic et al., 2022</xref>) and are briefly summarised in the following.</p>
<sec>
<title>2.3.1. Sociodemographic characteristics and distance to school</title>
<p>Adolescents self-reported their date of birth, gender, ethnicity, school year, home address, and family ownership of vehicles and bicycles. Home addresses were used to determine an index of neighbourhood deprivation and reported in quintiles (1 = least deprived to 5 = most deprived) as a proxy for neighbourhood socioeconomic status (<xref ref-type="bibr" rid="B3">Atkinson, Salmond and Crampton, 2014</xref>). Distance to school was determined using geographic information systems (GIS) analysis using the shortest network from home to school (<xref ref-type="bibr" rid="B48">Mandic, Williams et al., 2016</xref>). Home address was also used to categorise adolescents&#8217; home locations, respectively, into one of the six urban and rural categories defined by Statistics New Zealand (<xref ref-type="bibr" rid="B76">Statistics New Zealand, 2018</xref>).</p>
</sec>
<sec>
<title>2.3.2. Travel to school</title>
<p>Adolescents reported the frequency of use of different modes of transport to school (i.e., car passenger, car driver, walking, cycling) using response categories &#8220;never&#8221;, &#8220;rarely&#8221;, &#8220;sometimes&#8221;, &#8220;most of the time&#8221;, and &#8220;all of the time&#8221;, as previously described (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>). Transport modes used &#8220;most of the time&#8221; and &#8220;all of the time&#8221; were used to categorise adolescents as using ATS, motorised transport only, or mixed modes (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>).</p>
</sec>
<sec>
<title>2.3.3 Beliefs about walking and cycling to school</title>
<p>All questions related to adolescents&#8217; perceptions of walking and cycling to school were worded to ask about travel <italic>to</italic> school only to avoid the repetitiveness of the questions as well as to acknowledge that adolescents do not necessarily travel directly home from school but may travel to other destinations (such as to sport practices or visiting friends) which may have effects on their transport mode. As previously described (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>), adolescents&#8217; attitudes towards walking and cycling to school were assessed by means of bipolar (&#8211;3 to +3) semantic differential scales, with response options framed by the adjectives &#8220;dull&#8221;&#8211;&#8220;interesting&#8221;, &#8220;unpleasant&#8221;&#8211;&#8220;pleasant&#8221;, and &#8220;boring&#8221;&#8211;&#8220;stimulating&#8221; for experiential beliefs and &#8220;unhealthy&#8221;&#8211;&#8220;healthy&#8221;, &#8220;bad&#8221;&#8211;&#8220;good&#8221;, and &#8220;useless&#8221;&#8211;&#8220;useful&#8221; for instrumental beliefs. Consistent with previous analyses (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>), scores on individual items from each scale were averaged to create a composite score for <italic>experiential beliefs</italic> and <italic>instrumental beliefs</italic>, respectively. Subjective and perceived norms were assessed by adolescents&#8217; perceptions of peer and parental support and role modelling and school support for walking and cycling using a seven-point Likert scale. Perceived behavioural control was evaluated by means of items assessing adolescents&#8217; perceived confidence and behavioural control to use ATS, and intention was assessed with items reflecting desire and intention to walk and cycle to school using a seven-point Likert scale. In addition to experiential and instrumental composite scores, a <italic>self-efficacy</italic> composite score was created as the average score of ability/capability/confidence items for cycling to school. A detailed description of how composite indicators were constructed has been published elsewhere (<xref ref-type="bibr" rid="B44">Mandic et al., 2022</xref>).</p>
</sec>
<sec>
<title>2.3.4. Personal motivations for and barriers to walking and cycling to school</title>
<p>Personal motivations (getting exercise, socialising with friends), personal barriers (time required, prior planning, amount to carry, after-school schedule, sweating, feeling tired, lack of interest), environmental barriers (distance, lack of footpaths/cycle paths, weather), and safety beliefs were assessed separately for walking and cycling. Responses were measured using a four-point Likert scale (1 = strongly disagree to 4 = strongly agree). Scores for personal barrier items were averaged to generate a <italic>personal barriers</italic> composite score for walking and cycling.</p>
</sec>
<sec>
<title>2.3.5 Perceptions of potential enablers of cycling to school</title>
<p>Adolescents reported their perceptions of potential enablers of cycling to school, such as reduced traffic speed and cycle-friendly school uniforms. Additional items assessed adolescents&#8217; opinions about cycling in general, including enjoyment of recreational cycling, frequency of cycling with friends/parents, and perceived benefits of cycle skills training. Responses were measured using a four-point Likert scale (1 = strongly disagree to 4 = strongly agree).</p>
</sec>
</sec>
<sec>
<title>2.4 Data analysis</title>
<p>Demographic characteristics were analysed using descriptive statistics. Response collected on a four-point Likert scale were recoded into two-category variables for analysis: [1] and [2] = &#8220;disagree&#8221;; [3] and [4] = &#8220;agree&#8221; response. Responses collected on a seven-point Likert scale were recoded into three-category variables for analysis: [1], [2], and [3] = &#8220;disagree&#8221;; [4] = &#8220;neutral&#8221;; [5], [6], and [7] = &#8220;agree&#8221; response. Categorical variables relating to beliefs about, motivations for and barriers to walking and cycling to school were compared using McNemar&#8217;s test and are reported as frequencies [n (%)]. Continuous variables (composite scores for experiential beliefs, instrumental beliefs, personal barriers, and number of friends who walked/cycled to school) for walking versus cycling to school were compared using paired t-tests and are reported as means &#177; standard deviation (SD). Data assumptions of normality for continuous variables were checked and showed skewness values between &#8211;2 and +2 and kurtosis between &#8211;7 and +7, with the exception of distance to school. Cronbach&#8217;s alpha internal consistency reliability coefficients were calculated for <italic>experiential beliefs</italic>: &#945; = 0.84 [walking], 0.95 [cycling]; <italic>instrumental beliefs</italic>: &#945; = 0.82 [walking], 0.86 [cycling]); and <italic>self-efficacy for cycling</italic>: &#945; = 0.89; and <italic>personal barriers</italic>: &#945; = 0.80 [walking], 0.82 [cycling]. Data were analysed using IBM SPSS Statistics Software (version 24.0). Statistical significance is indicated by a p-value of &lt;0.001 to account for multiple statistical tests.</p>
</sec>
</sec>
<sec>
<title>3. Results</title>
<sec>
<title>3.1. Sociodemographic characteristics</title>
<p>Among 62 rural adolescents who lived &#163;4.8 km from school (age: 15.6 &#177; 1.5 years; 53.2% female; 75.4% New Zealand European, 14.8% M&#257;ori (Indigenous people of New Zealand), 10% other ethnic groups), the median distance from home to school was 0.7 km (0.4 mi) (interquartile range: 0.5 km (0.3 mi)). Overall, 96.8% of adolescents had at least one bicycle, and all adolescents had at least one vehicle at home (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
<table-wrap id="T1">
<label>Table 1</label>
<caption>
<p>Adolescents&#8217; sociodemographic and school travel characteristics.</p>
</caption>
<table>
<tr>
<th align="left" valign="top"></th>
<th align="center" valign="top">Total (n = 62)</th>
</tr>
<tr>
<td colspan="2"><hr/></td>
</tr>
<tr>
<td align="left" valign="top"><bold>Age (years)</bold> (mean &#177; SD)</td>
<td align="right" valign="top">15.6 &#177; 1.5</td>
</tr>
<tr>
<td align="left" valign="top" colspan="2"><bold>Gender</bold> [n (%)]</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Girls</td>
<td align="right" valign="top">33 (53.2)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Boys</td>
<td align="right" valign="top">29 (46.8)</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Ethnicity</bold> [n (%)]</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;New Zealand European</td>
<td align="right" valign="top">46 (75.4)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;M&#257;ori</td>
<td align="right" valign="top">9 (14.8)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Pacific</td>
<td align="right" valign="top">2 (3.3)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Asian</td>
<td align="right" valign="top">0 (0)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Other</td>
<td align="right" valign="top">4 (6.6)</td>
</tr>
<tr>
<td align="left" valign="top" colspan="2"><bold>Neighbourhood-level deprivation</bold> [n(%)]</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;1 (least deprived)</td>
<td align="right" valign="top">0 (0)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;2</td>
<td align="right" valign="top">20 (32.3)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;3</td>
<td align="right" valign="top">20 (32.3)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;4</td>
<td align="right" valign="top">22 (35.5)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;5 (most deprived)</td>
<td align="right" valign="top">0 (0)</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Distance to school (km)</bold> [median (interquartile range)]</td>
<td align="right" valign="top">0.7 (0.5)</td>
</tr>
<tr>
<td align="left" valign="top" colspan="2"><bold>Household vehicles</bold> [n (%)]</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;None</td>
<td align="right" valign="top">0 (0)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;One</td>
<td align="right" valign="top">14 (22.6)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Two or more</td>
<td align="right" valign="top">48 (77.4)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Average (mean &#177; SD)</td>
<td align="right" valign="top">2.4 &#177; 1.0</td>
</tr>
<tr>
<td align="left" valign="top" colspan="2"><bold>Household bicycles to get to school</bold> [n (%)]</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;None</td>
<td align="right" valign="top">2 (3.2)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;One</td>
<td align="right" valign="top">20 (32.3)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Two or more</td>
<td align="right" valign="top">40 (64.5)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Average (mean &#177; SD)</td>
<td align="right" valign="top">2.3 &#177; 1.3</td>
</tr>
<tr>
<td align="left" valign="top" colspan="2"><bold>Transport to school</bold> [n (%)]</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Active transport</td>
<td align="right" valign="top">46 (74.2)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Motorised transport</td>
<td align="right" valign="top">11 (17.7)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Combination of active and motorised transport</td>
<td align="right" valign="top">5 (8.1)</td>
</tr>
<tr>
<td align="left" valign="top" colspan="2"><bold>Usual transport modes to school</bold> [n (%)]</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;On foot^</td>
<td align="right" valign="top">45 (72.6)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;By car (driven by others)</td>
<td align="right" valign="top">8 (12.9)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;By bike^</td>
<td align="right" valign="top">7 (11.3)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;By car (driving myself)</td>
<td align="right" valign="top">4 (6.5)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;By car and on foot</td>
<td align="right" valign="top">4 (6.5)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;Other modes or combinations</td>
<td align="right" valign="top">3 (4.8)</td>
</tr>
</table>
<table-wrap-foot>
<fn><p>SD = standard deviation; n = number.</p>
<p>^Some of the active transport users combined walking and cycling.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title>3.2. Travel to school habits</title>
<p>ATS was the most frequent mode of travel to school (74.2%), followed by motorised transport (17.7%) and mixed modes (8.1%) (<xref ref-type="table" rid="T1">Table 1</xref>). Overall, usual transport to school modes were 72.6% on foot, 11.3% by bicycle, 12.9% driven by others, 6.5% driving self, 6.5% by car and on foot, and 4.8% other modes or combinations (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
</sec>
<sec>
<title>3.3. Attitudes, perceived norms, and perceived behavioural control and intention</title>
<p>No differences were observed in experiential or instrumental beliefs by mode of transport (experiential beliefs score: walking: 4.9 &#177; 1.2, cycling: 4.8 &#177; 1.4, p = 0.361; instrumental beliefs score: walking, 5.9 &#177; 1.1, cycling: 5.5 &#177; 1.2, p = 0.014). However, more adolescents perceived that walking to school received greater peer, parental, and school support, with greater peer and parental role modelling than for cycling (<xref ref-type="table" rid="T2">Table 2</xref>). Adolescents reported a greater number of friends who always or sometimes walk rather than cycle to school (2.2 &#177; 1.4 vs 0.6 &#177; 1.0, p &lt; 0.001). Over two-thirds of adolescents reported having complete control in the decision to walk or cycle to school (p = 0.498) (<xref ref-type="table" rid="T2">Table 2</xref>). Similarly, more adolescents expressed having the desire and intention to walk to school compared with cycling (<xref ref-type="table" rid="T2">Table 2</xref>). The self-efficacy composite score for cycling was 5.1 &#177; 1.3 (out of 7).</p>
<table-wrap id="T2">
<label>Table 2</label>
<caption>
<p>Adolescents&#8217; beliefs about walking and cycling to school.</p>
</caption>
<table>
<tr>
<th align="center" valign="top" rowspan="3"></th>
<th align="center" valign="top" colspan="3">Walking to school (n = 62)</th>
<th align="center" valign="top" colspan="3">Cycling to school (n = 62)</th>
<th align="center" valign="top" rowspan="3">P-value</th>
</tr>
<tr>
<th colspan="6"><hr/></th>
</tr>
<tr>
<th align="center" valign="top">Agree n (%)</th>
<th align="center" valign="top">Neutral n (%)</th>
<th align="center" valign="top">Disagree n (%)</th>
<th align="center" valign="top">Agree n (%)</th>
<th align="center" valign="top">Neutral n (%)</th>
<th align="center" valign="top">Disagree n (%)</th>
</tr>
<tr>
<td colspan="8"><hr/></td>
</tr>
<tr>
<td align="left" valign="top" colspan="8"><bold>Attitudes</bold> (mean &#177; SD)</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;Experiential beliefs (interesting, pleasant, stimulating)</td>
<td align="right" valign="top">4.9 &#177; 1.2</td>
<td align="right" valign="top"></td>
<td align="right" valign="top"></td>
<td align="right" valign="top">4.8 &#177; 1.4</td>
<td align="right" valign="top"></td>
<td align="right" valign="top"></td>
<td align="right" valign="top">0.361</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;Instrumental beliefs (healthy, good, useful)</td>
<td align="right" valign="top">5.9 &#177; 1.1</td>
<td align="right" valign="top"></td>
<td align="right" valign="top"></td>
<td align="right" valign="top">5.5 &#177; 1.2</td>
<td align="right" valign="top"></td>
<td align="right" valign="top"></td>
<td align="right" valign="top">0.014</td>
</tr>
<tr>
<td align="left" valign="top" colspan="8"><bold>Subjective/perceived norm</bold> [n (%)]</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;My friends think I should walk/cycle to school.<sup>a</sup></td>
<td align="right" valign="top">23 (37.1)</td>
<td align="right" valign="top">11 (17.7)</td>
<td align="right" valign="top">4 (6.5)</td>
<td align="right" valign="top">19 (30.6)</td>
<td align="right" valign="top">30 (48.4)</td>
<td align="right" valign="top">13 (21.0)</td>
<td align="right" valign="top">&lt;0.001</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;No other students walk/cycle to school.<sup>b</sup></td>
<td align="right" valign="top">7 (11.3)</td>
<td align="right" valign="top"></td>
<td align="right" valign="top">54 (87.1)</td>
<td align="right" valign="top">22 (35.5)</td>
<td align="right" valign="top"></td>
<td align="right" valign="top">40 (64.5)</td>
<td align="right" valign="top">0.001</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;It is not considered cool to walk/cycle to school.<sup>b</sup></td>
<td align="right" valign="top">7 (11.3)</td>
<td align="right" valign="top"></td>
<td align="right" valign="top">55 (88.7)</td>
<td align="right" valign="top">10 (16.1)</td>
<td align="right" valign="top"></td>
<td align="right" valign="top">52 (83.9)</td>
<td align="right" valign="top">0.581</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;My parents or guardians think I should walk/cycle to school.<sup>a</sup></td>
<td align="right" valign="top">50 (80.6)</td>
<td align="right" valign="top">8 (12.9)</td>
<td align="right" valign="top">4 (6.5)</td>
<td align="right" valign="top">25 (40.3)</td>
<td align="right" valign="top">25 (40.3)</td>
<td align="right" valign="top">12 (19.4)</td>
<td align="right" valign="top">&lt;0.001</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;One or both of my parents or guardians walk/cycle frequently.<sup>a</sup></td>
<td align="right" valign="top">23 (37.1)</td>
<td align="right" valign="top">11 (17.7)</td>
<td align="right" valign="top">28 (45.2)</td>
<td align="right" valign="top">13 (21.0)</td>
<td align="right" valign="top">4 (6.5)</td>
<td align="right" valign="top">45 (72.6)</td>
<td align="right" valign="top">0.002</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;My school encourages me to walk/cycle to school.<bold><sup>b</sup></bold></td>
<td align="right" valign="top">38 (61.3)</td>
<td align="right" valign="top"></td>
<td align="right" valign="top">24 (38.7)</td>
<td align="right" valign="top">21 (33.9)</td>
<td align="right" valign="top"></td>
<td align="right" valign="top">41 (66.1)</td>
<td align="right" valign="top">&lt;0.001</td>
</tr>
<tr>
<td align="left" valign="top" colspan="8"><bold>Perceived behavioural control</bold> [n (%)]</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;I am confident I could walk/cycle to school.<sup>a</sup></td>
<td align="right" valign="top">57 (91.9)</td>
<td align="right" valign="top">2 (3.2)</td>
<td align="right" valign="top">3 (4.8)</td>
<td align="right" valign="top">52 (83.9)</td>
<td align="right" valign="top">7 (11.3)</td>
<td align="right" valign="top">3 (4.8)</td>
<td align="right" valign="top">0.249</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;I see myself as being capable of riding a bicycle to school.<sup>a</sup></td>
<td align="right" valign="top"></td>
<td align="right" valign="top"></td>
<td align="right" valign="top"></td>
<td align="right" valign="top">47 (75.8)</td>
<td align="right" valign="top">8 (12.9)</td>
<td align="right" valign="top">7 (11.3)</td>
<td align="right" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;I believe that I have the ability to ride a bicycle to school.<sup>a</sup></td>
<td align="right" valign="top"></td>
<td align="right" valign="top"></td>
<td align="right" valign="top"></td>
<td align="right" valign="top">53 (85.5)</td>
<td align="right" valign="top">6 (9.7)</td>
<td align="right" valign="top">3 (4.8)</td>
<td align="right" valign="top"></td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;I have complete control over whether or not I walk/cycle to school.<sup>a</sup></td>
<td align="right" valign="top">42 (67.7)</td>
<td align="right" valign="top">11 (17.7)</td>
<td align="right" valign="top">9 (14.5)</td>
<td align="right" valign="top">46 (74.2)</td>
<td align="right" valign="top">11 (17.7)</td>
<td align="right" valign="top">5 (8.1)</td>
<td align="right" valign="top">0.498</td>
</tr>
<tr>
<td align="left" valign="top" colspan="8"><bold>Behavioural intentions</bold> [n (%)]</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;I want to regularly walk/cycle to school.<sup>a</sup></td>
<td align="right" valign="top">35 (56.5)</td>
<td align="right" valign="top">16 (25.8)</td>
<td align="right" valign="top">11 (17.7)</td>
<td align="right" valign="top">16 (25.8)</td>
<td align="right" valign="top">4 (6.5)</td>
<td align="right" valign="top">42 (67.7)</td>
<td align="right" valign="top">&lt;0.001</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;I intend to walk/cycle to school frequently.<sup>a</sup></td>
<td align="right" valign="top">46 (74.2)</td>
<td align="right" valign="top">6 (9.7)</td>
<td align="right" valign="top">10 (16.1)</td>
<td align="right" valign="top">8 (12.9)</td>
<td align="right" valign="top">3 (4.8)</td>
<td align="right" valign="top">51 (82.3)</td>
<td align="right" valign="top">&lt;0.001</td>
</tr>
<tr>
<td align="left" valign="top"><bold>Self-efficacy for cycling</bold> (mean &#177; SD)</td>
<td align="left" valign="top" colspan="3"></td>
<td align="left" valign="top" colspan="3">5.1 &#177; 1.3</td>
<td align="right" valign="top">N/A</td>
</tr>
</table>
<table-wrap-foot>
<fn><p>SD = standard deviation.</p>
<p><sup>a</sup> Data collected using a 7-point Likert scale (1 = Strongly disagree to 7 = Strongly agree). Data recoded as 1, 2, 3 = disagree, 4 = neutral and 5, 6, 7 = agree to create categorical variables.</p>
<p><sup>b</sup> Data collected on a 4-point Likert scale (1 = strongly disagree to 4 = strongly agree). Data recoded as 1, 2 = disagree and 3, 4 = agree to create categorical variables.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title>3.4. Personal motivations and barriers</title>
<p>While the majority of respondents perceived both walking and cycling to school to be great forms of exercise, a larger proportion favoured walking compared to cycling (<xref ref-type="table" rid="T3">Table 3</xref>). They also perceived that walking to school provided a better opportunity to socialise with friends (<xref ref-type="table" rid="T3">Table 3</xref>). In addition, adolescents perceived better physical infrastructure support for walking versus cycling to school, such as availability and quality of footpaths versus cycle lanes (<xref ref-type="table" rid="T3">Table 3</xref>). Most adolescents perceived both walking and cycling to school as safe. No significant difference was observed in adolescents&#8217; perceptions of logistics-related barriers nor personal barriers for walking versus for cycling to school (composite score; walking: 1.7 &#177; 0.6, cycling: 1.8 &#177; 0.7, p = 0.165).</p>
<table-wrap id="T3">
<label>Table 3</label>
<caption>
<p>Personal motivations and barriers, environmental barriers, and safety perceptions of walking and cycling to school.</p>
</caption>
<table>
<tr>
<th align="left" valign="top" rowspan="3"></th>
<th align="left" valign="top" colspan="2">Walking to school (n = 62)</th>
<th align="left" valign="top" colspan="2">Cycling to school (n = 62)</th>
<th align="left" valign="top" rowspan="3">P-value</th>
</tr>
<tr>
<th colspan="4"><hr/></th>
</tr>
<tr>
<th align="center" valign="top">Agree n (%)</th>
<th align="center" valign="top">Disagree n (%)</th>
<th align="center" valign="top">Agree n (%)</th>
<th align="center" valign="top">Disagree n (%)</th>
</tr>
<tr>
<td colspan="6"><hr/></td>
</tr>
<tr>
<td colspan="6"><bold>Personal motivations</bold></td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;Walking/cycling to school is a great way to get some exercise.</td>
<td align="right" valign="top">61 (98.4)</td>
<td align="right" valign="top">1 (1.6)</td>
<td align="right" valign="top">51 (82.3)</td>
<td align="right" valign="top">11 (17.7)</td>
<td align="right" valign="top">0.002</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;I can chat to my friends on my walk/cycle to school.</td>
<td align="right" valign="top">38 (61.3)</td>
<td align="right" valign="top">24 (38.7)</td>
<td align="right" valign="top">17 (27.4)</td>
<td align="right" valign="top">45 (72.6)</td>
<td align="right" valign="top">&lt;0.001</td>
</tr>
<tr>
<td colspan="6"><bold>Logistic-related barriers</bold></td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;Walking/cycling to school takes too much time.</td>
<td align="right" valign="top">13 (21.0)</td>
<td align="right" valign="top">49 (79.0)</td>
<td align="right" valign="top">7 (11.3)</td>
<td align="right" valign="top">55 (88.7)</td>
<td align="right" valign="top">0.180</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;It involves too much planning ahead to walk/cycle to school.</td>
<td align="right" valign="top">5 (8.1)</td>
<td align="right" valign="top">57 (91.9)</td>
<td align="right" valign="top">8 (12.9)</td>
<td align="right" valign="top">54 (87.1)</td>
<td align="right" valign="top">0.453</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;I get too hot and sweaty walk/cycling to school.</td>
<td align="right" valign="top">7 (11.3)</td>
<td align="right" valign="top">55 (88.7)</td>
<td align="right" valign="top">14 (22.6)</td>
<td align="right" valign="top">48 (77.4)</td>
<td align="right" valign="top">0.092</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;I have too much stuff to carry to walk/cycle to school.</td>
<td align="right" valign="top">13 (21.0)</td>
<td align="right" valign="top">49 (79.0)</td>
<td align="right" valign="top">25 (40.3)</td>
<td align="right" valign="top">37 (59.7)</td>
<td align="right" valign="top">0.004</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;It is not convenient for me to walk/cycle to school because of my after-school schedule.</td>
<td align="right" valign="top">14 (22.6)</td>
<td align="right" valign="top">48 (77.4)</td>
<td align="right" valign="top">13 (21.0)</td>
<td align="right" valign="top">49 (79.0)</td>
<td align="right" valign="top">0.999</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;I often feel too tired to walk/cycle to school.</td>
<td align="right" valign="top">17 (27.4)</td>
<td align="right" valign="top">45 (72.6)</td>
<td align="right" valign="top">16 (25.8)</td>
<td align="right" valign="top">46 (74.2)</td>
<td align="right" valign="top">0.999</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;I often cannot be bothered to walk/cycle to school.</td>
<td align="right" valign="top">22 (35.5)</td>
<td align="right" valign="top">40 (64.5)</td>
<td align="right" valign="top">25 (40.3)</td>
<td align="right" valign="top">37 (59.7)</td>
<td align="right" valign="top">0.629</td>
</tr>
<tr>
<td colspan="6"><bold>Environmental barriers</bold></td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;It is too far to walk/cycle to school.</td>
<td align="right" valign="top">7 (11.3)</td>
<td align="right" valign="top">55 (88.7)</td>
<td align="right" valign="top">0 (0)</td>
<td align="right" valign="top">62 (100.0)</td>
<td align="right" valign="top">N/A</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;There are no footpaths/cycle paths along the way.</td>
<td align="right" valign="top">9 (14.5)</td>
<td align="right" valign="top">53 (85.5)</td>
<td align="right" valign="top">40 (64.5)</td>
<td align="right" valign="top">22 (35.5)</td>
<td align="right" valign="top">&lt;0.001</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;The weather is too cold and wet to walk/cycle to school in the winter.</td>
<td align="right" valign="top">24 (38.7)</td>
<td align="right" valign="top">38 (61.3)</td>
<td align="right" valign="top">17 (27.4)</td>
<td align="right" valign="top">45 (72.6)</td>
<td align="right" valign="top">0.065</td>
</tr>
<tr>
<td colspan="6"><bold>Safety perceptions</bold></td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;It is unsafe to walk/cycle to school.</td>
<td align="right" valign="top">0 (0)</td>
<td align="right" valign="top">62 (100.0)</td>
<td align="right" valign="top">3 (4.8)</td>
<td align="right" valign="top">59 (95.2)</td>
<td align="right" valign="top">N/A</td>
</tr>
<tr>
<td align="left" valign="top">&#160;&#160;&#160;&#160;&#160;&#160;My parents think it is not safe to walk/cycle to school.</td>
<td align="right" valign="top">2 (3.2)</td>
<td align="right" valign="top">60 (96.8)</td>
<td align="right" valign="top">2 (3.2)</td>
<td align="right" valign="top">60 (96.8)</td>
<td align="right" valign="top">0.999</td>
</tr>
</table>
<table-wrap-foot>
<fn><p>Data collected on a 4-point Likert scale (1 = strongly disagree to 4 = strongly agree). Data recoded as 1, 2 = disagree and 3, 4 = agree to create categorical variables.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title>3.5. Potential enablers of cycling to school</title>
<p>Overall, 41.0% of adolescents thought that cycle skills training would help them to feel safer when cycling in traffic, but only 27.9% would take such training at their school if it was available. With respect to cycling in general, 60.7% of the adolescents enjoyed cycling for recreation, 19.7% often cycled with their friends, and 18.0% often cycled with their parents. Rural adolescents reported that cycle-friendly uniforms (39.3%), having a school locker (34.4%), being able to cycle without a helmet (32.8%), safer bicycle storage (29.5%), and slower traffic on the roads (21.3%) would encourage them to cycle to school more frequently.</p>
</sec>
</sec>
<sec>
<title>4. Discussion</title>
<p>The key findings are that the adolescents in rural settlements living within 4.8 km of school in Otago, New Zealand, (1) more frequently walked to school than cycled; (2) reported greater peer, parental, and school support for walking versus cycling to school; (3) perceived better physical infrastructure for walking compared to cycling to school; and (4) expressed greater desire and intention to walk than cycle to school. In contrast, their perceptions of safety, distance to school, and trip duration were not significantly different for walking versus cycling to school. This is one of the first studies to compare perceptions of walking versus cycling to school exclusively among rural adolescents. The findings illustrate differences in prevalence of and preferences for walking versus cycling to school as well as mode-specific barriers among adolescents living in rural New Zealand.</p>
<p>These findings extend the existing evidence from urban centres of New Zealand and other countries demonstrating that, compared to cycling, walking is more common, more favourable, and a better supported mode of transport to school among rural New Zealand adolescents who are ineligible for the subsidised school bus. In this sample of adolescents living within 4.8 km from their school, approximately three-quarters used ATS regularly (74%), with the rates of walking to school being significantly higher than the rates of cycling (73% vs 11%). These data are not directly comparable to findings from previous studies conducted in similar populations due to the lack of an internationally accepted definition of &#8220;rural&#8221; areas (<xref ref-type="bibr" rid="B79">Statistics New Zealand, no date</xref>), and in this study, only those living within 4.8 km from their school were included. It is also possible that the very short distance to school in our study sample (median distance: 700 m) may also have had an influence on mode choice for school travel for rural adolescents. For example, for such a short journey, getting the bicycle out, cycling to school, and locking it up at school may take more time than the time required to walk to school. However, although our inclusion criteria resulted in a relatively small sample size and very short median distance to school, the higher prevalence of walking versus cycling to school is similar to findings from other studies conducted in rural adolescents (<xref ref-type="bibr" rid="B11">Bungum et al., 2008</xref>; <xref ref-type="bibr" rid="B56">Nelson et al., 2008</xref>) as well as urban adolescents in many countries (<xref ref-type="bibr" rid="B82">Timperio et al., 2006</xref>; <xref ref-type="bibr" rid="B81">Sun, Liu and Tao, 2015</xref>; <xref ref-type="bibr" rid="B22">Department for Transport, 2017</xref>; <xref ref-type="bibr" rid="B55">Murtagh, Dempster and Murphy, 2016</xref>; <xref ref-type="bibr" rid="B39">Larsen et al., 2009</xref>; <xref ref-type="bibr" rid="B10">Buliung, Mitra and Faulkner, 2009</xref>; <xref ref-type="bibr" rid="B13">Chill&#243;n et al., 2013</xref>; <xref ref-type="bibr" rid="B14">Chill&#243;n et al., 2010</xref>; <xref ref-type="bibr" rid="B9">Bringolf-Isler et al., 2008</xref>), including New Zealand (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>; <xref ref-type="bibr" rid="B47">Mandic et al., 2015</xref>).</p>
<p>In the present study, 61% of adolescents stated that they like to cycle for recreation, and only one in five adolescents perceived that cycling to school is not cool. This suggests that most rural adolescents seem interested in cycling, despite the low percentage that actually cycled to school. Adolescents&#8217; enjoyment of cycling should be considered in future actions aimed to encourage cycling to school in this age group. However, recreational cycling is most likely happening in locations different from the roads with traffic that rural adolescents encounter on their school route.</p>
<p>In this study, adolescents reported greater peer and parental support and peer and parental role modelling for walking compared to cycling to school. Only one-fifth of adolescents often cycled with friends or parents. Similar findings were previously reported among urban adolescents (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>) and their parents (<xref ref-type="bibr" rid="B45">Mandic et al., 2020</xref>) from Dunedin city, New Zealand. Extensive evidence from the literature points to the importance of peer support (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>; <xref ref-type="bibr" rid="B31">Hinckson, 2016</xref>; <xref ref-type="bibr" rid="B21">Deforche et al., 2010</xref>; <xref ref-type="bibr" rid="B12">Carver et al., 2005</xref>; <xref ref-type="bibr" rid="B23">Ducheyne et al., 2012</xref>) and parental support (<xref ref-type="bibr" rid="B12">Carver et al., 2005</xref>; <xref ref-type="bibr" rid="B21">Deforche et al., 2010</xref>; <xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>; <xref ref-type="bibr" rid="B23">Ducheyne et al., 2012</xref>) for both walking and cycling to school among adolescents. Change over time in social capital, social trust, and parental safety concerns limited adolescents&#8217; active transport and independent mobility among Otago adolescents (<xref ref-type="bibr" rid="B65">Porskamp et al., 2019</xref>), further emphasising the importance of interventions to increase social support for adolescents&#8217; ATS in rural areas.</p>
<p>The built environment also influences adolescents&#8217; and their parents&#8217; decisions about walking and/or cycling to school. In this study, rural adolescents reported greater availability and quality of infrastructure for walking (footpaths) compared to cycling (cycle lanes) to school. Similar findings have previously been reported by adolescents (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>; <xref ref-type="bibr" rid="B32">Hopkins and Mandic, 2017</xref>; <xref ref-type="bibr" rid="B44">Mandic et al., 2022</xref>) and their parents (<xref ref-type="bibr" rid="B45">Mandic et al., 2020</xref>) from Dunedin city, highlighting less physical infrastructure support for cycling in general, compared to walking, in both urban and rural areas of New Zealand. Previous studies conducted in urban centres reported that the presence of footpaths (<xref ref-type="bibr" rid="B7">Boarnet, Anderson et al., 2005a</xref>; <xref ref-type="bibr" rid="B27">Ewing, Schroeer and Greene, 2004</xref>; <xref ref-type="bibr" rid="B26">Ewing and Cervero, 2010</xref>; <xref ref-type="bibr" rid="B28">Fulton et al., 2005</xref>; <xref ref-type="bibr" rid="B37">Kerr et al., 2006</xref>) and/or cycle lanes (<xref ref-type="bibr" rid="B37">Kerr et al., 2006</xref>) and higher quality and greater availability of walking and cycling infrastructure (<xref ref-type="bibr" rid="B1">Aarts et al., 2012</xref>; <xref ref-type="bibr" rid="B8">Boarnet, Day et al., 2005b</xref>; <xref ref-type="bibr" rid="B20">De Meester et al., 2013</xref>; <xref ref-type="bibr" rid="B28">Fulton et al., 2005</xref>; <xref ref-type="bibr" rid="B50">McDonald et al., 2013</xref>; <xref ref-type="bibr" rid="B80">Stewart, 2011</xref>) are positively associated with higher rates of walking and/or cycling to school among adolescents. A systematic review by Smith et al. (<xref ref-type="bibr" rid="B73">2017</xref>) suggested that improvements in footpaths and the availability of cycle lanes could increase walking and cycling among adolescents. However, rural settings are fundamentally different from urban areas in terms of the provision, use, need, and likelihood of development of ATS-supportive physical infrastructure. For example, in rural areas, adolescents can walk on verges/edges and shoulders on roadsides. In contrast, cycling requires more specific infrastructure. Many towns and villages in the Otago region of New Zealand are located along main cycle trails built for tourism (<xref ref-type="bibr" rid="B57">New Zealand Cycle Trails, no date</xref>), but those cycle trails do not necessarily link residential areas to adolescents&#8217; schools.</p>
<p>Few adolescents in rural New Zealand expressed concern about the safety of walking and cycling to school, which differs from findings in urban adolescents in New Zealand (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>; <xref ref-type="bibr" rid="B44">Mandic et al., 2022</xref>) and elsewhere (<xref ref-type="bibr" rid="B20">De Meester et al., 2013</xref>; <xref ref-type="bibr" rid="B40">Leslie et al., 2010</xref>; <xref ref-type="bibr" rid="B1">Aarts et al., 2012</xref>), where adolescents&#8217; and their parents&#8217; concerns about both personal safety (<xref ref-type="bibr" rid="B25">Evenson et al., 2006</xref>; <xref ref-type="bibr" rid="B40">Leslie et al., 2010</xref>; <xref ref-type="bibr" rid="B1">Aarts et al., 2012</xref>) and traffic safety (<xref ref-type="bibr" rid="B52">Mitra and Buliung, 2014</xref>; <xref ref-type="bibr" rid="B12">Carver et al., 2005</xref>, <xref ref-type="bibr" rid="B33">Hume et al., 2009</xref>; <xref ref-type="bibr" rid="B29">Giles-Corti et al., 2011</xref>) are negatively associated with adolescents&#8217; ATS. The urban New Zealand study revealed a complex range of factors that contributed to perceptions of cycling safety, including features and perceptions of the built environment and traffic safety as well as previous cycling experiences (including crashes) and adolescents&#8217; cycling skills and on-road experiences (<xref ref-type="bibr" rid="B32">Hopkins and Mandic, 2017</xref>). Since parental (<xref ref-type="bibr" rid="B45">Mandic et al., 2020</xref>) and adolescents&#8217; (<xref ref-type="bibr" rid="B44">Mandic et al., 2022</xref>) perceptions of barriers to walking and cycling (e.g., perceived safety) vary by home-to-school distance, it is possible that the lack of safety concerns reported by rural adolescents in the present study is at least in part attributed to the study sample selection which resulted in half of rural adolescents living 0.7 km (0.4 mi) from their school.</p>
<p>Approximately one-quarter to one-third of rural adolescents in this study identified that cycle-friendly uniforms, having a school locker, being able to cycle without a helmet, safer bicycle storage at school, and slower traffic on the roads would encourage them to cycle to school more frequently. Similar findings were previously reported in urban New Zealand adolescents (<xref ref-type="bibr" rid="B46">Mandic, Hopkins et al., 2017</xref>). These findings provide valuable information for future interventions aimed at encouraging cycling to school among adolescents living in both rural and urban areas.</p>
<p>Although 41% of adolescents in the present study believed that cycling skills training would make them safer in traffic, approximately one-quarter stated that they would participate in such training at their schools, which is similar to findings previously reported in urban adolescents in New Zealand (<xref ref-type="bibr" rid="B43">Mandic, Flaherty et al., 2016</xref>; <xref ref-type="bibr" rid="B42">Mandic, Flaherty et al., 2017</xref>).</p>
<p>Previous studies have shown that cycle skills training can improve cycling-related knowledge of road rules and confidence to cycle among children (<xref ref-type="bibr" rid="B41">Mandic et al., 2018</xref>) and adolescent girls (<xref ref-type="bibr" rid="B41">Mandic et al., 2018</xref>), although such training did not increase the rates of cycling to school among urban adolescent girls following the 6- to 10-week training programme (<xref ref-type="bibr" rid="B41">Mandic et al., 2018</xref>). However, in countries like New Zealand, where traffic safety is a major barrier to cycling for transport, several weeks of cycle skills training is unlikely to prepare adolescents for safely sharing the roads with motorised vehicles. Instead, a cultural shift around cycling (i.e., perceived acceptability and thus appropriate safety measures in place) may be necessary to increase the rates of cycling for transportation.</p>
<sec>
<title>4.1. Implications</title>
<p>Findings from this study illustrate differences in preferences for walking versus cycling to school as well as mode-specific barriers among adolescents living in rural New Zealand. These rural adolescents enjoyed cycling for recreation, but less than one-quarter had a desire or intention to cycle to school. Rural adolescents also perceived that cycling received less social support and had less favourable infrastructure compared to provisions for walking. Therefore, community consultation regarding safe cycling infrastructure combined with the efforts to create safe routes for walking and cycling to high school (<xref ref-type="bibr" rid="B68">Rahman et al., 2020</xref>) may encourage walking and, specifically, cycling to school among rural adolescents and increase peer, parental, and school support for ATS. Offering cycling-friendly school uniforms and providing safe bicycle storage at schools are also likely to have a positive impact on increasing rates of cycling to school among rural adolescents. Given the geographical specificity of Otago, the insights gained through this research are important to inform policy and intervention to encourage ATS in this region.</p>
<p>Although some urban ATS-related findings may also be relevant to the rural context, ATS interventions and recommendations for encouraging walking and cycling to school among rural adolescents need to be adapted to the local rural context, including context-specific barriers to walking and cycling.</p>
</sec>
<sec>
<title>4.2. Study strengths and limitations</title>
<p>The study sample was selected based on a reasonable distance to cycle to school (<xref ref-type="bibr" rid="B17">D&#8217;Haese et al., 2011</xref>; <xref ref-type="bibr" rid="B56">Nelson et al., 2008</xref>; <xref ref-type="bibr" rid="B6">Bere et al., 2008</xref>; <xref ref-type="bibr" rid="B83">Van Dyck et al., 2010</xref>) and locally relevant criteria (i.e., adolescents&#8217; eligibility for school bus transport (<xref ref-type="bibr" rid="B51">Ministry of Education, no date</xref>)). Thus, our findings provide initial evidence of context-specific and transport mode&#8211;specific perceptions and barriers. In addition, this study examined a wide range of variables based on previous research in urban adolescents and theory that yielded valuable information on mode-specific barriers.</p>
<p>This study was limited by a relatively small sample size of rural adolescents, data collection from five schools in one region of New Zealand, and a lack of detailed assessment of personal versus traffic safety concerns related to ATS. By limiting the study to rural adolescents living within 4.8 km (3 mi) from their school, more than three-quarters of the adolescents surveyed in the BEATS Rural Study were excluded from the current analysis, and some of those who travelled by school bus may have cycled or walked to their bus stop. As rural areas differ across New Zealand, the results from this study may not be generalisable to other geographic locations in New Zealand or internationally.</p>
</sec>
</sec>
<sec>
<title>5. Conclusions</title>
<p>Rural-specific research is necessary for advancing knowledge and understanding and for appropriately designing interventions that encourage walking and cycling within this context. Among adolescents living in rural New Zealand and residing within 4.8 km (3 mi) of their school, ATS participation was high, with the prevalence of walking to school being seven times higher than cycling. Compared to cycling to school, rural adolescents had more favourable perceptions of walking and considered walking as a more desired mode of transport to school, with better social and built environment support. Therefore, future initiatives to encourage ATS among rural adolescents need to consider adolescents&#8217; perceptions of walking versus cycling, use mode-specific approaches, and address mode-specific barriers. Interventions in rural areas should also consider context-specific opportunities for, and barriers to, encouraging walking and cycling to and from school among adolescents. The current findings present initial evidence of differences in perceptions of walking versus cycling in a sample of rural adolescents that needs to be replicated in future studies using larger samples and, ideally, longitudinal designs.</p>
</sec>
<sec>
<title>Data Accessibility Statement</title>
<p>Data used in data analysis for this project will not be shared due to sensitivity of the collected data as well as participants having received assurances that the collected data will not be shared.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This research was part of the Built Environment and Active Transport to School (BEATS) Research Programme. The BEATS Rural Study was a collaboration between the Dunedin Secondary Schools&#8217; Partnership, Otago Secondary Schools&#8217; Partnership, Dunedin City Council, New Zealand Transport Agency, and University of Otago. We would like to acknowledge our research team members: BEATS investigators, Associate Professor Antoni Moore for performing GIS analysis, the members of the BEATS Study advisory board, research personnel (research assistants, students, and volunteers), and all participating schools and adolescents.</p>
</ack>
<sec>
<title>Funding Information</title>
<p>The BEATS Rural Study was supported by the University of Otago Research Grant [UORG 2018] and Otago Energy Research Centre Seed Grant 2018.</p>
</sec>
<sec>
<title>Competing Interests</title>
<p>Sandra Mandic is the founder and the director of the research consultancy AGILE Research Ltd. (www.agileresearch.nz) and principal advisor transport strategy at the Wellington City Council (Wellington, New Zealand). Other authors have no conflict of interest.</p>
</sec>
<sec>
<title>Author Contributions</title>
<p><bold><italic>Jessica Calverley:</italic></bold> Conceptualisation, data curation, investigation, methodology, visualisation, writing original draft and review and editing. <bold><italic>Debbie Hopkins:</italic></bold> Conceptualisation, funding acquisition, methodology, writing review and editing. <bold><italic>Enrique Garc&#237;a Bengoechea:</italic></bold> Conceptualisation, formal analysis, funding acquisition, methodology, writing review and editing. <bold><italic>Kirsten Coppell:</italic></bold> Conceptualisation, funding acquisition, methodology, writing review and editing. <bold><italic>John C Spence:</italic></bold> Conceptualisation, funding acquisition, methodology, writing review and editing. <bold><italic>Sandra Mandic:</italic></bold> Conceptualisation, data curation, formal analysis, funding acquisition, investigation, methodology, project administration, resources, supervision, writing original draft and review and editing.</p>
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