BRIDGING AWARENESS AND ACCESS

Physical inactivity remains a pressing challenge in Appalachian Kentucky, where high obesity rates intersect with limited access to structured exercise facilities. This dissertation investigated the extent to which participation in outdoor recreation supports adherence to physical activity (PA) recommendations and explored community awareness of local public lands. Surveys from 52 adult participants in Knox County revealed strong engagement in outdoor activity, with participation significantly predicting compliance with national PA guidelines. Educational attainment was also associated with higher rates of PA compliance, pointing to the influence of literacy and awareness in health behaviors. Reliability testing of the Outdoor Physical Activity Attitude Scale (OPAAS) revealed a need for refinement, although the findings suggest its potential for guiding future program development. The study highlights the significance of outdoor recreation, not only as a health initiative but also as a means for educational programming and community development. Expanding awareness campaigns, leveraging digital tools, and designing outdoor-focused curricula may provide cost-effective strategies to improve both physical and mental health. Ultimately, the research highlights outdoor recreation as a vital and underutilized resource for promoting wellness and resilience in rural Appalachian communities.