As a sensitivity analysis, we also examined whether these adjusted associations varied by the magnitude of perceived change. We used three logistic regression

models to explore whether changes in perceptions were associated with uptake of walking, cycling and use of alternatives to the car, following the same approach to model building. Interactions were not fitted in logistic regression models because of small sample sizes, and p-values were not adjusted for (limited) multiple testing in the final multivariable models because this was intended as an exploratory analysis of plausible associations rather than a conclusive analysis of ‘effects’ and Apoptosis inhibitor the practice is subject to debate ( Feise, 2002). Of the 1142 participants who provided information on commuting at t1, 655 did so again at t2 and were included in this analysis. Those providing data at follow-up were more likely to be older and to own their home than those who did not, but there were no other significant differences in socioeconomic characteristics or baseline levels of active commuting (Panter et al., 2013a). Participants were aged

between 17 and 70 years at t1 (mean age 43.6 years, s.d 11.3), 69% were women and 74% reported having at least degree-level education. Further details of the characteristics of the sample and their travel are given in additional file B and elsewhere (Panter et al., 2013a). The only significant change in mean perception scores over time was that women (but not men) reported click here that it was less pleasant to walk at t2 than at t1 (Table 1). The mean within-participant change scores were also small. Within-participant agreement between perceptions reported at t1 and t2 was moderate (based on weighted kappa scores) (Landis the and Koch, 1977) or fair (based on percentage agreement) (Table 2) (Portney and Watkins, 2000). Participants who reported less favourable perceptions at t1 tended to report greater increases in perception scores, whereas those with initially more positive perceptions tended to report stable or decreasing scores (Table 3). Minimally-adjusted regression

models suggested that changes in only a few perceptions of the route environment were associated with changes in commuting (Table 4). The unadjusted means illustrate the average changes in time spent walking and cycling and in the proportion of car-only trips for each category of change in perceptions. Of all the interactions tested, only one was significant: an increase in convenience of walking routes over time was associated with a decrease in car trips in women (p = 0.02) but not men (p = 0.18). In maximally-adjusted models, reporting less pleasant walking routes over time was associated with a net decrease in walking of 12 min/week (95% CI: − 1 to − 24) compared with those reporting no change.