Omission of these clauses or lack of their inclusion may be due to the nature, duration and circumstances surrounding each agreement. selleck chemicals Standardized legal analysis of SUAs and technical assistance, as well as tools provided by such organizations as ChangeLab Solutions, could help mitigate these and other overlooked issues during the construction of a

shared-use agreement (ChangeLab Solutions, 2009a). Collectively, the benefits of working with the JUMPP Task Force were evident by the higher number of school districts that instituted a programmatic element in their contractual arrangements (more than were originally planned) and the emphasis that the JUMPP-assisted SUAs had adult-oriented programming (Table 4). The programmatic inclusion had previously been shown to be associated with greater usage of the opened space or facilities by community members (Lafleur et al., 2013). Many of the costs related to SUA implementation were not enumerated in this present review due to limited information on expenses incurred by the

school districts Tofacitinib and the local organizations themselves. Accounting for these additional expenditures, the ratio of CPPW funds invested-to-community members reached would increase. Further research and economic evaluations are clearly needed to study this important subject matter, including: more comprehensive legal classification of SUA types; costs incurred by school districts and individual schools while participating in these efforts; and whether SUAs increased net physical activity among community members. With declining budgets and resources in many jurisdictions, SUAs and the partnerships they support may offer important opportunities

for cities and/or communities to promote physical activity at relatively lower cost as compared to other strategies, maximizing existing community assets when possible. The achievements Ketanserin of the JUMPP Task Force during 2010–2012 represent emerging models of SUA design and practice that can be replicated and potentially used to guide future shared-use efforts in other communities across the United States. The authors report no financial disclosures or conflicts of interest. The authors would like to thank Aida Angelescu, Janice Casil, and Douglas Morales in the Los Angeles County Department of Public Health for their technical assistance with GIS mapping. In addition, the authors would like to thank Mikaela Randoph from RENEW LA County for her programmatic contributions; Dr.