Identifying and promoting safe walking routes in older adults

Abstract

Background: Walking for physical activity is important for older adults' physical and mental health. We developed and tested the reliability of an environmental audit tool designed to be used by lay people to identify appropriate walking routes for older adults trying to increase their physical activity. Methods: A 44-item Walking Route Audit Tool for Seniors (WRATS) was developed based on literature review and input from older adults during focus groups. Observers completed the tool for 24 walking routes which were specifically selected to maximize variability in environment features and quality. Inter-rater reliability was assessed using Kappa and percent agreement. Results: Inter-rater reliability was good to excellent for 27 of the 44 WRATS items and moderate for 9 items. ICCs were good to excellent for 6 of the 8 scales (ICCs = 0.61 to 0.90). Conclusions: These results provide evidence for the reliability of WRATS for evaluating environmental attributes of walking routes suitable for older adults. Some scales need further refinement, and validity should be tested in a sample of older adults.

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Kerr, J. , Carlson, J. , Rosenberg, D. and Withers, A. (2012) Identifying and promoting safe walking routes in older adults. Health, 4, 720-724. doi: 10.4236/health.2012.429112.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Nelson, M.E., Rejeski, W.J, Blair, S.N., Duncan, P.W., Judge, J.O., King, A.C., Macera, C.A. and Castaneda- Sceppa, C. (2007) Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association. Medicine & Science in Sports & Exercise, 39, 1435-1445. doi:10.1249/mss.0b013e3180616aa2
[2] National Institute of Health (2002) NIH Senior Health: Exercise for Older Adults. http://nihseniorhealth.gov/exercise
[3] Troiano, R.P., Berrigan, D., Dodd, K.W., Masse, L.C., Tilert, T. and McDowell, M. (2008) Physical activity in the United States measured by accelerometer. Medicine & Science in Sports & Exercise, 40, 181-188.
[4] Van Cauwenberg, J., De Bourdeaudhuij, I., De Meester, F., Van Dyck, D., Salmon, J., Clarys, P. and Deforche, B. (2011) Relationship between the physical environment and physical activity in older adults: A systematic review. Health & Place, 17, 458-469. doi:10.1016/j.healthplace.2010.11.010
[5] Cunningham, G.O., Michael, Y.L., Farquhar, S.A. and Lapidus, J. (2005) Developing a Reliable Senior Walking Environmental Assessment Tool. American Journal of Preventive Medicine, 29, 215-217. doi:10.1016/j.amepre.2005.05.002
[6] Day, K., Boarnet, M., Alfonzo, M. and Forsyth, A. (2006) The Irvine-Minnesota inventory to measure built environments: Development. American Journal of Preventive Medicine, 30, 144-152. doi:10.1016/j.amepre.2005.09.017
[7] Pikora, T.J., Giles-Corti, B., Knuiman, M.W., Bull, F.C., Jamrozik, K. and Donovan, R.J. (2006) Neighborhood environmental factors correlated with walking near home: Using SPACES. Medicine & Science in Sports & Exercise, 38, 708-714. doi:10.1249/01.mss.0000210189.64458.f3
[8] Landis, J.R. and Koch, G.G. (1977) The measurement of observer agreement for categorical data. Biometrics, 33, 159-174. doi:10.2307/2529310
[9] Rosenberg, D., Kerr J., Sallis, J., Patrick. K., Norman, G. and Calfas, K. (2012) Promoting walking among older adults living in retirement communities. Journal of Aging and Physical Activity, 20, 379-394.
[10] Gebel, K., Bauman, A. and Owen, N. (2009) Correlates of non-concordance between perceived and objective measures of walkability. Annals of Behavioral Medicine, 37, 228-238. doi:10.1007/s12160-009-9098-3
[11] Rosenberg, D., Kerr, J., Sallis, J., Patrick, K., Moore, D. and King, A. (2009) Feasibility and outcomes of a multi-level place-based walking intervention for seniors: A pilot study. Health & Place, 15, 173-179. doi:10.1016/j.healthplace.2008.03.010

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