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Development and reliability testing of an audit toolbox for the assessment of the physical activity friendliness of urban and rural environments in Germany

Bibliographic Data

ID22082147
AuthorsChristina Müller (0009-0009-9971-6087, Heidelberg University, corresponding author), Bruno Domokos (0000-0003-3972-093X, Heidelberg University), Tanja Amersbach (Heidelberg University), Eva-Maria Hausmayer (Heidelberg University), Christin Rossmann (Bundesinstitut für Öffentliche Gesundheit), Birgit Wallmann-Sperlich (0000-0002-0338-7357, University of Würzburg), Jens Bucksch (0000-0002-4907-6773, Heidelberg University)
Year2023
Volume11
Pages1153088-1153088
Publication date2023-08-10
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1153088
PMID37637797
OpenAlexW4385718368
LanguageEN
Citations received1
References cited110

Background: According to socio-ecological theories, physical activity behaviors are linked to the physical and social neighborhood environment. Reliable and contextually adapted instruments are needed to assess environmental characteristics related to physical activity. This work aims to develop an audit toolbox adapted to the German context, to urban and rural settings, for different population groups, and different types of physical activity; and to evaluate its inter-rater reliability. Methods: We conducted a systematic literature search to collect existing audit tools and to identify the latest evidence of environmental factors influencing physical activity in general, as well as in German populations. The results guided the construction of a category system for the toolbox. Items were assigned to the categories based on their relevance to physical activity and to the German context as well as their comprehensibility. We piloted the toolbox in different urban and rural areas (100 street segments, 15 parks, and 21 playgrounds) and calculated inter-rater reliability by Cohen's Kappa. Results: The audit toolbox comprises a basic streetscape audit with seven categories (land use and destinations, traffic safety, pedestrian infrastructure, cycling infrastructure, attractiveness, social environment, and subjective assessment), as well as supplementary tools for children and adolescents, seniors and people with impaired mobility, parks and public open spaces, playgrounds, and rural areas. 76 % of all included items had moderate, substantial, or almost perfect inter-rater reliability (κ > 0.4). Conclusions: The audit toolbox is an innovative and reliable instrument for the assessment of the physical activity friendliness of urban and rural environments in Germany

Audit · Business · Environmental health · Geography · Population · Rural area · Toolbox · Applied Psychology · Balance, Gait, and Falls Prevention · Computer Science · Medicine · Physical Activity and Health · Psychology · Urban Transport and Accessibility · Accounting

  • Measuring Street Built Environments for Children’s Use

    Open Access•Xiu Cao, Xue Meng et al.•Journal of Urban Health•2025

  • Health benefits of physical activity

    Darren E R Warburton, Shannon S D Bredin•Current Opinion in Cardiology•2017

  • Measuring the Built Environment for Physical Activity

    Open Access•Ross C Brownson, Christine M Hoehner et al.•American Journal of Preventive…•2009

  • Physical Activity and Incident Depression

    Felipe B Schuch, Davy Vancampfort et al.•American Journal of Psychiatry•2018

  • Systematic literature review of built environment effects on physical activity and active transport – an update and new findings on health equity

    Open Access•Melody Smith, Jamie Hosking et al.•International Journal of…•2017

  • Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth

    Open Access•Veronica Joan Poitras, Casey Ellen Gray et al.•Applied Physiology, Nutrition,…•2016

  • Built Environment, Physical Activity, and Obesity

    Open Access•James F Sallis, E Cerin et al.•Annual Review of Public Health•2020

  • In search of causality

    Open Access•Gavin R Mccormack, Alan Shiell•International Journal of…•2011

  • A global comparative analysis of urban form

    Open Access•Jingnan Huang, Xixi Lu et al.•Landscape and Urban Planning•2007

  • The development and testing of an audit for the pedestrian environment

    Open Access•Kelly J Clifton, Andréa D Livi Smith et al.•Landscape and Urban Planning•2007

  • Physical Activity in Cancer Prevention and Survival

    Anne McTiernan, Christine M Friedenreich et al.•Medicine & Science in Sports &…•2019

  • Understanding the relationships between the physical environment and physical activity in older adults

    Open Access•Mika Moran, Jelle Van Cauwenberg et al.•International Journal of…•2014

  • What Is the Relationship between Outdoor Time and Physical Activity, Sedentary Behaviour, and Physical Fitness in Children? A Systematic Review

    Open Access•Casey Gray, Rebecca Gibbons et al.•International Journal of…•2015

  • The Built Environment as a Determinant of Physical Activity

    Mikko Kärmeniemi, Tiina Lankila et al.•Annals of Behavioral Medicine•2018

  • Developing a reliable audit instrument to measure the physical environment for physical activity

    Open Access•Terri Pikora, TERRI J PIKORA et al.•American Journal of Preventive…•2002

  • Neighborhood Environment and Physical Activity Among Youth

    Open Access•Ding, Ding Ding et al.•American Journal of Preventive…•2011

  • The Kappa Statistic in Reliability Studies

    Joe Sims, Julius Sim et al.•Physical Therapy•2005

  • Relationship between the physical environment and different domains of physical activity in European adults

    Open Access•Veerle Van Holle, Benedicte Deforche et al.•BMC Public Health•2012

  • Exercise as a treatment for depression

    Open Access•Felipe B Schuch, Davy Vancampfort et al.•Journal of Psychiatric Research•2016

  • Consequences of physical inactivity in older adults

    Open Access•Conor Cunningham, Roger O' Sullivan et al.•Scandinavian Journal of Medicine…•2020

  • Effect of physical inactivity on major non-communicable diseases worldwide

    Open Access•I-Min Lee, I‐Min Lee et al.•The Lancet•2012

  • Correlates of physical activity

    Open Access•Adrian E Bauman, Adrian Bauman et al.•The Lancet•2012

  • An Ecological Approach to Creating Active Living Communities

    James F Sallis, Robert Cervero et al.•Annual Review of Public Health•2006

  • The Measurement of Observer Agreement for Categorical Data

    J R Landis, Gary G Koch•Biometrics•1977

  • Worldwide trends in insufficient physical activity from 2001 to 2016

    Open Access•Regina Guthold, G A Stevens et al.•The Lancet Global Health•2018

  • German senior citizens’ capabilities for physical activity

    Open Access•Alexandra Sauter, Janina Curbach et al.•Health Promotion International•2019

  • Comparative Research of Audit Tools on Built Environment for Active Living

    Open Access•Zhen Xu, Yifan Wang et al.•Landscape Architecture Frontiers•2020

  • Urban-Rural Differences in Children’s and Adolescent’s Physical Activity and Screen-Time Trends Across 15 Years

    Open Access•Carina Nigg, Christoph Weber et al.•Health Education & Behavior•2022

  • Domain-Specific Self-Reported and Objectively Measured Physical Activity in Children

    Open Access•Ole Sprengeler, Norman Wirsik et al.•International Journal of…•2017

  • Walking for Transport among Older Adults

    Open Access•Tanja Brüchert, Pia Hasselder et al.•International Journal of…•2020

  • Development, scoring, and reliability of the Microscale Audit of Pedestrian Streetscapes (Maps)

    Open Access•Rachel A Millstein, Rachel Millstein et al.•BMC Public Health•2013

  • The Wisconsin Assessment of the Social and Built Environment (Wasabe)

    Open Access•Kristen Malecki, Kristen C Malecki et al.•BMC Public Health•2014

  • Physical activity and its correlates in children

    Open Access•Sandra Ortlieb, Gabriel Schneider et al.•BMC Public Health•2013

  • Prevalence and socio-demographic correlates of the compliance with the physical activity guidelines in children and adolescents in Germany

    Open Access•Darko Jekauc, Anne K Reimers et al.•BMC Public Health•2012

  • Active school transport in an urban environment

    Open Access•Isabel Wex, Mandy Geserick et al.•BMC Public Health•2023

  • Objective assessment of urban built environment related to physical activity — development, reliability and validity of the China Urban Built Environment Scan Tool (Cubest)

    Open Access•Meng Su, Yu-kun Du et al.•BMC Public Health•2014

  • Time allocation to active domains, physical activity, and health indicators in older adults

    Open Access•Imke Stalling, Birte Marie Albrecht et al.•BMC Public Health•2020

  • Examining the state, quality and strength of the evidence in the research on built environments and physical activity among adults

    Open Access•Stéphanie A Prince, Samantha Lancione et al.•Health & Place•2022

  • Examining the state, quality and strength of the evidence in the research on built environments and physical activity among children and youth

    Open Access•Stéphanie A Prince, Samantha Lancione et al.•Health & Place•2022

  • Public open space characteristics influencing adolescents’ use and physical activity

    Open Access•Linde Van Hecke, Ariane Ghekiere et al.•Health & Place•2018

  • Systematic review of the use of Google Street View in health research

    Open Access•Amanda Rzotkiewicz, Amber L Pearson et al.•Health & Place•2018

  • Associations of children's active school travel with perceptions of the physical environment and characteristics of the social environment

    Open Access•Erika Ikeda, Erica Hinckson et al.•Health & Place•2018

  • Characteristics of urban parks associated with park use and physical activity

    Open Access•Gavin R Mccormack, Melanie Rock et al.•Health & Place•2010

  • Definitions, measures, and uses of rurality

    Open Access•Katherine S Nelson, Tuan D Nguyen et al.•Journal of Rural Studies•2021

  • The Relationship between the Neighborhood Built Environment and Active Transportation among Adults

    Open Access•Luqi Wang, Wen Chen•Urban Science•2017

  • Development of the Scottish Walkability Assessment Tool (SWAT)

    Open Access•Catherine Millington, Cheryl W Thompson et al.•Health & Place•2008

  • The role of neighborhood physical environment on mobility and social participation among people using mobility assistive technology

    Catherine Bigonnesse, Atiya Mahmood et al.•Disability & Society•2018

  • Perceived built environment characteristics associated with walking and cycling across 355 communities in 21 countries

    Open Access•Kwadwo A Boakye, Kwadwo Boakye et al.•Cities•2023

  • Theorising the relationship between older people and their immediate social living environment

    Tine Buffel, D Verté et al.•International Journal of Lifelong…•2012

  • Mobility and Aging

    William A Satariano, Jack M Guralnik et al.•American Journal of Public Health•2012

  • Contribution of streetscape audits to explanation of physical activity in four age groups based on the Microscale Audit of Pedestrian Streetscapes (Maps)

    Open Access•Kelli L Cain, Rachel A Millstein et al.•Social Science & Medicine•2014

Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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