Department of Family Medicine and Public Health, University of California San Diego, San Diego, CA, USA.
Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.
Int J Behav Nutr Phys Act. 2018 Feb 26;15(1):19. doi: 10.1186/s12966-018-0650-z.
Relationships between several built environment factors and physical activity and walking behavior are well established, but internationally-comparable built environment measures are lacking. The Microscale Audit of Pedestrian Streetscapes (MAPS)-Global is an observational measure of detailed streetscape features relevant to physical activity that was developed for international use. This study examined the inter-observer reliability of the instrument in five countries.
MAPS-Global was developed by compiling concepts and items from eight environmental measures relevant to walking and bicycling. Inter-rater reliability data were collected in neighborhoods selected to vary on geographic information system (GIS)-derived macro-level walkability in five countries (Australia, Belgium, Brazil, Hong Kong-China, and Spain). MAPS-Global assessments (n = 325) were completed in person along a ≥ 0.25 mile route from a residence toward a non-residential destination, and a commercial block was also rated for each residence (n = 82). Two raters in each country rated each route independently. A tiered scoring system was created that summarized items at multiple levels of aggregation, and positive and negative valence scores were created based on the expected effect on physical activity. The intraclass correlation coefficient (ICC) was computed for scales and selected items using one-way random models.
Overall, 86.6% of individual items and single item indicators showed excellent agreement (ICC ≥ 0.75), and 13.4% showed good agreement (ICC = 0.60-0.74). All subscales and overall summary scores showed excellent agreement. Six of 123 items were too rare to compute the ICC. The median ICC for items and scales was 0.92 with a range of 0.50-1.0. Aesthetics and social characteristics showed lower ICCs than other sub-scales, but reliabilities were still in the excellent range (ICC ≥ 0.75).
Evaluation of inter-observer reliability of MAPS-Global across five countries indicated all items and scales had "good" or "excellent" reliability. The results demonstrate that trained observers from multiple countries were able to reliably conduct observations of both residential and commercial areas with the new MAPS-Global instrument. Next steps are to evaluate construct validity in relation to physical activity in multiple countries and gain experience with using MAPS-Global for research and practice applications.
已有多项研究证实了多种建筑环境因素与身体活动和步行行为之间的关系,但目前缺乏国际可比的建筑环境衡量标准。微观尺度行人街道评估全球版(MAPS-Global)是一种针对与身体活动相关的详细街道特征的观察性衡量标准,专为国际使用而开发。本研究在五个国家评估了该工具的观察者间信度。
MAPS-Global 通过综合与步行和骑自行车相关的八项环境措施的概念和项目而开发。在五个国家(澳大利亚、比利时、巴西、中国香港和西班牙),根据地理信息系统(GIS)衍生的宏观步行能力选择了不同的社区,收集了观察者间信度数据。MAPS-Global 评估(n=325)由两个人分别在从住所到非住所目的地的至少 0.25 英里的路线上进行,每个住所还对一个商业街区进行了评估(n=82)。每个国家的两个评估者独立评估每个路线。创建了一个分层评分系统,该系统汇总了多个聚合水平的项目,并根据对身体活动的预期影响创建了正、负效价评分。使用单向随机模型计算了量表和选定项目的组内相关系数(ICC)。
总体而言,86.6%的单个项目和单项指标具有极好的一致性(ICC≥0.75),13.4%的项目具有良好的一致性(ICC=0.60-0.74)。所有子量表和总综合评分均具有极好的一致性。123 个项目中有 6 个由于太罕见而无法计算 ICC。项目和量表的中位数 ICC 为 0.92,范围为 0.50-1.0。美学和社会特征的 ICC 低于其他子量表,但信度仍处于极好范围(ICC≥0.75)。
在五个国家评估 MAPS-Global 的观察者间信度表明,所有项目和量表的信度均为“良好”或“极好”。结果表明,来自多个国家的经过培训的观察者能够使用新的 MAPS-Global 仪器可靠地对住宅和商业区域进行观察。下一步是在多个国家评估与身体活动相关的结构有效性,并在研究和实践应用中积累使用 MAPS-Global 的经验。