Int J Health Geogr - The SPOTLIGHT virtual audit tool: a valid and reliable tool to assess obesogenic characteristics of the built environment.

Tópicos

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Resumo

CKGROUND: A lack of physical activity and overconsumption of energy dense food is associated with overweight and obesity. The neighbourhood environment may stimulate or hinder the development and/or maintenance of a healthy lifestyle. To improve research on the obesogenicity of neighbourhood environments, reliable, valid and convenient assessment methods of potential obesogenic characteristics of neighbourhood environments are needed. This study examines the reliability and validity of the SPOTLIGHT-Virtual Audit Tool (S-VAT), which uses remote sensing techniques (Street View feature in Google Earth) for desk-based assessment of environmental obesogenicity.METHODS: A total of 128 street segments in four Dutch urban neighbourhoods - heterogeneous in socio-economic status and residential density - were assessed using the S-VAT. Environmental characteristics were categorised as walking related items, cycling related items, public transport, aesthetics, land use-mix, grocery stores, food outlets and physical activity facilities. To assess concordance of inter- and intra-observer reliability of the Street View feature in Google Earth, and validity scores with real life audits, percentage agreement and Cohen's Kappa (k) were calculated.RESULTS: Intra-observer reliability was high and ranged from 91.7% agreement (k=0.654) to 100% agreement (k=1.000) with an overall agreement of 96.4% (k=0.848). Inter-observer reliability results ranged from substantial agreement 78.6% (k=0.440) to high agreement, 99.2% (k=0.579), with an overall agreement of 91.5% (k=0.595). Criterion validity was substantial to high for most of the categories ranging from 87.3% agreement (k=0.539) to 99.9% agreement (k=0.887) with an overall score of 95.6% agreement (k=0.747).CONCLUSION: These study results suggest that the S-VAT is a highly reliable and valid remote sensing tool to assess potential obesogenic environmental characteristics.

Resumo Limpo

ckground lack physic activ overconsumpt energi dens food associ overweight obes neighbourhood environ may stimul hinder develop andor mainten healthi lifestyl improv research obesogen neighbourhood environ reliabl valid conveni assess method potenti obesogen characterist neighbourhood environ need studi examin reliabl valid spotlightvirtu audit tool svat use remot sens techniqu street view featur googl earth deskbas assess environment obesogenicitymethod total street segment four dutch urban neighbourhood heterogen socioeconom status residenti densiti assess use svat environment characterist categoris walk relat item cycl relat item public transport aesthet land usemix groceri store food outlet physic activ facil assess concord inter intraobserv reliabl street view featur googl earth valid score real life audit percentag agreement cohen kappa k calculatedresult intraobserv reliabl high rang agreement k agreement k overal agreement k interobserv reliabl result rang substanti agreement k high agreement k overal agreement k criterion valid substanti high categori rang agreement k agreement k overal score agreement kconclus studi result suggest svat high reliabl valid remot sens tool assess potenti obesogen environment characterist

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