期刊
GERONTOLOGIST
卷 62, 期 1, 页码 E39-E47出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/geront/gnab079
关键词
Age-friendly community; Disability; Factor analysis; Mobility; Participatory research
类别
资金
- Social Sciences and Humanities Research Council of Canada [895-2013-1021]
- Real Estate Foundation of British Columbia
- subsequent Mobility, Access and Participation (MAP) project
- Quebec Health Research Funds (Fonds de la recherche du Quebec-Sante)
The SWAN13 scale was found to have convergent validity and stability in measuring walk/wheelability for people with mobility limitations, indicating its potential for assessing community walkability and promoting age-friendly interventions.
Background and Objectives: Recent critical evaluations of age-friendly efforts have highlighted the need to prioritize the disenfranchised, including people with mobility limitations. This article examines the validity of a 13-item Stakeholders Walkability/Wheelability Audit in Neighborhoods (SWAN13) scale to measure the walk/wheelability of street segments from the perspectives of people with mobility limitations. Research Design and Methods: Data were drawn from preliminary studies of the SWANaudit which was conducted in 2 Canadian metropolitan areas. Sixty-one participants who use mobility devices (e.g., walkers, power wheelchairs) and older adults from community organizations audited 195 street segments. We factor analyzed the data from their audits. Results: SWAN13 has a 1-factor structure. 13 items were retained from 85 SWANaudit items. SWAN13 encompassed both physical and social aspects of walk/wheelability. The alpha for the scale was .79. Convergent validity was found with the University of Alabama Life-Space Assessment (rho = .22, p = .003), especially at the neighborhood level (rho = .23, p = .002). Significant correlation was also found with subjective assessments of a priori walk/wheelability domains (rho = .63, p < .001). Discussion and Implications: Walk/wheelability affects the life space of older adults and people with mobility limitations. It is an important latent variable that should be addressed to promote well-being and social participation. SWAN13 may be used in city-wide surveys to identify neighborhoods that may require age-friendly interventions from mobility perspectives. Detailed audits and interventions may be carried out in tandem using the paired SWANaudit instrument. Walk/wheelability is an inclusive and measurable concept that accounts for the needs of people with various mobility needs.
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