A comprehensive scoring system to measure healthy community design in land use plans and regulations.

Autor: Maiden KM; Nemours Children's Health System, United States. Electronic address: kristin.maiden@nemours.org., Kaplan M; DeZolt Health Outcomes Research, United States., Walling LA; Cedar Creek Sustainable Planning Services, United States., Miller PP; Nemours Children's Health System, United States., Crist G; Nemours Children's Health System, United States.
Jazyk: angličtina
Zdroj: Preventive medicine [Prev Med] 2017 Feb; Vol. 95 Suppl, pp. S141-S147. Date of Electronic Publication: 2016 Sep 26.
DOI: 10.1016/j.ypmed.2016.09.031
Abstrakt: Comprehensive land use plans and their corresponding regulations play a role in determining the nature of the built environment and community design, which are factors that influence population health and health disparities. To determine the level in which a plan addresses healthy living and active design, there is a need for a systematic, reliable and valid method of analyzing and scoring health-related content in plans and regulations. This paper describes the development and validation of a scoring tool designed to measure the strength and comprehensiveness of health-related content found in land use plans and the corresponding regulations. The measures are scored based on the presence of a specific item and the specificity and action-orientation of language. To establish reliability and validity, 42 land use plans and regulations from across the United States were scored January-April 2016. Results of the psychometric analysis indicate the scorecard is a reliable scoring tool for land use plans and regulations related to healthy living and active design. Intraclass correlation coefficients (ICC) scores showed strong inter-rater reliability for total strength and comprehensiveness. ICC scores for total implementation scores showed acceptable consistency among scorers. Cronbach's alpha values for all focus areas were acceptable. Strong content validity was measured through a committee vetting process. The development of this tool has far-reaching implications, bringing standardization of measurement to the field of land use plan assessment, and paving the way for systematic inclusion of health-related design principles, policies, and requirements in land use plans and their corresponding regulations.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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