The COURAGE Built Environment Outdoor Checklist: An objective built environment instrument to investigate the impact of the environment on health and disability

Rui Quintas, Alberto Raggi, Paola Bucciarelli, Maria Grazia Franco, Alessandra Andreotti, Francisco Félix Caballero, Beatriz Olaya, Somnath Chatterji, Aleksander Galas, Satu Meriläinen-Porras, Giovanni Frisoni, Emanuela Russo, Nadia Minicuci, Mick Power, Matilde Leonardi

Research output: Contribution to journalArticlepeer-review

Abstract

A tool to assess the built environment, which takes into account issues of disability, accessibility and the need for data comparable across countries and populations, is much needed. The Collaborative Research on Ageing in Europe (COURAGE) in Europe Built Environment Outdoor Checklist (CBE-OUT) helps us to understand when features of the neighbourhood environment have either a positive or negative impact on the accessibility of neighbourhoods for healthy ageing.The CBE-OUT is composed of 128 items that can be recorded when present in the evaluated environment. Audits were performed in households randomly selected from each cluster of the sample for Finland, Poland and Spain, following precise rules defined by experts. Global scores were computed both section by section and in the overall checklist, rescaling the resulting scores from 0 (negative environment) to 100 (positive).The total number of completed CBE-OUT checklists was 2452 (Finland, 245; Poland, 972; and Spain, 1235). Mean global score for our sample is 49.3, suggesting an environment composed both of facilitating and hindering features. Significant differences were observed in the built environment features of the three countries and in particular between Finland and the other two. The assessment of features of built environment is crucial when thinking about ageing and enhanced participation. The COURAGE in Europe project developed this tool to collect information on built environment in an objective evaluation of environmental features and is a recommended methodology for future studies.

Original languageEnglish
Pages (from-to)204-214
Number of pages11
JournalClinical Psychology and Psychotherapy
Volume21
Issue number3
DOIs
Publication statusPublished - 2014

Keywords

  • Assessment Tool
  • Built Environment
  • Disability
  • Disability and Health
  • Healthy Ageing
  • International Classification of Functioning

ASJC Scopus subject areas

  • Clinical Psychology
  • Medicine(all)

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