The SPOTLIGHT virtual audit tool: a valid and reliable tool to assess obesogenic characteristics of the built environment

J. R. Bethlehem, J. D. Mackenbach, M. Ben-Rebah, S. Compernolle, K. Glonti, H. Bardos, H. R. Rutter, H. Charreire, J. M. Oppert, J. Brug, J. Lakerveld

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

BACKGROUND: 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.
Original languageEnglish
Article number52
JournalInternational Journal of Health Geographics
Volume13
Issue number1
DOIs
Publication statusPublished - 16 Dec 2014

Keywords

  • *Environment Design/statistics & numerical data Humans Netherlands/epidemiology Obesity/diagnosis/*epidemiology/prevention & control Remote Sensing Technology/methods/*standards Reproducibility of Results *Residence Characteristics/statistics & numerical data Socioeconomic Factors *Urban Population/statistics & numerical data

Cite this

Bethlehem, J. R., Mackenbach, J. D., Ben-Rebah, M., Compernolle, S., Glonti, K., Bardos, H., ... Lakerveld, J. (2014). The SPOTLIGHT virtual audit tool: a valid and reliable tool to assess obesogenic characteristics of the built environment. International Journal of Health Geographics, 13(1), [52]. https://doi.org/10.1186/1476-072X-13-52

The SPOTLIGHT virtual audit tool: a valid and reliable tool to assess obesogenic characteristics of the built environment. / Bethlehem, J. R.; Mackenbach, J. D.; Ben-Rebah, M.; Compernolle, S.; Glonti, K.; Bardos, H.; Rutter, H. R.; Charreire, H.; Oppert, J. M.; Brug, J.; Lakerveld, J.

In: International Journal of Health Geographics, Vol. 13, No. 1, 52, 16.12.2014.

Research output: Contribution to journalArticle

Bethlehem, JR, Mackenbach, JD, Ben-Rebah, M, Compernolle, S, Glonti, K, Bardos, H, Rutter, HR, Charreire, H, Oppert, JM, Brug, J & Lakerveld, J 2014, 'The SPOTLIGHT virtual audit tool: a valid and reliable tool to assess obesogenic characteristics of the built environment', International Journal of Health Geographics, vol. 13, no. 1, 52. https://doi.org/10.1186/1476-072X-13-52
Bethlehem, J. R. ; Mackenbach, J. D. ; Ben-Rebah, M. ; Compernolle, S. ; Glonti, K. ; Bardos, H. ; Rutter, H. R. ; Charreire, H. ; Oppert, J. M. ; Brug, J. ; Lakerveld, J. / The SPOTLIGHT virtual audit tool: a valid and reliable tool to assess obesogenic characteristics of the built environment. In: International Journal of Health Geographics. 2014 ; Vol. 13, No. 1.
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abstract = "BACKGROUND: 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.",
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T1 - The SPOTLIGHT virtual audit tool: a valid and reliable tool to assess obesogenic characteristics of the built environment

AU - Bethlehem, J. R.

AU - Mackenbach, J. D.

AU - Ben-Rebah, M.

AU - Compernolle, S.

AU - Glonti, K.

AU - Bardos, H.

AU - Rutter, H. R.

AU - Charreire, H.

AU - Oppert, J. M.

AU - Brug, J.

AU - Lakerveld, J.

N1 - Bethlehem, John R Mackenbach, Joreintje D Ben-Rebah, Maher Compernolle, Sofie Glonti, Ketevan Bardos, Helga Rutter, Harry R Charreire, Helene Oppert, Jean-Michel Brug, Johannes Lakerveld, Jeroen eng Randomized Controlled Trial Research Support, Non-U.S. Gov't Validation Studies England 2014/12/18 06:00 Int J Health Geogr. 2014 Dec 16;13:52. doi: 10.1186/1476-072X-13-52.

PY - 2014/12/16

Y1 - 2014/12/16

N2 - BACKGROUND: 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.

AB - BACKGROUND: 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.

KW - Environment Design/statistics & numerical data Humans Netherlands/epidemiology Obesity/diagnosis/epidemiology/prevention & control Remote Sensing Technology/methods/standards Reproducibility of Results Residence Characteristics/statistics & numerical data

U2 - 10.1186/1476-072X-13-52

DO - 10.1186/1476-072X-13-52

M3 - Article

VL - 13

JO - International Journal of Health Geographics

JF - International Journal of Health Geographics

SN - 1476-072X

IS - 1

M1 - 52

ER -