Reliability and One-Year Stability of the PIN3 Neighborhood Environmental Audit in Urban and Rural Neighborhoods

  • Anna K. Porter
  • Fang Wen
  • Amy H. Herring
  • Daniel A. Rodríguez
  • Lynne C. Messer
  • Barbara A. Laraia
  • Kelly R. Evenson
Article
  • 34 Downloads

Abstract

Reliable and stable environmental audit instruments are needed to successfully identify the physical and social attributes that may influence physical activity. This study described the reliability and stability of the PIN3 environmental audit instrument in both urban and rural neighborhoods. Four randomly sampled road segments in and around a one-quarter mile buffer of participants’ residences from the Pregnancy, Infection, and Nutrition (PIN3) study were rated twice, approximately 2 weeks apart. One year later, 253 of the year 1 sampled roads were re-audited. The instrument included 43 measures that resulted in 73 item scores for calculation of percent overall agreement, kappa statistics, and log-linear models. For same-day reliability, 81% of items had moderate to outstanding kappa statistics (kappas ≥ 0.4). Two-week reliability was slightly lower, with 77% of items having moderate to outstanding agreement using kappa statistics. One-year stability had 68% of items showing moderate to outstanding agreement using kappa statistics. The reliability of the audit measures was largely consistent when comparing urban to rural locations, with only 8% of items exhibiting significant differences (α < 0.05) by urbanicity. The PIN3 instrument is a reliable and stable audit tool for studies assessing neighborhood attributes in urban and rural environments.

Keywords

Built environment Physical activity Active transport Measurement Walkability 

Notes

Disclaimer

The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Compliance with ethical standards

This study was reviewed and approved by the Institutional Review Board at UNC.

Supplementary material

11524_2018_243_MOESM1_ESM.docx (66 kb)
Supplemental Table 1 (DOCX 65 kb)
11524_2018_243_MOESM2_ESM.docx (42 kb)
Supplemental Table 2 (DOCX 42 kb)

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Copyright information

© The New York Academy of Medicine 2018

Authors and Affiliations

  1. 1.Department of Epidemiology, Gillings School of Global Public HealthUniversity of North Carolina – Chapel HillChapel HillUSA
  2. 2.Department of Statistical ScienceDuke UniversityDurhamUSA
  3. 3.Department of City and Regional Planning, Institute for Transportation StudiesUniversity of California, BerkeleyBerkeleyUSA
  4. 4.Oregon Health & Science University - Portland State University School of Public HealthPortlandUSA
  5. 5.Division of Community Health Sciences, School of Public HealthUniversity of California, BerkeleyBerkeleyUSA
  6. 6.Department of Epidemiology, Gillings School of Global Public Health, Center for Health Promotion and Disease PreventionUniversity of North Carolina – Chapel HillChapel HillUSA

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