Adapting the SPOTLIGHT Virtual Audit Tool to assess food and activity environments relevant for adolescents: a validity and reliability study

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  • Oddbjørn Klomsten Andersen, Norwegian Sch Sport Sci, Norwegian School of Sport Sciences, Dept Sports Med, Norway
  • Siobhan A O'Halloran, University of Oslo, Norway
  • Elin Kolle, Norwegian Sch Sport Sci, Norwegian School of Sport Sciences, Dept Sports Med, Norway
  • Nanna Lien, University of Oslo, Norway
  • Jeroen Lakerveld, Vrije Universiteit Amsterdam, Netherlands
  • Onyebuchi A Arah
  • Mekdes K Gebremariam, University of Oslo, Norway

BACKGROUND: Physical inactivity and unhealthy diet are key behavioral determinants underlying obesity. The neighborhood environment represents an important arena for modifying these behaviors, and hence reliable and valid tools to measure it are needed. Most existing virtual audit tools have been designed to assess either food or activity environments deemed relevant for adults. Thus, there is a need for a tool that combines the assessment of food and activity environments, and which focuses on aspects of the environment relevant for youth.

OBJECTIVE: The aims of the present study were: (a) to adapt the SPOTLIGHT Virtual Audit Tool (S-VAT) developed to assess characteristics of the built environment deemed relevant for adults for use in an adolescent population, (b) to assess the tool's inter- and intra-rater reliability, and (c) to assess its criterion validity by comparing the virtual audit to a field audit.

METHODS: The tool adaptation was based on literature review and on results of a qualitative survey investigating how adolescents perceived the influence of the environment on dietary and physical activity behaviors. Sixty streets (148 street segments) in six neighborhoods were randomly selected as the study sample. Two raters assessed the inter- and intra-rater reliability and criterion validity, comparing the virtual audit tool to a field audit. The results were presented as percentage agreement and Cohen's kappa (κ).

RESULTS: Intra-rater agreement was found to be moderate to almost perfect (κ = 0.44-0.96) in all categories, except in the category aesthetics (κ = 0.40). Inter-rater agreement between auditors ranged from fair to substantial for all categories (κ = 0.24-0.80). Criterion validity was found to be moderate to almost perfect (κ = 0.56-0.82) for most categories, except aesthetics and grocery stores (κ = 0.26-0.35).

CONCLUSION: The adapted version of the S-VAT can be used to provide reliable and valid data on built environment characteristics deemed relevant for physical activity and dietary behavior among adolescents.

Original languageEnglish
Article number4
JournalInternational Journal of Health Geographics
Volume20
Issue1
Number of pages14
ISSN1476-072X
DOIs
Publication statusPublished - Jan 2021

    Research areas

  • built environment, physical activity, dietary behavior, adolescence, virtual audit

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