Developing a comprehensive measure of mobility: mobility over varied environments scale (MOVES)

BMC Public Health

Research Article

Maureen Ashe¹  Joanie Sims-Gould¹  Heather A. McKay²  Meghan Winters³  Jana A. Hirsch⁴  Philippa J. Clarke⁵  Nathalie Ste-Marie⁶ 

[1] Centre for Hip Health and Mobility, Robert H.N. Ho Research Centre, University of British Columbia, 5th Floor, 2635 Laurel St, Vancouver, BC, Canada;Department of Family Practice, University of British Columbia, 3rd Floor David Strangway Building, 5950 University Boulevard, Vancouver, BC, Canada;Centre for Hip Health and Mobility, Robert H.N. Ho Research Centre, University of British Columbia, 5th Floor, 2635 Laurel St, Vancouver, BC, Canada;Department of Family Practice, University of British Columbia, 3rd Floor David Strangway Building, 5950 University Boulevard, Vancouver, BC, Canada;Department of Orthopaedics, University of British Columbia, 3114 - 910 West 10th Avenue, Vancouver, BC, Canada;Centre for Hip Health and Mobility, Robert H.N. Ho Research Centre, University of British Columbia, 5th Floor, 2635 Laurel St, Vancouver, BC, Canada;Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, Canada;Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, SC, USA;Centre for Hip Health and Mobility, Robert H.N. Ho Research Centre, University of British Columbia, 5th Floor, 2635 Laurel St, Vancouver, BC, Canada;Department of Epidemiology, University of Michigan, 1415 Washington Heights, 4667 SPH I, Ann Arbor, MI, USA;Institute for Social Research, University of Michigan, P.O. Box 1248, 426 Thompson St, Ann Arbor, MI, USA;Division of Orthopaedic Surgery, McGill University Health Centre, 1001 Boulevard Décarie, Montréal, QC, Canada;

关键词: Mobility limitation;    Measurement;    Methods;    Functionally-Impaired elderly;    Aged, Elderly;    Surveys and questionnaires;    Social interaction;    Transportation;   

DOI  :  10.1186/s12889-017-4450-1

 received in 2016-11-02, accepted in 2017-05-17,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundWhile recent work emphasizes the multi-dimensionality of mobility, no current measure incorporates multiple domains of mobility. Using existing conceptual frameworks we identified four domains of mobility (physical, cognitive, social, transportation) to create a “Mobility Over Varied Environments Scale” (MOVES). We then assessed expected patterns of MOVES in the Canadian population.MethodsAn expert panel identified survey items within each MOVES domain from the Canadian Community Health Survey- Healthy Aging Cycle (2008–2009) for 28,555 (weighted population n = 12,805,067) adults (≥45 years). We refined MOVES using principal components analysis and Cronbach’s alpha and weighted items so each domain was 10 points. Expected mobility trends, as assessed by average MOVES, were examined by sociodemographic and health factors, and by province, using Analysis of Variance (ANOVA).ResultsMOVES ranged from 0 to 40, where 0 represents individuals who are immobile and 40 those who are fully mobile. Mean MOVES was 29.58 (95% confidence interval (CI) 29.49, 29.67) (10th percentile: 24.17 (95% CI 23.96, 24.38), 90th percentile: 34.70 (CI 34.55, 34.85)). MOVES scores were lower for older, female, and non-white Canadians with worse health and lower socioeconomic status. MOVES was also lower for those who live in less urban areas.ConclusionsMOVES is a holistic measure of mobility for characterizing older adult mobility across populations. Future work should examine individual or neighborhood predictors of MOVES and its relationship to broader health outcomes. MOVES holds utility for research, surveillance, evaluation, and interventions around the broad factors influencing mobility in older adults.

【 授权许可】

CC BY   
© The Author(s). 2017