title: Concept mapping applied to the intersection between older adults' outdoor walking and the built and social environments.
abstract: OBJECTIVE
  For older adults, the ability to navigate walking routes in the outdoor environment allows them to remain active and socially engaged, facilitating community participation and independence. In order to enhance outdoor walking, it is important to understand the interaction of older adults within their local environments and the influence of broader stakeholder priorities that impact these environments. Thus, we aimed to synthesize perspectives from stakeholders to identify elements of the built and social environments that influence older adults' ability to walk outdoors.
  
  
  METHODS
  We applied a concept mapping approach with the input of diverse stakeholders (N=75) from British Columbia, Canada in 2012.
  
  
  RESULTS
  A seven-cluster map best represented areas that influence older adults' outdoor walking. Priority areas identified included sidewalks, crosswalks, and neighborhood features.
  
  
  CONCLUSIONS
  Individual perceptions and elements of the built and social environments intersect to influence walking behaviors, although targeted studies that address this area are needed.
authors.affiliation: Centre for Hip Health & Mobility, Robert HN Ho Research Centre, 7/F 2635 Laurel St., Vancouver, British Columbia V5Z 1M9, Canada; Department of Family Practice, University of British Columbia, 320-5950 University Blvd., Vancouver, British Columbia V6T 1Z3, Canada.
authors.forename: Heather M
authors.initials: HM
authors.lastname: Hanson
authors.forename: Claire
authors.initials: C
authors.lastname: Schiller
authors.forename: Meghan
authors.initials: M
authors.lastname: Winters
authors.forename: Joanie
authors.initials: J
authors.lastname: Sims-Gould
authors.forename: Philippa
authors.initials: P
authors.lastname: Clarke
authors.forename: Eileen
authors.initials: E
authors.lastname: Curran
authors.forename: Meghan G
authors.initials: MG
authors.lastname: Donaldson
authors.forename: Beverley
authors.initials: B
authors.lastname: Pitman
authors.forename: Vicky
authors.initials: V
authors.lastname: Scott
authors.forename: Heather A
authors.initials: HA
authors.lastname: McKay
authors.forename: Maureen C
authors.initials: MC
authors.lastname: Ashe
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001955:British Columbia / Q000453:epidemiology; D004779:Environment Design; D006801:Humans; D008875:Middle Aged; D012111:Residence Characteristics; D012931:Social Environment; D016138:Walking / Q000523:psychology / Q000706:statistics & numerical data*
keywords: Built environment; Concept map; Mobility; Older adults; Social environment; Walking