Academic Journal
The Age Friendly Supermarket Index: a Delphi study and psychometric analysis.
| Τίτλος: | The Age Friendly Supermarket Index: a Delphi study and psychometric analysis. |
|---|---|
| Συγγραφείς: | Che SL; Nursing and Health Education Research Centre, Kiang Wu Nursing College of Macau, Macao, Macao SAR, China., Lei WI; Nursing and Health Study Centre, Kiang Wu Nursing College of Macau, Macao, Macao SAR, China., Leong SM; Research Management and Development Department, Kiang Wu Nursing College of Macau, Macao, Macao SAR, China. |
| Πηγή: | Frontiers in public health [Front Public Health] 2026 Aug 28; Vol. 14, pp. 1891483. Date of Electronic Publication: 2026 Aug 28 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Lausanne : Frontiers Editorial Office |
| Ιατρικοί όροι (MeSH): | Psychometrics* , Food Markets*, Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Aging in Place ; Delphi Technique ; Reproducibility of Results ; Surveys and Questionnaires |
| Περίληψη: | Background and Objectives: Person-environment interactions shape how individuals evaluate their surroundings, and perceived age friendliness influences intentions to age in place. Supermarkets, as essential components of daily urban life, play a critical role in supporting older adults' community participation. This study aimed to develop and validate the Age Friendly Supermarket Index (AFSI), a comprehensive tool to assess and enhance supermarket age friendliness for older customers. Methods: Indicators were generated through a literature review, followed by two Delphi rounds, cognitive interviews, and pilot testing. The AFSI was validated using survey data from 387 older adults in Macao. Results: The finalized AFSI includes 33 indicators across three domains: (i) environmental design and customer service, (ii) convenience and safety assurance, and (iii) product arrangement and aisle planning. Exploratory and confirmatory factor analyses supported a three factor structure. The overall index showed excellent internal consistency (Cronbach's α = 0.93), with strong reliability across domains (α = 0.90-0.92), explaining 54.96% of variance. Measurement invariance was confirmed across gender, age groups, and living status. Conclusion: The AFSI is a reliable and valid instrument for evaluating supermarket age friendliness and can guide improvements to support age-friendly shopping environments. (Copyright © 2026 Che, Lei and Leong.) |
| Competing Interests: | The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. |
| References: | Disabil Rehabil. 2018 Apr;40(7):848-855. (PMID: 28129514) Psychol Bull. 1990 Mar;107(2):238-46. (PMID: 2320703) Public Health Nutr. 2011 Sep;14(9):1640-9. (PMID: 21557866) HERD. 2020 Jan;13(1):11-23. (PMID: 31887097) Educ Psychol Meas. 2019 Apr;79(2):310-334. (PMID: 30911195) J Epidemiol Community Health. 2012 Jul;66(7):e20. (PMID: 21471140) Ann Epidemiol. 2007 Sep;17(9):643-53. (PMID: 17553702) J Nurses Staff Dev. 2012 May-Jun;28(3):137-42. (PMID: 22617785) Qual Life Res. 2016 May;25(5):1189-97. (PMID: 26407605) Med Teach. 2005 Nov;27(7):639-43. (PMID: 16332558) Agric Human Values. 2015;32(3):445-460. (PMID: 26269663) J Appl Gerontol. 2026 May;45(5):843-855. (PMID: 40557833) PLoS One. 2015 Jul 01;10(7):e0131526. (PMID: 26132156) Health Place. 2021 Jul;70:102621. (PMID: 34243058) J Adv Nurs. 2000 Oct;32(4):1008-15. (PMID: 11095242) Int J Environ Res Public Health. 2022 Jan 05;19(1):. (PMID: 35010839) Gerontologist. 2022 Jan 14;62(1):46-55. (PMID: 34043782) Front Public Health. 2022 Jun 29;10:884514. (PMID: 35844860) Disabil Rehabil. 2019 Jan;41(2):191-200. (PMID: 29117730) Psychol Bull. 1976 Sep;83(5):956-74. (PMID: 794903) |
| Contributed Indexing: | Keywords: Delphi; age-friendly; index; reliability; supermarket; validity |
| Entry Date(s): | Date Created: 20260912 Date Completed: 20260912 Latest Revision: 20260914 |
| Update Code: | 20260915 |
| PubMed Central ID: | PMC13561940 |
| DOI: | 10.3389/fpubh.2026.1891483 |
| PMID: | 42729252 |
| Βάση Δεδομένων: | MEDLINE |
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| Items | – Name: Title Label: Title Group: Ti Data: The Age Friendly Supermarket Index: a Delphi study and psychometric analysis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AU" term="%22Che+SL%22">Che SL</searchLink>; Nursing and Health Education Research Centre, Kiang Wu Nursing College of Macau, Macao, Macao SAR, China.<br /><searchLink fieldCode="AU" term="%22Lei+WI%22">Lei WI</searchLink>; Nursing and Health Study Centre, Kiang Wu Nursing College of Macau, Macao, Macao SAR, China.<br /><searchLink fieldCode="AU" term="%22Leong+SM%22">Leong SM</searchLink>; Research Management and Development Department, Kiang Wu Nursing College of Macau, Macao, Macao SAR, China. – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22101616579%22">Frontiers in public health</searchLink> [Front Public Health] 2026 Aug 28; Vol. 14, pp. 1891483. <i>Date of Electronic Publication: </i>2026 Aug 28 (<i>Print Publication: </i>2026). – Name: TypePub Label: Publication Type Group: TypPub Data: Journal Article – Name: Language Label: Language Group: Lang Data: English – Name: TitleSource Label: Journal Info Group: Src Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Frontiers+Editorial+Office%22">Frontiers Editorial Office </searchLink><i>Country of Publication: </i>Switzerland <i>NLM ID: </i>101616579 <i>Publication Model: </i>eCollection <i>Cited Medium: </i>Internet <i>ISSN: </i>2296-2565 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2222962565%22">22962565 </searchLink><i>NLM ISO Abbreviation: </i>Front Public Health <i>Subsets: </i>MEDLINE – Name: PublisherInfo Label: Imprint Name(s) Group: PubInfo Data: <i>Original Publication</i>: Lausanne : Frontiers Editorial Office – Name: SubjectMESH Label: MeSH Terms Group: Su Data: <searchLink fieldCode="MM" term="%22Psychometrics%22">Psychometrics*</searchLink> <br /><searchLink fieldCode="MM" term="%22Food+Markets%22">Food Markets*</searchLink><br /><searchLink fieldCode="MH" term="%22Aged%22">Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Aged%2C+80+and+over%22">Aged, 80 and over</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Aging+in+Place%22">Aging in Place</searchLink> ; <searchLink fieldCode="MH" term="%22Delphi+Technique%22">Delphi Technique</searchLink> ; <searchLink fieldCode="MH" term="%22Reproducibility+of+Results%22">Reproducibility of Results</searchLink> ; <searchLink fieldCode="MH" term="%22Surveys+and+Questionnaires%22">Surveys and Questionnaires</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background and Objectives: Person-environment interactions shape how individuals evaluate their surroundings, and perceived age friendliness influences intentions to age in place. Supermarkets, as essential components of daily urban life, play a critical role in supporting older adults' community participation. This study aimed to develop and validate the Age Friendly Supermarket Index (AFSI), a comprehensive tool to assess and enhance supermarket age friendliness for older customers.<br />Methods: Indicators were generated through a literature review, followed by two Delphi rounds, cognitive interviews, and pilot testing. The AFSI was validated using survey data from 387 older adults in Macao.<br />Results: The finalized AFSI includes 33 indicators across three domains: (i) environmental design and customer service, (ii) convenience and safety assurance, and (iii) product arrangement and aisle planning. Exploratory and confirmatory factor analyses supported a three factor structure. The overall index showed excellent internal consistency (Cronbach's α = 0.93), with strong reliability across domains (α = 0.90-0.92), explaining 54.96% of variance. Measurement invariance was confirmed across gender, age groups, and living status.<br />Conclusion: The AFSI is a reliable and valid instrument for evaluating supermarket age friendliness and can guide improvements to support age-friendly shopping environments.<br /> (Copyright © 2026 Che, Lei and Leong.) – Name: Abstract Label: Competing Interests Group: Ab Data: The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. – Name: Ref Label: References Group: RefInfo Data: Disabil Rehabil. 2018 Apr;40(7):848-855. (PMID: <searchLink fieldCode="PM" term="%2228129514%22">28129514)</searchLink><br />Psychol Bull. 1990 Mar;107(2):238-46. (PMID: <searchLink fieldCode="PM" term="%222320703%22">2320703)</searchLink><br />Public Health Nutr. 2011 Sep;14(9):1640-9. (PMID: <searchLink fieldCode="PM" term="%2221557866%22">21557866)</searchLink><br />HERD. 2020 Jan;13(1):11-23. (PMID: <searchLink fieldCode="PM" term="%2231887097%22">31887097)</searchLink><br />Educ Psychol Meas. 2019 Apr;79(2):310-334. (PMID: <searchLink fieldCode="PM" term="%2230911195%22">30911195)</searchLink><br />J Epidemiol Community Health. 2012 Jul;66(7):e20. (PMID: <searchLink fieldCode="PM" term="%2221471140%22">21471140)</searchLink><br />Ann Epidemiol. 2007 Sep;17(9):643-53. (PMID: <searchLink fieldCode="PM" term="%2217553702%22">17553702)</searchLink><br />J Nurses Staff Dev. 2012 May-Jun;28(3):137-42. (PMID: <searchLink fieldCode="PM" term="%2222617785%22">22617785)</searchLink><br />Qual Life Res. 2016 May;25(5):1189-97. (PMID: <searchLink fieldCode="PM" term="%2226407605%22">26407605)</searchLink><br />Med Teach. 2005 Nov;27(7):639-43. (PMID: <searchLink fieldCode="PM" term="%2216332558%22">16332558)</searchLink><br />Agric Human Values. 2015;32(3):445-460. (PMID: <searchLink fieldCode="PM" term="%2226269663%22">26269663)</searchLink><br />J Appl Gerontol. 2026 May;45(5):843-855. (PMID: <searchLink fieldCode="PM" term="%2240557833%22">40557833)</searchLink><br />PLoS One. 2015 Jul 01;10(7):e0131526. (PMID: <searchLink fieldCode="PM" term="%2226132156%22">26132156)</searchLink><br />Health Place. 2021 Jul;70:102621. (PMID: <searchLink fieldCode="PM" term="%2234243058%22">34243058)</searchLink><br />J Adv Nurs. 2000 Oct;32(4):1008-15. (PMID: <searchLink fieldCode="PM" term="%2211095242%22">11095242)</searchLink><br />Int J Environ Res Public Health. 2022 Jan 05;19(1):. (PMID: <searchLink fieldCode="PM" term="%2235010839%22">35010839)</searchLink><br />Gerontologist. 2022 Jan 14;62(1):46-55. (PMID: <searchLink fieldCode="PM" term="%2234043782%22">34043782)</searchLink><br />Front Public Health. 2022 Jun 29;10:884514. (PMID: <searchLink fieldCode="PM" term="%2235844860%22">35844860)</searchLink><br />Disabil Rehabil. 2019 Jan;41(2):191-200. (PMID: <searchLink fieldCode="PM" term="%2229117730%22">29117730)</searchLink><br />Psychol Bull. 1976 Sep;83(5):956-74. (PMID: <searchLink fieldCode="PM" term="%22794903%22">794903)</searchLink> – Name: SubjectMinor Label: Contributed Indexing Group: Data: <i>Keywords: </i>Delphi; age-friendly; index; reliability; supermarket; validity – Name: DateEntry Label: Entry Date(s) Group: Date Data: <i>Date Created: </i>20260912 <i>Date Completed: </i>20260912 <i>Latest Revision: </i>20260914 – Name: DateUpdate Label: Update Code Group: Date Data: 20260915 – Name: PubmedCentralID Label: PubMed Central ID Group: ID Data: PMC13561940 – Name: DOI Label: DOI Group: ID Data: 10.3389/fpubh.2026.1891483 – Name: AN Label: PMID Group: ID Data: 42729252 |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42729252 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.3389/fpubh.2026.1891483 Languages: – Code: eng Text: English PhysicalDescription: Pagination: StartPage: 1891483 Subjects: – SubjectFull: Aged Type: general – SubjectFull: Aged, 80 and over Type: general – SubjectFull: Female Type: general – SubjectFull: Humans Type: general – SubjectFull: Male Type: general – SubjectFull: Aging in Place Type: general – SubjectFull: Delphi Technique Type: general – SubjectFull: Reproducibility of Results Type: general – SubjectFull: Surveys and Questionnaires Type: general – SubjectFull: Psychometrics Type: general – SubjectFull: Food Markets Type: general Titles: – TitleFull: The Age Friendly Supermarket Index: a Delphi study and psychometric analysis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Che SL – PersonEntity: Name: NameFull: Lei WI – PersonEntity: Name: NameFull: Leong SM IsPartOfRelationships: – BibEntity: Dates: – D: 28 M: 08 Text: 2026 Aug 28 Type: published Y: 2026 Identifiers: – Type: issn-electronic Value: 2296-2565 Numbering: – Type: volume Value: 14 Titles: – TitleFull: Frontiers in public health Type: main |
| ResultId | 1 |