Background
Conceptual frameworks
Methods
MOVES creation
Concept-based MOVES creation
Statistical refinement
Understanding canadian mobility using MOVES
Results- moves creation
Item selection
MOVES domains
Physical
Item | Points toward MOVESa
| Weighted Percent of responses (95% CI) |
---|---|---|
Physical Domain | ||
Instrumental & Basic Activities of Daily Living Classification | ||
No Functional Impairment | 10 | 89.1 (88.5, 89.6) |
Mild Impairment | 7.5 | 7.9 (7.4, 8.4) |
Moderate Impairment | 5 | 2.1 (1.8, 2.3) |
Severe Impairment | 2.5 | 0.5 (0.4, 0.6) |
Total Impairment | 0 | 0.5 (0.4, 0.6) |
Ambulation (Mobility) | ||
Able to walk around the neighbourhood without difficulty, and without walking equipment | 10 | 93.4 (93.0, 93.8) |
Able to walk around the neighbourhood with difficulty; but does not require walking equipment or the help of another person | 8 | 1.2 (1.0, 1.4) |
Able to walk around the neighbourhood with walking equipment, but without the help of another person | 6 | 3.7 (3.4, 4.0) |
Able to walk only short distances with walking equipment, and requires a wheelchair to get around the neighbourhood | 4 | 0.3 (0.2, 0.3) |
Unable to walk alone, even with walking equipment. Able to walk short distances with the help of another person, and requires a wheelchair to get around the neighbourhood | 2 | 1.1 (0.9, 1.2) |
Cannot walk at all | 0 | 0.3 (0.3, 0.4) |
Physical Activity Scale for the Elderly (PASE) Score | ||
Quartile 1 | 10 | 25.1 (24.0, 26.1) |
Quartile 2 | 6.67 | 25.1 (24.1, 26.1) |
Quartile 3 | 3.33 | 25.1 (24.1, 26.0) |
Quartile 4 | 0 | 24.8 (23.9, 25.7) |
Reported that health condition limited participation in (more) activitiesb
| −1 | 5.8 (5.4, 6.2) |
Reported that health condition limited use of public transportationb
| −1 | 2.0 (1.8, 2.2) |
Reported that health condition limited use of accessible transportationb
| −1 | 0.5 (0.4, 0.5) |
Reported that physical condition is a barrier to improve healthb
| −1 | 2.8 (2.5, 3.1) |
Reported that disability or health problem is a barrier to improveb
| −1 | 3.6 (3.3, 4.0) |
Cognitive Domain | ||
Cognition | ||
Able to remember most things, think clearly and solve day to day problems | 10 | 73.9 (73.0, 74.9) |
Able to remember most things, but have a little difficulty when trying to think and solve day to day problems | 8 | 2.2 (1.9, 2.5) |
Somewhat forgetful, but able to think clearly and solve day to day problems | 6 | 17.2 (16.3, 18.0) |
Somewhat forgetful, and have a little difficulty when trying to think or solve day to day problems | 4 | 5.0 (4.6, 5.5) |
Very forgetful, and have great difficulty when trying to think or solve day to day problems | 2 | 1.4 (1.2, 1.6) |
Unable to remember anything at all, and unable to think or solve day to day problems | 0 | 0.2 (0.1, 0.3) |
Fear of falling | ||
Not applicable (<65 years old) | 10 | 68.1 (67.2, 68.9) |
Not worried or concerned about future falls | 10 | 21.2 (20.5, 21.9) |
Worried or concerned about future falls, have not stopped activities | 5 | 6.0 (5.6, 6.3) |
Worried or concerned about future falls, have stopped some activities | 0 | 4.8 (4.5, 5.0) |
Transport Domain | ||
Number of modes (comprised of the modes below)c
| ||
No Modes | 0 | 0.3 (0.2, 0.4) |
1 Mode | 2.5 | 30.2 (29.2, 31.2) |
2 Modes | 5 | 36.7 (35.6, 37.8) |
3 Modes | 7.5 | 25.4 (24.4, 26.3) |
4 Modes | 10 | 7.5 (6.8, 8.1) |
Modes of transport used in past monthc
| ||
Drive (at least once in past week) | 2.5 | 83.0 (82.3, 83.7) |
Passenger (passenger/taxi) | 2.5 | 64.5 (63.4, 65.6) |
Transit (public transit/accessible transit) | 2.5 | 21.9 (21.0, 22.9) |
Active travel (cycling/walking) | 2.5 | 40.2 (39.1, 41.3) |
Reported that transportation problems limited participation in (more) activitiesb
| −1 | 1.3 (1.1, 1.5) |
Reported that transportation problems is a barrier to improve healthb
| −1 | 0.2 (0.1, 0.3) |
Reported that transportation problems are the reason they did not see the dentistb
| −1 | 0.0 (0.0, 0.1) |
Social Domain | ||
Sense of belonging to local community | ||
Very strong | 10 | 22.1 (21.2, 23.0) |
Somewhat strong | 6.67 | 44.0 (42.8, 45.1) |
Somewhat weak | 3.33 | 23.4 (22.5, 24.4) |
Very weak | 0 | 10.1 (9.5, 10.8) |
Frequency of participation in a community-related activity | ||
Did not participate in a community-related activity | 0 | 1.9 (1.7, 2.1) |
Participated at least once a year | 2.5 | 4.5 (4.0, 4.9) |
Participated at least once a month | 5 | 20.8 (19.8, 21.7) |
Participated at least once a week | 7.5 | 60.9 (59.8, 62.0) |
Participated at least once a day | 10 | 11.9 (11.2, 12.7) |
Tangible social support (higher values indicate higher social support) | ||
Index score from 0 to 16 | 0 | 0.8 (0.6, 1.0) |
1 | 0.625 | 0.4 (0.3, 0.6) |
2 | 1.25 | 0.6 (0.4, 0.7) |
3 | 1.875 | 0.7 (0.6, 0.9) |
4 | 2.5 | 1.2 (0.9, 1.4) |
5 | 3.125 | 1.0 (0.8, 1.1) |
6 | 3.75 | 1.4 (1.1, 1.6) |
7 | 4.375 | 1.7 (1.4, 1.9) |
8 | 5 | 3.1 (2.7, 3.4) |
9 | 5.625 | 2.6 (2.3, 2.9) |
10 | 6.25 | 3.8 (3.4, 4.2) |
11 | 6.875 | 4.3 (3.9, 4.7) |
12 | 7.5 | 10.9 (10.1, 11.7) |
13 | 8.125 | 6.4 (5.9, 7.0) |
14 | 8.75 | 8.3 (7.7, 9.0) |
15 | 9.375 | 9.9 (9.2, 10.6) |
16 | 10 | 43.0 (41.8, 44.1) |
Financial Domaind
| ||
Reported that cost limited participation in (more) activitiesb
| −1 | 3.2 (2.8, 3.6) |
Reported that cost limited use of public transportationb
| −1 | 0.6 (0.4, 0.8) |
Reported that cost limited use of accessible transportationb
| −1 | 0.3 (0.2, 0.5) |
Reported that cost is a barrier to improve healthb
| −1 | 1.5 (1.3, 1.7) |
Cognitive
Transportation
Social
Financial
Statistical refinement, scoring and compilation
Results
Canadian mobility
CCHS sample
Sociodemographic or Economic Characteristics | Weighted Percentage (95% CI) | Mean MOVES (95% CI) |
p-value for MOVESa
|
---|---|---|---|
Sex | <.0001 | ||
Male | 44.9 (43.7, 46.0) | 29.9 (29.8, 30.0) | |
Female | 49.0 (47.9, 50.2) | 29.3 (29.1, 29.4) | |
Age | <.0001 | ||
45–54 | 36.7 (35.4, 37.9) | 30.8 (30.6, 30.9) | |
55–64 | 28.0 (27.1, 28.9) | 30.4 (30.2, 30.5) | |
65–74 | 16.6 (16.0, 17.2) | 28.5 (28.3, 28.6) | |
75–84 | 9.7 (9.3, 10.1) | 26.5 (26.3, 26.7) | |
85+ | 3.0 (2.8, 3.2) | 24.0 (23.7, 24.3) | |
Worked at job or business | <.0001 | ||
Yes | 57.3 (56.2, 58.3) | 31.0 (30.8, 31.1) | |
No | 38.8 (37.8, 39.8) | 27.6 (27.4, 27.7) | |
Retirement status | <.0001 | ||
Completely retired | 33.0 (32.0, 33.9) | 27.9 (27.8, 28.0) | |
Partially retired or not retired | 61.7 (60.7, 62.7) | 30.7 (30.6, 30.8) | |
Highest level of education | <.0001 | ||
Less than or secondary school graduation | 24.6 (23.7, 25.5) | 27.9 (27.8, 28.1) | |
Some post-secondary | 4.5 (4.1, 5.0) | 29.7 (29.3, 30.1) | |
Post-secondary graduation | 64.9 (63.9, 65.9) | 30.2 (30.1, 30.3) | |
Total household income from all sources | <.0001 | ||
Less than $19,999 | 9.1 (8.6, 9.6) | 26.3 (26.0, 26.5) | |
$20,000 TO $49,999 | 28.3 (27.3, 29.3) | 28.5 (28.4, 28.6) | |
$50,000 TO $99,999 | 33.8 (32.6, 35.0) | 30.4 (30.2, 30.5) | |
$100,000 and over | 24.1 (22.9, 25.2) | 31.5 (31.3, 31.7) | |
Region or Province of residence | <.0001 | ||
Atlantic | 7.2 (6.9, 7.5) | 29.1 (28.9, 29.2) | |
Quebec | 23.2 (22.3, 24.2) | 28.9 (28.7, 29.0) | |
Ontario | 36.4 (35.2, 37.6) | 29.6 (29.4, 29.7) | |
Prairies | 14.6 (14.0, 15.2) | 30.2 (30.1, 30.4) | |
British Columbia | 12.5 (11.8, 13.2) | 30.5 (30.2, 30.7) | |
Population size group | 0.0033 | ||
Rural area | 15.1 (14.2, 16.0) | 29.2 (29.0, 29.4) | |
Urban area < 100,000 | 13.4 (12.7, 14.2) | 29.4 (29.2, 29.6) | |
≥ 100,000 to <500,000 | 21.2 (20.3, 22.0) | 29.5 (29.4, 29.7) | |
≥ 500,000 | 44.2 (43.1, 45.3) | 29.8 (29.6, 29.9) | |
Flag for tenure of dwelling | <.0001 | ||
Not owned by the respondent | 16.9 (16.1, 17.7) | 27.8 (27.6, 28.0) | |
Owned by the respondent | 77.5 (76.6, 78.4) | 30.0 (29.9, 30.1) | |
Type of dwelling | <.0001 | ||
Single detached house | 67.4 (66.4, 68.4) | 30.0 (29.9, 30.1) | |
Double, row or terrace, duplex house | 10.6 (10.0, 11.3) | 29.5 (29.2, 29.8) | |
Low-rise or high rise apartment | 14.2 (13.6, 14.9) | 27.9 (27.7, 28.1) | |
Mobile home or other | 1.6 (1.4, 1.8) | 28.6 (28.2, 29.1) | |
Household size | <.0001 | ||
Alone | 17.5 (16.9, 18.2) | 27.8 (27.7, 28.0) | |
2 people | 45.3 (44.2, 46.4) | 29.6 (29.5, 29.7) | |
3 or more | 31.1 (29.9, 32.3) | 30.5 (30.4, 30.7) | |
Marital status | <.0001 | ||
Married or common-law | 69.8 (68.9, 70.7) | 30.1 (30.0, 30.2) | |
Widowed, separated, or divorced | 18.3 (17.7, 19.0) | 27.7 (27.5, 27.8) | |
Single, or never married | 5.8 (5.3, 6.2) | 28.8 (28.5, 29.2) | |
Cultural/Racial Background | 0.0251 | ||
Not White | 11.4 (10.6, 12.2) | 29.3 (29.0, 29.5) | |
White | 83.0 (82.1, 83.9) | 29.6 (29.5, 29.7) | |
Immigrant | 0.0042 | ||
Yes | 22.8 (21.9, 23.8) | 29.3 (29.1, 29.5) | |
No | 71.6 (70.6, 72.6) | 29.7 (29.6, 29.8) | |
County of Birth | <.0001 | ||
Canada | 70.9 (69.9, 72.0) | 29.7 (29.6, 29.8) | |
Other North America | 1.1 (0.9, 1.3) | 29.8 (29.2, 30.4) | |
Others | 22.3 (21.4, 23.3) | 29.3 (29.1, 29.5) |
Health Characteristics | Weighted Percentage (95% CI) | Mean MOVES (95% CI) |
p-value for MOVESa
|
---|---|---|---|
Receipt of Home Care | <.0001 | ||
Did not receive home care | 81.9 (81.2, 82.7) | 30.1 (30.0, 30.2) | |
Informal home care only | 1.8 (1.6, 2.0) | 26.9 (26.6, 27.2) | |
Formal home care only | 7.6 (7.1, 8.0) | 25.8 (25.2, 26.4) | |
Both formal and informal home care | 2.7 (2.4, 2.9) | 23.5 (23.1, 24.0) | |
Self-perceived health | <.0001 | ||
Excellent | 19.4 (18.4, 20.4) | 31.2 (31.0, 31.4) | |
Very good | 32.0 (30.9, 33.0) | 30.6 (30.4, 30.7) | |
Good | 28.3 (27.4, 29.3) | 29.1 (29.0, 29.3) | |
Fair | 10.8 (10.2, 11.4) | 26.7 (26.5, 27.0) | |
Poor | 3.5 (3.1, 3.8) | 24.0 (23.5, 24.4) | |
Satisfaction with Life Scale | <.0001 | ||
Extremely dissatisfied | 1.2 (1.0, 1.4) | 25.6 (24.8, 26.4) | |
Dissatisfied | 3.1 (2.7, 3.5) | 26.8 (26.2, 27.4) | |
Slightly dissatisfied | 6.2 (5.6, 6.7) | 27.4 (27.0, 27.8) | |
Neutral | 1.7 (1.4, 1.9) | 27.6 (26.9, 28.3) | |
Slightly satisfied | 13.2 (12.5, 14.0) | 28.6 (28.4, 28.8) | |
Satisfied | 47.3 (46.2, 48.5) | 29.9 (29.8, 30.0) | |
Extremely satisfied | 23.6 (22.7, 24.6) | 30.9 (30.7, 31.0) | |
Reported having a chronic condition | <.0001 | ||
Has at least one chronic condition | 73.1 (72.0, 74.2) | 29.2 (29.1, 29.3) | |
Has no chronic conditions | 21.0 (19.9, 22.0) | 30.9 (30.8, 31.1) | |
Smoking Status | <.0001 | ||
Smoker | 17.4 (16.5, 18.3) | 29.2 (29.0, 29.4) | |
Former smoker | 45.8 (44.7, 46.9) | 29.7 (29.6, 29.9) | |
Never smoked | 30.7 (29.7, 31.8) | 29.5 (29.4, 29.7) | |
Drinking Status | <.0001 | ||
Regular drinker | 58.0 (56.9, 59.1) | 30.3 (30.2, 30.4) | |
Occasional drinker | 16.3 (15.5, 17.2) | 29.2 (28.9, 29.4) | |
Did not drink in the last 12 months | 19.6 (18.8, 20.4) | 27.7 (27.5, 27.9) | |
Reported having arthritis | <.0001 | ||
Yes | 26.0 (25.1, 26.9) | 28.1 (27.9, 28.2) | |
No | 67.9 (66.9, 68.9) | 30.2 (30.1, 30.3) | |
Self-reported BMI | <.0001 | ||
Underweight (<18.50) | 1.4 (1.2, 1.5) | 27.1 (26.4, 27.7) | |
Normal weight (18.50–24.99) | 37.4 (36.3, 38.5) | 29.6 (29.5, 29.8) | |
Overweight (25.00–29.99) | 36.2 (35.1, 37.3) | 29.8 (29.7, 30.0) | |
Obese-class I, class 2, class 3 (≥30.00) | 21.2 (20.3, 22.2) | 29.4 (29.2, 29.6) | |
Number of falls (only 65+) | <.0001 | ||
No | 73.7 (72.7, 74.7) | 27.8 (27.7, 27.9) | |
One fall | 11.5 (10.7, 12.2) | 26.4 (26.0, 26.7) | |
Two or more falls | 6.3 (5.8, 6.8) | 24.2 (23.7, 24.7) | |
Depressive Symptoms | <.0001 | ||
Did not feel depressed or did not lose interest in things | 88.9 (88.2, 89.5) | 29.7 (29.6, 29.8) | |
Felt depressed or lost interest in things | 7.7 (7.1, 8.3) | 28.1 (27.8, 28.5) |