Inter-rater reliability of the ‘Tool for assessing determinants of health in public space’ in a co-creative urban design process with care home residents in Barcelona: A Health CASCADE study.

Urban design often neglects older adults’ needs, especially those living in care homes. This oversight can lead to environments detrimental to their health and well-being. Embracing a co-creative approach, our team delved into the heart of Barcelona’s urban fabric, with a local tool designed to evaluate the health determinants in public spaces. Collaborating directly with care home residents, we transformed their insights and experiences into actionable data for further improvement of the consistency of the tool while raising the importance of including older adults’ perspectives in city-making. Our study reveals the moderate yet promising reliability of the assessment tool. More than a mere measure, it serves as a beacon, guiding the integration of older adults’ perspectives into urban planning. This research highlights the diverse needs of an aging population, offering a template for other cities aspiring to become age-friendly environments. It is a step forward in crafting spaces that resonate with the rhythms of the older adult life. 

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