Appendix A. Built and Natural Environment Items and ICF Codes
Item / Item Description / ICF Code
1 / How much difficulty do you have moving around your home? / d4600
The difficulty I have moving around is due to obstacles such as thick carpets, stairs, narrow doors and hallways, or high thresholds. / e1551
2 / How much difficulty do you have seeing objects in your home? / b2102
The difficulty I have seeing objects is due to the low level of light. / e2400
3 / How much difficulty do you have hearing sounds in your home? / b2300
The difficulty I have hearing sounds is due to the level of noise. / e2500
4 / How much difficulty do you have hearing conversations in your home? / b2300
The difficulty I have hearing conversations is due to the level of noise. / e2501
5 / How much difficulty would you have feeling safe in your home during an emergency? / d570
The difficulty I have feeling safe is due to problems exiting my home or getting help in an emergency. / e5450
6 / How much difficulty do you have feeling too hot or cold in your home? / b2700
The difficulty I have feeling too hot or cold is due to inadequate heating or cooling equipment. / e2250
7 / How much difficulty do you have getting into stores in your community? / d4601
The difficulty I have moving around is due to poor access to stores. / e1502
8 / How much difficulty do you have seeing objects such as directories, menus, and other signs in buildings in your community? / b2102
The difficulty I have seeing objects is due to the small print used on signs. / e1251
9 / How much difficulty do you have hearing sounds such as voices and music in buildings in your community? / b2300
The difficulty I have hearing sounds is due to background noise. / e2500
10 / How much difficulty do you have communicating in stores in your community? / b2300
The difficulty I have communicating is due to background noise. / e2501
11 / How much difficulty do you have feeling safe in stores during an emergency? / d570
The difficulty I have feeling safe is due to problems getting out or getting help in an emergency. / e5450
12 / How much difficulty do you have feeling too hot or cold in stores? / b2700
The difficulty I have feeling too hot or cold is due to inadequate heating or cooling. / e2250
13 / How much difficulty do you have moving around outdoors in your community? / d460
The difficulty I have moving around is due to the lack of accessible sidewalks, paths, or streets. / e1200
14 / How much difficulty do you have seeing objects such as street signs, stop lights, or transportation schedules outdoors in your community? / b2102
The difficulty I have seeing objects is due to the small print used on signs. / e1251
15 / How much difficulty do you have hearing sounds such as car horns, sirens, or station stop announcements outdoors in your community? / e2300
The difficulty I have hearing sounds is due to background noise. / e2500
16 / How much difficulty do you have listening to others outdoors in your community? / b2300
The difficulty I have listening to others is due to background noise. / e2501
17 / How much difficulty do you have feeling safe due to crime in your community? / b152
The difficulty I have feeling safe is due to poor police protection. / e5450
18 / How much difficulty do you have feeling too hot or cold outdoors? / b2700
The difficulty I have feeling too hot or cold is due to extreme weather. / e2550

NOTE: All items use the same rating scale: 1 = None; 2 = A little; 3 = Somewhat; 4 = A lot; 5 = Extreme difficulty.

Appendix B1. KeyForm for 18 BNE Items

43 47 51 55 59 63 67 71 75 79 83 T-Score

|-----+-----+-----+-----+-----+-----+-----+-----+-----+-----| Item

1 1 : 2 : 3 3 3 hearing sounds in your home

1 1 : 2 : 3 3 2 seeing objects in your home

1 1 : 2 : 3 3 15 hearing sounds outdoors in your community

| |

| |

1 1 : 2 : 3 3 4 hearing conversations in your home

| |

1 1 : 2 : 3 3 9 hearing sounds in buildings in community

1 1 : 2 : 3 3 10 communicating in stores in your community

1 1 : 2 : 3 3 14 seeing objects outdoors in your community

| |

1 1 : 2 : 3 3 16 listening to others in your community

| |

1 1 : 2 : 3 3 8 seeing objects in your community

1 1 : 2 : 3 3 12 feeling too hot or cold in stores

1 1 : 2 : 3 3 7 getting in stores in your community

1 1 : 2 : 3 3 6 feeling too hot or cold in your home

1 1 : 2 : 3 3 1 moving around your home

| |

1 1 : 2 : 3 3 17 feeling safe due to crime in community

1 1 : 2 : 3 3 11 feeling safe in stores during emergencies

1 1 : 2 : 3 3 13 moving around outdoors in your community

1 1 : 2 : 3 3 5 feeling safe in your home in an emergency

| |

| |

1 1 : 2 : 3 3 18 feeling too hot or cold outdoors

|-----+-----+-----+-----+-----+-----+-----+-----+-----+-----|

43 47 51 55 59 63 67 71 75 79 83 T-score

1

422 2211111 12111211 11

472492 0801534951734257910985555323272 243111 3 2 1 1 3 Person

M S T

0 30 40 50 60 70 80 90 99 Percentile

Note: To obtain a BNE measure, first score responses of“none,”“a little,”and“some difficulty” as 1, score“a lot of difficulty” as 2,and “extreme difficulty” as 3. Then, circle the respondents’ rescored response to each item. Draw a vertical line that best fits the responses. The estimated T-score is read from the horizontal axis. The associated percentile rank is shown on the “Percentile” row. M = mean. S = 1 S.D. T = 2 S.D.

Appendix B2. Example of KeyForm Use

43 47 51 55 59 63 67 71 75 79 83 T-Score

|-----+-----+-----+-----+-----+-----+-----+-----+-----+-----| Item

1 1 : 2 : 3 3 3 hearing sounds in your home

1 1 : 2 : 3 3 2 seeing objects in your home

1 1 : 2 : 3 3 15 hearing sounds outdoors in your community

| |

| |

1 1 : 2 : 3 3 4 hearing conversations in your home

| |

1 1 : 2 : 3 3 9 hearing sounds in buildings in community

1 1 : 2 : 3 3 10 communicating in stores in your community

1 1 : 2 : 3 3 14 seeing objects outdoors in your community

| |

1 1 : 2 : 3 3 16 listening to others in your community

| |

1 1 : 2 : 3 3 8 seeing objects in your community

1 1 : 2 : 3 3 12 feeling too hot or cold in stores

1 1 : 2 : 3 3 7 getting in stores in your community

1 1 : 2 : 3 3 6 feeling too hot or cold in your home

1 1 : 2 : 3 3 1 moving around your home

| |

1 1 : 2 : 3 3 17 feeling safe due to crime in community

1 1 : 2 : 3 3 11 feeling safe in stores during emergencies

1 1 : 2 : 3 3 13 moving around outdoors in your community

1 1 : 2 : 3 3 5 feeling safe in your home in an emergency

| |

| |

1 1 : 2 : 3 3 18 feeling too hot or cold outdoors

|-----+-----+-----+-----+-----+-----+-----+-----+-----+-----|

43 47 51 55 59 63 67 71 75 79 83 T-score

1

422 2211111 12111211 11

472492 0801534951734257910985555323272 243111 3 2 1 1 3 Person

M S T

0 30 40 50 60 70 80 90 99 Percentile

Note: This exampleillustrates responses of none, a little or some difficulty(scored 1) attributed to BNE features for items 3 and 9, and a lot of difficulty for items 11 and 12. Draw a vertical line so that it fits the responses. The point at which it intersects the X-axis provides an estimate of the person’s perceived BNE barriers, in this case about a T-score of 60 which corresponds to a percentile rank of about 84.

Appendix C. Score to Measure Look-Up Table for 18 BNE Items

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| Score Measure S.E. | Score Measure S.E. | Score Measure S.E. |

|------+------+------|

| 18 36.63E 10.89 | 31 59.67 1.97 | 44 67.93 2.12 |

| 19 43.65 5.89 | 32 60.31 1.95 | 45 68.70 2.19 |

| 20 47.63 4.16 | 33 60.93 1.93 | 46 69.53 2.27 |

| 21 49.97 3.42 | 34 61.54 1.91 | 47 70.42 2.38 |

| 22 51.66 3.00 | 35 62.15 1.91 | 48 71.42 2.53 |

| 23 53.01 2.72 | 36 62.75 1.91 | 49 72.56 2.72 |

| 24 54.15 2.52 | 37 63.36 1.91 | 50 73.91 2.99 |

| 25 55.14 2.38 | 38 63.96 1.92 | 51 75.60 3.41 |

| 26 56.03 2.26 | 39 64.58 1.93 | 52 77.93 4.15 |

| 27 56.85 2.18 | 40 65.21 1.96 | 53 81.90 5.89 |

| 28 57.61 2.11 | 41 65.85 1.98 | 54 88.92E 10.89 |

| 29 58.33 2.05 | 42 66.52 2.02 | |

| 30 59.01 2.01 | 43 67.21 2.06 | |

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Note: “E” indicates estimated measures for scores at the floor and ceiling of the BNE instrument’s range.