{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T15:08:20Z","timestamp":1764688100152,"version":"build-2065373602"},"reference-count":47,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T00:00:00Z","timestamp":1718236800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Center for Inclusive Design and Environmental Access (IDEA) through the Rehabilitation Engineering Research Center on Universal Design and the Built Environment","award":["84.133E","H133E050004-06","2022003570008"],"award-info":[{"award-number":["84.133E","H133E050004-06","2022003570008"]}]},{"name":"National Institute on Disability and Rehabilitation Research of the U.S. Department of Education","award":["84.133E","H133E050004-06","2022003570008"],"award-info":[{"award-number":["84.133E","H133E050004-06","2022003570008"]}]},{"name":"Korea Ministry of Environment","award":["84.133E","H133E050004-06","2022003570008"],"award-info":[{"award-number":["84.133E","H133E050004-06","2022003570008"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Community design features, such as sidewalks and street crossings, present significant challenges for individuals with disabilities, hindering their physical performance and social integration. However, limited research has been conducted on the application of Universal Design (UD) to address these challenges, particularly concerning specific demographic groups and population cohorts. Understanding the influence of environmental features on physical performance is crucial for developing inclusive solutions like UD, which can enhance usability and social integration across diverse populations. Objective: This study aims to bridge this gap by investigating the complex relationships between environmental barriers, health conditions, and routine activity performance. An index was developed to evaluate users\u2019 UD performance based on functional capacity, providing scientifically rigorous and objectively measured evidence of UD effectiveness in creating inclusive built environments. Method: Using data from the Problematic Activities Survey (PAS) conducted in the U.S., Canada, and Australia and targeting individuals with and without functional limitations, multinomial logit models were employed to estimate the probabilities of encountering performance problems. This analysis led to the development of the Problematic Performance Value (PPV) score. Results: The results demonstrated significant disparities in PPVs across various health conditions, particularly concerning curb ramps. Individuals facing mobility issues in their legs\/feet, arms\/hands, or back\/neck encounter more pronounced challenges, especially when curb ramps lack proper design elements. Similarly, individuals with vision impairments face heightened difficulties with traffic signals, particularly due to issues with audible signal systems. These findings underscore the importance of addressing micro-level environmental challenges to accommodate individuals with varying functional capacities effectively. Conclusions: By providing insights into the most problematic daily activities encountered by diverse populations, the PPV score serves as a valuable indicator for guiding environmental design improvements and promoting equitable space usage. This can be used to guide improved UD solutions and decide areas of concentration by providing generalized information on specific environmental features that contribute to user performance.<\/jats:p>","DOI":"10.3390\/ijerph21060764","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T08:52:10Z","timestamp":1718355130000},"page":"764","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Developing Problematic Performance Value Scores: Binding Routine Activity Performance, Environmental Barriers, and Health Conditions"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9810-8578","authenticated-orcid":false,"given":"Jimin","family":"Choi","sequence":"first","affiliation":[{"name":"Center for Inclusive Design & Environmental Access, School of Architecture & Planning, University at Buffalo, SUNY, Buffalo, NY 14214, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7579-5034","authenticated-orcid":false,"given":"JiYoung","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Urban and Regional Planning, University at Buffalo, SUNY, Buffalo, NY 14214, USA"},{"name":"MUREPA Korea, Seoul 13640, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1207\/S15324796ABM2502_03","article-title":"Environmental correlates of walking and cycling: Findings from the transportation, urban design, and planning literatures","volume":"25","author":"Saelens","year":"2003","journal-title":"Ann. 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