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Backgound - Accessing urban infrastructures, such as educational and leisure facilities, is often a challenge for wheelchair users, blind and deaf people, and older adults with and without assistive devices. Rehabilitation professionals are the ones who assess the built environment to make sure that it is accessible for all kind of disabilities; they are providing professional recommendations if it is not accessible. Occupational therapists and other rehabilitation professionals are also asked to provide accessible recommendations before the construction of urban infrastructure as well. There is a need for a comprehensive measure of the built environment of exterior and interior urban infrastructures to evaluate access for individuals with physical disabilities (motor, visual, hearing), using assistive technologies or not, to foster their social participation and fair access rights. This paper describes the development and content validation of the Measure of accessibility to urban infrastructures for adults with physical disabilities (MAUAP).

Method -  This process of developing a measurement tool in health involved three steps: 1) consultation of the scientific and grey literature, 2) content development, and 3) content validation with two panels of experts including a field pretest.

Results -  The MAUAP includes seven independent sections: parking lot, pedestrian facilities, building access from the exterior, interior maneuvering areas, infrastructures for learning and leisure, services and public restroom. Items are assessed with the percentage of characteristics present (1 to 16) and an accessibility score (4-level ordinal scale).

Conclusion - The MAUAP allows the identification of precise accessibility recommendations that can be useful for health professionals and other professionals involved in conception and refection, such as architects and city planners.