An Instrument to Assess the Obesogenic Environment of Child Care Centers
Abstract:Objectives : To describe protocol and interobserver agreements of an instrument to evaluate nutrition and physical activity environments at child care.
Methods : Interobserver data were collected from 9 child care centers, through direct observation and document review (17 observer pairs).
Results : Mean agreement between observer pairs was 87.26% and 79.29% for the observation and document review, respectively. Items with lower agreement were primarily staff behavior, counting across the day/week, and policy classifications.
Conclusions : Although some revisions are required, the interobserver agreement for the environment and policy assessment and observation (EPAO instrument) appears to be quite good for assessing the nutrition and physical activity environment of child care centers.
Document Type: Research Article
Affiliations: 1 Professor, The University of North Carolina, Schools of Public Health and Medicine, Department of Nutrition, Chapel Hill, NC.
Publication date: 2008-07-01
The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.
The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.
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