An instrument to assess the obesogenic environment of child care centers

Ward, Dianne, Hales, Derek, Haverly, Katie, Marks, Julie, Benjamin, Sara, Ball, Sarah, & Trost, Stewart G. (2008) An instrument to assess the obesogenic environment of child care centers. American Journal of Health Behavior, 32(4), pp. 380-386.

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To describe protocol and interobserver agreements of an instrument to evaluate nutrition and physical activity environments at child care.


Interobserver data were collected from 9 child care centers, through direct observation and document review (17 observer pairs).


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.


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.

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67 citations in Web of Science®
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ID Code: 72168
Item Type: Journal Article
Refereed: Yes
Keywords: Child care, Child care environment, Nutrition, Physical activity, Measure, Observation
DOI: 10.5993/AJHB.32.4.5
ISSN: 1945-7359
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Deposited On: 28 May 2014 01:22
Last Modified: 03 Jun 2014 00:19

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