An instrument to assess the obesogenic environment of child care centers.


Journal Article

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.

Full Text

Cited Authors

  • Ward, D; Hales, D; Haverly, K; Marks, J; Benjamin, S; Ball, S; Trost, S

Published Date

  • July 2008

Published In

Volume / Issue

  • 32 / 4

Start / End Page

  • 380 - 386

PubMed ID

  • 18092898

Pubmed Central ID

  • 18092898

International Standard Serial Number (ISSN)

  • 1087-3244

Digital Object Identifier (DOI)

  • 10.5555/ajhb.2008.32.4.380


  • eng

Conference Location

  • United States