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Table 4 Number of Questions According to Strength of Agreement [44]

From: Reliability and validity of a nutrition and physical activity environmental self-assessment for child care

 

Test-Retest Reliability

Inter-Rater Reliability

Validity

Nutrition

   

N1A. Fruit (not juice)

Moderate

Substantial

Moderate

N1B. Fresh, frozen, or canned in juice fruit

Moderate

Moderate

--

N1C. 100% fruit juice

Moderate

Substantial

Moderate

N1D. Vegetables (not including fried potatoes)

Moderate

Moderate

Fair

N1E. Dark green, red, orange, or yellow vegetables

Fair

Moderate

Fair

N1F. Vegetables and added fat

Moderate

Moderate

--

N2A. Fried or pre-fried meats

Moderate

Moderate

Moderate

N2B. Fried or pre-fried potatoes

Moderate

Substantial

Fair

N2C. High fat meats

Moderate

Moderate

Fair

N2D. Lean meats

Moderate

Moderate

Fair

N3A. Outdoor drinking water

Substantial

Substantial

Moderate

N3B. Indoor drinking water

Moderate

Substantial

Moderate

N3C. Sugar-sweetened beverages

Substantial

Almost Perfect

Substantial

N3D. Type of milk for children ages 2 and older

Almost Perfect

Almost Perfect

Substantial

N3E. Soft-drink vending machines

Almost Perfect

Almost Perfect

Fair

N4A. Cycle menu length

Substantial

Substantial

Fair

N4B. Whole grain, high fiber

Moderate

Moderate

Fair

N4C. Introduction of new foods

Moderate

Substantial

--

N4D. Foods from other cultures

Moderate

Substantial

Moderate

N5A. Satiety

Moderate

Substantial

Fair

N5B. Hunger

Fair

Substantial

Poor

N5C. Encouraging children to eat

Moderate

Substantial

Fair

N5D. Sweets, high fat, high salt

Moderate

Substantial

Fair

N5E. Food as reward

Fair

Moderate

Moderate

N5F. Food used to control behavior

Almost Perfect

Almost Perfect

Poor

N6A. Parent guidelines for holidays or celebrations

Moderate

Substantial

Moderate

N6B. Holidays and celebrations

Moderate

Substantial

--

N6C. Fundraising

Moderate

Moderate

Moderate

N7A. Children and staff sit together for meals

Substantial

Substantial

Moderate

N7B. Meals served family style

Almost Perfect

Almost Perfect

Substantial

N7C. Staff consume the same foods and drinks as children

Substantial

Moderate

Moderate

N7D. Staff consume less healthy foods in front of children

Moderate

Substantial

Fair

N7E. Staff talk with children about healthy foods

Moderate

Substantial

Fair

N8A. Training opportunities on nutrition for staff

Moderate

Substantial

--

N8B. Nutrition training provided by qualified professional

Moderate

Substantial

--

N8C. Staff provide nutrition education for children

Moderate

Substantial

--

N8D. Nutrition education offered to parents

Fair

Moderate

--

N9A. Written policy on nutrition and food service

Moderate

Substantial

Almost Perfect

Physical Activity

   

PA1A. Active (free) play time

Moderate

Substantial

Fair

PA1B. Structured physical activity

Moderate

Substantial

Moderate

PA1C. Outdoor active play

Moderate

Substantial

Fair

PA1D. PA as punishment

Fair

Substantial

Fair

PA1E. Sedentary time

Moderate

Moderate

Fair

PA2A. Presence of television

Substantial

Substantial

Substantial

PA2B. TV, videos, video games

Substantial

Substantial

Substantial

PA3A. Fixed play equipment

Substantial

Substantial

Almost Perfect

PA3B. Equipment safety checks

Moderate

Substantial

Fair

PA3C. Portable play equipment

Moderate

Substantial

Substantial

PA3D. Indoor play space

Moderate

Almost Perfect

Fair

PA4A. Staff join in active play

Moderate

Substantial

Substantial

PA4B. Support for PA

Fair

Substantial

Moderate

PA5A. Training opportunities on PA for staff

Moderate

Substantial

--

PA5B. PA training by qualified professional

Moderate

Substantial

--

PA5C. Staff provide PA education for children

Substantial

Substantial

--

PA5D. PA education offered to parents

Moderate

Substantial

--

PA6A. Written policy on PA

Moderate

Substantial

Almost Perfect