An instrument to assess the obesogenic environment of child care centers

Dianne Ward, Derek Hales, Katie Haverly, Julie Marks, Sara Benjamin, Sarah Ball, Stewart Trost

Research output: Contribution to journalArticlepeer-review

125 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)380-386
Number of pages7
JournalAmerican Journal of Health Behavior
Issue number4
StatePublished - 2008
Externally publishedYes


  • Child care environment
  • Measure
  • Nutrition
  • Observation
  • Physical activ-ity

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'An instrument to assess the obesogenic environment of child care centers'. Together they form a unique fingerprint.

Cite this