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

Benjamin, Sara E.; Neelon, Brian; Ball, Sarah; Bangdiwala, Shrikant I.; Ammerman, Alice S.; Ward, Dianne S.

doi:10.1186/1479-5868-4-29

Cited by 131 publications

(130 citation statements)

References 38 publications

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“…Recommendations and evaluations referring to the whole diet or individual foodstuffs may be difficult to translate by caterers and consumers into daily meal planning and practice. Development of a simple meal evaluation tool could encourage caterers to self-monitor and optimise the nutritional quality of the meals offered to their customers (19,20) . Self-monitoring has been shown to be a predictor of successful dietary change and maintenance (21) .…”

mentioning

confidence: 99%

Development and validation of a new simple Healthy Meal Index for canteen meals

Lassen

Biltoft-Jensen

Hansen

et al. 2010

Public Health Nutr.

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Objective: Nutrition evaluation tools should be developed both for scientific purposes and to encourage and facilitate healthy nutritional practices. The purpose of the present study was to develop and validate a simple food-based Healthy Meal Index (HMI) reflecting the nutritional profile of individual canteen meals. Design: The development process included overall model selection, setting nutritional goals and defining scoring systems and thresholds. Three index components were included: (i) contents of fruit and vegetables, (ii) fat content and quality and (iii) contents of wholegrain products and potatoes. The development was built on the principles embodied by the Plate Model, but providing more specificity in some areas. The simple HMI was validated against weighed and chemically analysed food and nutrient content of a representative sample of canteen meals. The sample was split into four categories according to the total index score and compared across categories. Setting: A total of 180 meals from fifteen worksite canteens. Results: Average energy density decreased significantly across categories (from 876 kJ/100 g to 537 kJ/100 g, P , 0?001). Also, the content of total and saturated fat, carbohydrate and fruit and vegetables varied across categories with higher score values being closer to dietary guidelines (P , 0?001). Conclusions: The simple HMI was successful in ranking canteen meals according to their nutritional quality. The index provides a valuable tool to both researchers and food and nutrition professionals, e.g. caterers and dietitians, who wish to evaluate nutritional quality of meals in line with the recommendations for healthier eating without the use of nutrition calculation programs.

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mentioning

confidence: 99%

Development and validation of a new simple Healthy Meal Index for canteen meals

Lassen

Biltoft-Jensen

Hansen

et al. 2010

Public Health Nutr.

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“…Specifically, studies developing and validating environmental audits for other settings (e.g., child care) have not compared audit scores to objectively measured criteria, in this case physical activity. 15,16 Thus, this study represents one of the first attempts to validate an environmental audit with an objective measure. Despite the expected associations of many of the HAPI-PA and HAPI-N items, the presence of these characteristics was insufficient to bring physical activity or the quality of snacks served to a level comparable with existing policies/standards.…”

Section: Discussionmentioning

confidence: 99%

“…6 Although there is growing evidence pointing to the influence of both the social and physical environment on children's physical activity level and nutrition, 12,13 there are a limited number of tools that assess the physical activity and nutritional environment in childcare settings and afterschool programs. [13][14][15][16][17] Moreover, of the existing scales that include physical activity and/or nutrition, none is designed to measure the extent to which the afterschool program environment is aligned with existing physical activity and nutrition policies/standards for afterschool programs.…”

Section: Introductionmentioning

confidence: 99%

Healthy Afterschool Activity and Nutrition Documentation Instrument

Ajja¹,

Beets²,

Huberty³

et al. 2012

PsycTESTS Dataset

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“…Nutrition and Physical Activity Self-Assessment for Child Care (NAPSACC) instrument and the Child Care Nutrition and Physical Activity Survey [28][29][30]. The items were pilot tested with ECEC service staff, and health promotion practitioners for comprehension and understanding and have been validated against direct observation of service policies and practice [31].…”

Section: Service Characteristicsmentioning

confidence: 99%

Factors associated with early childhood education and care service implementation of healthy eating and physical activity policies and practices in Australia: a cross-sectional study

Wolfenden

Finch

Nathan

et al. 2015

Behav. Med. Pract. Policy Res.

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Many early childhood education and care (ECEC) services fail to implement recommended policies and practices supportive of healthy eating and physical activity. The purpose of this study was to assess whether certain theoretically-based factors are associated with implementation of healthy eating and physical activity policies and practices in a sample of ECEC services. A crosssectional survey was conducted with Service Managers of ECEC services. The survey assessed the operational characteristics, policy, and practice implementation, and 13 factors were suggested by Damschroder's Consolidated Framework for Implementation Research to impede or promote implementation. Logistic regression analyses found a significant association between implementation factor score and full implementation (OR 1.38; 95% CI 1.18-1.61; p=<0.01), indicating that for every one point increase in implementation score, ECEC services were 38 % more likely to be fully implementing the policies and practices. The findings highlight the opportunities for improving implementation of obesity prevention interventions in this setting by developing interventions that address such factors.

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

Cited by 131 publications

References 38 publications

Development and validation of a new simple Healthy Meal Index for canteen meals

Development and validation of a new simple Healthy Meal Index for canteen meals

Healthy Afterschool Activity and Nutrition Documentation Instrument

Factors associated with early childhood education and care service implementation of healthy eating and physical activity policies and practices in Australia: a cross-sectional study

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