title: An instrument to assess the obesogenic environment of child care centers.
abstract: OBJECTIVE
  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.
authors: The University of North Carolina, Schools of Public Health and Medicine, Department of Nutrition, CB #7400, Chapel Hill, NC 27599-7400, USA. dsward@email.unc.edu
authors: Dianne
authors: D
authors: Ward
authors: Derek
authors: D
authors: Hales
authors: Katie
authors: K
authors: Haverly
authors: Julie
authors: J
authors: Marks
authors: Sara
authors: S
authors: Benjamin
authors: Sarah
authors: S
authors: Ball
authors: Stewart
authors: S
authors: Trost
mesh_terms: D002654:Child Care / Q000458:organization & administration*; D002675:Child, Preschool; D015444:Exercise; D006801:Humans; D009657:North Carolina; D015596:Nutrition Assessment; D009765:Obesity / Q000517:prevention & control*; D019370:Observation / Q000379:methods*; D015588:Observer Variation; D016134:Organizational Policy; D012107:Research Design