title: Review of measures of worksite environmental and policy supports for physical activity and healthy eating.
abstract: BACKGROUND
  Obesity prevention strategies are needed that target multiple settings, including the worksite. The objective of this study was to assess the state of science concerning available measures of worksite environmental and policy supports for physical activity (PA) and healthy eating (HE).
  
  
  METHODS
  We searched multiple databases for instruments used to assess worksite environments and policies. Two commonly cited instruments developed by state public health departments were also included. Studies that were published from 1991 through 2013 in peer-reviewed publications and gray literature that discussed the development or use of these instruments were analyzed. Instrument administration mode and measurement properties were documented. Items were classified by general health topic, 5 domains of general worksite strategy, and 19 subdomains of worksite strategy specific to PA or HE. Characteristics of worksite measures were described including measurement properties, length, and administration mode, as well as frequencies of items by domain and subdomain.
  
  
  RESULTS
  Seventeen instruments met inclusion criteria (9 employee surveys, 5 manager surveys, 1 observational assessment, and 2 studies that used multiple administration modes). Fourteen instruments included reliability testing. More items were related to PA than HE. Most instruments (n = 10) lacked items in the internal social environment domain. The most common PA subdomains were exercise facilities and lockers/showers; the most common HE subdomain was healthy options/vending.
  
  
  CONCLUSIONS
  This review highlights gaps in measurement of the worksite social environment. The findings provide a useful resource for researchers and practitioners and should inform future instrument development.
authors.affiliation: Brown School, Prevention Research Center, Washington University in St Louis, One Brookings Dr, Campus Box 1196, St Louis, MO 63130. Email: ahipp@wustl.edu.
authors.forename: J Aaron
authors.initials: JA
authors.lastname: Hipp
authors.affiliation: Washington University School of Medicine, St Louis, Missouri.
authors.forename: Dominic N
authors.initials: DN
authors.lastname: Reeds
authors.affiliation: Vanderbilt University Medical Center, Nashville, Tennessee.
authors.forename: Margaret A
authors.initials: MA
authors.lastname: van Bakergem
authors.affiliation: Washington University School of Medicine, St Louis, Missouri.
authors.forename: Christine M
authors.initials: CM
authors.lastname: Marx
authors.affiliation: Prevention Research Center, Washington University in St Louis, St Louis, Missouri.
authors.forename: Ross C
authors.initials: RC
authors.lastname: Brownson
authors.affiliation: University of Missouri, Columbia, Columbia, Missouri.
authors.forename: Surya C
authors.initials: SC
authors.lastname: Pamulapati
authors.affiliation: Prevention Research Center, Washington University in St Louis, St Louis, Missouri.
authors.forename: Christine M
authors.initials: CM
authors.lastname: Hoehner
mesh_terms: D004777:Environment; D004779:Environment Design; D015444:Exercise; D015438:Health Behavior; D006293:Health Promotion / Q000458:organization & administration; D006306:Health Surveys; D006801:Humans; D009765:Obesity / Q000517:prevention & control*; D009786:Occupational Health Services / Q000592:standards*; D016134:Organizational Policy; D017063:Outcome Assessment, Health Care; D011635:Public Health Administration; D013219:State Government; D017132:Workplace