Table 2.
Change in Environment and Policy Assessment and Observation (EPAO) score from pre-assessment to post-assessment (n 19)
| EPAO score | Pre-assessment | Post-assessment | Change | P value |
|---|---|---|---|---|
| Total score | 149·79 | 176·03 | 26·25 | 0·008*** |
| Nutrition sub-score | 74·64 | 93·17 | 18·52 | <0·001**** |
| Fruits and Vegetables | 12·54 | 11·97 | −0·57 | 0·456 |
| Whole Grains and Low Fat Meats | 7·28 | 9·94 | 2·66 | 0·040** |
| High Sugar/High Fat Foods | 12·68 | 14·51 | 1·83 | 0·021* |
| Beverages | 11·97 | 12·95 | 0·98 | 0·354 |
| Staff Behaviours Regarding Nutrition | 12·26 | 14·78 | 2·53 | 0·001*** |
| Nutrition Environment | 8·68 | 15·09 | 6·40 | <0·001*** |
| Nutrition Training and Education | 5·04 | 9·04 | 4·00 | 0·003*** |
| Nutrition Policy | 4·20 | 4·89 | 0·70 | 0·239 |
| Physical Activity sub-score | 75·14 | 82·87 | 7·72 | 0·226 |
| Active Opportunities | 6·37 | 8·05 | 1·68 | 0·001** |
| Sedentary Opportunities | 11·93 | 11·71 | −0·22 | 0·837 |
| Sedentary Environment | 10·35 | 12·81 | 2·46 | 0·115 |
| Portable Play Environment | 13·01 | 13·08 | 0·08 | 0·963 |
| Fixed Play Environment | 13·17 | 12·30 | −0·87 | 0·415 |
| Staff Behaviours Regarding Physical Activity | 11·79 | 13·89 | 2·11 | 0·157 |
| Physical Activity Training and Education | 5·72 | 7·16 | 1·44 | 0·404 |
| Physical Activity Policy | 3·14 | 4·22 | 1·08 | 0·411 |
Data were collected from pre-school classrooms in nineteen programmes across four US states from 2014 to 2015.
*P<0·10, **P<0·05, ***P<0·01, ****P<0·001.