TABLE 3.

HEAC Environmental Change Measures: The California Endowment, California

Sector	Methods
Schools	School Physical Activity Environment Assessment—measures resources, equipment, and physical activity opportunities available at schools (n = 19 schools)
	School Beverages and Competitive Foods Environmental Assessment—measures the food environment, policy implementation status, food and beverage marketing, and other environmental factors influencing healthy eating at schools (n = 19 schools)
	PE Activity Levels—assesses physical activity levels during PE classes using SOFIT39 (n = 19 schools)
	Financial Impact Study—assesses the impact of implementing nutrition standards for a la carte beverages and foods on revenues, expenditures, and net profits from the sales of beverages and foods on campus during the school day (n = 19 schools)
After School	After-School Beverage and Food Environmental Assessment—examines beverage and a la carte food offerings and sales in after-school settings (n = 19 schools)
	After-School Physical Activity Environmental Assessment—measures resources, equipment, and physical activity opportunities and programming in after-school programs (n = 19 schools)
	After-School Physical Activity Levels—assesses physical activity levels during physical activity programming using SOFIT (n = 18 schools)
Health Care	Health Care Environmental Assessment—examines beverage and food sales and physical activity opportunities
	at health care institutions and public health departments (n = 19 health care institutions and public health departments)31
	Health Care Provider Survey—a self-administered survey for direct-service health care providers participating in the HEAC survey; measures changes in how health care providers address obesity prevention and nutrition and physical activity promotion in their clinical practice and to measure these changes over time (n = 248 baseline; n = 173 endpoint).41
	Public Health Department Survey—electronic survey of public health department officials measures environmental changes, adoption of obesity prevention plans, intergovernmental coordination, community partnerships, and policy adoption and implementation over time (n = 115 baseline)42
Neighborhoods	Physical Activity Environmental Assessment—examines the physical activity environment and resources in neighborhoods (n = 12 locations)
	Food and Beverage Environmental Assessment—examines the presence of healthy and unhealthy foods and beverages in retail stores, restaurants, and food advertising and marketing in neighborhoods (n = 12)
	In-Store Food and Beverage Assessment (large store and small store versions)—documents the presence, placement, and advertisement of healthy and unhealthy snack foods and beverages in retail food establishments (n = 7)

Note. HEAC = Healthy Eating Active Communities; PE = physical education; SOFIT = System for Observing Fitness Instruction Time.