Table 2.
Validity of Survey Items on Nutrition and Physical Activity
| Validation Method | N | No. Response Levels | Percent Agreement | Confidence Intervals | |
|---|---|---|---|---|---|
| Nutrition (13 items) | |||||
| Staff consume same foods as children | Interview | 32 | 2 | 96.9 | (90.5, 100.0) |
| Frequency of cooking activities | Interview | 33 | 5 | 94.5 | (92.0, 97.0) |
| Communication with parents via special events | Interview | 33 | 2 | 93.9 | (85.3, 100.0) |
| Food at celebrations | Interview | 33 | 3 | 90.9 | (82.1, 99.7) |
| Staff use food as a reward | Interview | 33 | 2 | 90.9 | (80.6, 100.0) |
| Frequency of parents receiving nutrition information | Interview | 33 | 5 | 90.7 | (86.2, 95.2) |
| Fundraising items | Interview | 32 | 3 | 85.9 | (75.2, 96.7) |
| Staff use food as a behavioral consequence | Interview | 33 | 2 | 84.8 | (71.9, 97.8) |
| Frequency of nutrition instruction | Interview | 33 | 5 | 84.2 | (77.5, 90.7) |
| Staff training on eating environment | Interview | 29 | 2 | 69.0 | (51.1, 86.9) |
| Staff sit with children during meals | Interview | 33 | 3 | 63.6 | (46.3, 81.0) |
| Staff consume unhealthy foods in front of children | Observation | 31 | 2 | 90.3 | (79.3, 100.0) |
| Staff sit with children during meals | Observation | 32 | 3 | 88.3 | (81.0, 95.5) |
| Staff consume same foods as children | Observation | 31 | 2 | 87.1 | (74.6, 99.6) |
| Water availability | Observation | 32 | 3 | 82.0 | (73.1, 91.0) |
| Physical Activity Environment (9 items) | |||||
| Frequency of computer use | Interview | 30 | 5 | 96.9 | (95.7, 98.0) |
| Frequency of TV viewing | Interview | 32 | 5 | 92.4 | (85.5, 99.2) |
| Amount of active play | Interview | 33 | 5 | 88.5 | (83.2, 93.9) |
| Staff withhold physical activity as behavioral consequence | Interview | 33 | 2 | 69.7 | (53.1, 86.2) |
| Physical activity training | Interview | 26 | 2 | 57.7 | (37.3, 78.0) |
| Frequency of outdoor play | Observation | 30 | 3 | 90.0 | (82.4, 97.5) |
| Indoor space suitability for physical activity | Observation | 31 | 3 | 80.7 | (71.6, 89.7) |
| Staff withhold physical activity as behavioral consequence | Observation | 32 | 2 | 81.3 | (67.0, 95.5) |
| Physical activity books/posters in classroom | Observation | 31 | 2 | 48.4 | (29.8, 67.0) |
| Small equipment in classroom | Observation | 28 | 2 | 39.3 | (20.0, 58.6) |
| Policies (6 items) | |||||
| Foods from home | Interview | 33 | 4 | 87.8 | (77.5, 98.0) |
| Celebrations at school | Interview | 33 | 4 | 87.5 | (76.6, 98.3) |
| Foods as reward | Interview | 33 | 4 | 82.5 | (73.3, 91.7) |
| Limits on computer use | Interview | 31 | 4 | 81.7 | (71.0, 92.4) |
| Physical education/physical activity | Interview | 32 | 4 | 79.2 | (67.8, 90.5) |
| Nutrition standards exceed CACFP requirements | Interview | 33 | 4 | 70.0 | (56.5, 83.5) |
| Barriers to Promoting Health (15 items) | |||||
| Unhealthy food fundraisers | Interview | 33 | 2 | 93.9 | (85.3, 100.0) |
| Nutrition policies | Interview | 33 | 2 | 90.9 | (80.6, 100.0) |
| Inadequate food preparation/storage | Interview | 33 | 2 | 84.9 | (71.9, 97.8) |
| Physical activity policies | Interview | 33 | 2 | 84.8 | (71.9, 97.8) |
| Unhealthy food celebrations | Interview | 33 | 2 | 81.8 | (67.9, 95.7) |
| Quality of food service provider | Interview | 33 | 2 | 78.8 | (64.1, 93.5) |
| Teachers | Interview | 33 | 2 | 78.8 | (64.1, 93.5) |
| Parents | Interview | 33 | 2 | 72.8 | (56.7, 88.8) |
| Lack of staff training on nutrition education | Interview | 33 | 2 | 69.7 | (53.1, 86.2) |
| Limited opportunities for PE/quality of physical activity equipment | Interview | 33 | 2 | 69.7 | (53.1, 86.2) |
| Lack of nutrition education resources | Interview | 33 | 2 | 66.7 | (49.7, 83.6) |
| Lack of staff training on PE | Interview | 33 | 2 | 66.7 | (49.7, 83.6) |
| Lack of funding | Interview | 33 | 2 | 63.6 | (46.3, 81.0) |
| Lack of appropriate PE and PA resources | Interview | 33 | 2 | 63.6 | (46.3, 81.0) |
| Limited time to teach nutrition | Interview | 33 | 2 | 54.5 | (36.6, 72.4) |