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. 2020 Mar 12;17:E24. doi: 10.5888/pcd17.190293

Table 1. Differences Between the Original Scoring Algorithms of the Nutrition Environment Measures and the Revised Scoring Algorithms Used for the Delta Food Outlets Study, 2016–2018.

Scale/Item Points
Original Revised
Grocery Stores
Availability
Frozen dinners 1 or 2 reduced-fat types available = 1 point 2 reduced-fat types available = 2 points
1 reduced-fat type available = 1 point
Beverages Diet soda available = 1 point Bottled water available = 1 point
Cereal No points for availability of >2 lower-sugar varieties >2 Lower-sugar varieties available = 1 point
Total Possible range, 0 to 30 points Possible range, 0 to 31 points
Price
Frozen dinners No points for equal prices of low-fat and regular-fat dinners Equal prices for low-fat and regular-fat dinners = 1 point
Baked goods No points for equal prices of low-fat and regular-fat goods Equal prices for low-fat and regular-fat goods = 1 point
Beverages Lower price for diet soda than for regular soda = 2 points Lower price for water than for regular soda = 2 points
Equal prices for water and regular soda = 1 point
Higher price for water than for regular soda = −1 point
Lower price for 100% juice than for juice drink = 2 points
Equal prices for 100% juice and juice drink = 1 point
Bread No points for equal prices of whole-wheat bread and refined-grain bread Equal prices for whole-wheat bread and refined-grain bread = 1 point
Baked chips No points for equal prices of baked chips and regular chips Equal prices for baked chips and regular chips = 1 point
Cereal No points for equal prices of lower-sugar cereal and higher-sugar cereal Equal prices for lower-sugar cereal and higher-sugar cereal = 1 point
Total Possible range, −9 to 18 points Possible range, −10 to 20 points
Quality Possible range, 0 to 6 points Possible range, 0 to 6 points (no change from original)
Total Possible range, −9 to 54 points Possible range, −10 to 57 points

Convenience Stores
Availability
Ground beef 2 or 3 Varieties <10% fat = 1 point ≥1 variety <10% fat = 2 points
>3 Varieties <10% fat = 2 points
Beverages Diet soda available = 1 point Bottled water available = 1 point
Non-carbonated, no-calorie or low-calorie available = 1 point
100-Calorie snacks Available = 2 points Available = 0 points
Cereal No points for >2 lower-sugar varieties >2 Lower-sugar varieties = 1 point
Total Possible range, 0 to 34 points Possible range, 0 to 31 points
Price
Ground beef No points for equal prices of lower-fat ground beef and higher-fat ground beef Equal prices for lower-fat ground beef and higher-fat ground beef = 1 point
Hot dogs No points for equal prices of lower-fat hot dogs and higher-fat hot dogs Equal prices for lower-fat hot dogs and higher-fat hot dogs = 1 point
Frozen dinners No points for equal prices of lower-fat dinners and higher-fat dinners Equal prices for lower-fat dinners and regular-fat dinners = 1 point
Baked goods No points for equal prices of lower-fat goods and higher-fat goods Equal prices for lower-fat goods and regular-fat goods = 1 point
Beverages Lower price for diet soda than for regular soda = 2 points Lower price for water than for 100% juice = 2 points
No points for equal prices of water and 100% juice Equal prices for water and 100% juice = 1 point
Higher price for water than for 100% juice = −1 point
Bread No points for equal prices of whole-wheat bread and refined-grain bread Equal prices for whole-wheat bread and refined-grain bread = 1 point
Baked chips No points for equal prices of baked chips and regular chips Equal prices for baked chips and regular chips = 1 point
Cereal No points for equal prices of lower-sugar cereal and higher-sugar cereal Equal prices for lower-sugar cereal and higher-sugar cereal = 1 point
Total Possible range, −9 to 18 points Possible range, −9 to 20 points
Quality Possible range, 0 to 6 points Possible range, 0 to 6 points (no change from original)
Total Possible range, −9 to 58 points Possible range, −9 to 57 points

Restaurants
Availability of healthful options
Low-fat or fat-free dressing 1 to 3 Choices = 1 to 3 points No points
Fruita ≥1 choice = 1 point 1 choice = 1 point, 2 to 4 choices = 2 points, ≥5 choices = 3 points
Vegetableb ≥1 choice = 1 point 1 choice = 1 point, 2 to 4 choices = 2 points, ≥5 choices = 3 points
Bottled water No points for availability Available = 1 point
Total Possible range, 0 to 15 points Possible range, 0 to 17 points
Facilitators for healthful eating
Menu nutrition information or healthy entrée identified Presence of either = 1 point Presence = 1 point per facilitator
Signage highlighting healthful options or healthy eating encouraged Presence of either = 1 point Presence = 1 point per facilitator
Total Possible range, 0 to 8 points Possible range, 0 to 10 points
Barriers to healthful eating
Shared entrée No points for extra cost Extra cost = −1 point
Signage, unhealthful eating encouraged or overeating encouraged Presence of either = −1 point Presence = −1 point per barrier
Total Possible range, −5 to 0 points Possible range, −7 to 0 points
Children’s menu Possible range, −3 to 9 points Possible range, −3 to 9 points (no change from original)
Totalc Possible range, −5 to 21 points Possible range = −7 to 27 points
a

Without added sugar.

b

Nonfried and without added sauce.

c

Sum of points for availability, facilitators, and barriers scales; does not include points from children’s menu scale.