Reliability and validity of a nutrition and physical activity environmental self-assessment for child care

BackgroundFew assessment instruments have examined the nutrition and physical activity environments in child care, and none are self-administered. Given the emerging focus on child care settings as a target for intervention, a valid and reliable measure of the nutrition and physical activity environment is needed.MethodsTo measure inter-rater reliability, 59 child care center directors and 109 staff completed the self-assessment concurrently, …