Abstract
According to ecological models, the physical environment plays a major role in determining
individual health behaviors. As such, researchers have started targeting the consumer
nutrition environment of large-scale foodservice operations when implementing obesity-prevention
programs. In 2010, the American Hospital Association released a call-to-action encouraging
health care facilities to join in this movement and improve their facilities' consumer
nutrition environments. The Hospital Nutrition Environment Scan (HNES) for Cafeterias,
Vending Machines, and Gift Shops was developed in 2011, and the present study evaluated
the inter-rater reliability of this instrument. Two trained raters visited 39 hospitals
in southern California and completed the HNES. Percent agreement, kappa statistics,
and intraclass correlation coefficients were calculated. Percent agreement between
raters ranged from 74.4% to 100% and kappa statistics ranged from 0.458 to 1.0. The
intraclass correlation coefficient for the overall nutrition composite scores was
0.961. Given these results, the HNES demonstrated acceptable reliability metrics and
can now be disseminated to assess the current state of hospital consumer nutrition
environments.
Keywords
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Biography
C. P. Winston is manager of food and nutrition strategic initiatives, Partnership for a Healthier America, Alexandria, VA; at the time of the study, she was a DrPH candidate, Division of Health Promotion and Behavioral Science, University of Texas Health Science Center at Houston, School of Public Health, Houston.
Biography
J. F. Sallis is distinguished professor, Family and Preventive Medicine, and chief, Division of Behavioral Medicine, University of California, San Diego.
Biography
M. D. Swartz is an assistant professor, Division of Biostatistics, University of Texas Health Science Center at Houston, School of Public Health, Houston.
Biography
D. M. Hoelscher is John P. McGovern Professor in Health Promotion and director, Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, Austin.
Biography
M. F. Peskin is associate director of evaluation, University of Texas Prevention Research Center, and assistant professor, University of Texas Health Science Center, School of Public Health, Houston.
Article info
Publication history
Published online: June 05, 2013
Accepted:
April 5,
2013
Available online 5 June 2013Footnotes
FUNDING/SUPPORT There is no funding to disclose.
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
Identification
Copyright
© 2013 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
