TY - JOUR
T1 - Development of a School Nutrition-Environment State Policy Classification System (SNESPCS)
AU - Mâsse, Louise C.
AU - Frosh, Marcy M.
AU - Chriqui, Jamie F.
AU - Yaroch, Amy L.
AU - Agurs-Collins, Tanya
AU - Blanck, Heidi M.
AU - Atienza, Audie A.
AU - McKenna, Mary L.
AU - Igoe, James F.
N1 - Funding Information:
Support for this project was provided by the National Cancer Institute under contract numbers N02-PC-444006 and 263-MQ-515012 to The MayaTech Corporation. The authors would like to gratefully acknowledge the assistance of the following MayaTech employees: Jean C. O’Connor, JD, MPH for her assistance in serving as one of the raters and LaDonna Smith for her data entry assistance. In addition, the authors would like to acknowledge the input provided by the expert panelists: Jim Bogden, National Association of State Boards of Education; Jessica Donze Black, American Heart Association; Tracy Fox, Food, Nutrition & Policy; Simone French, University of Minnesota; Brenda Z. Greene, National School Boards Association; Alicia Moag-Stahlberg, Action for Healthy Kids; Martha Phillips, University of Arkansas; Amanda N. Purcell, California Center for Public Health Advocacy; and Barry Sackin, School Nutrition Association, with particular thanks to Jessica Donze Black, Simone French, and Tracy Fox for their extended feedback beyond the expert panel. Joy Johanson of the Center for Science in the Public Interest also offered valuable feedback on the development of the measurement system. Dr. Mary McKenna was formerly at the Division of Adolescent and School Health (DASH) at the Centers for Disease Control and Prevention (CDC), when she provided most of her feedback to this paper. Jim Igoe was employed by The MayaTech Corporation at the time of his contribution to this manuscript. In addition, the authors would like to acknowledge the input provided by Dr. Sarah Lee from DASH at CDC. The views presented in this paper are those of the authors and do not, necessarily, reflect those of the U.S. Department of Health and Human Services or any of the authors’ employers.
PY - 2007/10
Y1 - 2007/10
N2 - Background: As policy strategies are rapidly being developed to address childhood overweight, a system was developed to systematically and reliably classify state policies related to the school nutrition environment. This study describes the development process, the inter-rater reliability to code state policies enacted as of December 2003, and the variability in state policies related to the school nutrition environment. Methods: The development of the School Nutrition Environment State Policy Classification System (SNESPCS) included a comprehensive review of published literature, reports from government and nongovernmental sources, input from an expert panel, and select experts. Baseline statutes and regulations for each of the 50 states and the District of Columbia were retrieved from Westlaw (data retrieved in 2005-2006 and analyzed in 2006) and pilot testing of the system was conducted. Results: SNESPCS included 11 policy areas that relate to a range of environmental and surveillance domains. At baseline, states had no (advertising/promotion and preferential pricing) or modest (school meal environment, reimbursable school meals, coordinating or advisory councils, body mass index screening) activities in many of the policy areas. As of 2003, 60% of the states had policies related to the sale of foods in school that compete with the school meal program. Conclusions: Evaluation of policies that affect the school-nutrition environment is in its earliest stage. SNESPCS provides a mechanism for assessing variation in state policies that can be incorporated in an evaluation framework aimed at elucidating the impact of state policies on the school environment, social norms, and children's dietary behaviors in schools.
AB - Background: As policy strategies are rapidly being developed to address childhood overweight, a system was developed to systematically and reliably classify state policies related to the school nutrition environment. This study describes the development process, the inter-rater reliability to code state policies enacted as of December 2003, and the variability in state policies related to the school nutrition environment. Methods: The development of the School Nutrition Environment State Policy Classification System (SNESPCS) included a comprehensive review of published literature, reports from government and nongovernmental sources, input from an expert panel, and select experts. Baseline statutes and regulations for each of the 50 states and the District of Columbia were retrieved from Westlaw (data retrieved in 2005-2006 and analyzed in 2006) and pilot testing of the system was conducted. Results: SNESPCS included 11 policy areas that relate to a range of environmental and surveillance domains. At baseline, states had no (advertising/promotion and preferential pricing) or modest (school meal environment, reimbursable school meals, coordinating or advisory councils, body mass index screening) activities in many of the policy areas. As of 2003, 60% of the states had policies related to the sale of foods in school that compete with the school meal program. Conclusions: Evaluation of policies that affect the school-nutrition environment is in its earliest stage. SNESPCS provides a mechanism for assessing variation in state policies that can be incorporated in an evaluation framework aimed at elucidating the impact of state policies on the school environment, social norms, and children's dietary behaviors in schools.
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U2 - 10.1016/j.amepre.2007.07.017
DO - 10.1016/j.amepre.2007.07.017
M3 - Article
C2 - 17884576
AN - SCOPUS:34548636260
VL - 33
SP - S277-S291
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
SN - 0749-3797
IS - 4 SUPPL.
ER -