258145 Development of the Healthy Afterschool Activity and Nutrition Documentation (HAAND) Instrument: An environmental quality rating scale

Monday, October 29, 2012

Rahma Ajja, MPT, MPH , Department of Exercise Science, University of South Carolina, Arnold School of Public Health, Columbia, SC
Rohan Shah , Arnold School of Public Health, University of South Carolina, Columbia, SC
Robert Weaver, MEd , Department of Physical Education and Athletic Training, University of South Carolina, Columbia, SC, SC
Falon Tiley , Arnold School of Public Health, University of South Carolina, Columbia, SC
Jennifer Huberty, PhD , School of Health, Physical Education, and Recreation, University of Nebraska Omaha, Omaha, NE
Andrew T. Kaczynski, PhD , Arnold School of Public Health, University of South Carolina, Columbia, SC
Dianne S. Ward, EdD , Department of Nutrition, Schools of Public Health and Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC
Michael W. Beets, PhD , Department of Exercise Science, University of South Carolina, Columbia, SC
Background: Policies call upon afterschool programs (ASP) to improve the physical activity (PA) and nutrition habits of youth. No tool exists to assess whether the ASP environment meets PA and nutrition policies. This study describes the development of the Healthy Afterschool Activity and Nutrition Documentation (HAAND) instrument, which consists of two subscales - Healthy Afterschool Program Index for PA (HAPI-PA) and the HAPI-Nutrition (HAPI-N). Methods: Thirty-nine ASPs took part in the HAAND development and evaluation. Items on the HAAND instrument were informed from existing PA and nutrition policy documents/standards for ASPs and quality rating scales in child care centers. Inter-rater reliability data were collected at 20 ASP. Validity of the HAPI-PA was established by comparing HAPI-PA scores to pedometer steps collected in a sub-sample of 934 children attending 25 of the ASPs. Validity of the HAPI-N scores were compared against the mean number of times/week fruits/vegetables (FV) and whole grains were served in the program. Results: Inter-rater percent agreement was 85-100% across all items. Increased pedometer steps were associated with the presence of a written policy related to PA, amount/quality of staff training, use of a PA curriculum and offering activities that appeal to both genders. Higher servings of FV and whole grains per week were associated with the presence of a written policy regarding the nutritional quality of snacks. Conclusion: The HAAND instrument is a reliable observational measurement tool with good validity evidence that can be used to assess the PA and nutritional environment of ASP.

Learning Areas:
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
1.Describe the development on the HAAND instrument 2.Evaluate the validity and reliability of the HAAND in assessing the PA and nutritional environment of afterschool programs 3.Identify the percentages of afterschool programs that meet the current PA and nutritional policies and standards from recognized organizations specifically serving ASP

Keywords: Environment, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I played key role in the development of the instrument discussed in this presentation and in the data collection and analysis
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3186.0: Children's Dietary Patterns and Nutrition in School and Child Care Settings