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School Wellness Environments: Perceptions Versus Realities.

Joey A LeeGabriella M McLoughlinGregory J Welk
Published in: The Journal of school nursing : the official publication of the National Association of School Nurses (2020)
The U.S. Department of Agriculture Final Rule on School Wellness Policy requires schools to self-evaluate wellness policies and environments. To understand the utility of this information, this study evaluates the validity of school-reported wellness information against directly observed data. Wellness leaders at 10 Midwestern elementary schools completed a questionnaire spanning nine school wellness settings. School-reported information was compared against a direct observation protocol. Percent agreement and κ statistics were used to assess agreement between school reporters and direct observation. Overall percent agreement between reporters and direct observation was 77.1%. Agreement ranged from 67.3% (Lunchroom Environment) to 92.0% (School Wellness Policies) across the nine categories. κ results showed that 65.7% of the items demonstrated fair or better reporter agreement. The results provide preliminary support for the utility of schools' self-reported wellness information. Facilitation of independent reporting on wellness environments by school leaders will contribute to broader applications for school wellness programming.
Keyphrases
  • physical activity
  • mental health
  • public health
  • high school
  • healthcare
  • randomized controlled trial
  • primary care
  • health information
  • climate change
  • crispr cas
  • artificial intelligence
  • big data