ArticleInternational journal of obesity supplements2015
Development and reliability of an audit tool to assess the school physical activity environment across 12 countries.
Article in International journal of obesity supplements, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- A systematic review of existing observational tools to measure the food and physical activity environment in schools.Health & place · 2020Pooled it
- Spaces that move children: The role of the physical environment in developing motor competence and physical literacy.PloS one · 2026Article
- A Classroom-Based Intervention to Promote Physical Literacy in Children: ALPHYL Study Protocol.Behavioral sciences (Basel, Switzerland) · 2023Article
- Physical Activity and Related Factors in Pre-Adolescent Southern African Children of Diverse Population Groups.International journal of environmental research and public health · 2022Article
- Comprehensive evaluation of Salud Escolar a health school program in Mexico: Rationale, design and methods.Preventive medicine reports · 2022Article
- Resting Energy Expenditure and Related Factors in 6- to 9-Year-Old Southern African Children of Diverse Population Groups.Nutrients · 2021Article
- Article
- School Walkability Index: Application of Environmental Audit Tool and GIS.Journal of transport & health · 2020Article
- International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE): Contributions to Understanding the Global Obesity Epidemic.Nutrients · 2019Review
- Relationships between active school transport and adiposity indicators in school-age children from low-, middle- and high-income countries.International journal of obesity supplements · 2015Article
- Are the correlates of active school transport context-specific?International journal of obesity supplements · 2015Article
Corrections and comments
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Authors and funding
20 authors at 12 institutions in 11 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSchools are an important setting to enable and promote physical activity. Researchers have created a variety of tools to perform objective environmental assessments (or 'audits') of other settings, such as neighborhoods and parks; yet, methods to assess the school physical activity environment are less common. The purpose of this study is to describe the approach used to objectively measure the school physical activity environment across 12 countries representing all inhabited continents, and to report on the reliability and feasibility of this methodology across these diverse settings.
methodsThe International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) school audit tool (ISAT) data collection required an in-depth training (including field practice and certification) and was facilitated by various supporting materials. Certified data collectors used the ISAT to assess the environment of all schools enrolled in ISCOLE. Sites completed a reliability audit (simultaneous audits by two independent, certified data collectors) for a minimum of two schools or at least 5% of their school sample. Item-level agreement between data collectors was assessed with both the kappa statistic and percent agreement. Inter-rater reliability of school summary scores was measured using the intraclass correlation coefficient.
resultsAcross the 12 sites, 256 schools participated in ISCOLE. Reliability audits were conducted at 53 schools (20.7% of the sample). For the assessed environmental features, inter-rater reliability (kappa) ranged from 0.37 to 0.96; 18 items (42%) were assessed with almost perfect reliability (κ=0.80-0.96), and a further 24 items (56%) were assessed with substantial reliability (κ=0.61-0.79). Likewise, scores that summarized a school's support for physical activity were highly reliable, with the exception of scores assessing aesthetics and perceived suitability of the school grounds for sport, informal games and general play.
conclusionsThis study suggests that the ISAT can be used to conduct reliable objective audits of the school physical activity environment across diverse, international school settings.
Identifiers
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Registered trials
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