Published: January 2020

ID #: 73392

Journal: Journal of School Health

Authors: Patel AI, Podrabsky M, Hecht AA, Morris S, Yovanovich S, Walkinshaw LP, Ritchie L, Hecht C

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Federal law requires water access in schools where meals are served. Schools report high rates of water accessibility in cafeterias, but observations indicate lower adherence. Although observation is costly, it permits a more detailed assessment of a water source to determine whether it provides effective access that encourages water consumption and thus, healthy hydration for students. To offer a less costly alternative to observations, researchers developed and validated a photo‐evidence tool to examine characteristics of effective school drinking water access. Two observers recorded characteristics of 200 water sources in 30 schools, including type, wear, cleanliness, and water flow, and examined obstructions and beverage promotion near sources, as well as, drinking vessel availability. Observers photographed sources which were coded by a separate research team. Agreement between observation audits and photograph coding was assessed through percent agreement, and kappa statistics and correlation coefficients.

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