开发全面的学校卫生政策评估工具：WellSAT WSCC。
Development of a Comprehensive Tool for School Health Policy Evaluation: The WellSAT WSCC.
机构信息
Neag School of Education, University of Connecticut, 249 Glenbrook Road, Unit 3064, Storrs, CT, 06269.
Rudd Center for Obesity and Food Policy, University of Connecticut, 1 Constitution Plaza, Suite 600, Hartford, CT, 06103.
出版信息
J Sch Health. 2020 Dec;90(12):923-939. doi: 10.1111/josh.12956.
BACKGROUND
Stakeholders increasingly recognize the role of policy in implementing Whole School, Whole Community, Whole Child (WSCC) frameworks in schools; however, few tools are currently available to assess alignment between district policies and WSCC concepts. The purpose of this study was to expand the Wellness School Assessment Tool (WellSAT) for evaluation of policies related to all 10 domains of the WSCC model.
METHODS
Developing the WellSAT WSCC was an iterative process that involved (1) identifying items for each domain based on key concepts and best practice recommendations; (2) expert review of the draft measure; (3) cognitive pre-testing; (4) developing scoring criteria; and (5) pilot-testing the measure.
RESULTS
Ratings from expert reviewers indicated that the tool included items that were both relevant and important to each of the 10 WSCC domains. Results of cognitive pre-testing indicated that the items were understood as intended. Feedback from expert reviews, cognitive pre-testing, and pilot-testing was used to further revise and refine the measure and develop a final version of the tool. Acceptable interrater reliability was established for the final selection of items.
CONCLUSIONS
The WellSAT WSCC provides a reliable means for assessing integration and alignment between WSCC model concepts and district policies.
背景
利益相关者越来越认识到政策在学校实施“全员参与、全面覆盖、全程关注”（WSCC）框架中的作用；然而，目前几乎没有工具可用于评估地区政策与 WSCC 理念之间的一致性。本研究旨在扩展 Wellness School Assessment Tool（WellSAT），以评估与 WSCC 模式的 10 个领域相关的政策。
方法
开发 WellSAT WSCC 是一个迭代过程，包括（1）根据关键概念和最佳实践建议确定每个领域的项目；（2）对草案进行专家审查；（3）认知预测试；（4）制定评分标准；（5）对该措施进行试点测试。
结果
专家评审员的评分表明，该工具包括与 WSCC 的 10 个领域中的每个领域都相关且重要的项目。认知预测试的结果表明，这些项目的理解符合预期。来自专家审查、认知预测试和试点测试的反馈被用于进一步修改和完善该措施，并开发该工具的最终版本。最终项目选择的评分者间信度可接受。
结论
WellSAT WSCC 为评估 WSCC 模式概念与地区政策之间的融合和一致性提供了一种可靠的方法。
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