Tools and methods meeting inclusionary criteria were

1.   Identified for the five environments as recommended in the APOP report (physical activity, food and beverage, message, health care and work, school). Each tool and method was placed in only one of the critical environments (priority of focus) to avoid duplication.

2.   Assessed for use with populations at risk for disparities. Key words were used for each racial ethnic group (African American, Hispanic, American Indian and Alaskan Natives, Asian Americans, Hawaiian and Pacific Islanders), sex (female, male), disability, sexual identity of orientation, or geographic region (rural, urban).

3.   Reviewed (based on provided descriptive information found on NCCOR-R website) using these questions:

•   What is the level of focus of the tool or method (e.g., individual, community, policy)?

•   What is the purpose of the tool or method?

•   What is the population of focus?

•   Did the tool or method include variables reflecting dimensions of disparities as defined in this chapter?

•   What are the properties of the tool or method (e.g., number of items, method of delivery)?

•   What is the sample size with which the tool or method was used?

•   What were the psychometric properties?*

4.   Detailed and summary tables were populated with the relevant information (see Appendix E). Two independent reviewers verified the coding of information.


* Psychometric properties are quantifiable attributes that relate to the statistical strength or weakness of data collected.

      racial and ethnic groups, despite risks for obesity disparities. There are no tools or methods identified for Hawaiian Islanders and few specific to the cultural differences of Hispanics, American Indians/Alaskan Natives, and Asian Americans. A majority of tools and methods for African Americans are derived from one study conducted a decade ago (Story et al., 2003).

2.   Most available tools and methods fail to identify the importance of male-female differences (sex and gender) as a distinguishing factor in obesity.

3.   Tools and methods commonly available for urban populations often have little relevance to rural populations, a population for whom NCCOR-R contains few specific tools and methods.

4.   Of significant concern is the paucity of appropriate tools and methods found in NCCOR-R for populations with disabilities or special needs, or sensitive to sexual identity or orientation.

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