Reduce Sodium - SLT

Appendix B8.

School Administrator

In-Depth Interview
Observational Instrument

Section 1: Posters/Signage

[Note: Q5 through Q13C will loop until all sodium posters/signage are recorded or until three sodium posters/signage are recorded, whichever comes first.]

Instructions: After the in-depth interview with the school administrator is complete, request to visit the cafeteria (if applicable), library (if applicable), and any other common areas that display nutrition-related signage. This section is to be completed while in each of the areas. Use a separate Section A form for each of the areas. Please look around the cafeteria and note how many posters/signs contain information regarding sodium content and/or nutrition content in general. Count the total number of posters/signage related to sodium and/or general nutrition. Then, count the total number of posters/signs related only to sodium. Complete Q5 through Q13C for sodium-related posters/signs only. If more than three sodium-related posters/signs are present, please choose three representative examples. Please ensure that any correspondence that is shared does not include any personal information or opinions of the sender. For detailed instructions on the use of this instrument, please see training manual.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is XXXX-XXXX. The time required to complete this information collection is estimated to average 36 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Cafeteria Environment		Not Applicable
Aspect	Rating	Considerations
Q1. School Level	Elementary Middle High Other (specify grade levels): ___
Q2. Presence of Signage	Yes No	If no, skip remaining questions (Q3 through Q13C) in Section 1 (posters/signage)
Q3. Total Number of Sodium/Nutrition Posters/Signs in Cafeteria _____________
Q4. Total Number of Sodium Posters/Signs in Cafeteria ______		If 0, skip remaining questions (Q5 through Q13C) in Section 1 (posters/signage)
Q5. Sodium Poster/Signage: Q5A. Brief Description: ________________________________________________________________________
Q6. Location	Dining area Service line Cashier On the cafeteria table(s) Other____________________
Q7. Poster Size	Small Medium Large	Small	8 ½” x 11” - size of a sheet of standard printer paper
		Medium	17” x 22” - size of two sheets of standard printer paper
		Large	26” x 33” - size of three sheets of standard printer paper
Q8. Condition	Poor Fair Excellent	Poor	Many tears; presence of stains, marks, or other damage; looks old (major discoloration, dated 2010 or earlier, includes references to the Food Pyramid.)
		Fair	Few tears, minor discoloration
		Excellent	No tears; no stains, marks, or other damage; looks new (no discoloration, dated 2011 or later, references My Plate, Let’s Move, etc.)
Q9. Visibility	Not at all Somewhat Mostly to Extremely	Not at all	Items are secluded and isolated and are completely obstructed by other posters, bulletin board items, or other objects.
		Somewhat	Items are secluded and isolated with objects partially blocking the view.
		Mostly to Extremely	Items are spotted easily with no items blocking the view.
Q9A. Placement	Top Middle Bottom	Top	Located between the ceiling and the upper third of the wall/object.
		Middle	Located in the middle third of the wall/object.
		Bottom	Located between the floor to lower third of the wall/object.
Q10. Photograph/Copy (Y/N) ___________ [if yes, repeat loop (Q5–Q9A) or go to section 2; if no, go to Q11] [Note: Q11–Q13C will be completed while on-site only if photographs are not allowed and/or copies are not provided; if photographs taken or copies provided, complete Q11–Q13C after interview ends]
Q11. Age Appropriate	Yes No	Describes how well the design and content of the poster or sign fits the viewing audience. May include literacy level, illustrations, etc.
Q12. Colorful	Yes No	Having three or more distinct, vibrant colors present. Having three or more neutral shades does not qualify as colorful (e.g., a combination of dark brown, tan, and a hint of hunter green would not be rated as colorful).
Q13. Content	Text Pictures Both
Q13A. Content: Framing	Positive Negative	Positive framing promotes a healthy behavior such as encouraging students to consume less salt by choosing a healthier option. Negative framing warns of the consequences of engaging in an unhealthy behavior such as consuming too much sodium.
Q13B. Content: Provides Instruction	Yes No	Some posters and signage may include call to action steps, or tips for the viewer.
Q13C. Content: Uses Celebrities	Yes No Describe: _________________________________________________________________________________	Posters and signage may use famous people or characters to attract attention to the item and to provide role models.

Section 2: Other Sodium-Related Items

[Note: Q14 through Q16 will loop until no more unique data are available.]

Instructions: While in the cafeteria, if time permits, walk around the cafeteria and look for other items relating to sodium. These include recipes/menus, salt/other condiments, and any other sodium-related observations. For detailed instructions on the use of this instrument, please see training manual.

Cafeteria Environment		Not Applicable
Q14. Recipes/Menus  Not observed in cafeteria
Number Observed	Brief Description of Each	Photo Number/Copy (Y/N)
______		___________
Q15. Accessibility of Added Sodium  Not observed in cafeteria
Number Observed	Brief Description of Each	Photo Number/Copy (Y/N)
______		___________
Checklist: Q15A. Salt is readily available to students: Yes No Q15B. Other condiments are available:  Yes: Describe: _______________________ No Q15C. Location of salt shakers/packets: Dining area Service line Cashier On the table  Other: Describe: _______________________
Q16. Other (Any other sodium-related content not captured)  Not observed in cafeteria
Number Observed	Brief Description of Each	Photo Number/Copy (Y/N)
______		___________

Section 3: Communication Materials

[Note: Q17 through Q28 will loop until no more unique data are available.]

Instructions: After the in-depth interview with the school administrator has concluded, ask the interviewee if s/he has had communication regarding sodium in school meals with any of the following types of individuals: (1) food suppliers; (2) other school staff (e.g., cafeteria personnel, principals, teachers, School Food Authorities [SFAs], etc.); (3) parents and/or the public; and/or (4) other community-based stakeholders. If the interviewee notes that s/he has had communication with any of these types of individuals, ask if you may have a copy of any such correspondence. If s/he provides you with hard copies, thank them. If s/he informs you that you may not have copies, ask her/him if you may see them. In the event that you are permitted to see them, but cannot take copies with you, ask for permission to take photographs of these items and complete Q17 through Q28 on site (where applicable). Please ensure that any correspondence that is shared does not include any personal information or opinions of the sender. For detailed instructions on the use of this instrument, please see training manual.

Communication with Food Suppliers			Not Applicable
Q17. Letters, emails, etc. with Food Suppliers Not available Available, but not observed
Number Observed	Brief Description	Photo Number/Copy (Y/N)
______		___________
Q18. Other Communication with Food Suppliers Not available Available, but not observed
Number Observed	Brief Description	Photo Number/Copy (Y/N)
______		___________

Communication with Staff		Not Applicable
Q19. Letters to/from Staff Not available Available, but not observed
Number Observed	Brief Description	Photo Number/Copy (Y/N)
______		___________
Q20. Meetings, Workshops, Webinars, and Other Communication with Staff Not available Available, but not observed
Number Observed	Brief Description	Photo Number/Copy (Y/N)
______		___________

Communication with Parents and/or the Public		Not Applicable
Q21. Letters to/from Parents and/or the Public Not available Available, but not observed
Number Observed	Brief Description	Photo Number/Copy (Y/N)
______		___________
Q22. Documentation of Presentations to Parents and/or the Public Not available Available, but not observed
Number Observed	Brief Description	Photo Number/Copy (Y/N)
______		___________
Q23. News Articles for the Public Not available Available, but not observed
Number Observed	Brief Description	Photo Number/Copy (Y/N)
______		___________
Q24. Other Communication with Parents and/or the Public Not available Available, but not observed
Number Observed	Brief Description	Photo Number/Copy (Y/N)
______		___________

Communication with Community-Based Stakeholders			Not Applicable
Q25. Letters to/from Community-Based Stakeholders Not available Available, but not observed
Number Observed	Brief Description	Photo Number/Copy (Y/N)
______		___________
Q26. Meeting Agendas and/or Notes Not available Available, but not observed
Number Observed	Brief Description	Photo Number/Copy (Y/N)
______		___________
Q27. Other Communication with Community-Based Stakeholders Not available Available, but not observed
Number Observed	Brief Description	Photo Number/Copy (Y/N)
______		___________

Q28. Additional Comments/Observations