About the WellSAT

Welcome to the WellSAT! Watch this introductory video for an overview of the WellSAT and how to use the tool.

Who is This Tool for?

District Level School Officials

Members of School Wellness Advisory Boards or Committees

Public Health Professionals

Researchers

School-Level Officials


Research Using the WellSAT

Schwartz MB, Piekarz-Porter E, Read MA, Chriqui JF. Wellness School Assessment Tool Version 3.0: An Updated Quantitative Measure of Written School Wellness Policies. Prev Chronic Dis 2020;17:190373. https://www.cdc.gov/pcd/issues/2020/19_0373.htm

Joyner H, Weymouth L, Skalitzky E, Hillert S. Wisconsin School Wellness Policies After Federal Legislation Change: Understanding Mechanisms of Policy Improvement. Journal of the Academy of Nutrition and Dietetics. 2020. https://doi.org/10.1016/j.jand.2020.08.082

Meendering JR, Skinner MM, McCormack LA. Model School-District Wellness Policies Warrant Improvements in Comprehensiveness and Strength. Journal of School Health. 2020. doi: https://doi.org/10.1111/josh.12975

Komakech, JJ, Hildebrand DA. The Association Between School Health Promotion Programs and School Wellness Policies. Journal of Nutrition Education and Behavior. 2020; 000: 1-5. DOI: 10.1016/j.jneb.2020.05.004

LeGros, TA, Jones B, Jacobs L, Orzech KM, Torbert K, Martinez SH. A case study of a new state model for assessing local wellness policies. J Sch Health. 2019; 89: 191-199. DOI: 10.1111/josh.12728

Eggert, E., Overby, H., McCormack, L., & Meendering, J. (2018). Use of a Model Wellness Policy May Not Increase the Strength and Comprehensiveness of Written School Wellness Policies. Journal of School Health, 88(7), 516-523. doi: 10.1111/josh.12635.

Harvey, SP., Markenson, D., & Gibson. CA. (2018). Assessing School Wellness Policies and Identifying Priorities for Action: Results of a Bi-State Evaluation. Journal of School Health, 88(5), 359-369. doi: 10.1111/josh.12619

Francis, E., Hivner, E., Hoke, A., Ricci, T., Watach, A., & Kraschnewski, J. (2017). Quality of local school wellness policies for physical activity and resultant implementation in Pennsylvania schools. Journal of Public Health. Doi: 10.1093/pubmed/fdx130

Meendering, J., Kranz, E., Shafrath, T., & McCormack, L. (2016). Bigger???Better: The Comprehensiveness and Strength of School Wellness Policies Varies by School District Size. Journal of School Health, 86(9), 653-659. doi: 10.1111/josh.12419

Hoffman, P.K., Davey, C.S., Larson, N., Gannon, K.Y., Hanson, C., & Nanney, M.S. (2016). School district wellness policy quality and weight-related outcomes among high school students in Minnesota. Health Education Research, 31(2), 234-246. doi: 10.1093/her/cyv101

Brissette, I., Wales, K., O'Connell, M. (2013). Evaluating the Wellness School Assessment Tool for use in public health practice to improve school nutrition and physical education policies in New York. Journal of School Health, 83(11), 757-762. doi: 10.1111/josh.12091

Schwartz, M.B., Lund, A.E., Grow, M., McDonnell, E., Probart, C., Samuelson, A., Lytle, L. (2009) A comprehensive coding system to measure the quality of school wellness policies. Journal of the American Dietetic Association, 109(7), 1256-1262, doi: 10.1016/j.jada.2009.04.008


How to Find Your Policy

For this assessment, the policy documents you use should include the local school wellness policy, superintendent or administrative regulations, and any cross-referenced policies. This video will help you find all the documents needed to score your policy.

How to Score Your Policy

School wellness policies are evaluated based on the degree to which they address 65 policy items. These items are categorized into six sections:

1. Federal Requirements
2. Nutrition Environment and Services
3. Nutrition Education
4. Physical Education and Physical Activity
5. Employee Wellness
6. Integration and Coordination

Each policy item is rated "0," "1," or "2," using the definitions below. The WellSAT lists each policy item, followed by an explanation of the item and examples of text from real policies that would be rated "1" and "2".


0 - Not Mentioned

The item is not included in the text of the policy.


1 - Weak Statement

Assign a rating of "1" when the item is mentioned, but 

  • The policy will be hard to enforce because the statement is vague, unclear, or confusing. 
  • Statements are listed as goals, aspirations, suggestions, or recommendations. 
  • There are loopholes in the policy that weaken enforcement of the item. 

The policy mentions a future plan to act without specifying when the plan will be established. 

Words often used in statements rated as a "1" are: may, can, could, should, might, encourage, suggest, urge, some, partial, make an effort, and try


2 - Meets or Exceeds Expectations

Assign a rating of "2" when the item is mentioned and it is clear that the policymakers are committed to making the item happen because: 

  • Strong language is used to indicate that action or regulation is required 
  • The item is described with concrete plans or strategies for implementation 

Words often used in statements rated as a “2” are: shall, will, must, have to, insist, require, all, total, comply, and enforce

Expert tip: One method for deciding between assigning a rating of "1" or "2" is to consider the scenario of a parent approaching a school district’s Board of Education to discuss an issue. If the policy is ambiguous on how the school should handle the issue, assign the item a rating of "1." If the written policy gives clear guidance about how to decide whether the school is compliant with the policy, assign the item a rating of "2."

How Scores are Calculated

The WellSAT will give you two scores: a comprehensiveness score, which reflects the extent to which recommended content areas are covered in the policy; and a strength score, which describes how strongly the content is stated. Both scores range from 0-100, with lower scores indicating less content and weaker language, and higher scores indicating more content and use of specific and directive language.


Total Comprehensiveness

Comprehensiveness is calculated by counting the number of items in each section rated as “1” or “2,” dividing this number by the number of policy items in the section, and multiplying this number by 100. The comprehensiveness scores of all six sections are added together and this number is divided by six (the total number of sections).


Total Strength

Strength is calculated by counting the number of items in each section rated as “2,” dividing this number by the number of policy items in the section, and multiplying this number by 100. The strength scores of all six sections are added together and this number is divided by six (the total number of sections).

The example below shows the calculation of sample scores for Section 3 of the WellSAT.


Item Description Score
NE1 Nutrition education teaches skills that are behavior focused, interactive, and/or participatory. 2
NE2 All elementary school students receive sequential and comprehensive nutrition education. 1
NE3 All middle school students receive sequential and comprehensive nutrition education. 1
NE4 All high school students receive sequential and comprehensive nutrition education. 1
NE5 Nutrition education is integrated into other subjects beyond health education. 0
NE6 Links nutrition education with the school food environment. 2
NE7 Nutrition education addresses agriculture and the food system. 0


Comprehensiveness Score: Three items are rated as "1" and two items are rated as "2," for a total of five items. Five divided by 7 equals 0.71, multiplied by 100 for a score of 71.

Strength Score: Two items are rated as "2." Two divided by 7 equals 0.29, multiplied by 100 for a score of 29.


Know Your State Laws

We recommend thoroughly reviewing your state’s laws and regulations because some states have laws that exceed federal standards for topics related to school wellness. It is important to become familiar with relevant laws in your state. To review state laws pertaining to wellness, visit the National Association of State Boards of Education (NASBE) website.

If your state has a law that requires an element of the WellSAT, it is best practice to reiterate and reference the state law in your policy. 


Expert tip: Sometimes, school districts are unaware of or unclear about some aspects of a state law, and this is reflected in their policies. Here is an example from Connecticut:

Example statement from a Connecticut school district policy: "Schools shall offer low-fat (1%) and fat-free milk." 

Reason this is not in complete compliance with CT law:  In the absence of further statements about milk, this policy would not indicate that milk will meet the specific requirements of CT statute (CGS 10-221q), which specify that milk must contain no more than 4 grams of sugar per ounce and no artificial sweeteners, and is sold in portion sizes no larger than 12 fluid ounces.  Instead, the policy should reference the state law and reiterate that the district will only provide beverages that are in compliance with state law.