Barriers and facilitators to the implementation of nutrition standards for school food: a mixed-methods systematic review protocol

O'Mahony, Breda; Kerins, Claire; Murrin, Celine; Kelly, Colette

doi:10.12688/hrbopenres.13041.3

HRB Open Res

2021

DOI: 10.12688/hrbopenres.13041.3

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Barriers and facilitators to the implementation of nutrition standards for school food: a mixed-methods systematic review protocol

Breda O'Mahony

Claire Kerins

Celine Murrin

et al.

Abstract: Background: The importance of nutrition during childhood and the high prevalence of child and adolescent obesity has resulted in several countries implementing nutritional standards for school food as a way of providing healthy school food environments. Yet, there has been less focus on the barriers and facilitators influencing the process of implementing school food standards. This mixed-methods systematic review aims to address this evidence gap by synthesising the empirical evidence on the factors that may … Show more

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2024

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Cited by 2 publications

References 66 publications

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A Joanna Briggs Institute Framework Approach to Shared Decision Making in End‐of‐Life

Glaría,

Fernández,

Salgado

et al. 2024

Health Expectations

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AimTo implement shared decision‐making (SDM) through a patient decision aid (PtDA) for the initiation of palliative care (PC) in end‐of‐life (EOL) cancer patients.MethodologyA comprehensive Scoping Review was conducted on SDM in PubMed, CINAHL and PsycInfo. An evidence‐based implementation of PtDAs was created using the Joanna Briggs Institute framework, which followed rigorous pillars: (1) context, (2) facilitation and (3) evaluation.ResultsFifteen studies were identified and categorised into (1) Implementation characteristics and (2) Strategies for implementing SDM in terminally ill cancer patients. SDM should consider the decision‐making location, optimal timing, participants and decision type. Strategies include professional training, PtDAs and implementation programmes. A PtDA implementation protocol in video format for deciding to initiate PC is proposed, following International Patient Decision Aid Standards (IPDAS) and Clinical Practice Guidelines (CPG).ConclusionsSDM implementation should be guided by evidence‐based methodological models justifying and structuring its execution, especially in complex and interdisciplinary contexts. National or international frameworks facilitate the adoption of health innovations, such as PtDAs, benefiting patients and improving their usage.Practice ImplicationsSDM is not just a concept but an important approach to the Care of cancer patients at EOL, enhancing patient satisfaction and improving care quality. The success and sustainability of SDM hinge on the fundamental aspects of staff training, interdisciplinary collaboration and ongoing evaluation. The lack of specific aid in Spanish underscores the immediate need for local development. Further research is needed in this area, as most reviewed studies did not measure SDM effectiveness in diverse hospital settings.Patient or Public ContributionThis proposal was developed based on the experience and input of the nursing staff from the healthcare service where it is intended to be implemented.

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A Joanna Briggs Institute Framework Approach to Shared Decision Making in End‐of‐Life

Glaría,

Fernández,

Salgado

et al. 2024

Health Expectations

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Barriers and enablers to addressing smoking, nutrition, alcohol consumption, physical activity and gestational weight gain (SNAP-W) as part of antenatal care: A mixed methods systematic review

Dilworth,

Doherty,

Mallise

et al. 2024

Implement Sci Commun

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Background International clinical guidelines recommend that smoking, nutrition, alcohol consumption, physical activity and gestational weight gain (SNAP-W) be addressed as part of routine antenatal care throughout pregnancy. However, guideline recommendations are poorly implemented, and few antenatal care recipients routinely receive the recommended care. There is a need to establish the determinants (barriers and enablers) to care delivery to inform strategies to improve implementation. This systematic review aimed to synthesize qualitative and quantitative evidence of the barriers and enablers to the routine delivery of antenatal care targeting SNAP-W health risks. Methods A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Seven databases were searched for relevant studies published between January 2001 and November 2023. Study findings were coded and analysed according to the domains of the Theoretical Domains Framework (TDF). Results Forty-nine studies were included in the review, 27 qualitative studies and 22 quantitative studies. The studies were conducted in 14 countries. Data were collected from 7146 antenatal care providers (midwives, Aboriginal health workers, obstetricians, medical officers, general practitioners) and 352 barriers and enablers were identified. Across all SNAP-W health risk and antenatal care provider groups, the predominant TDF domain was ‘environmental context and resources’, identified in 96% of studies. Barriers within this domain included insufficient time, limited access to and quality of resources, and limited organisational supports. ‘Beliefs about consequences’ was the second most common TDF domain, reported in 67% of studies, particularly studies of care related to alcohol use, nutrition/ physical activity/ gestational weight gain and those involving midwives, multidisciplinary practitioners and general practitioners. ‘Optimism’ was the second most common TDF domain for studies of smoking-related care and involving obstetricians, gynaecologists, and other mixed medical professions. Conclusions It is critical that determinants related to environmental context and resources including time, resources and organisational supports are considered in the development of strategies to support the implementation of recommended antenatal care related to SNAP-W risks. Strategies addressing clinician beliefs about consequences and optimism may also be needed to support the implementation of care related to specific health behaviours and by specific antenatal care provider groups. Registration The review protocol was prospectively registered with Prospero: CRD42022353084; 22 October 2022.

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Barriers and facilitators to the implementation of nutrition standards for school food: a mixed-methods systematic review protocol

Cited by 2 publications

References 66 publications

A Joanna Briggs Institute Framework Approach to Shared Decision Making in End‐of‐Life

A Joanna Briggs Institute Framework Approach to Shared Decision Making in End‐of‐Life

Barriers and enablers to addressing smoking, nutrition, alcohol consumption, physical activity and gestational weight gain (SNAP-W) as part of antenatal care: A mixed methods systematic review

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