Establishing health-promoting workplaces in Aboriginal community organisations: healthy eating policies

MacDonald, Catherine; Genat, Bill; Thorpe, Sharon; Browne, Jennifer

doi:10.1071/py14144

Cited by 9 publications

(11 citation statements)

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“…After excluding duplicate records, those which did not meet inclusion criteria, and those for which full text articles or web links could not be retrieved; 60 records (30 identified via database search and 30 identified through Google searches) were included, describing 98 unique population‐based responses to FI in Australia (Figure , Table S3). Table S3 summarises each intervention and relevant associated literature …”

Section: Resultsmentioning

confidence: 99%

Population‐based interventions addressing food insecurity in Australia: A systematic scoping review

Yii

Palermo

Kleve

2019

Nutrition & Dietetics

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Aim: Food insecurity (FI) is a critical public health issue in Australia. Populationbased interventions aiming to address the socio-ecological determinants of FI are critical for relieving and preventing it. This review aimed to map and summarise the characteristics of population-based interventions addressing household and/or community FI in Australia. Methods: A systematic scoping review was undertaken. Five databases, selected for range and relevance to FI in Australia ("CINAHL plus", "Ovid MEDLINE", "Sociological Abstracts", "Australian Public Affairs Information Service", and "Rural and Remote Health") were searched in May 2018 using the terms and relevant synonyms "FI" and "interventions". In addition a systematic grey literature search using multiple Google searches was undertaken.Data synthesis included categorisation and counting intervention type. Interventions were defined and charted by influence of at least one dimension of food security and impact on the socioeconomic, cultural and environmental conditions. Results: A total of 3565 published and grey literature records were identified, with the final 60 records describing 98 interventions. Few national interventions were identified, with approaches predominantly in Victoria, Northern Territory and Tasmania. Determinants related to living and working environments, food availability and food utilisation were most frequently addressed.Interventions addressing the key determinant of FI economic access were limited. A number of interventions did not appear to be associated with rigorous evaluation. Conclusions: While there is evidence of population responses to FI in Australia, the effectiveness of these remains limited. Importantly there is a lack of coordinated and coherent national responses that address the range of FI determinants. K E Y W O R D Sfood supply, food security, nutrition, public health, social determinants of health

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Section: Resultsmentioning

confidence: 99%

Population‐based interventions addressing food insecurity in Australia: A systematic scoping review

Yii

Palermo

Kleve

2019

Nutrition & Dietetics

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“…Eight studies24–33 examined pure choice architecture interventions and five studies34–41 examined complex interventions for which some elements were choice architecture. One included study was conducted in the UK,24 three in other European countries,25 26 31 eight in the USA27–30 32–37 39–41 and one in Australia 38. Eight studies were interrupted time series,25 27–34 38 two were cluster randomised controlled trials (RCTs),35 36 39–41 one was an RCT,37 one was a controlled before and after study26 and one cross-sectional study 24.…”

Section: Resultsmentioning

confidence: 99%

Choice architecture interventions to improve diet and/or dietary behaviour by healthcare staff in high-income countries: a systematic review

et al. 2019

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ObjectivesWe were commissioned by the behavioural insights team at Public Health England to synthesise the evidence on choice architecture interventions to increase healthy purchasing and/or consumption of food and drink by National Health Service (NHS) staff.Data sourcesMEDLINE, EMBASE, CINAHL, Cochrane Central register of Controlled Trials, PsycINFO, Applied Social Sciences Index and Abstracts and Web of Science were searched from inception until May 2017 and references were screened independently by two reviewers.DesignA systematic review that included randomised experimental or intervention studies, interrupted time series and controlled before and after studies.ParticipantsHealthcare staff of high-income countries.InterventionChoice architecture interventions that aimed to improve dietary purchasing and/or consumption (outcomes) of staff.Appraisal and synthesisEligibility assessment, quality appraisal, data abstraction and analysis were completed by two reviewers. Quality appraisal of randomised trials was informed by the Cochrane Handbook, and the Risk of Bias Assessment Tool for Nonrandomized Studies was used for the remainder. Findings were narratively synthesised.ResultsEighteen studies met the inclusion criteria. Five studies included multiple workplaces (including healthcare settings), 13 were conducted in healthcare settings only. Interventions in 10 studies were choice architecture only and 8 studies involved a complex intervention with a choice architecture element. Interventions involving a proximity element (making behavioural options easier or harder to engage with) appear to be frequently effective at changing behaviour. One study presented an effective sizing intervention. Labelling alone was generally not effective at changing purchasing behaviour. Interventions including an availability element were generally reported to be successful at changing behaviour but no included study examined this element alone. There was no strong evidence for the effect of pricing on purchasing or dietary intake.ConclusionProximity, availability and sizing are choice architecture elements that are likely to be effective for NHS organisations.Trial registration numberCRD42017064872.

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“…also established research partnerships, strengthening the evidence base for practice with four university collaborations resulting in research publications. 17,[20][21][22][23] Supervised dietetic student placements further built dietitian-Aboriginal community linkages, for example, the implementation of the Aboriginal Community Food Programs Success Stories project. 24 Community feedback further informed the roll-out of food programs within the SecondBite partnership.…”

Section: Partnership Developmentmentioning

confidence: 99%

“…Despite challenges such as the limited AHW hours allocated to nutrition and AHW's minimal organisational policy influence, 27 this project did achieve shifts in organisational nutrition practices in participating organisations to varying degrees, mostly through supporting a change in staff practices regarding healthy catering. 20 The VANPAS became a key resource for organisational capacity development and for the strategic actions of partner organisations regarding Aboriginal nutrition in Victoria. According to interviewees, it guided funding applications and negotiations of Aboriginal program objectives with managers.…”

Section: Organisational Developmentmentioning

confidence: 99%

“…workshops) and in MEND child overweight and obesity training sessions with Aboriginal health professionals and community workers. They strengthened the practice evidence base through community consultation, systematic evaluation, ongoing cycles of action-reflection and community dissemination as well as the disciplinary evidence base through research, publication 5,17,[20][21][22][23][24][31][32][33][34][35][36][37] and presentations. Importantly, they also embedded the VANPAS across the emergent system of the Victorian Aboriginal nutrition sector.…”

Section: Leadership Developmentmentioning

confidence: 99%

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Sectoral system capacity development in health promotion: evaluation of an Aboriginal nutrition program

Genat

Browne

Thorpe

et al. 2016

Health Prom J of Aust

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Issue addressed The study examined effective ways to build the capacity of health organisations and professionals in the public health sector to reduce Aboriginal chronic disease risk factors. It investigated the capacity-building strategies of the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) nutrition team in the facilitation of the statewide implementation of the Victorian Aboriginal Nutrition and Physical Activity Strategy 2009-2014 (VANPAS). Methods Using a qualitative design, the study analysed the VACCHO program from 2009-2014 across five domains of capacity development: workforce, resources, organisations, partnerships and leadership. Data were sourced from archival program documents and 62 semi-structured participant interviews. Results Diverse Aboriginal and non-Aboriginal professional, organisation representatives and community participants engaged in the implementation of the VANPAS. The VACCHO team used the VANPAS to solidify participant buy-in, strengthen workforce effectiveness, increase health promotion and resource appropriateness, improve organisational policy and build an evidence-base through collaborative dialogue using action-reflection principles. Conclusion A credible, high-profile Aboriginal community led and evidence-based statewide program and a commitment to dialogue through action-reflection provided a meaningful basis for both Aboriginal community and mainstream organisational engagement. Upon this foundation, the VACCHO team built a coherent sectoral system with increased capacity to enhance the nutrition of Aboriginal Victorians. So what? In an historical context of mistrust and unmet expectations, program implementation methods that build confidence amongst collaborating Aboriginal and non-Aboriginal health agencies is fundamental to building capacity to enhance Aboriginal nutrition and health.

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Establishing health-promoting workplaces in Aboriginal community organisations: healthy eating policies

Cited by 9 publications

References 1 publication

Population‐based interventions addressing food insecurity in Australia: A systematic scoping review

Population‐based interventions addressing food insecurity in Australia: A systematic scoping review

Choice architecture interventions to improve diet and/or dietary behaviour by healthcare staff in high-income countries: a systematic review

Sectoral system capacity development in health promotion: evaluation of an Aboriginal nutrition program

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