Validity of four measures in assessing school canteen menu compliance with state‐based healthy canteen policy

Reilly, Kathryn; Nathan, Nicole; Wolfenden, Luke; Wiggers, John; Sutherland, Rachel; Wyse, Rebecca; Yoong, Sze Lin

doi:10.1071/he16053

Cited by 30 publications

(44 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At 24‐month follow‐up, a quick menu audit tool was used for outcome assessment. Both the procedures are described in detail elsewhere . The quick menu audit tool was developed to minimise canteen manager burden and decrease the costs associated with comprehensive menu assessments and has been shown to have high agreement (84%, k = 0.68) with gold standard menu assessments, in the primary outcome assessment .…”

Section: Methodssupporting

confidence: 82%

“…24 The quick menu audit tool was developed to minimise canteen manager burden and decrease the costs associated with comprehensive menu assessments and has been shown to have high agreement (84%, k = 0.68) with gold standard menu assessments, in the primary outcome assessment. 24 At the 24-month follow-up, to assess menus, schools' administration was contacted and requested to send a copy of their current canteen menu to the project team. Trained dietitians, blinded to group allocation, assessed the menus using the quick menu audit tool to classify menu items as ''green'', ''amber'' or ''red/banned''.…”

Section: Primary Outcomementioning

confidence: 99%

See 1 more Smart Citation

Two‐year follow‐up of a randomised controlled trial to assess the sustainability of a school intervention to improve the implementation of a school‐based nutrition policy

Wolfenden

Nathan

Reilly

et al. 2019

Health Prom J of Aust

Self Cite

View full text Add to dashboard Cite

Issue addressed School‐based nutrition policies can have a positive effect on the school food environment. The primary aim of this study was to assess the primary school adherence to a mandatory state‐wide healthy canteen policy 12 months after an effective multi‐strategic implementation intervention concluded. Methods Primary schools were randomised to (a) a 12‐14 months multi‐strategic intervention or (b) no‐intervention (control). The intervention aimed to improve implementation of a state‐wide canteen policy by encouraging schools to remove unhealthy food and beverages (classified as ‘‘red’’ or ‘‘banned’’) from canteen menus and replace with healthy items (classified as ‘‘green’’). No implementation support was provided to either group by the research team between the 12 and 24 months data collection period. Results Seventy schools participated, of which 56 schools were assessed at 24‐month follow‐up. Intervention schools were less likely to have a menu which contained ‘‘red/banned’’ items at 24‐month follow‐up (RR = 2.28; 95% CI: 1.18‐4.40; P = 0.01). Intervention schools, however, were not more likely than controls to have a menu which contained >50% ‘‘green’’ items at 24‐month follow‐up (RR = 1.29; 95% CI: 0.98‐1.70; P = 0.10). Intervention schools were more likely to adhere to both policy components (no red/banned items and >50% green items on the menu) than control schools (RR = 2.61; 95% CI: 1.29‐5.29; P = 0.006). Among intervention schools that were fully adherent to the policy following implementation support (12‐month post baseline), all were also adherent at the 24‐month follow‐up. Conclusion The intervention was effective in achieving long‐term school adherence to a state‐wide canteen policy at 24‐month follow‐up. So what? The findings suggest that sustained improvements in implementation of school nutrition policies is possible following a period (12 months) of comprehensive implementation support.

show abstract

Section: Methodssupporting

confidence: 82%

Section: Primary Outcomementioning

confidence: 99%

Two‐year follow‐up of a randomised controlled trial to assess the sustainability of a school intervention to improve the implementation of a school‐based nutrition policy

Wolfenden

Nathan

Reilly

et al. 2019

Health Prom J of Aust

Self Cite

View full text Add to dashboard Cite

show abstract

“…As one of many strategies to reduce childhood obesity, the positive impact of school canteens on children's healthy eating choices is difficult to ascertain due to a multitude of external factors. Much of the literature in this area has focused on the school canteen and what needs to be done to ensure school canteen implementation and compliance but fails to consider the cumulative influence of factors internal and external to the school canteen. The researchers of this study do not undervalue the importance of canteen compliance with healthy school canteen guidelines; however, other factors within and around the school environment cannot be underestimated.…”

Section: Discussionmentioning

confidence: 99%

Scoping study investigating stakeholder perceptions and use of school canteens in an Australian city

Lawlis

Eckley

Jamieson

et al. 2017

Nutrition & Dietetics

View full text Add to dashboard Cite

Despite the intense focus on school canteens to sell healthy food, little has changed in terms of student's food choices and the barriers to providing healthy options. The external environment and divided parental buy-in impact the canteen's ability to comply with guidelines. A holistic approach involving all stakeholder levels is required to successfully achieve a healthy school canteen environment and positively influence student's food habits and choices.

show abstract

“…Canteen managers faxed or emailed a current canteen menu to the research team. A trained dietitian assessed the menu for compliance against a state‐wide healthy canteen policy using a previously validated procedure . Canteen menus were compliant with the policy if they contained no “red” items and had >50% “green” items…”

Section: Methodsmentioning

confidence: 99%

Barriers to implementation of a healthy canteen policy: A survey using the theoretical domains framework

Reilly

Nathan

Grady

et al. 2018

Health Prom J of Aust

Self Cite

View full text Add to dashboard Cite

Issue addressed Improving implementation of school healthy canteen policies requires a comprehensive understanding of implementation barriers. Therefore, the aim of this study was to assess a range of barriers, as reported by canteen managers, using a quantitative survey instrument developed based on a theoretical framework. Methods A cross sectional survey of primary school canteen managers from the Hunter New England region of New South Wales was conducted of eligible schools in the study region identified as having an operational canteen. Survey items assessed canteen manager employment status, canteen characteristics and potential barriers to healthy canteen policy implementation, aligned to the 14 domains of the theoretical domains framework via a 5‐point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). The mean domain scores of canteen managers were calculated, less than four indicating the canteen manager considered the domain was a barrier. Canteen managers were also asked to provide the current canteen menu for audit by a dietitian. Results Of the 184 participants, 20% (n = 36) were assessed as having menus compliant with the state policy. The five most common domains identified as potential barriers to policy implementation were behavioural regulation (n = 117, 65%), skills (n = 105, 57%), beliefs about capabilities (n = 100, 55%), reinforcement (n = 95, 52%) and goals (n = 95, 52%). Canteen managers who reported optimism as a barrier had significantly lower odds of having a menu compliant with the state policy (OR = 0.39; 95% CI 0.16‐0.95, P = 0.038). Conclusions This study provides further evidence of perceived and actual barriers that canteen managers face when attempting to implement a healthy canteen policy, and highlights the need to address differences in canteen characteristics when planning implementation support. So what? For public health benefits of nutrition policies within schools to be realised, the barriers to implementation need to be identified and used to help guide implementation support strategies.

show abstract

Validity of four measures in assessing school canteen menu compliance with state‐based healthy canteen policy

Cited by 30 publications

References 28 publications

Two‐year follow‐up of a randomised controlled trial to assess the sustainability of a school intervention to improve the implementation of a school‐based nutrition policy

Two‐year follow‐up of a randomised controlled trial to assess the sustainability of a school intervention to improve the implementation of a school‐based nutrition policy

Scoping study investigating stakeholder perceptions and use of school canteens in an Australian city

Barriers to implementation of a healthy canteen policy: A survey using the theoretical domains framework

Contact Info

Product

Resources

About