Scale up of a multi-strategic intervention to increase implementation of a school healthy canteen policy: findings of an intervention trial

Autor: Kathryn L. Reilly, Nicole Nathan, John Wiggers, Sze Lin Yoong, Luke Wolfenden
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: BMC Public Health, Vol 18, Iss 1, Pp 1-10 (2018)
Druh dokumentu: article
ISSN: 1471-2458
DOI: 10.1186/s12889-018-5786-x
Popis: Abstract Background Implementation interventions delivered in schools to improve food provision have been found to improve student diet and reduce child obesity risk. If the health benefits of food availability policies are to be realised, interventions that are effective need to be implemented at scale, across an entire population of schools. This study aims to assess the potential effectiveness of an intervention in increasing the implementation, at scale, of a healthy canteen policy by Australian primary schools. Methods A non-controlled before and after study was conducted in primary schools located in the Hunter New England region of New South Wales, Australia. Schools received a multi-component intervention adapted from a previous efficacious and cost-effective randomised control trial. The primary trial outcome was the proportion of canteen menus compliant with the state healthy canteen policy, assessed via menu audit at baseline and follow-up by dietitians. Secondary outcomes included policy reach and adoption and maintenance policy implementation. Results Of the 173 schools eligible for inclusion in the trial, 168 provided menus at baseline and 157 menus were collected at follow-up. At follow-up, multiple imputation analysis found 35% (55/157) of schools compared to 17% (29/168) at baseline (OR = 2.8 (1.6–4.7), p =
Databáze: Directory of Open Access Journals
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