Barriers to implementation of a healthy canteen policy: A survey using the theoretical domains framework
Copyright policy )Barriers to implementation of a healthy canteen policy: A survey using the theoretical domains framework
AbstractIssue addressedImproving 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.MethodsA 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.ResultsOf 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).ConclusionsThis 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.
- UNSW Sydney Australia
- University of Newcastle Australia Australia
- George Institute for Global Health Australia
- Swinburne University of Technology Australia
- University of Sydney Australia
Inservice Training, 4 Quality Education, 150, health promoting schools, anzsrc-for: 4206 Public Health, Nutrition Policy, Professional Competence, children, Humans, Organizational Objectives, Preschool, Child, anzsrc-for: 42 Health Sciences, Schools, health policies, Health Policy, 380, Food Services, 42 Health Sciences, anzsrc-for: 3210 Nutrition and dietetics, 300, Self Efficacy, nutrition, Cross-Sectional Studies, anzsrc-for: 4203 Health services and systems, Child, Preschool, 4206 Public Health, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, New South Wales, anzsrc-for: 1117 Public Health and Health Services
Inservice Training, 4 Quality Education, 150, health promoting schools, anzsrc-for: 4206 Public Health, Nutrition Policy, Professional Competence, children, Humans, Organizational Objectives, Preschool, Child, anzsrc-for: 42 Health Sciences, Schools, health policies, Health Policy, 380, Food Services, 42 Health Sciences, anzsrc-for: 3210 Nutrition and dietetics, 300, Self Efficacy, nutrition, Cross-Sectional Studies, anzsrc-for: 4203 Health services and systems, Child, Preschool, 4206 Public Health, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, New South Wales, anzsrc-for: 1117 Public Health and Health Services
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