From Paper to Practice: Barriers to Adopting Nutrition Guidelines in Schools
ABSTRACT To explore the barriers associated with the adoption of the Alberta Nutrition Guidelines for Children and Youth in schools according to characteristics of the innovation (guidelines) and the organization (schools).
Cross-sectional telephone survey.
Schools in Alberta, Canada. Principals from 357 schools.
Barriers to adopting the nutrition guidelines.
A 19-question telephone survey, including open- and closed-ended questions, was used to obtain information regarding schools' characteristics and barriers to adopting the guidelines. Qualitative data were coded according to common themes a priori, based on constructs from the Diffusion of Innovations framework.
Schools reported many barriers related to the relative advantage, compatibility, and complexity of adopting the guidelines. Parents' resistance to change and cost were the key reported barriers. Lack of knowledge, student preferences, the physical location of the school, and barriers related to the provision of healthful food were also reported.
Disseminating guidelines without providing adequate support for their implementation may not promote change within the school setting. School nutrition initiatives need to involve the parents and have access to sufficient financial and human resource support.
SourceAvailable from: Ngambouk Vitalis
Dataset: Chapter Book-FGM
Chapter: ."Moving beyond the hierarchical knowledge/power nexus in anti-Female circumcision campaigns in Africa",1-46, Larock, Yvon B and Gustave, Denis C.(eds.). Health Education: Parental and educator’s perspectives, current practices and needs assessment. Georgia, United States: Nova Science Publishers.Health Education: Parental and educator’s perspectives, current practices and needs assessment., First edited by Larock, Yvon B and Gustave, Denis C, 07/2014: chapter "Moving beyond the hierarchical knowledge/power nexus in anti-Female circumcision campaigns in Africa": pages 1-46; Nova Science Publishers.., ISBN: 978-1-62948-206-4
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ABSTRACT: Background The implementation of healthy school canteen policies has been recommended as a strategy to help prevent unhealthy eating and excessive weight gain. Internationally, research suggests that schools often fail to implement practices consistent with healthy school canteen policies. Without a population wide implementation, the potential benefits of these policies will not be realised. The aim of this trial is to assess the effectiveness of an implementation intervention in increasing school canteen practices consistent with a healthy canteen policy of the New South Wales (NSW), Australia, government known as the `Fresh Tastes @ School NSW Healthy School Canteen Strategy¿.Methods/designThe parallel randomised trial will be conducted in 70 primary schools located in the Hunter region of New South Wales, Australia. Schools will be eligible to participate if they are not currently meeting key components of the healthy canteen policy. Schools will be randomly allocated after baseline data collection in a 1:1 ratio to either an intervention or control group using a computerised random number function in Microsoft Excel. Thirty-five schools will be selected to receive a multi-component intervention including implementation support from research staff, staff training, resources, recognition and incentives, consensus and leadership strategies, follow-up support and implementation feedback. The 35 schools allocated to the control group will not receive any intervention support as part of the research trial. The primary outcome measures will be i) the proportion of schools with a canteen menu that does not contain foods or beverages restricted from regular sale (`red¿ and `banned¿ items) and ii) the proportion of schools where healthy canteen items (`green¿ items) represent the majority (>50%) of products listed on the menu. Outcome data will be collected via a comprehensive menu audit, conducted by dietitians blind to group allocation. Intervention effectiveness will be assessed using logistic regression models adjusting for baseline values.DiscussionThe proposed trial will represent a novel contribution to the literature, being the first randomised trial internationally to examine the effectiveness of an intervention to facilitate implementation of a healthy canteen policy.Trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12613000311752.Implementation Science 10/2014; 9(1):147. DOI:10.1186/s13012-014-0147-3 · 3.47 Impact Factor