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Implementation of Guidelines for Healthier Canteens in Dutch Secondary Schools

A Process Evaluation

Bibliographic Data

ID15477235
AuthorsIrma J Evenhuis (0000-0002-4148-0763, Vrije Universiteit Amsterdam, corresponding author), Ellis L Vyth (Vrije Universiteit Amsterdam), Lydian Veldhuis (Netherlands Nutrition Centre), Suzanne M Jacobs (Netherlands Nutrition Centre), Jacob C Seidell (0000-0002-9262-9062, Vrije Universiteit Amsterdam), Carry M Renders (0000-0001-6688-1312, Vrije Universiteit Amsterdam)
Year2019
Volume16
Issue22
Pages4509-4509
Publication date2019-11-15
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16224509
PMID31731619
OpenAlexW2988297260
LanguageEN
Citations received1
References cited32

The Netherlands Nutrition Centre has developed 'Guidelines for Healthier Canteens'. To facilitate their implementation, implementation tools were developed: stakeholders' questionnaires, the 'Canteen Scan' (an online tool to assess product availability/accessibility), a tailored advisory meeting/report, communication materials, establishment of an online community, newsletters, and a fact sheet with students' wishes/needs. In this quasi-experimental study, we investigated the effect of these tools in secondary schools on (a) factors perceived by stakeholders as affecting implementation; (b) the quality of implementation. For six months, ten intervention schools implemented the guidelines, supported by the developed implementation tools. Ten control schools received the guidelines without support. School managers, caterers, and canteen employees ( n = 33) reported on individual and environmental factors affecting implementation. Implementation quality was determined by dose delivered, dose received, and satisfaction. Stakeholders ( n = 24) in intervention schools scored higher on the determinants' knowledge and motivation and lower on need for support ( p < 0.05). Dose received (received and read) and satisfaction was highest for the advisory meeting/report (67.9%, 64.3%, 4.17), communication materials (60.7%, 50.0%, 3.98), and fact sheet (80%, 60%, 4.31). Qualitative analyses confirmed these quantitative results. In conclusion, a combination of implementation tools that includes students' wishes, tailored information/feedback, reminders and examples of healthier products/accessibility supports stakeholders in creating a healthier school canteen

Environmental health · Process (computing · Community Health and Development · Computer Science · Health Policy Implementation Science · Medicine · School Health and Nursing Education

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Citations per year0.25
Citation span2022 - 2022 (1)
Highly citedNo

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