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A randomised controlled trial of an intervention to increase the implementation of a healthy canteen policy in Australian primary schools: study protocol

Wolfenden,L, Nathan,N, Williams,CM, Delaney,T, Reilly,KL, Freund,M, Gillham,K, Sutherland,R, Bell,AC, Campbell,L, Yoong,S, Wyse,R, Janssen,LM, Preece,S, Asmar,M and Wiggers,J 2014, A randomised controlled trial of an intervention to increase the implementation of a healthy canteen policy in Australian primary schools: study protocol, Implementation science, vol. 9, no. 1, pp. 1-8, doi: 10.1186/s13012-014-0147-3.

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Title A randomised controlled trial of an intervention to increase the implementation of a healthy canteen policy in Australian primary schools: study protocol
Author(s) Wolfenden,L
Nathan,N
Williams,CM
Delaney,T
Reilly,KL
Freund,M
Gillham,K
Sutherland,R
Bell,ACORCID iD for Bell,AC orcid.org/0000-0003-2731-9858
Campbell,L
Yoong,S
Wyse,R
Janssen,LM
Preece,S
Asmar,M
Wiggers,J
Journal name Implementation science
Volume number 9
Issue number 1
Start page 1
End page 8
Publisher BioMed Central
Place of publication London, England
Publication date 2014-10-11
ISSN 1748-5908
Keyword(s) Canteens
Children
Healthy eating
Implementation
Nutrition
Policy
Schools
Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
SMOKING-CESSATION CARE
PHYSICAL-ACTIVITY
FRUIT BREAKS
FOOD
BARRIERS
GUIDELINES
STRATEGY
GAP
Summary 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/design: The 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.Discussion: The 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.
Language eng
DOI 10.1186/s13012-014-0147-3
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 920411 Nutrition
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, BioMed Central
Persistent URL http://hdl.handle.net/10536/DRO/DU:30070266

Document type: Journal Article
Collections: School of Medicine
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.