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Pilot test of the Healthy Food Environment Policy Index (Food-EPI) to increase government actions for creating healthy food environments

Vandevijvere, Stefanie and Swinburn, Boyd 2015, Pilot test of the Healthy Food Environment Policy Index (Food-EPI) to increase government actions for creating healthy food environments, BMJ open, vol. 5, no. 1, pp. 1-19, doi: 10.1136/bmjopen-2014-006194.

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Title Pilot test of the Healthy Food Environment Policy Index (Food-EPI) to increase government actions for creating healthy food environments
Author(s) Vandevijvere, Stefanie
Swinburn, Boyd
Journal name BMJ open
Volume number 5
Issue number 1
Article ID e006194
Start page 1
End page 19
Total pages 19
Publisher BMJ Publishing Group
Place of publication London, Eng.
Publication date 2015-01-09
ISSN 2044-6055
Keyword(s) Food Industry
Government Programs
Health Promotion
Humans
International Cooperation
New Zealand
Nutrition Policy
Obesity
Pilot Projects
International Network for Food and Obesity/non-communicable diseases (NCDs) Research, Monitoring and Action Support (INFORMAS)
Summary OBJECTIVES: Effective government policies are essential to increase the healthiness of food environments. The International Network for Food and Obesity/non-communicable diseases (NCDs) Research, Monitoring and Action Support (INFORMAS) has developed a monitoring tool (the Healthy Food Environment Policy Index (Food-EPI)) and process to rate government policies to create healthy food environments against international best practice. The aims of this study were to pilot test the Food-EPI, and revise the tool and process for international implementation. SETTING: New Zealand.

PARTICIPANTS: Thirty-nine informed, independent public health experts and non-governmental organisation (NGO) representatives.

PRIMARY AND SECONDARY OUTCOME MEASURES: Evidence on the extent of government implementation of different policies on food environments and infrastructure support was collected in New Zealand and validated with government officials. Two whole-day workshops were convened of public health experts and NGO representatives who rated performance of their government for seven policy and seven infrastructure support domains against international best practice. In addition, the raters evaluated the level of difficulty of rating, and appropriateness and completeness of the evidence presented for each indicator.

RESULTS: Inter-rater reliability was 0.85 (95% CI 0.81 to 0.88; Gwet's AC2) using quadratic weights, and increased to 0.89 (95% CI 0.85 to 0.92) after deletion of the problematic indicators. Based on raters' assessments and comments, major changes to the Food-EPI tool include strengthening the leadership domain, removing the workforce development domain, a stronger focus on equity, and adding community-based programmes and government funding for research on obesity and diet-related NCD prevention, as good practice indicators.

CONCLUSIONS: The resulting tool and process will be promoted and offered to countries of varying size and income globally. International benchmarking of the extent of government policy implementation on food environments has the potential to catalyse greater government action to reduce obesity and NCDs, and increase civil society's capacity to advocate for healthy food environments.
Language eng
DOI 10.1136/bmjopen-2014-006194
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 0 Not Applicable
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30099445

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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.