Enablers and barriers to implementation of and compliance with school-based healthy food and beverage policies: a systematic literature review and meta-synthesis

1.Lobstein, T, Jackson-Leach, R, Moodie, MLet al. (2015) Child and adolescent obesity: part of a bigger picture. Lancet 385, 25102520.10.1016/S0140-6736(14)61746-3

2.Pulgarón, ER (2013) Childhood obesity: a review of increased risk for physical and psychological comorbidities. Clin Ther 35, A18A32.10.1016/j.clinthera.2012.12.014

3.Ogden, CL, Carroll, MD, Kit, BKet al. (2014) Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA 311, 806814.10.1001/jama.2014.732

4.Alleyne, G, Binagwaho, A, Haines, Aet al. (2013) Embedding non-communicable diseases in the post-2015 development agenda. Lancet 381, 566574.10.1016/S0140-6736(12)61806-6

5.Shetty, P (2013) Nutrition transition and its health outcomes. Indian J Pediatr 80, 2127.10.1007/s12098-013-0971-5

6.Forouzanfar, MH, Alexander, L, Anderson, HRet al. (2015) Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 386, 22872323.10.1016/S0140-6736(15)00128-2

7.Al Ani, M, Al Subhi, LK & Bose, S (2016) Consumption of fruits and vegetables among adolescents: a multi-national comparison of eleven countries in the Eastern Mediterranean Region. Br J Nutr 116, 17991806.10.1017/S0007114516003810

8.Boylan, S, Hardy, L, Drayton, Bet al. (2017) Assessing junk food consumption among Australian children: trends and associated characteristics from a cross-sectional study. BMC Public Health 17, 299.10.1186/s12889-017-4207-x

9.Zahra, J, Ford, T & Jodrell, D (2014) Cross-sectional survey of daily junk food consumption, irregular eating, mental and physical health and parenting style of British secondary school children. Child Care Health Dev 40, 481491.10.1111/cch.12068

11.Sawyer, SM, Afifi, RA, Bearinger, LHet al. (2012) Adolescence: a foundation for future health. Lancet 379, 16301640.10.1016/S0140-6736(12)60072-5

12.Vandevijvere, S & Tseng, M (2013) Towards comprehensive global monitoring of food environments and policies to reduce diet-related non-communicable diseases. Public Health Nutr 16, 21012104.10.1017/S1368980013002887

13.Swinburn, B, Egger, G & Raza, F (1999) Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med 29, 563570.10.1006/pmed.1999.0585

14.Hawkes, C, Smith, TG, Jewell, Jet al. (2015) Smart food policies for obesity prevention. Lancet 385, 24102421.10.1016/S0140-6736(14)61745-1

15.Jaime, PC & Lock, K (2009) Do school based food and nutrition policies improve diet and reduce obesity? Prev Med 48, 4553.10.1016/j.ypmed.2008.10.018

16.Bell, A & Swinburn, B (2004) What are the key food groups to target for preventing obesity and improving nutrition in schools? Eur J Clin Nutr 58, 258263.10.1038/sj.ejcn.1601775

17.Briefel, RR, Wilson, A & Gleason, PM (2009) Consumption of low-nutrient, energy-dense foods and beverages at school, home, and other locations among school lunch participants and nonparticipants. J Am Diet Assoc 109, S79S90.10.1016/j.jada.2008.10.064

18.Perez-Rodrigo, C & Aranceta, J (2003) Nutrition education in schools: experiences and challenges. Eur J Clin Nutr 57, S82S85.10.1038/sj.ejcn.1601824

19.Story, M, Kaphingst, KM, Robinson-O’Brien, Ret al. (2008) Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health 29, 253272.10.1146/annurev.publhealth.29.020907.090926

20.Rathi, N, Riddell, L & Worsley, A (2016) Food environment and policies in private schools in Kolkata, India. Health Promot Int 32, 340350.

21.Ronto, R, Ball, L, Pendergast, Det al. (2017) What is the status of food literacy in Australian high schools? Perceptions of home economics teachers. Appetite 108, 326334.

22.Ronto, R, Ball, L, Pendergast, Det al. (2016) Food literacy at secondary schools in Australia. J Sch Health 86, 823831.10.1111/josh.12440

23.Lawlis, T, Knox, M & Jamieson, M (2016) School canteens: a systematic review of the policy, perceptions and use from an Australian perspective. Nutr Diet 73, 389398.

24.Mâsse, LC, Naiman, D & Naylor, P-J (2013) From policy to practice: implementation of physical activity and food policies in schools. Int J Behav Nutr Phys Act 10, 71.10.1186/1479-5868-10-71

25.Vepsäläinen, H, Mikkilä, V, Erkkola, Met al. (2015) Association between home and school food environments and dietary patterns among 9–11-year-old children in 12 countries. Int J Obes Suppl 5, S66S673.

26.Swinburn, BA, Sacks, G, Hall, KDet al. (2011) The global obesity pandemic: shaped by global drivers and local environments. Lancet 378, 804814.10.1016/S0140-6736(11)60813-1

27.Swinburn, BA (2008) Obesity prevention: the role of policies, laws and regulations. Aust New Zealand Health Policy 5, 12.10.1186/1743-8462-5-12

28.Finkelstein, DM, Hill, EL & Whitaker, RC (2008) School food environments and policies in US public schools. Pediatrics 122, e251e259.10.1542/peds.2007-2814

29.Adamson, A, Spence, S, Reed, Let al. (2013) School food standards in the UK: implementation and evaluation. Public Health Nutr 16, 968981.

30.Fletcher, A, Jamal, F, Fitzgerald-Yau, Net al. (2014) ‘We’ve got some underground business selling junk food’: qualitative evidence of the unintended effects of English school food policies. Sociology 48, 500517.10.1177/0038038513500102

31.Kim, J (2012) Are physical education-related state policies and schools’ physical education requirement related to children’s physical activity and obesity? J Sch Health 82, 268276.10.1111/j.1746-1561.2012.00697.x

32.Moore, S, Murphy, S, Tapper, Ket al. (2010) From policy to plate: barriers to implementing healthy eating policies in primary schools in Wales. Health Policy 94, 239245.10.1016/j.healthpol.2009.10.001

33.Moher, D, Liberati, A, Tetzlaff, Jet al. (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6, e1000097.10.1371/journal.pmed.1000097

34.Schardt, C, Adams, MB, Owens, Tet al. (2007) Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Med Inform Decis Mak 7, 1626.10.1186/1472-6947-7-16

36.Fixsen, D, Naoom, S, Blasé, K, et al. (2005) A Review and Synthesis of the Literature Related to Implementation of Programs and Practices. Tampa, FL: Florida Mental Health Institute, National Implementation Research Network.

37.American Dietetic Association (2005) ADA Evidence Analysis Manual. Chicago, IL: American Dietetic Association.

38.Hawker, S, Payne, S, Kerr, Cet al. (2002) Appraising the evidence: reviewing disparate data systematically. Qual Health Res 12, 12841299.10.1177/1049732302238251

39.Cane, J, O’Connor, D & Michie, S (2012) Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci 7, 37.10.1186/1748-5908-7-37

40.Atkins, L, Francis, J, Islam, Ret al. (2017) A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implement Sci 12, 77.10.1186/s13012-017-0605-9

41.Sandelowski, M, Docherty, S & Emden, C (1997) Focus on qualitative methods qualitative metasynthesis: issues and techniques. Res Nurs Health 20, 365372.

42.Jensen, LA & Allen, MN (1996) Meta-synthesis of qualitative findings. Qual Health Res 6, 553560.10.1177/104973239600600407

43.Thomas, J & Harden, A (2008) Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol 8, 45.10.1186/1471-2288-8-45

44.Agron, P, Berends, V, Ellis, Ket al. (2010) School wellness policies: perceptions, barriers, and needs among school leaders and wellness advocates. J Sch Health 80, 527535.10.1111/j.1746-1561.2010.00538.x

45.Barratt, RD, Cross, NA, Mattfeldt-Beman, MK, et al. (2004) School policies that promote healthy eating: a survey of foodservice directors in North Carolina public schools. J Child Nutr Manage 1, 114.

46.Cornish, D, Askelson, N & Golembiewski, E (2016) “Reforms looked really good on paper”: rural food service responses to the Healthy, Hunger-Free Kids Act of 2010. J Sch Health 86, 113120.10.1111/josh.12356

47.Longley, CH & Sneed, J (2009) Effects of federal legislation on wellness policy formation in school districts in the United States. J Am Diet Assoc 109, 95101.10.1016/j.jada.2008.10.011

48.McCormack Brown, K, Henry, T & Pitt, S (2001) Formative Research: Key Informant Interviews for the Examination of Communication Factors Affecting Policymakers. California Project LEAN of the California Department of Health Services and the Public Health Institute 916, 4453500.

49.Brown, KM, Akintobi, TH, Pitt, Set al. (2004) California school board members’ perceptions of factors influencing school nutrition policy. J Sch Health 74, 5258.

50.Patel, AI, Hecht, K, Hampton, KEet al. (2014) Tapping into water: key considerations for achieving excellence in school drinking water access. Am J Public Health 104, 13141319.10.2105/AJPH.2013.301797

51.Roberts, SM, Pobocik, RS, Deek, Ret al. (2009) A qualitative study of junior high school principals’ and school food service directors’ experiences with the Texas school nutrition policy. J Nutr Educ Behav 41, 293299.

52.Sánchez, V, Hale, R, Andrews, Met al. (2014) School wellness policy implementation: insights and recommendations from two rural school districts. Health Promot Pract 15, 340348.10.1177/1524839912450878

53.Stang, JS, Story, M, Kalina, Bet al. (1997) Meeting the U.S. Dietary Guidelines in school meals: current practices, perceived barriers, and future training needs. J Nutr Educ Behav 29, 152158.10.1016/S0022-3182(97)70180-8

54.Fernandes, CF, Schwartz, MB, Ickovics, JRet al. (2019) Educator perspectives: selected barriers to implementation of school-level nutrition policies. J Nutr Educ Behav 51, 843849.

55.Vine, MM & Elliott, SJ (2014) Examining local-level factors shaping school nutrition policy implementation in Ontario, Canada. Public Health Nutr 17, 12901298.10.1017/S1368980013002516

56.Taylor, JP, Maclellan, D, Caiger, JMet al. (2011) Implementing elementary school nutrition policy: principals’ perspectives. Can J Diet Pract Res 72, e205e211.

57.Quintanilha, M, Downs, S, Lieffers, Jet al. (2013) Factors and barriers associated with early adoption of nutrition guidelines in Alberta, Canada. J Nutr Educ Behav 45, 510517.

58.McKenna, ML (2003) Issues in implementing school nutrition policies. Can J Diet Pract Res 64, 208213.

59.MacLellan, D, Holland, A, Taylor, Jet al. (2010) Implementing school nutrition policy: student and parent perspectives. Can J Diet Pract Res 71, 172177.10.3148/71.4.2010.172

60.Downs, SM, Farmer, A, Quintanilha, Met al. (2012) From paper to practice: barriers to adopting nutrition guidelines in schools. J Nutr Educ Behav 44, 114122.10.1016/j.jneb.2011.04.005

61.Fournier, B, Illasiak, V, Kushner, KEet al. (2018) The adoption, implementation and maintenance of a school food policy in the Canadian Arctic: a retrospective case study. Health Promot Int 33, 110.

62.Abery, E & Drummond, C (2012) Implementation of mandatory nutritional guidelines in South Australian primary school canteens: a qualitative study. J Nutr Educ Behav 44, 114122.

63.Ardzejewska, K, Tadros, R & Baxter, D (2013) A descriptive study on the barriers and facilitators to implementation of the NSW (Australia) Healthy School Canteen Strategy. Health Educ J 72, 136145.10.1177/0017896912437288

64.Pettigrew, S, Donovan, RJ, Jalleh, Get al. (2013) Predictors of positive outcomes of a school food provision policy in Australia. Health Promot Int 29, 317327.10.1093/heapro/das075

65.Pettigrew, S, Pescud, M & Donovan, RJ (2012) Outcomes of the West Australian school healthy food and drink policy. Nutr Diet 69, 2025.10.1111/j.1747-0080.2011.01564.x

66.Rana, L & Alvaro, R (2010) Applying a Health Promoting Schools approach to nutrition interventions in schools: key factors for success. Health Promot J Austr 21, 106113.10.1071/HE10106

67.Holthe, A, Larsen, T & Samdal, O (2011) Understanding barriers to implementing the Norwegian national guidelines for healthy school meals: a case study involving three secondary schools. Matern Child Nutr 7, 315327.10.1111/j.1740-8709.2009.00239.x

68.Reeve, E, Thow, AM, Bell, Cet al. (2018) Implementation lessons for school food policies and marketing restrictions in the Philippines: a qualitative policy analysis. Globalization and Health 14, 8.

69.Chan, C, Moy, FM, Lim, JNWet al. (2018) Awareness, facilitators, and barriers to policy implementation related to obesity prevention for primary school children in Malaysia. Am J Health Promot 32, 806811.10.1177/0890117117695888

70.Masse, LC, Naiman, D & Naylor, PJ (2013) From policy to practice: implementation of physical activity and food policies in schools. Int Behav Nutr Phys Act 10, 71.

71.Nathan, N, Elton, B, Babic, Met al. (2018) Barriers and facilitators to the implementation of physical activity policies in schools: a systematic review. Prev Med 107, 4553.10.1016/j.ypmed.2017.11.012

72.Wharton, CM, Long, M & Schwartz, MB (2008) Changing nutrition standards in schools: the emerging impact on school revenue. J School Health 78, 245251.10.1111/j.1746-1561.2008.00296.x

73.Wolfenden, L, Nathan, N, Janssen, LMet al. (2017) Multi-strategic intervention to enhance implementation of healthy canteen policy: a randomised controlled trial. Implement Sci 12, 6.

74.Faber, M, Laurie, S, Maduna, Met al. (2014) Is the school food environment conducive to healthy eating in poorly resourced South African schools? Public Health Nutr 17, 12141223.10.1017/S1368980013002279

75.Mozaffarian, D, Angell, SY, Lang, Tet al. (2018) Role of government policy in nutrition – barriers to and opportunities for healthier eating. BMJ 361, k2426.

76.Grech, A & Allman-Farinelli, M (2015) A systematic literature review of nutrition interventions in vending machines that encourage consumers to make healthier choices. Obes Rev 16, 10301041.

77.Boelsen-Robinson, T, Backholer, K, Corben, Ket al. (2017) The effect of a change to healthy vending in a major Australian health service on sales of healthy and unhealthy food and beverages. Appetite 114, 7381.

78.Buttriss, JL (2013) Food reformulation: the challenges to the food industry. Proc Nutr Soc 72, 6169.

79.Stephens, LD, McNaughton, SA, Crawford, Det al. (2015) Nutrition promotion approaches preferred by Australian adolescents attending schools in disadvantaged neighbourhoods: a qualitative study. BMC Pediatr 15, 61.

80.Rathi, N, Riddell, L, Worsley, Aet al. (2018) Barriers to nutrition promotion in private secondary schools in Kolkata, India: perspectives of parents and teachers. Int J Environ Res Public Health 15, 19.

81.Swinburn, B, Kraak, V, Rutter, Het al. (2015) Strengthening of accountability systems to create healthy food environments and reduce global obesity. Lancet 385, 25342545.

82.Woods, J, Bressan, A, Langelaan, Cet al. (2014) Australian school canteens: menu guideline adherence or avoidance? Health Promot J Austr 25, 110115.

83.Lucas, PJ, Patterson, E, Sacks, Get al. (2017) Preschool and school meal policies: an overview of what we know about regulation, implementation, and impact on diet in the UK, Sweden, and Australia. Nutrients 9, 736.

84.Hills, A, Nathan, N, Robinson, Ket al. (2015) Improvement in primary school adherence to the NSW Healthy School Canteen Strategy in 2007 and 2010. Health Promot J Austr 26, 8992.10.1071/HE14098

85.Michie, S, Van Stralen, MM & West, R (2011) The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci 6, 42.

86.Wolfenden, L, Nathan, NK, Sutherland, R, et al. (2017) Strategies for enhancing the implementation of school-based policies or practices targeting risk factors for chronic disease. Cochrane Database Syst Rev issue 11, CD01167.

87.Rabin, BA, Glasgow, RE, Kerner, JFet al. (2010) Dissemination and implementation research on community-based cancer prevention: a systematic review. Am J Prev Med 38, 443456.

88.Ronto, R, Ball, L, Pendergast, Det al. (2016) Adolescents’ perspectives on food literacy and its impact on their dietary behaviours. Appetite 107, 549557.10.1016/j.appet.2016.09.006


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