Page 25 - ON THE WAY TO HEALTHIER SCHOOL CANTEENS - Irma Evenhuis

1. Development of the implementation plan
We developed the implementation plan in three steps. We started with interviews, to
gather information on barriers and facilitators regarding a healthier school canteen
according to relevant stakeholders of policy and practice. Next, experts from research,
policy and practice prioritised the identified barriers and facilitators and came up with
solutions. Subsequently, behaviour change methods and implementation strategies were 2 assigned and translated into implementation tools, corresponding to the most important barriers/facilitators identified.
STEP 1. DEVELOPMENT OF THE IMPLEMENTATION PLAN
1.1: Interviews to identify barriers and facilitating factors (n=14)
The interview guide was based on: Measurement Instrument for Determinants of Innovation [95]
Behaviour Change Wheel (BCW) [96] Analyses were performed via: Thematic Content Approach [97]
1.2: Expert meeting (n=25) to prioritise barriers and facilitators
Structure of the meeting was based on: The World Café Method [98]
1.3: Translation of identified and prioritised barriers/facilitators into implementation tools
Translation of determinants into methods via: Behaviour Change Taxonomies [62, 64] Translation of methods into strategies using: Evidence based implementation strategies [65]
Existing activities/tools
Figure 2.1. Steps and used theories to develop the implementation plan
1.1. Interviews to identify barriers and facilitating factors
Design, participants, data collection: The aim of this qualitative study was to identify barriers and facilitators, both experienced and expected, by users and stakeholders of the school canteen due to the Guidelines for Healthier Canteens. Furthermore, they came up with possible solutions for the perceived barriers. These insights helped to develop an intervention that was aligned to the need of practice and their daily practice. Semi- structured interviews were conducted among purposive sampled users and stakeholders on organisation level. Users were defined as persons responsible for the school canteen and who will use the Guidelines for Healthier Canteens in the future (e.g. a schools’ facility manager, a coordinator, or a caterer). In addition, school canteen advisors were included as “users”. They are dieticians of the Netherlands Nutrition Centre who visit, advise and support Dutch schools and caterers aiming to achieve healthier school canteens. Stakeholders on organisation level were the managers of schools and caterers.
Participants were recruited via the school canteen advisors of the Netherlands Nutrition Centre. Fifteen stakeholders and users were invited for the interviews by e-mail or telephone; one stakeholder was unable to attend because of organisational changes. Experiences of school canteen advisors of the past years showed that some organisations just started,
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