Page 36 - ON THE WAY TO HEALTHIER SCHOOL CANTEENS - Irma Evenhuis

Chapter 2. Study protocol
and recommendations of the implementation tools, according to stakeholders involved in the process of creating a healthier canteen. These insights will be used to improve the existing school canteen programme by supporting stakeholders to create a healthier school canteen.
List of abbreviations
MIDI: Measurement Instrument for Determinants of Innovation [95] BCW: Behaviour Change Wheel [96]
Acknowledgements
The authors thank M.P. Poelman Ph.D. and D. Wolvers Ph.D. for their contribution to the project application.
Contribution to the field statement
Healthier school food environments encourage healthier food and drink choices among adolescents. The Netherlands Nutrition Centre developed the “Guidelines for Healthier Canteens” to improve the availability and accessibility of healthier food and drinks in canteens. Schools often experience barriers and need support to implement canteen guidelines and more knowledge is needed. This article describes: 1) how we developed a plan to support implementation of canteen guidelines in Dutch secondary schools; and 2) how we will evaluate this implementation plan on process and effect level. The process will be evaluated on factors affecting implementation perceived by stakeholders (e.g. caterers, school managers, canteen employees) and the quality of implementation. The effect will be evaluated by determining changes in the health level of canteens and in the self-reported purchase behaviour of adolescents.
To develop and evaluate the implementation plan, we used a theory and practice-based approach, with involvement of stakeholders throughout the process. This study will provide an example how the identified needs of stakeholders can be combined with evidence-based theory to develop an implementation plan. The evaluation will show the appreciation, use and recommendations of the implementation tools, according to stakeholders involved at the process of creating a healthier canteen. In the Netherlands, results of this study will be used to improve the existing programme by supporting stakeholders to create a healthier school canteen.
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