Page 51 - ON THE WAY TO HEALTHIER SCHOOL CANTEENS - Irma Evenhuis

3. Online community
Implementation tool
4. Digital newsletter†
5. Students’ fact sheet
A closed Facebook community for stakeholders, to share their experiences, ask questions and support each other.
Action and targets
A regularly newsletter sent by email. It consists of information and good examples regarding the healthy school canteen. It aims to support, remind and motivate stakeholders.
A summary of each schools’ own students’ wishes and needs with regard to a healthier school canteen, based on the results of a student’s questionnaire. It gives schools insight into the opinions of their students and how their students want to be involved.
All stakeholders
Target group
All stakeholders
Coordinator of the school, who is asked to share this with other stakeholders.
Continuous
Period
Every 6-week.
Once, 2-4 weeks after the start.
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a This table is adapted from the version published in the design paper [130].
† This tool was an existing tool of the Healthy School Canteen Program, but was improved/adapted to support implementation of the Guidelines for Healthier Canteens.
DISCUSSION
In this study we systematically developed a plan to facilitate implementation of the Guidelines for Healthier Canteens in Dutch secondary schools. We integrated the involvement of stakeholders and school canteen advisors, the use of behaviour change taxonomies, evidence-based implementation strategies and experiences with the Healthy School Canteen Programme in the Netherlands. This resulted in a plan consisting of several tools, supported by practice and evidence, and aligned to the needs of schools. In order to optimize the effectiveness and usability of the implementation plan, the tools cover a range of different doses, modes of delivery and target groups [60, 126, 129].
The implementation plan is designed to address multiple factors which enable or impede implementation of the Guidelines for Healthier Canteens. These factors were identified by different stakeholders. Identification of the needs of stakeholders in implementing school canteen guidelines is an important first step in developing implementation tools [58]. In addition, it aims to create a positive environment, which is likely to improve the uptake of the developed implementation plan [129]. Our study identified the following factors that can impede or facilitate implementation of healthier canteen guidelines: (1) individual determinants (e.g. positive motivation, attitude towards a healthier canteen); (2) commitment of and collaboration with involved stakeholders; (3) school conditions (e.g. support of management, monitoring the canteen); and (4) environmental conditions (e.g. collaboration with nearby food suppliers). These results are comparable to identified factors that enable health promotion in schools in general, for example good collaboration, clear communication, support of management and sufficient time/staff [69-71]. Supporting ownership is a common and important factor that may facilitate the implementation of school health policy [50]. Stakeholders in our study also identified ownership as a need to create a healthier canteen. Such ownership can be increased by creating goals and actions aligned to and in participation with stakeholders and receiving tailored feedback [58, 131]. Consequently, in our plan it is advised to invite all stakeholders to the advisory
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