Page 97 - ON THE WAY TO HEALTHIER SCHOOL CANTEENS - Irma Evenhuis

Intervention
We developed an implementation plan by a 3-step approach based on the “Grol and Wensing Implementation of Change model”. In short, this model supports a stepwise development of implementation plans by offering six steps, ranging from the development of guidelines to continuous evaluation and improving the implementation process [60]. Our implementation plan consists of several tools aimed to implement the Guidelines for Healthier Canteens in Dutch secondary schools. First, to identify perceived barriers and facilitators to creating a healthier school canteen, semi-structured interviews were conducted among different stakeholders. Second, these factors were prioritized through an expert meeting with 25 attendees from research, policy, and practice. Third, using behaviour change taxonomies and implementation strategies, the factors were translated into implementation tools [62-65]. This implementation plan was built upon the healthy school canteen programme [73]. Table 6.1 summarises each intervention tool. A more detailed explanation is available separately [130]. The tools were offered by a school canteen advisor of the Netherlands Nutrition Centre, in collaboration with the Vrije Universiteit Amsterdam. Control schools received only information about the study procedure, the measurements, and general information about the guidelines. After the study, control schools received the same implementation plan as the intervention schools.
Table 6.1. Description of the implementation plan to implement the Guidelines for Healthier Canteensa.
Implementation Tool
1. Insight into the current situation
1.1. Questionnaire, school
1.2. Questionnaire, stakeholders
1.3. ‘Canteen Scan’
Action and Targets
The results of the online questionnaire to assess and provide insight into the characteristics of the school [95, 99].
The results of the online questionnaire
to assess and provide insight into stakeholders’ characteristics, individual and environmental determinants [95, 99].
An online tool that provides (I) insight
into and (II) directions for improvement
of availability and accessibility of food
and drink products in canteens [100]. All available products can be entered, the
tool will automatically classify product in healthier/less healthy product, according to the Dutch nutritional guidelines.
Closed questions assess the accessibility, availability of water, and presence of policy.
To create ownership and insight into
the changes so far, the school receives information to fill out the Canteen Scan by themselves if they wanted.
Target Group
Coordinator of the school
All involved stakeholders
Performed by a school canteen advisor of the Netherlands Nutrition Centre and by the school coordinator. Results and feedback provided to all involved stakeholders.
Performed by the school coordinator.
Period 6
Before the advisory meeting
Before the advisory meeting
Before the advisory meeting
After three months
table continues
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