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Adopting and implementing nutrition guidelines in recreational facilities: Public and private sector roles. A multiple case study

BACKGROUND: Recreational facilities are an important community resource for health promotion because they provide access to affordable physical activities. However, despite their health mandate, many have unhealthy food environments that may paradoxically increase the risk of childhood obesity. The...

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Autores principales: Olstad, Dana Lee, Raine, Kim D, McCargar, Linda J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490726/
https://www.ncbi.nlm.nih.gov/pubmed/22632384
http://dx.doi.org/10.1186/1471-2458-12-376
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author Olstad, Dana Lee
Raine, Kim D
McCargar, Linda J
author_facet Olstad, Dana Lee
Raine, Kim D
McCargar, Linda J
author_sort Olstad, Dana Lee
collection PubMed
description BACKGROUND: Recreational facilities are an important community resource for health promotion because they provide access to affordable physical activities. However, despite their health mandate, many have unhealthy food environments that may paradoxically increase the risk of childhood obesity. The Alberta Nutrition Guidelines for Children and Youth (ANGCY) are government-initiated, voluntary guidelines intended to facilitate children’s access to healthy food and beverage choices in schools, childcare and recreational facilities, however few recreational facilities are using them. METHODS: We used mixed methods within an exploratory multiple case study to examine factors that influenced adoption and implementation of the ANGCY and the nature of the food environment within three cases: an adopter, a semi-adopter and a non-adopter of the ANGCY. Diffusion of Innovations theory provided the theoretical platform for the study. Qualitative data were generated through interviews, observations, and document reviews, and were analysed using directed content analysis. Set theoretic logic was used to identify factors that differentiated adopters from the non-adopter. Quantitative sales data were also collected, and the quality of the food environment was scored using four complementary tools. RESULTS: The keys to adoption and implementation of nutrition guidelines in recreational facilities related to the managers’ nutrition-related knowledge, beliefs and perceptions, as these shaped his decisions and actions. The manager, however, could not accomplish adoption and implementation alone. Intersectoral linkages with schools and formal, health promoting partnerships with industry were also important for adoption and implementation to occur. The food environment in facilities that had adopted the ANGCY did not appear to be superior to the food environment in facilities that had not adopted the ANGCY. CONCLUSIONS: ANGCY uptake may continue to falter under the current voluntary approach, as the environmental supports for voluntary action are poor. Where ANGCY uptake does occur, changes to the food environment may be relatively minor. Stronger government measures may be needed to require recreational facilities to improve their food environments and to limit availability of unhealthy foods.
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spelling pubmed-34907262012-11-07 Adopting and implementing nutrition guidelines in recreational facilities: Public and private sector roles. A multiple case study Olstad, Dana Lee Raine, Kim D McCargar, Linda J BMC Public Health Research Article BACKGROUND: Recreational facilities are an important community resource for health promotion because they provide access to affordable physical activities. However, despite their health mandate, many have unhealthy food environments that may paradoxically increase the risk of childhood obesity. The Alberta Nutrition Guidelines for Children and Youth (ANGCY) are government-initiated, voluntary guidelines intended to facilitate children’s access to healthy food and beverage choices in schools, childcare and recreational facilities, however few recreational facilities are using them. METHODS: We used mixed methods within an exploratory multiple case study to examine factors that influenced adoption and implementation of the ANGCY and the nature of the food environment within three cases: an adopter, a semi-adopter and a non-adopter of the ANGCY. Diffusion of Innovations theory provided the theoretical platform for the study. Qualitative data were generated through interviews, observations, and document reviews, and were analysed using directed content analysis. Set theoretic logic was used to identify factors that differentiated adopters from the non-adopter. Quantitative sales data were also collected, and the quality of the food environment was scored using four complementary tools. RESULTS: The keys to adoption and implementation of nutrition guidelines in recreational facilities related to the managers’ nutrition-related knowledge, beliefs and perceptions, as these shaped his decisions and actions. The manager, however, could not accomplish adoption and implementation alone. Intersectoral linkages with schools and formal, health promoting partnerships with industry were also important for adoption and implementation to occur. The food environment in facilities that had adopted the ANGCY did not appear to be superior to the food environment in facilities that had not adopted the ANGCY. CONCLUSIONS: ANGCY uptake may continue to falter under the current voluntary approach, as the environmental supports for voluntary action are poor. Where ANGCY uptake does occur, changes to the food environment may be relatively minor. Stronger government measures may be needed to require recreational facilities to improve their food environments and to limit availability of unhealthy foods. BioMed Central 2012-05-25 /pmc/articles/PMC3490726/ /pubmed/22632384 http://dx.doi.org/10.1186/1471-2458-12-376 Text en Copyright ©2012 Olstad et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Olstad, Dana Lee
Raine, Kim D
McCargar, Linda J
Adopting and implementing nutrition guidelines in recreational facilities: Public and private sector roles. A multiple case study
title Adopting and implementing nutrition guidelines in recreational facilities: Public and private sector roles. A multiple case study
title_full Adopting and implementing nutrition guidelines in recreational facilities: Public and private sector roles. A multiple case study
title_fullStr Adopting and implementing nutrition guidelines in recreational facilities: Public and private sector roles. A multiple case study
title_full_unstemmed Adopting and implementing nutrition guidelines in recreational facilities: Public and private sector roles. A multiple case study
title_short Adopting and implementing nutrition guidelines in recreational facilities: Public and private sector roles. A multiple case study
title_sort adopting and implementing nutrition guidelines in recreational facilities: public and private sector roles. a multiple case study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490726/
https://www.ncbi.nlm.nih.gov/pubmed/22632384
http://dx.doi.org/10.1186/1471-2458-12-376
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