Systematic review: a systems innovation perspective on barriers and facilitators for the implementation of healthy food-store interventions.
Background: Due to their central position in the modern food system, food stores present a unique opportunity to promote healthy dietary behaviour. However, there is a lack of insight into the factors that impede or enhance the implementation of nutritional interventions in food stores. We applied a...
| Publicado en: | International Journal of Behavioral Nutrition & Physical Activity Vol. 16; no. 1 |
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| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
BioMed Central
11/21/2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139790866&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139790866 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14795868 1CR7 jtl: International Journal of Behavioral Nutrition & Physical Activity issn: 14795868 maglogo: N pubinfo: dt: 11/21/2019 vid: 16 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 139790866 139790866 139790866 10.1186/s12966-019-0867-5 139790866 ppct: 1 formats: tig: atl: Systematic review: a systems innovation perspective on barriers and facilitators for the implementation of healthy food-store interventions. aug: au: Middel, Cédric N. H. Schuitmaker-Warnaar, Tjerk Jan Mackenbach, Joreintje D. Broerse, Jacqueline E. W. affil: Athena Institute, Faculty of Science, VU University, De Boelelaan 1085, 1081 HV, Amsterdam, Netherlands sug: subj: Food Services Nutrition Health Food Supply and Distribution Health Behavior Implementation Science Program Implementation Psychosocial Factors Human Systematic Review Descriptive Statistics Quality Assurance Thematic Analysis ab: Background: Due to their central position in the modern food system, food stores present a unique opportunity to promote healthy dietary behaviour. However, there is a lack of insight into the factors that impede or enhance the implementation of nutritional interventions in food stores. We applied a systems innovation and implementation science framework to the identification of such barriers and facilitators. Methods: We conducted a systematic literature review. A search string was developed to identify qualitative and quantitative articles on environmental nutritional interventions in the food store. Four databases were systematically searched for studies published between 2000 and 2018. Eligible publications described study designs or original studies, focused on stimulating healthier dietary behaviour through environmental changes in retail settings and contained information on the perceptions or experiences of retailers or interventionists regarding the implementation process of the intervention. Context-descriptive data was extracted and a quality assessment was performed. Results: We included 41 articles, of which the majority was conducted in the USA and involved single stores or a mix of single and multi-store organisations. We categorized barriers and facilitators into 18 themes, under five domains. In the 'outer setting' domain, most factors related to consumers' preferences and demands, and the challenge of establishing a supply of healthy products. In the 'inner setting' domain, these related to conflicting values regarding health promotion and commercial viability, store lay-out, (insufficient) knowledge and work capacity, and routines regarding waste avoidance and product stocking. In the 'actors' domain, no major themes were found. For the 'intervention 'domain', most related to intervention-context fit, money and resource provision, material quality, and the trade-offs between commercial costs and risks versus commercial and health benefits. For the 'process' domain, most factors related to continuous engagement and strong relationships. Conclusions: This review provides a comprehensive overview of barriers and facilitators to be taken into account when implementing nutritional interventions in food stores. Furthermore, we propose a novel perspective on implementation as the alignment of intervention and retail interests, and a corresponding approach to intervention design which may help avoid barriers, and leverage facilitators. Trial registration: PROSPERO; CRD42018095317. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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