Understanding school food systems to support the development and implementation of food based policies and interventions.

Understanding school food systems to support the development and implementation of food based policies and interventions.
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了解学校食品系统以支持基于食品的政策和干预措施的制定和实施。

DOI:
10.1186/s12966-023-01432-2
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发表时间:
2023-03-13
影响因子:
8.7
通讯作者:
Evans, Charlotte E. L.
Evans, Charlotte E. L.
中科院分区:
医学1区
文献类型:
--
作者:
Bryant, Maria;Burton, Wendy;O'Kane, Niamh;Woodside, Jayne V.;Ahern, Sara;Garnett, Phillip;Spence, Suzanne;Sharif, Amir;Rutter, Harry;Baker, Tim;Evans, Charlotte E. L.

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学校为改善儿童饮食质量提供机会,同时减少儿童饮食和健康方面的不平等。证据支持整个学校的方法,包括食品质量,饮食文化和食品教育的一致性。然而,由于学校运作的环境非常复杂,这些办法往往执行不力。我们的目标是使用系统思维方法开发学校食品系统地图,以帮助确定影响小学生饮食选择的关键因素。为80名儿童举办了8次讲习班(来自不同地区的学校(英格兰/英国地区;城市/农村)、贫困程度和学校食品政策的优先顺序)),并与英国各地的82名成年利益相关者举办了11次研讨会(校长、教师、承办商、校董、家长、以及本地和志愿机构),以找出影响学童在上学期间选择食物的因素,以及这些因素之间的相互关系。最初的探索性研讨会开始于一个“空白画布”使用小组模型建设的方法。后来的讲习班巩固了调查结果,并支持对系统图内的因素、关系和影响进行更广泛的讨论。各因素/节点之间关系的强度由利益攸关方商定,并在地图上单独描绘。我们促成了另外八个与儿童互动的面对面工作坊,以绘制他们在整个学校一天的活动,从而能够制作旅程地图,并在工作坊中与利益相关者分享,以促进讨论。最终的“连接-食品”系统地图包括202个因素,分为27个节点。专题分析确定了四个关键主题:领导和课程;儿童食物偏好;家庭环境;和学校的食物环境。网络分析强调了影响儿童在整个上学日饮食的关键因素,这些因素与专题分析基本一致,包括:“可用资金/资源”、“对举措和资源的认识”、“儿童食物偏好和摄入量”、“免费校餐的资格”、“家庭情况和饮食行为”、“同伴/社会规范”、“校长和高级领导的优先事项”。我们的系统图表明,需要考虑学校及其食品环境的外部因素。该地图有助于确定潜在的行动、干预措施和政策,以促进对儿童饮食产生全系统的积极影响。 在线版本包含补充材料,可通过10.1186/s12966-023-01432-2获得。
Schools provide opportunities to improve the quality of children's diet, whilst reducing inequalities in childhood diet and health. Evidence supports whole school approaches, including consistency in food quality, eating culture and food education. However, such approaches are often poorly implemented due to the highly complex environments in which schools operate. We aimed to develop a school food systems map using a systems thinking approach to help identify the key factors influencing primary school children’s dietary choice. Eight workshops were conducted with 80 children (from schools from varying locations (region of England/UK; urban/rural), deprivation levels and prioritisation of school food policies)) and 11 workshops were held with 82 adult stakeholders across the UK (principals, teachers, caterers, school governors, parents, and local and voluntary sector organisations) to identify factors that influence food choice in children across a school day and their inter-relationships. Initial exploratory workshops started with a ‘blank canvas’ using a group model building approach. Later workshops consolidated findings and supported a wider discussion of factors, relationships and influences within the systems map. Strengths of the relationship between factors/nodes were agreed by stakeholders and individually depicted on the map. We facilitated an additional eight interactive, in-person workshops with children to map their activities across a whole school day to enable the production of a journey map which was shared with stakeholders in workshops to facilitate discussion. The final ‘CONNECTS-Food’ systems map included 202 factors that were grouped into 27 nodes. Thematic analysis identified four key themes: leadership and curriculum; child food preference; home environment; and school food environment. Network analysis highlighted key factors that influence child diet across a school day, which were largely in keeping with the thematic analysis; including: 'available funds/resources', 'awareness of initiatives and resources', 'child food preference and intake', 'eligibility of free school meals', 'family circumstances and eating behaviours', 'peer/social norms', 'priorities of head teachers and senior leaders'. Our systems map demonstrates the need to consider factors external to schools and their food environments. The map supports the identification of potential actions, interventions and policies to facilitate a systems-wide positive impact on children’s diets. The online version contains supplementary material available at 10.1186/s12966-023-01432-2.
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