Facilitators and Barriers to Implementing Healthy School Canteen Intervention among Malaysian Adolescents: A Qualitative Study.

Facilitators and Barriers to Implementing Healthy School Canteen Intervention among Malaysian Adolescents: A Qualitative Study.
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马来西亚青少年实施健康学校食堂干预的促进因素与障碍:一项质性研究。

DOI:
10.3390/nu13093078
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发表时间:
2021-09-01
期刊:
影响因子:
5.9
通讯作者:
Majid HA
Majid HA
中科院分区:
医学2区
文献类型:
--
作者:
Azizan NA;Papadaki A;Su TT;Jalaludin MY;Mohammadi S;Dahlui M;Nahar Azmi Mohamed M;Majid HA

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本研究评估实施以学校为基础的干预措施,以促进健康的饮食习惯,在学校环境中马来西亚青少年使用定性方法。这项质性研究在霹雳州和雪兰莪州的四所中学(两所城市学校和两所农村学校)进行,这些学校接受了干预(培训或培训和食品补贴)。研究共进行了8个焦点小组(68名15岁学生),并与每所学校的食堂经营者、学校便利店经营者、学校教师和校长进行了16次深入访谈。专题分析用于分析定性数据,以确定适当的专题。我们发现学校的利益相关者采取了一些举措和改变,以改变为健康的学校食堂计划。利益相关者还注意到学生的食物偏好影响食堂和便利店的健康食物摄入。食品供应商和学校管理人员还发现,补贴健康膳食可能会鼓励健康饮食。实施健康学校倡议的障碍之一是学生对健康食品的看法和他们的饮食习惯,如果他们想实施健康食堂,这也会影响食品供应商的利润。以学校为基础的干预措施有可能促进在校青少年的健康饮食。需要对食堂经营者和便利店进行持续培训和监测,包括建立伙伴关系和教育学生健康饮食,以培养健康的饮食习惯。
This study evaluated implementing a school-based intervention to promote healthier dietary habits in the school environment among Malaysian adolescents using qualitative methods. This qualitative study was conducted in four secondary schools in Perak and Selangor (two urban and two rural schools) that received the intervention (either training or training and food subsidy). A total of eight focus groups (68 students aged 15 years old) and 16 in-depth interviews were conducted with canteen operators, school convenience shop operators, school teachers and school principals in each school. Thematic analysis was used to analyse the qualitative data to identify suitable themes. We found several initiatives and changes by the schools’ stakeholders to change to a healthy school canteen programme. The stakeholders also noticed the students’ food preferences that influence healthy food intake in canteens and convenience shops. The food vendors and school administrators also found that subsidising healthy meals might encourage healthy eating. Among barriers to implementing healthy school initiatives were the student’s perception of healthy food and their eating habits, which also affect the food vendors’ profit if they want to implement a healthy canteen. The school-based intervention has the potential to promotes healthier eating among school adolescents. Continuous training and monitoring of canteen operators and convenience shops are needed, including building partnerships and educating the students on healthy eating to cultivate healthy eating habits.