Factors and Barriers Associated with Early Adoption of Nutrition Guidelines in Alberta,Canada |
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| Authors: | Maira Quintanilha Shauna Downs Jessica Lieffers Tanya Berry Anna Farmer Linda J. McCargar |
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| Affiliation: | 1. Department of Agricultural, Food, and Nutritional Science, University of Alberta, Edmonton, Alberta, Canada;2. Faculty of Physical Education, University of Alberta, Edmonton, Alberta, Canada;1. Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA;2. Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA;3. Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Promotion, Centers for Disease Control and Prevention, Atlanta, GA;1. Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL;2. College of Nursing, University of Illinois at Chicago, Chicago, IL;3. College of Pharmacy, Gachon University, Incheon, South Korea;4. School of Nutrition and Health Promotion, Arizona State University, Phoenix, AZ;5. Barker Bi-Coastal Health Consultants, Inc, Calabasas, CA;6. Johns Hopkins University Carey Business School, Baltimore, MD;1. School of Family and Consumer Science, University of Idaho, Moscow, ID;2. Extension Supplemental Nutrition Assistance Program-Education, Washington State University, Pullman, WA;3. Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO;1. Department of Medical Physiology, School of Medicine, Granada University, Granada, Spain;2. Department of Public Health, Ghent University, Ghent, Belgium;3. Department of Physical Education and Sport, School of Sport Sciences, Granada University, Granada, Spain;4. Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden;5. ImFINE Research Group, Department of Health and Human Performance, School of Physical Activity and Sport Sciences (INEF), Technical University of Madrid, Spain;6. Growth, Exercise, Nutrition, and Development Research Group, School of Health Sciences, Zaragoza University, Zaragoza, Spain;7. Department of Pediatrics, Pécs University, Pécs, Hungary;8. National Research Institute for Food and Nutrition, Rome, Italy;9. Department of Nutrition and Dietetics, Harokopio University, Athens, Greece;10. Preventive Medicine and Nutrition Clinic, Crete University, Heraklion, Crete, Greece;11. National Institute of Health and Medical Research U995, University Lille Nord de France, Lille, France;12. Clinical Investigation Centre 9301, National Institute of Health and Medical Research, University Hospital Centres, Lille, France;13. Department of Pediatrics, School of Medicine, Vienna University, Austria;14. Research Institute of Child Nutrition Dortmund, Rheinische Friedrich-Wilhelms-Universität Bonn, Germany |
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| Abstract: | ObjectiveTo identify factors that influenced early adoption and implementation of the Alberta Nutrition Guidelines for Children and Youth (ANGCY) in schools in Alberta, Canada; and to identify healthy eating strategies that were implemented as a result of the guidelines. Barriers and facilitators were also investigated.DesignMultiple case study design (n = 3). Semi-structured interviews and direct observations were used to collect data.Setting and ParticipantsThree schools in Alberta were selected for individual case studies. Eighteen key informants were interviewed from the 3 cases.Phenomenon of InterestTo investigate how the motivation shown by school administration and stakeholders for the ANGCY influenced the early adoption and implementation of the guidelines.AnalysisContent analysis was used to analyze data.ResultsVarious healthy eating strategies were implemented within the 3 cases after uptake of the guidelines. Support from the school superintendent and the work of a health champion facilitated the adoption and implementation of the guidelines, whereas parents posed some barriers to the adoption and implementation of the ANGCY.Conclusions and ImplicationsThis study reinforces the importance of identifying a health champion to oversee healthy eating strategies in schools, and of involving parents in the promotion of children's healthy lifestyles. |
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