Objectives: Mandatory and voluntary menu-labeling policies are increasingly common to support informed food choices among consumers. This study sought to examine stakeholder perspectives of developing, implementing, and maintaining a voluntary menu-labeling program in a hospital
cafeteria setting. Methods: Semi-structured qualitative interviews were conducted with 9 key cafeteria stakeholders. Data were coded by 2 independent researchers. Themes were generated deductively around 4 key themes: (1) motivation for the program; (2) program and menu development;
(3) program implementation process; and, (4) "lessons learned," and inductively as they emerged from interview transcripts. These themes were mapped onto Damschroder's Consolidated Framework for Implementation Research. Results: Motivations for the program were both internal and external
to enable consumers to make educated food choices. Barriers to implementation included financial resources, digital menu board maintenance, and availability of healthy options from providers. Supports included availability of nutritional analysis software and nutritional information, and controlled
food preparation. Ownership, program adaptation, a supportive collegial environment, a program champion and a culture valuing healthy eating were conducive to successful implementation. Conclusions: Both internal and external factors can support the voluntary implementation of menu-labeling
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Document Type: Research Article
Doctoral candidate, University of Waterloo School of Public Health and Health Systems, Waterloo, ON
Assistant Professor, University of Waterloo School of Public Health and Health Systems, Waterloo, ON
Adjunct Assistant Professor, University of Waterloo School of Public Health and Health Systems, Waterloo, ON
Associate Professor, University of Waterloo School of Public Health and Health Systems, Waterloo, ON;, Email: [email protected]
May 1, 2016
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The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.
The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.
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