Implementation of a food retail intervention to reduce purchase of unhealthy food and beverages in remote Australia: mixed-method evaluation using the consolidated framework for implementation research

International Journal of Behavioral Nutrition and Physical Activity

Research

Thomas Wycherley¹  Khia De Silva²  Catherine Mah³  Bethany Miles⁴  Emma McMahon⁵  Julie Brimblecombe⁶  Megan Ferguson⁶  Anna Peeters⁷  Eddie Miles⁸  Anthony Gunther⁸  Emma Chappell⁹  Leia Minaker^1,10 

[1] Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, North Terrace, 5000, Adelaide, South Australia, Australia;Arnhem Land Progress Aboriginal Corporation, 70 O’Sullivan Cct, 0828, East Arm, NT, Australia;Dalhousie University, PO Box 15000, 5850 College Street, Second Floor, B3H 4R2, Halifax, NS, Canada;University of Toronto, 155 College Street, M5T 3M7, Toronto, ON, Canada;Department of Nutrition Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Rd, 3168, Notting Hill, Victoria, Australia;Department of Nutrition Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Rd, 3168, Notting Hill, Victoria, Australia;Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, 0810, Tiwi, NT, Australia;Department of Nutrition Dietetics and Food, Monash University, Level 1 264 Ferntree Gully Rd, 3168, Notting Hill, Victoria, Australia;Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, 0810, Tiwi, NT, Australia;School of Public Health, Faculty of Medicine, The University of Queensland, Public Health Building, Level 4, 4006, Herston, QLD, Australia;Institute for Health Transformation, Deakin University, Geelong, VIC, Australia;Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, 0810, Tiwi, NT, Australia;Menzies School of Health Research, Charles Darwin University, Royal Darwin Hospital Campus, Building 58 Rocklands Drive, 0810, Tiwi, NT, Australia;School of Public Health, Faculty of Medicine, The University of Queensland, Public Health Building, Level 4, 4006, Herston, QLD, Australia;School of Planning, University of Waterloo, 200 University Avenue West, N2L 3G1, Waterloo, ON, Canada;

关键词: Implementation science;    Food retail;    Food environment;    Remote stores;    CFIR;    Nutrition;    Indigenous health;    Mixed method;   

DOI  :  10.1186/s12966-022-01377-y

 received in 2022-03-02, accepted in 2022-11-08,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundAdoption of health-enabling food retail interventions in food retail will require effective implementation strategies. To inform this, we applied an implementation framework to a novel real-world food retail intervention, the Healthy Stores 2020 strategy, to identify factors salient to intervention implementation from the perspective of the food retailer.MethodsA convergent mixed-method design was used and data were interpreted using the Consolidated Framework for Implementation Research (CFIR). The study was conducted alongside a randomised controlled trial in partnership with the Arnhem Land Progress Aboriginal Corporation (ALPA). Adherence data were collected for the 20 consenting Healthy Stores 2020 study stores (ten intervention /ten control) in 19 communities in remote Northern Australia using photographic material and an adherence checklist. Retailer implementation experience data were collected through interviews with the primary Store Manager for each of the ten intervention stores at baseline, mid- and end-strategy. Deductive thematic analysis of interview data was conducted and informed by the CFIR. Intervention adherence scores derived for each store assisted interview data interpretation.ResultsHealthy Stores 2020 strategy was, for the most part, adhered to. Analysis of the 30 interviews revealed that implementation climate of the ALPA organisation, its readiness for implementation including a strong sense of social purpose, and the networks and communication between the Store Managers and other parts of ALPA, were CFIR inner and outer domains most frequently referred to as positive to strategy implementation. Store Managers were a ‘make-or-break’ touchstone of implementation success. The co-designed intervention and strategy characteristics and its perceived cost–benefit, combined with the inner and outer setting factors, galvanised the individual characteristics of Store Managers (e.g., optimism, adaptability and retail competency) to champion implementation. Where there was less perceived cost–benefit, Store Managers seemed less enthusiastic for the strategy.ConclusionsFactors critical to implementation (a strong sense of social purpose; structures and processes within and external to the food retail organisation and their alignment with intervention characteristics (low complexity, cost advantage); and Store Manager characteristics) can inform the design of implementation strategies for the adoption of this health-enabling food retail initiative in the remote setting. This research can help inform a shift in research focus to identify, develop and test implementation strategies for the wide adoption of health-enabling food retail initiatives into practice.Trial Registration.Australian New Zealand Clinical Trials Registry ACTRN 12,618,001,588,280.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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