Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2015 Jun 24;5(6):e006969.
doi: 10.1136/bmjopen-2014-006969.

CAFÉ: a multicomponent audit and feedback intervention to improve implementation of healthy food policy in primary school canteens: protocol of a randomised controlled trial

Christopher M Williams  1 , Nicole Nathan  2 , Tessa Delaney  3 , Sze Lin Yoong  2 , John Wiggers  2 , Sarah Preece  3 , Nicole Lubans  3 , Rachel Sutherland  3 , Jessica Pinfold  3 , Kay Smith  3 , Tameka Small  3 , Kathryn L Reilly  3 , Peter Butler  3 , Rebecca J Wyse  4 , Luke Wolfenden  4
Affiliations
Randomized Controlled Trial

CAFÉ: a multicomponent audit and feedback intervention to improve implementation of healthy food policy in primary school canteens: protocol of a randomised controlled trial

Christopher M Williams et al. BMJ Open. .

Abstract

Introduction: A number of jurisdictions internationally have policies requiring schools to implement healthy canteens. However, many schools have not implemented such policies. One reason for this is that current support interventions cannot feasibly be delivered to large numbers of schools. A promising solution to support population-wide implementation of healthy canteen practices is audit and feedback. The effectiveness of this strategy has, however, not previously been assessed in school canteens. This study aims to assess the effectiveness and cost-effectiveness of an audit and feedback intervention, delivered by telephone and email, in increasing the number of school canteens that have menus complying with a government healthy-canteen policy.

Methods and analysis: Seventy-two schools, across the Hunter New England Local Health District in New South Wales Australia, will be randomised to receive the multicomponent audit and feedback implementation intervention or usual support. The intervention will consist of between two and four canteen menu audits over 12 months. Each menu audit will be followed by two modes of feedback: a written feedback report and a verbal feedback/support via telephone. Primary outcomes, assessed by dieticians blind to group status and as recommended by the Fresh Tastes @ School policy, are: (1) the proportion of schools with a canteen menu containing foods or beverages restricted for sale, and; (2) the proportion of schools that have a menu which contains more than 50% of foods classified as healthy canteen items. Secondary outcomes are: the proportion of menu items in each category ('red', 'amber' and 'green'), canteen profitability and cost-effectiveness.

Ethics and dissemination: Ethical approval has been obtained by from the Hunter New England Human Research Ethics Committee and the University of Newcastle Human Research Ethics Committee. The findings will be disseminated in usual forums, including peer-reviewed publication and conference presentations.

Trial registration number: ACTRN12613000543785.

Keywords: PUBLIC HEALTH.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Consort diagram.
See this image and copyright information in PMC

References

    1. Singh A S, Mulder C, Twisk JWR et al. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev 2008;9:474–88. 10.1111/j.1467-789X.2008.00475.x - DOI - PubMed
    1. World Organization Health. International classification of diseases. World Organ. Heal; 2010. http://www.who.int/classifications/icd/en/
    1. Hardy L, King L, Espinel P et al. NSW Schools Physical Activity and Nutrition Survey (SPANS) 2010: Full Report. Sydney, 2010. - PubMed
    1. Ogden CL, Carroll MD, Kit BK et al. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. J Am Med Assoc 2012;307:483–90. 10.1001/jama.2012.40 - DOI - PMC - PubMed
    1. Wang Y, Lim H. The global childhood obesity epidemic and the association between socio-economic status and childhood obesity. Int Rev Psychiatry 2012;24:176–88. 10.3109/09540261.2012.688195 - DOI - PMC - PubMed

Publication types

LinkOut - more resources