Department of Management Engineering, Technical University of Denmark, Produktionstorvet, 2800 Kgs. Lyngby, Denmark.
Perspect Public Health. 2011 Sep;131(5):225-30. doi: 10.1177/1757913911414617.
The aim of this article is to analyse the social shaping of worksite food interventions at two Danish worksites. The overall aims are to contribute first, to the theoretical frameworks for the planning and analysis of food and health interventions at worksites and second, to a foodscape approach to worksite food interventions.
The article is based on a case study of the design of a canteen takeaway (CTA) scheme for employees at two Danish hospitals. This was carried out as part of a project to investigate the shaping and impact of schemes that offer employees meals to buy, to take home or to eat at the worksite during irregular working hours. Data collection was carried out through semi-structured interviews with stakeholders within the two change processes. Two focus group interviews were also carried out at one hospital and results from a user survey carried out by other researchers at the other hospital were included. Theoretically, the study was based on the social constitution approach to change processes at worksites and a co-evolution approach to problem-solution complexes as part of change processes.
Both interventions were initiated because of the need to improve the food supply for the evening shift and the work-life balance. The shaping of the schemes at the two hospitals became rather different change processes due to the local organizational processes shaped by previously developed norms and values. At one hospital the change process challenged norms and values about food culture and challenged ideas in the canteen kitchen about working hours. At the other hospital, the change was more of a learning process that aimed at finding the best way to offer a CTA scheme.
Worksite health promotion practitioners should be aware that the intervention itself is an object of negotiation between different stakeholders at a worksite based on existing norms and values. The social contextual model and the setting approach to worksite health interventions lack reflections about how such norms and values might influence the shaping of the intervention. It is recommended that future planning and analyses of worksite health promotion interventions apply a combination of the social constitution approach to worksites and an integrated food supply and demand perspective based on analyses of the co-evolution of problem-solution complexes.
本文旨在分析丹麦两个工作场所的工作场所食品干预措施的社会塑造。总体目标是首先为工作场所的食品和健康干预措施的规划和分析理论框架做出贡献，其次为工作场所食品干预措施的食品景观方法做出贡献。
本文基于对丹麦两家医院员工自助餐厅外卖（CTA）计划设计的案例研究。这是为了调查为员工提供在非工作时间在工作场所购买、带回家或食用的餐食的计划的塑造和影响而进行的项目的一部分。通过对两个变革过程中利益相关者的半结构化访谈进行了数据收集。还在一家医院进行了两次焦点小组访谈，并纳入了其他研究人员在另一家医院进行的用户调查结果。从理论上讲，该研究基于工作场所变革过程的社会构成方法和问题解决复合体的共同进化方法作为变革过程的一部分。
这两个干预措施都是因为需要改善夜班的食品供应和工作生活平衡而发起的。由于先前制定的规范和价值观塑造的当地组织过程，两个医院的计划塑造过程变得截然不同。在一家医院，变革过程挑战了关于饮食文化的规范和价值观，并挑战了餐厅厨房对工作时间的看法。在另一家医院，变革更多的是一个学习过程，旨在找到提供 CTA 计划的最佳方式。
工作场所健康促进从业者应该意识到，干预本身是工作场所不同利益相关者之间基于现有规范和价值观进行协商的对象。工作场所健康干预措施的社会情境模型和设置方法缺乏关于这些规范和价值观如何影响干预措施塑造的反思。建议未来规划和分析工作场所健康促进干预措施，应用工作场所的社会构成方法和基于问题解决复合体共同进化分析的综合食品供应和需求视角的组合。
