Department of Agricultural, Food & Nutritional Science, University of Alberta, Edmonton, Alberta, Canada.
J Nutr Educ Behav. 2012 Mar-Apr;44(2):114-22. doi: 10.1016/j.jneb.2011.04.005. Epub 2011 Nov 25.
To explore the barriers associated with the adoption of the Alberta Nutrition Guidelines for Children and Youth in schools according to characteristics of the innovation (guidelines) and the organization (schools).
Cross-sectional telephone survey.
Schools in Alberta, Canada. Principals from 357 schools.
Barriers to adopting the nutrition guidelines.
A 19-question telephone survey, including open- and closed-ended questions, was used to obtain information regarding schools' characteristics and barriers to adopting the guidelines. Qualitative data were coded according to common themes a priori, based on constructs from the Diffusion of Innovations framework.
Schools reported many barriers related to the relative advantage, compatibility, and complexity of adopting the guidelines. Parents' resistance to change and cost were the key reported barriers. Lack of knowledge, student preferences, the physical location of the school, and barriers related to the provision of healthful food were also reported.
Disseminating guidelines without providing adequate support for their implementation may not promote change within the school setting. School nutrition initiatives need to involve the parents and have access to sufficient financial and human resource support.
根据创新（指南）和组织（学校）的特点，探讨在学校采用艾伯塔省儿童和青少年营养指南所面临的障碍。
横断面电话调查。
加拿大艾伯塔省的学校。357 所学校的校长。
采用营养指南的障碍。
使用 19 个问题的电话调查，包括开放式和封闭式问题，以获取有关学校特征和采用指南障碍的信息。根据创新扩散框架的结构，根据事先确定的共同主题对定性数据进行编码。
学校报告了许多与采用指南的相对优势、兼容性和复杂性相关的障碍。家长对变革的抵制和成本是报告的主要障碍。缺乏知识、学生偏好、学校的地理位置以及与提供健康食品相关的障碍也有报道。
在没有为其实施提供足够支持的情况下传播指南，可能不会促进学校环境中的变革。学校营养计划需要得到家长的参与，并获得足够的财政和人力资源支持。
