Discipline of Health Promotion, School of Health Sciences, National University of Ireland Galway, University Road, Galway, Ireland.
Health Behaviour Change Research Group, School of Psychology, National University of Ireland Galway, University Road, Galway, Ireland.
Syst Rev. 2018 Jun 23;7(1):88. doi: 10.1186/s13643-018-0752-3.
Menu labelling is continuing to gather public and legislative support as one of the potential environmental strategies for addressing the obesity pandemic. However, issues relating to implementation have been reported in countries where menu labelling has been introduced on a voluntary or mandatory basis. The aim of this mixed methods systematic review is to synthesise the empirical evidence on the barriers and facilitators to implementation of menu labelling interventions to support healthy food choices.
This review will use the 'best fit' framework synthesis approach to synthesise qualitative, quantitative and mixed methods evidence. Peer-reviewed publications will be accessed through PubMed, EMBASE, CINAHL, PsycINFO, Web of Science and Scopus. Grey literature will be accessed through Google Scholar, OpenGrey, RIAN, EThOS, ProQuest, WorldCat, Networked Digital Library of Theses and Dissertations, Open Access Theses and Dissertations, and public health organisation websites. Screening reference lists, citation chaining and contacting authors of all included studies will be undertaken. There will be no restriction on menu labelling scheme or format, publication year or language; however, only primary research studies relevant to supply-side stakeholders will be eligible for inclusion. Study quality will be assessed using the Mixed Methods Appraisal Tool. At least two independent reviewers will perform study selection, data extraction and quality appraisal; if consensus is required, another independent reviewer will be consulted. A combination of deductive coding, using the Consolidated Framework for Implementation Research as the a priori framework, and inductive analysis, using secondary thematic analysis, will be used. The overall process will assist in the construction of a new evidence-based conceptual model regarding the implementation of menu labelling interventions. The new model will be assessed for bias and a sensitivity analysis performed.
Given the growing consensus that a systemic, sustained portfolio of obesity prevention strategies, delivered at scale, is needed to address the obesity epidemic, greater understanding of the practical issues relating to implementation of such strategies is required. Findings from this review will be used to develop a set of best-practice guidelines to enhance the adoption, implementation and sustainability of menu labelling interventions across countries worldwide.
PROSPERO CRD42017083306.
菜单标签作为解决肥胖流行的潜在环境策略之一，继续得到公众和立法者的支持。然而，在已经自愿或强制实施菜单标签的国家，已经报告了与实施相关的问题。本混合方法系统评价的目的是综合有关实施菜单标签干预措施以支持健康食品选择的障碍和促进因素的经验证据。
本综述将使用“最佳契合度”框架综合方法来综合定性、定量和混合方法证据。通过 PubMed、EMBASE、CINAHL、PsycINFO、Web of Science 和 Scopus 检索同行评审出版物。通过 Google Scholar、OpenGrey、RIAN、EThOS、ProQuest、WorldCat、网络数字论文与学位论文库、开放获取论文与学位论文以及公共卫生组织网站检索灰色文献。将对所有纳入研究的参考文献进行筛选、引用链接和作者联系。菜单标签计划或格式、出版年份或语言不受限制；然而，只有与供应方利益相关者相关的原始研究才符合纳入标准。使用混合方法评估工具评估研究质量。至少由两名独立评审员进行研究选择、数据提取和质量评估；如果需要共识，则咨询另一名独立评审员。将使用演绎编码（使用实施研究综合框架作为先验框架）和归纳分析（使用二级主题分析）相结合。整个过程将有助于构建一个关于菜单标签干预措施实施的新的基于证据的概念模型。将评估新模型的偏差并进行敏感性分析。
鉴于越来越多的共识认为，需要采取系统性、持续的肥胖预防策略组合，并大规模实施，以应对肥胖流行，因此需要更深入地了解与实施此类策略相关的实际问题。本综述的结果将用于制定一套最佳实践指南，以增强菜单标签干预措施在全球各国的采用、实施和可持续性。
PROSPERO CRD42017083306。
