Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.
Murray Learning Centre, Institute of Applied Health Research, University of Birmingham, Birmingham, B15 2TT, UK.
BMC Res Notes. 2021 Sep 20;14(1):365. doi: 10.1186/s13104-021-05778-3.
To explore the acceptability and feasibility of choice architecture strategies for dietary change in UK secondary school canteens from the perspectives of pupils, school staff and catering providers through qualitative focus groups and interviews.
Three focus groups with adolescents (n = 15; mean age 13.7 years; standard deviation 1.9) and eight interviews with school staff and caterers recruited from one school and catering provider in Coventry UK were undertaken. The most acceptable choice architecture strategies for intervening to drive healthy dietary choices are those that make use of proximity and positioning, on the basis that convenience was one of the main drivers for food/drink selections. Acknowledging adolescents' desire for autonomy and for food to be familiar and predictable was considered important in enhancing acceptability. Challenges to the feasibility of nudge strategies included concerns about behavioural issues, increased food waste, and a decline in uptake of canteen purchases. The design of food choice architecture interventions for secondary school settings should consider the specific characteristics of this age group and setting to ensure successful implementation.
从学生、学校工作人员和餐饮供应商的角度，通过定性焦点小组和访谈，探讨在英国中学食堂进行饮食改变的选择架构策略的可接受性和可行性。
在英国考文垂的一所学校和一家餐饮供应商中招募了 15 名青少年（平均年龄 13.7 岁，标准差 1.9）进行了 3 次焦点小组讨论，并对 8 名学校工作人员和餐饮供应商进行了访谈。最可接受的用于干预促进健康饮食选择的选择架构策略是那些利用接近度和定位的策略，因为便利性是食物/饮料选择的主要驱动因素之一。承认青少年对自主权的渴望以及对熟悉和可预测的食物的渴望，对于提高可接受性被认为是很重要的。推动策略可行性的挑战包括对行为问题、食物浪费增加和食堂购买量下降的担忧。针对中学环境的食物选择架构干预措施的设计应考虑到该年龄组和环境的特定特征，以确保成功实施。
