Institute for Health Transformation, School of Medicine, Global Obesity Centre, Deakin University, Geelong, Australia.
Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.
Aust J Rural Health. 2023 Feb;31(1):61-69. doi: 10.1111/ajr.12901. Epub 2022 Jul 27.
Residents of rural areas internationally typically experience chronic disease risk profiles worse than city dwellers. Poor diet, a key driver of chronic disease, has been associated with unhealthy food environments, and rural areas often experience limited access to healthy, fresh and affordable food.
This study aimed to evaluate the first three years of a health promoting social enterprise café established in a small rural health service.
A mixed-methods evaluation study. Quantitative sales data, surveys and key informant interviews that included both quantitative and qualitative responses.
Three years of sales data were included; 111customer surveys and five key informant interviews were conducted. Food and beverages on displayed and sold consistently met or exceeded the healthy criteria set by policy. Stakeholders supported the traffic light system, the social enterprise model and rated the likelihood of sustainability of the café as high.
Customers used the 'traffic light' system to inform food choices, placed value on the warmth of the staff and on the welcoming environment created through the social enterprise model. Resources remain tight although all stakeholders are committed to the sustainability of the YarriYak café.
The study shows the acceptability, feasibility and sustainability of a health promoting social enterprise café in a rural area.
国际上农村地区的居民通常面临比城市居民更差的慢性疾病风险状况。不良饮食是导致慢性疾病的一个主要因素，与不健康的食品环境有关，而农村地区往往面临着获得健康、新鲜和负担得起的食品的机会有限。
本研究旨在评估在一个小型农村卫生服务机构中设立的促进健康的社会企业咖啡馆的头三年情况。
混合方法评估研究。包括定量销售数据、调查和关键知情人访谈，其中包括定量和定性的回应。
包括三年的销售数据；进行了 111 份客户调查和五份关键知情人访谈。展示和销售的食品和饮料始终符合或超过政策规定的健康标准。利益相关者支持红绿灯系统、社会企业模式，并高度评价咖啡馆的可持续性。
顾客使用“红绿灯”系统来告知食物选择，重视员工的热情以及社会企业模式所创造的欢迎环境。尽管所有利益相关者都致力于 YarriYak 咖啡馆的可持续性，但资源仍然紧张。
该研究表明，在农村地区，促进健康的社会企业咖啡馆具有可接受性、可行性和可持续性。
