School of Population Health, The University of Auckland, Auckland, New Zealand.
Research Centre for Hauora and Health, Massey University, Wellington, New Zealand.
Nutr Rev. 2024 Mar 11;82(4):503-535. doi: 10.1093/nutrit/nuad062.
Many countries and institutions have adopted policies to promote healthier food and drink availability in various settings, including public sector workplaces.
The objective of this review was to systematically synthesize evidence on barriers and facilitators to implementation of and compliance with healthy food and drink policies aimed at the general adult population in public sector workplaces.
Nine scientific databases, 9 grey literature sources, and government websites in key English-speaking countries along with reference lists.
All identified records (N = 8559) were assessed for eligibility. Studies reporting on barriers and facilitators were included irrespective of study design and methods used but were excluded if they were published before 2000 or in a non-English language.
Forty-one studies were eligible for inclusion, mainly from Australia, the United States, and Canada. The most common workplace settings were healthcare facilities, sports and recreation centers, and government agencies. Interviews and surveys were the predominant methods of data collection. Methodological aspects were assessed with the Critical Appraisal Skills Program Qualitative Studies Checklist. Generally, there was poor reporting of data collection and analysis methods. Thematic synthesis identified 4 themes: (1) a ratified policy as the foundation of a successful implementation plan; (2) food providers' acceptance of implementation is rooted in positive stakeholder relationships, recognizing opportunities, and taking ownership; (3) creating customer demand for healthier options may relieve tension between policy objectives and business goals; and (4) food supply may limit the ability of food providers to implement the policy.
Findings suggest that although vendors encounter challenges, there are also factors that support healthy food and drink policy implementation in public sector workplaces. Understanding barriers and facilitators to successful policy implementation will significantly benefit stakeholders interested or engaging in healthy food and drink policy development and implementation.
PROSPERO registration no. CRD42021246340.
许多国家和机构已经采取政策，以促进在各种环境中提供更健康的食品和饮料，包括公共部门工作场所。
本综述的目的是系统地综合针对公共部门工作场所一般成年人群体实施和遵守旨在促进健康食品和饮料政策的障碍和促进因素的证据。
九个科学数据库、九个灰色文献来源以及关键英语国家的政府网站以及参考文献。
所有确定的记录（N=8559）都进行了资格评估。无论研究设计和使用的方法如何，只要报告障碍和促进因素的研究均被包括在内，但如果它们是在 2000 年之前发表的或使用非英语语言发表的，则将被排除在外。
有 41 项研究符合纳入标准，主要来自澳大利亚、美国和加拿大。最常见的工作场所是医疗机构、体育和娱乐中心以及政府机构。访谈和调查是数据收集的主要方法。使用批判性评估技能计划定性研究清单评估方法学方面。通常，数据收集和分析方法的报告很差。主题综合确定了 4 个主题：（1）经批准的政策是成功实施计划的基础；（2）食品供应商对实施的接受源于积极的利益相关者关系，认识到机会并承担责任；（3）创造对更健康选择的客户需求可能会缓解政策目标与业务目标之间的紧张关系；（4）食品供应可能会限制食品供应商实施政策的能力。
研究结果表明，尽管供应商面临挑战，但也存在支持公共部门工作场所健康食品和饮料政策实施的因素。了解成功实施政策的障碍和促进因素将使对健康食品和饮料政策制定和实施感兴趣或参与其中的利益相关者受益匪浅。
PROSPERO 注册编号 CRD42021246340。
