Elford Audrey, Spence Alison C, Campbell Karen J, Rozman Margaret, Love Penelope
Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences (SENS), Deakin University, Burwood, VIC3125, Australia.
Healthy Eating Advisory Service, Nutrition Australia, Richmond, VIC, Australia.
Public Health Nutr. 2024 Dec 6;28(1):e12. doi: 10.1017/S1368980024002477.
To co-design support strategies to enable sustainable, healthy, affordable food provision, including waste mitigation practices, in Australian Early Childhood Education and Care (ECEC) settings.
Based on the co-design IDEAS framework (Ideate, DEsign, Assess & Share), this co-design process involved iterative interviews and focus groups with ECEC centre staff and workshops with Nutrition Australia. Interview and workshop themes were coded to the Theoretical Domains Framework (TDF) to develop initial prototypes for support strategies that were further developed and refined in focus groups.
ECEC with onsite food provision, in Victoria, Australia.
ECEC staff and a Victorian Government-funded programme delivered through Nutrition Australia that provides nutrition support to ECEC services.
ECEC staff interviews ( 17) suggested a lack of knowledge on the topic of sustainable healthy food provision and a need for resources and support for all staff and children. Workshops with Nutrition Australia built on interviews and suggested a focus on lower intensity strategies and a suggestion to embed knowledge-related activities into the children's curriculum. Focus groups ( 8) further informed co-design of strategies, producing a visual representation of sustainable healthy food provision with supporting tips and a whole-of-centre approach that includes children through a classroom activity.
The co-designed resources could provide feasible strategies for the adoption of sustainable, healthy and affordable provision practices in the ECEC setting. Involvement of a local government-funded health promotion service provides valuable research-to-practice contribution as well opportunity for scalable dissemination of resources through existing infrastructure.
共同设计支持策略，以在澳大利亚幼儿教育与保育（ECEC）环境中实现可持续、健康且价格合理的食物供应，包括减少食物浪费的措施。
基于共同设计的IDEAS框架（构思、设计、评估与分享），此共同设计过程包括与ECEC中心工作人员进行反复访谈和焦点小组讨论，以及与澳大利亚营养协会举办研讨会。访谈和研讨会主题依据理论领域框架（TDF）进行编码，以开发支持策略的初始原型，并在焦点小组中进一步完善。
澳大利亚维多利亚州提供现场食物供应的ECEC机构。
ECEC工作人员以及通过澳大利亚营养协会实施的一项由维多利亚州政府资助的项目，该项目为ECEC服务提供营养支持。
对ECEC工作人员的访谈（17次）表明，他们在可持续健康食物供应主题方面缺乏知识，并且所有工作人员和儿童都需要资源与支持。与澳大利亚营养协会举办的研讨会以访谈为基础，建议侧重于低强度策略，并建议将与知识相关的活动纳入儿童课程。焦点小组讨论（8次）进一步为策略的共同设计提供了信息，生成了一份带有支持提示的可持续健康食物供应的可视化展示，以及一种通过课堂活动让儿童参与的全中心方法。
共同设计的资源可为在ECEC环境中采用可持续、健康且价格合理的供应措施提供可行策略。当地政府资助的健康促进服务的参与为研究到实践做出了宝贵贡献，同时也为通过现有基础设施大规模传播资源提供了机会。
