Dancey Jane, Reeve Belinda, Jones Alexandra, Brimblecombe Julie
Department of Nutrition, Dietetics and Food, Monash University, Clayton, Australia.
The University of Sydney Law School, Sydney, Australia.
J Nutr Sci. 2025 Mar 5;14:e23. doi: 10.1017/jns.2025.12. eCollection 2025.
The World Health Organization recommends countries adopt policies that encourage the creation of healthier food retail. In Australia, some organisations have created enforceable regulation for healthier food retail in settings under their contractual control. While progressive for public health, little evidence exists on the characteristics of individuals and organisations influencing sustainment of such initiatives. We explored the perspectives of those involved in a sustained (six year) real-world healthy vending initiative in a university setting in Melbourne, Australia. Qualitative interviews were undertaken with seven of the eight individuals involved in the initiative and informed by the Consolidated Framework for Implementation Research and the regulatory concept of social licence. Reflexive thematic analysis was used to generate themes on individual and organisational factors associated with sustainment. Two individual-level themes included participants enjoyment and skills for 'getting the job done' and working on innovative projects. Individual self-efficacy and enjoyment from working on innovative projects, combined with interviewees' perception that their organisation had a role in leading social change, contributed to the initiative's sustainment. Two organisation-level themes included the University leading innovation and having a responsibility to serve the needs of its community within the constraints of the need for 'financial viability' and the provision of 'consumer choice'. This study brings to the fore evidence on the individual and organisational characteristics that contribute to the sustainment of a healthy food vending initiative from the perspective of those involved in implementation. Exploration of the importance of these characteristics to other food retail settings is required.
世界卫生组织建议各国采取政策，鼓励创建更健康的食品零售环境。在澳大利亚，一些组织已针对其合同管控范围内的场所，制定了关于更健康食品零售的可执行规定。虽然这对公共卫生而言是一种进步，但关于影响此类举措持续推进的个人和组织特征，几乎没有相关证据。我们探讨了澳大利亚墨尔本一所大学内一项持续开展（为期六年）的现实世界健康自动售货倡议相关人员的观点。对该倡议涉及的八人中的七人进行了定性访谈，并参考了实施研究综合框架和社会许可的监管概念。采用反思性主题分析法，以生成与持续推进相关的个人和组织因素主题。两个个人层面的主题包括参与者对“完成工作”以及参与创新项目的享受和技能。个人自我效能感以及参与创新项目的乐趣，再加上受访者认为其所在组织在引领社会变革方面发挥作用，共同促成了该倡议的持续推进。两个组织层面的主题包括该大学引领创新，并在“财务可行性”需求和提供“消费者选择”的限制范围内，有责任满足其社区的需求。本研究从实施相关人员的角度，揭示了有助于维持健康食品自动售货倡议的个人和组织特征方面的证据。需要探讨这些特征对其他食品零售环境的重要性。
