Systematic review: a systems innovation perspective on barriers and facilitators for the implementation of healthy food-store interventions

Abstract Background Due to their central position in the modern food system, food stores present a unique opportunity to promote healthy dietary behaviour. However, there is a lack of insight into the factors that impede or enhance the implementation of nutritional interventions in food stores. We applied a systems innovation and implementation science framework to the identification of such barriers and facilitators. Methods We conducted a systematic literature review. A search string was developed to identify qualitative and quantitative articles on environmental nutritional interventions in the food store. Four databases were systematically searched for studies published between 2000 and 2018. Eligible publications described study designs or original studies, focused on stimulating healthier dietary behaviour through environmental changes in retail settings and contained information on the perceptions or experiences of retailers or interventionists regarding the implementation process of the intervention. Context-descriptive data was extracted and a quality assessment was performed. Results We included 41 articles, of which the majority was conducted in the USA and involved single stores or a mix of single and multi-store organisations. We categorized barriers and facilitators into 18 themes, under five domains. In the ‘outer setting’ domain, most factors related to consumers’ preferences and demands, and the challenge of establishing a supply of healthy products. In the ‘inner setting’ domain, these related to conflicting values regarding health promotion and commercial viability, store lay-out, (insufficient) knowledge and work capacity, and routines regarding waste avoidance and product stocking. In the ‘actors’ domain, no major themes were found. For the ‘intervention ‘domain’, most related to intervention-context fit, money and resource provision, material quality, and the trade-offs between commercial costs and risks versus commercial and health benefits. For the ‘process’ domain, most factors related to continuous engagement and strong relationships. Conclusions This review provides a comprehensive overview of barriers and facilitators to be taken into account when implementing nutritional interventions in food stores. Furthermore, we propose a novel perspective on implementation as the alignment of intervention and retail interests, and a corresponding approach to intervention design which may help avoid barriers, and leverage facilitators. Trial registration PROSPERO; CRD42018095317.

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PID https://www.doi.org/10.6084/m9.figshare.c.4749833.v1
PID https://www.doi.org/10.6084/m9.figshare.c.4749833
URL https://research.vu.nl/en/publications/68180897-37e4-47db-823c-e8701e3d6c59
URL http://dx.doi.org/10.6084/m9.figshare.c.4749833
URL http://dx.doi.org/10.6084/m9.figshare.c.4749833.v1
URL https://research.vumc.nl/en/publications/a455c834-c5eb-4143-8775-157242e6b2b7
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Access Right Open Access
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Author Middel, Cédric N H
Author Schuitmaker-Warnaar, Tjerk Jan
Author Mackenbach, Joreintje D
Author Broerse, Jacqueline E W
Contributor Science Communication
Contributor APH - Quality of Care
Contributor APH - Global Health
Contributor Athena Institute
Contributor Epidemiology and biostatistics
Contributor APH - Health Behaviors & Chronic Diseases
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Collected From Datacite; NARCIS
Hosted By Universiteit van Amsterdam Digital Academic Repository; figshare; DSpace at VU
Publication Date 2019-11-21
Publisher figshare
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Country Netherlands
Language UNKNOWN
Resource Type Collection; Other ORP type
keyword Physical Therapy, Sports Therapy and Rehabilitation
keyword FOS: Sociology
keyword FOS: Biological sciences
keyword FOS: Computer and information sciences
system:type other
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Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::c5868477f16b0b1e955f38d29857a665
Author jsonws_user
Last Updated 20 December 2020, 00:37 (CET)
Created 20 December 2020, 00:37 (CET)