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Article: The effectiveness of canteen manager audit and feedback reports and online menu-labels in encouraging healthier food choices within students’ online lunch orders: A pilot cluster randomised controlled trial in primary school canteens in New South Wales, Australia

Wyse, Rebecca / Jackson, Jacklyn / Stacey, Fiona / Delaney, Tessa / Ivers, Alix / Lecathelinais, Christophe / Sutherland, Rachel

Appetite. 2022 Feb. 01, v. 169

2022

Abstract: Online school canteen lunch ordering systems may offer a unique opportunity to support the implementation of school canteen nutrition polices, while delivering behavioural interventions directly to consumers to influence healthy student purchasing. This ... ...

Abstract	Online school canteen lunch ordering systems may offer a unique opportunity to support the implementation of school canteen nutrition polices, while delivering behavioural interventions directly to consumers to influence healthy student purchasing. This cluster randomised controlled trial aimed to test the effectiveness of a menu audit and feedback strategy alone, and in combination with online menu labels in encouraging healthier purchasing from an online school canteen ordering system. Five intervention schools received a menu audit and feedback strategy, plus online menu labels; and five control schools received a delayed menu audit and feedback strategy. Data from 19,799 student lunch orders, containing over 40,000 items were included in the evaluation. Outcomes were assessed at baseline (pre-intervention), follow-up 1 (menu audit and feedback vs control), and follow-up 2 (menu audit and feedback plus online menu labels vs menu audit and feedback alone). From baseline to follow-up 1, the menu audit and feedback strategy alone had no significant effect on the proportion of healthy (‘Everyday’) and less healthy (‘Occasional’ or ‘Should not be sold’) items purchased. From baseline to follow-up 2, schools that received menu audit and feedback plus online menu labels had significantly higher odds of students purchasing ‘Everyday’ items (OR: 1.19; p = 0.019), and significantly lower odds of students purchasing ‘Occasional’ (OR: 0.86; p = 0.048) and ‘Should not be sold’ (OR: 0.52; p < 0.001) items. Menu audit and feedback with the addition of online menu labels was effective in increasing the proportion of healthy items purchased relative to menu audit and feedback in isolation. There may be a greater role for online menu labelling as part of a suite of strategies to improve public health nutrition in schools.
Keywords	appetite ; elementary schools ; lunch ; public health ; school food service
Language	English
Dates of publication	2022-0201
Publishing place	Elsevier Ltd
Document type	Article
ZDB-ID	764440-1
ISSN	0195-6663
ISSN	0195-6663
DOI	10.1016/j.appet.2021.105856
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: The influence of maladaptive coping modes, resilience, and job demands on emotional exhaustion in psychologists.

Smout, Matthew F / Simpson, Susan G / Stacey, Fiona / Reid, Corinne

Clinical psychology & psychotherapy

2021 Volume 29, Issue 1, Page(s) 260–273

Abstract: Although it is well established that emotion-focused coping is associated with burnout, the schema therapy model may improve the prediction of who is most vulnerable to using emotion-focused coping and what kinds of emotion-focused coping carry the ... ...

Abstract	Although it is well established that emotion-focused coping is associated with burnout, the schema therapy model may improve the prediction of who is most vulnerable to using emotion-focused coping and what kinds of emotion-focused coping carry the greatest risk of burnout. It is also unknown the extent to which resilience might buffer against maladaptive coping in protecting against burnout. The present study investigated whether maladaptive coping modes would incrementally predict emotional exhaustion (EE) adjusting for resilience and whether resilience might moderate the effect of maladaptive coping on EE. The possible role of maladaptive coping as a mediator of job demands on EE was also explored. Four hundred and forty-three clinical and counselling psychologists completed online measures of job demands, EE, resilience, and maladaptive coping modes. The Detached Protector mode was associated with greater EE after adjusting for resilience. Bully and Attack mode was associated with greater EE when considered separately from other coping modes but associated with decreased EE when considered together. Resilience did not moderate the effect of job demands on EE, or the effect of coping modes on EE, except for Compliant Surrenderer. Coping modes only partially mediated the effect of job demands on EE accounting for 20% or less of its effect. Maladaptive coping modes appear to make independent contributions to the risk of EE and efforts to reduce burnout in psychologists should focus dually on increasing resilience-building practices and decreasing maladaptive coping.
MeSH term(s)	Adaptation, Psychological ; Burnout, Professional/psychology ; Emotions ; Humans ; Job Satisfaction ; Surveys and Questionnaires
Language	English
Publishing date	2021-06-28
Publishing country	England
Document type	Journal Article
ZDB-ID	1169313-7
ISSN	1099-0879 ; 1063-3995
ISSN (online)	1099-0879
ISSN	1063-3995
DOI	10.1002/cpp.2631
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Article: Maximising the adoption of a school-based m-Health intervention to improve the nutritional quality of student lunchboxes to ensure population-level impact.

Barnes, Courtney / Sutherland, Rachel / Jones, Jannah / Brown, Alison / Stacey, Fiona / Wolfenden, Luke

Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals

2022 Volume 33 Suppl 1, Page(s) 412–414

MeSH term(s)	Humans ; Nutritive Value ; Lunch ; Students ; Telemedicine ; School Health Services
Language	English
Publishing date	2022-02-13
Publishing country	Australia
Document type	Letter ; Comment
ZDB-ID	2250864-8
ISSN	2201-1617 ; 1036-1073
ISSN (online)	2201-1617
ISSN	1036-1073
DOI	10.1002/hpja.579
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Article ; Online: The effectiveness of canteen manager audit and feedback reports and online menu-labels in encouraging healthier food choices within students' online lunch orders: A pilot cluster randomised controlled trial in primary school canteens in New South Wales, Australia.

Wyse, Rebecca / Jackson, Jacklyn / Stacey, Fiona / Delaney, Tessa / Ivers, Alix / Lecathelinais, Christophe / Sutherland, Rachel

Appetite

2021 Volume 169, Page(s) 105856

Abstract	Online school canteen lunch ordering systems may offer a unique opportunity to support the implementation of school canteen nutrition polices, while delivering behavioural interventions directly to consumers to influence healthy student purchasing. This cluster randomised controlled trial aimed to test the effectiveness of a menu audit and feedback strategy alone, and in combination with online menu labels in encouraging healthier purchasing from an online school canteen ordering system. Five intervention schools received a menu audit and feedback strategy, plus online menu labels; and five control schools received a delayed menu audit and feedback strategy. Data from 19,799 student lunch orders, containing over 40,000 items were included in the evaluation. Outcomes were assessed at baseline (pre-intervention), follow-up 1 (menu audit and feedback vs control), and follow-up 2 (menu audit and feedback plus online menu labels vs menu audit and feedback alone). From baseline to follow-up 1, the menu audit and feedback strategy alone had no significant effect on the proportion of healthy ('Everyday') and less healthy ('Occasional' or 'Should not be sold') items purchased. From baseline to follow-up 2, schools that received menu audit and feedback plus online menu labels had significantly higher odds of students purchasing 'Everyday' items (OR: 1.19; p = 0.019), and significantly lower odds of students purchasing 'Occasional' (OR: 0.86; p = 0.048) and 'Should not be sold' (OR: 0.52; p < 0.001) items. Menu audit and feedback with the addition of online menu labels was effective in increasing the proportion of healthy items purchased relative to menu audit and feedback in isolation. There may be a greater role for online menu labelling as part of a suite of strategies to improve public health nutrition in schools.
MeSH term(s)	Australia ; Diet, Healthy ; Feedback ; Food Services ; Health Promotion ; Humans ; Lunch ; New South Wales ; Schools ; Students
Language	English
Publishing date	2021-12-09
Publishing country	England
Document type	Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ZDB-ID	1461347-5
ISSN	1095-8304 ; 0195-6663
ISSN (online)	1095-8304
ISSN	0195-6663
DOI	10.1016/j.appet.2021.105856
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: A Cluster Randomized Controlled Trial Evaluating the Impact of Tailored Feedback on the Purchase of Healthier Foods from Primary School Online Canteens

Stacey, Fiona / Delaney, Tessa / Ball, Kylie / Zoetemeyer, Rachel / Lecathelinais, Christophe / Wolfenden, Luke / Seward, Kirsty / Wyse, Rebecca

Nutrients. 2021 July 14, v. 13, no. 7

2021

Abstract: Few online food ordering systems provide tailored dietary feedback to consumers, despite suggested benefits. The study aim was to determine the effect of providing tailored feedback on the healthiness of students’ lunch orders from a school canteen ... ...

Abstract	Few online food ordering systems provide tailored dietary feedback to consumers, despite suggested benefits. The study aim was to determine the effect of providing tailored feedback on the healthiness of students’ lunch orders from a school canteen online ordering system. A cluster randomized controlled trial with ten government primary schools in New South Wales, Australia was conducted. Consenting schools that used an online canteen provider (‘Flexischools’) were randomized to either: a graph and prompt showing the proportion of ‘everyday’ foods selected or a standard online ordering system. Students with an online lunch order during baseline data collection were included (n = 2200 students; n = 7604 orders). Primary outcomes were the proportion of foods classified as ‘everyday’ or ‘caution’. Secondary outcomes included: mean energy, saturated fat, sugar, and sodium content. There was no difference over time between groups on the proportion of ‘everyday’ (OR 0.99; p = 0.88) or ‘caution’ items purchased (OR 1.17; p = 0.45). There was a significant difference between groups for average energy content (mean difference 51 kJ; p−0.02), with both groups decreasing. There was no difference in the saturated fat, sugar, or sodium content. Tailored feedback did not impact the proportion of ‘everyday’ or ‘caution’ foods or the nutritional quality of online canteen orders. Future research should explore whether additional strategies and specific feedback formats can promote healthy purchasing decisions.
Keywords	data collection ; elementary schools ; energy ; energy content ; lunch ; nutritive value ; saturated fats ; school food service ; sodium ; sugars
Language	English
Dates of publication	2021-0714
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article
ZDB-ID	2518386-2
ISSN	2072-6643
ISSN	2072-6643
DOI	10.3390/nu13072405
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: A Cluster Randomized Controlled Trial Evaluating the Impact of Tailored Feedback on the Purchase of Healthier Foods from Primary School Online Canteens.

Stacey, Fiona / Delaney, Tessa / Ball, Kylie / Zoetemeyer, Rachel / Lecathelinais, Christophe / Wolfenden, Luke / Seward, Kirsty / Wyse, Rebecca

Nutrients

2021 Volume 13, Issue 7

Abstract	Few online food ordering systems provide tailored dietary feedback to consumers, despite suggested benefits. The study aim was to determine the effect of providing tailored feedback on the healthiness of students' lunch orders from a school canteen online ordering system. A cluster randomized controlled trial with ten government primary schools in New South Wales, Australia was conducted. Consenting schools that used an online canteen provider ('Flexischools') were randomized to either: a graph and prompt showing the proportion of 'everyday' foods selected or a standard online ordering system. Students with an online lunch order during baseline data collection were included (
MeSH term(s)	Age Factors ; Child ; Child Behavior ; Child, Preschool ; Consumer Behavior ; Diet, Healthy/economics ; Energy Intake ; Feedback, Psychological ; Feeding Behavior ; Female ; Food Services/economics ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Humans ; Internet-Based Intervention ; Male ; Menu Planning ; New South Wales ; Nutritive Value ; Recommended Dietary Allowances ; Schools ; Students/psychology
Language	English
Publishing date	2021-07-14
Publishing country	Switzerland
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu13072405
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Article ; Online: The Effectiveness of Interventions Delivered Using Digital Food Environments to Encourage Healthy Food Choices: A Systematic Review and Meta-Analysis.

Wyse, Rebecca / Jackson, Jacklyn Kay / Delaney, Tessa / Grady, Alice / Stacey, Fiona / Wolfenden, Luke / Barnes, Courtney / McLaughlin, Matthew / Yoong, Sze Lin

Nutrients

2021 Volume 13, Issue 7

Abstract: Digital food environments are now commonplace across many food service and retail settings, influencing how the population orders and accesses foods. As such, digital food environments represent a novel platform to deliver strategies to improve public ... ...

Abstract	Digital food environments are now commonplace across many food service and retail settings, influencing how the population orders and accesses foods. As such, digital food environments represent a novel platform to deliver strategies to improve public health nutrition. The purpose of this review was to explore the impact of dietary interventions embedded within online food ordering systems, on user selection and purchase of healthier foods and beverages. A systematic search of eight electronic databases and grey literature sources was conducted up to October 2020. Eligible studies were randomized controlled trials and controlled trials, designed to encourage the selection and purchase of healthier products and/or discourage the selection and purchase of less-healthy products using strategies delivered via real-world online food ordering systems. A total of 9441 articles underwent title and abstract screening, 140 full-text articles were assessed for eligibility, and 11 articles were included in the review. Meta-analysis of seven studies indicated that interventions delivered via online food ordering systems are effective in reducing the energy content of online food purchases (standardized mean difference (SMD): -0.34,
MeSH term(s)	Costs and Cost Analysis ; Food Preferences ; Food Services/economics ; Humans ; Internet ; Publication Bias ; Risk ; Sodium/analysis
Chemical Substances	Sodium (9NEZ333N27)
Language	English
Publishing date	2021-06-30
Publishing country	Switzerland
Document type	Journal Article ; Meta-Analysis ; Systematic Review
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu13072255
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Article ; Online: A randomised controlled trial of performance review and facilitated feedback to increase implementation of healthy eating and physical activity-promoting policies and practices in centre-based childcare.

Finch, Meghan / Stacey, Fiona / Jones, Jannah / Yoong, Sze Lin / Grady, Alice / Wolfenden, Luke

Implementation science : IS

2019 Volume 14, Issue 1, Page(s) 17

Abstract: Background: While it is recommended that childcare services implement policies and practices to support obesity prevention, there remains limited evidence to inform policy and practice. The aim of this study is to examine the effectiveness of ... ...

Abstract	Background: While it is recommended that childcare services implement policies and practices to support obesity prevention, there remains limited evidence to inform policy and practice. The aim of this study is to examine the effectiveness of performance review and facilitated feedback in increasing the implementation of healthy eating and physical activity-promoting policies and practices in childcare services. Methods: The study was conducted with childcare services in the Hunter New England region of New South Wales, Australia. Eligible services were randomised to a wait-list control group or to receive the implementation strategy. The strategy targeted the implementation of written nutrition, physical activity, and small screen recreation policies; providing information to families regarding healthy eating, physical activity, and small screen time; providing twice weekly healthy eating learning experiences to children; providing water and plain milk only to children; providing fundamental movement skills activities for children every day; and limiting the use of electronic screen time for educational purposes and learning experiences. Intervention services received a performance review and facilitated feedback process five times over the 10 months that included an assessment of current practices, goal setting, identification of barriers to implementation, problem-solving, and resource provision. The primary outcome was the proportion of services implementing all six policies and practices, assessed by nominated supervisor completion of a computer-assisted telephone interview at baseline and 12-month follow-up. Results: One hundred and eight services took part. There were no significant differences in the proportion of services implementing all six practices at 12 months (mean difference 0.51; 95% CI 0.16 to 1.58; p = 0.24). There were also no differences between groups in the mean number of policies and practices implemented (mean difference 0.1; 95% CI - 0.4 to 0.6; p = 0.71), or the proportion implementing each of the six individual policies and practices at 12 months (OR range 0.57 to 1.85; p > 0.05). Conclusions: Further support may be required to assist childcare services to make recommended changes to their policies and practices. Trial registration: The trial was registered retrospectively on 10 September 2014 with the Australian New Zealand Clinical Trials Registry ACTRN12614000972628 .
MeSH term(s)	Child Health/standards ; Child Health Services/standards ; Child, Preschool ; Diet, Healthy ; Employee Performance Appraisal ; Exercise ; Feedback ; Health Plan Implementation/standards ; Health Policy ; Health Promotion/standards ; Humans ; New South Wales ; Pediatric Obesity/prevention & control ; Quality Improvement
Language	English
Publishing date	2019-02-18
Publishing country	England
Document type	Journal Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ISSN	1748-5908
ISSN (online)	1748-5908
DOI	10.1186/s13012-019-0865-7
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Menu planning practices in early childhood education and care - factors associated with menu compliance with sector dietary guidelines.

Grady, Alice / Stacey, Fiona / Seward, Kirsty / Finch, Meghan / Jones, Jannah / Yoong, Sze Lin

Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals

2019 Volume 31, Issue 2, Page(s) 216–223

Abstract: Issue addressed: Despite recommendations, early childhood education and care services do not plan menus in accordance with sector dietary guidelines. This study aimed to examine the following among Australian long day care services: (a) menu planning ... ...

Abstract	Issue addressed: Despite recommendations, early childhood education and care services do not plan menus in accordance with sector dietary guidelines. This study aimed to examine the following among Australian long day care services: (a) menu planning practices; (b) prevalence of menu compliance with sector dietary guidelines; and (c) menu planning practices associated with higher menu compliance with sector dietary guidelines. Methods: Long day care services within Hunter New England, NSW participated in a pen and paper survey assessing menu planning practices and socio-demographic and service characteristics. Two-week menus were assessed for compliance with sector dietary guidelines, based on the number of servings of food groups and discretionary foods provided per child, per day. Results: Staff from 72 services completed the survey and 69 provided their menu. Results indicated the service cook was fully responsible for planning the menu in 43% of services, and 57% had received written support to assist with menu planning. Service menus were compliant with an average of 0.68 out of six food groups and discretionary foods. In poisson regression models, a shorter menu cycle length (P = .04) and the receipt of training opportunities to support menu planning (P < .01) were significantly associated with higher menu compliance. Conclusions: Menu compliance with sector dietary guidelines is low among participating long day care services. SO WHAT?: The implementation of practices such as shortening of the menu cycle and the provision of training opportunities may assist in the planning of menus that are more compliant with dietary guidelines in this setting.
MeSH term(s)	Adult ; Australia ; Child Day Care Centers/organization & administration ; Child Day Care Centers/standards ; Child, Preschool ; Female ; Food Services/organization & administration ; Food Services/standards ; Guideline Adherence/statistics & numerical data ; Health Promotion ; Humans ; Male ; Menu Planning/standards ; Middle Aged ; Nutrition Policy ; Residence Characteristics ; Socioeconomic Factors
Language	English
Publishing date	2019-08-27
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2250864-8
ISSN	2201-1617 ; 1036-1073
ISSN (online)	2201-1617
ISSN	1036-1073
DOI	10.1002/hpja.286
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Article: The Effectiveness of Interventions Delivered Using Digital Food Environments to Encourage Healthy Food Choices: A Systematic Review and Meta-Analysis

Wyse, Rebecca / Jackson, Jacklyn Kay / Delaney, Tessa / Grady, Alice / Stacey, Fiona / Wolfenden, Luke / Barnes, Courtney / McLaughlin, Matthew / Yoong, Sze Lin

Nutrients. 2021 June 30, v. 13, no. 7

2021

Abstract	Digital food environments are now commonplace across many food service and retail settings, influencing how the population orders and accesses foods. As such, digital food environments represent a novel platform to deliver strategies to improve public health nutrition. The purpose of this review was to explore the impact of dietary interventions embedded within online food ordering systems, on user selection and purchase of healthier foods and beverages. A systematic search of eight electronic databases and grey literature sources was conducted up to October 2020. Eligible studies were randomized controlled trials and controlled trials, designed to encourage the selection and purchase of healthier products and/or discourage the selection and purchase of less-healthy products using strategies delivered via real-world online food ordering systems. A total of 9441 articles underwent title and abstract screening, 140 full-text articles were assessed for eligibility, and 11 articles were included in the review. Meta-analysis of seven studies indicated that interventions delivered via online food ordering systems are effective in reducing the energy content of online food purchases (standardized mean difference (SMD): −0.34, p = 0.01). Meta-analyses including three studies each suggest that these interventions may also be effective in reducing the fat (SMD: −0.83, p = 0.04), saturated fat (SMD: −0.7, p = 0.008) and sodium content (SMD: −0.43, p = 0.01) of online food purchases. Given the ongoing growth in the use of online food ordering systems, future research to determine how we can best utilize these systems to support public health nutrition is warranted.
Keywords	energy content ; food service ; healthy diet ; meta-analysis ; sodium ; systematic review
Language	English
Dates of publication	2021-0630
Publishing place	Multidisciplinary Digital Publishing Institute
Document type	Article
ZDB-ID	2518386-2
ISSN	2072-6643
ISSN	2072-6643
DOI	10.3390/nu13072255
Database	NAL-Catalogue (AGRICOLA)

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