Applying the Integrated Sustainability Framework to explore the long-term sustainability of nutrition education programmes in schools: a systematic review

Leila Isabella Fathi; Jacqueline Walker; Clare Frances Dix; Jessica Rose Cartwright; Sune Joubert; Kerri Amelia Carmichael; Yu-Shan Huang; Robyn Littlewood; Helen Truby

doi:10.1017/S1368980023001647

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Applying the Integrated Sustainability Framework to explore the long-term sustainability of nutrition education programmes in schools: a systematic review

Journal article

Open access

Peer reviewed

Applying the Integrated Sustainability Framework to explore the long-term sustainability of nutrition education programmes in schools: a systematic review

Leila Isabella Fathi, Jacqueline Walker, Clare Frances Dix, Jessica Rose Cartwright, Sune Joubert, Kerri Amelia Carmichael, Yu-Shan Huang, Robyn Littlewood and Helen Truby

Public Health Nutrition, Vol.26(10), pp.2165-2179

2023

DOI: https://doi.org/10.1017/S1368980023001647

PMID: 37962474

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Abstract

child

pediatric obesity

health promotion

implementation science

sustainability

Objective: This review aimed to identify and synthesise the enablers and barriers that influence the long-term (≥ 2 years) sustainment of school-based nutrition programmes. Design: Four databases (PubMed, Cochrane Library, Embase and Scopus) were searched to identify studies reporting on the international literature relating to food and nutrition programmes aimed at school-age (5–14 years) children that had been running for ≥ 2 years (combined intervention and follow-up period). Eligible studies were analysed using the Integrated Sustainability Framework (ISF), which involved deductive coding of programme enablers and barriers. A quality assessment was completed, using the Mixed-Methods Appraisal Tool and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Setting: International school-based nutrition programmes. Subjects: Individuals involved with the implementation of school-based nutrition programmes. Results: From the 7366 articles identified, thirteen studies (seven qualitative, five mixed methods and one quantitative descriptive) were included, from which the enablers and barriers of eleven different nutrition-related programmes were analysed. Thirty-four factors across the five domains of the ISF were identified that influenced the sustained implementation of programmes. The most common barrier was a lack of organisational readiness and resources, whereas the most common enabler was having adequate external partnerships and a supportive environment. Conclusions: These findings have application during the initiation and implementation phases of school-based nutrition programmes. Paying attention to the ‘outer contextual factors’ of the ISF including the establishment and maintenance of robust relationships across whole of government systems, local institutions and funding bodies are crucial for programme sustainment.

Details

Title: Applying the Integrated Sustainability Framework to explore the long-term sustainability of nutrition education programmes in schools: a systematic review
Authors: Leila Isabella Fathi (Corresponding Author) - The University of Queensland
Jacqueline Walker - The University of Queensland
Clare Frances Dix - The University of Queensland
Jessica Rose Cartwright - The University of Queensland
Sune Joubert - The University of Queensland
Kerri Amelia Carmichael - The University of Queensland
Yu-Shan Huang - The University of Queensland
Robyn Littlewood - The University of Queensland
Helen Truby - The University of Queensland
Publication details: Public Health Nutrition, Vol.26(10), pp.2165-2179
Publisher: Cambridge University Press
Date published: 2023
DOI: 10.1017/S1368980023001647
ISSN: 1475-2727; 1368-9800
PMID: 37962474
Copyright note: © The Author(s), 2023. Published by Cambridge University Press on behalf of The Nutrition Society. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Grant note: The first author (Leila Fathi) would like to acknowledge the financial contribution of the King & Amy O’Malley Trust, and the University of Queensland and Australian Government Research Training Program scholarship for the author’s Ph.D.
Organisation Unit: School of Health - Nutrition & Dietetics
Language: English
Record Identifier: 991066129102621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Nutrition & Dietetics; Public, Environmental & Occupational Health

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