Impact of a Capacity-Building Intervention on Food Marketing Features in Recreation Facilities.
JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2020;
52:935-943. [PMID:
32417119 DOI:
10.1016/j.jneb.2020.03.009]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Revised: 03/26/2020] [Accepted: 03/29/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVE
To explore the impact of a capacity-building intervention (CBI) to support implementing provincial nutrition guidelines on food marketing in recreation facilities (RFs).
DESIGN
Randomized controlled trial within a natural experiment: food marketing in RFs from 3 guideline provinces randomly assigned to intervention (GL+CBI) or comparison (GL-ONLY) was compared with facilities in 1 province without guidelines (NO-GL). Food marketing was assessed by the Food and Beverage Marketing Assessment Tool for Settings.
SETTING
Canadian provinces with/without voluntary nutrition guidelines for RFs.
PARTICIPANTS
51 RFs.
INTERVENTION
18-month CBI.
MAIN OUTCOME MEASURES
Change in Food and Beverage Marketing Assessment Tool for Settings scores and marketing features between baseline and follow-up across groups.
ANALYSIS
Kruskal-Wallis with post hoc Mann-Whitney U tests.
RESULTS
No significant differences in food marketing features between baseline and follow-up across groups except for a change in food marketing frequency (P = 0.045). The increase in frequency in NO-GL (median, 6.0; interquartile range, -2.0 to 8.5) was significantly greater than changes in the GL+CBI (P = 0.033) and GL-ONLY sites (P = 0.049).
CONCLUSIONS AND IMPLICATIONS
Capacity-building was not associated with improved food marketing features potentially because of nonmandated nutrition guidelines, low priority for change, and vague or narrow facility goals and guidelines. Nutrition guidelines with specific unhealthy food marketing restrictions should be mandated and supported.
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