Adoption of Sodium Reduction Strategies in Small and Rural Hospitals, Illinois, 2012

Amerson, Nancy; Nelson, Marguerite; Radcliffe, Abigail; Moody, Conny; Williams, Lori; Miles, C.W.N.

doi:10.5888/pcd11.130261

Cited by 5 publications

(2 citation statements)

References 2 publications

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“…SPAT uses an interview format to assess modifiable food preparation, presentation, and purchasing practices. It is based on existing tools and resources, including the Restaurant Assessment Tool and Evaluation ( 15 ), the Healthy Hospital Environment Scan ( 16 ), the Healthy Hospital Food Initiative’s pantry observation form ( 17 ), a food service company’s self-assessment checklist ( 18 ), and sodium reduction suggestions from government websites ( 19 , 20 ). SPAT respondents indicate how often common strategies are used at their site: never, rarely, sometimes, most of the time, always, or not applicable.…”

Section: Sodium Practices Assessment Toolmentioning

confidence: 99%

Improving the Food Environment in Hospitals and Senior Meal Programs

et al. 2018

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Most Americans consume more than the recommended daily level of sodium, and tools are needed to assess and improve food practices related to sodium. We describe how the Sodium Practices Assessment Tool (SPAT) was developed and used in 19 hospitals and senior meal facilities in upstate New York. Initial results identified opportunities for improvement in food preparation, presentation, and purchasing practices to reduce sodium consumption. Pre–post comparison results showed significant increases in the use of herbs, spices, unsalted butter, fruits and vegetables, and in the availability of lower-sodium foods. Food service sites can use SPAT to assess sodium practices, inform development of action plans, and measure change over time.

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Section: Sodium Practices Assessment Toolmentioning

confidence: 99%

Improving the Food Environment in Hospitals and Senior Meal Programs

et al. 2018

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“…Objective data on hospital consumer food environments is limited but reveals the need for improvement. [19][20][21][22][23] For example, in a survey of U.S. hospitals with wellness programs, only 40% of those with on-site food venues had current policies for either offering healthy foods or increasing healthy food options. 24 Greater insight about the hospital consumer food environment is particularly important in the Southeastern states, which have high rates of dietrelated conditions such as overweight/obesity, hypertension, diabetes, and heart disease.…”

Section: Introductionmentioning

confidence: 99%

Foods and Beverages Available to Nurses in Hospital Cafeterias, Vending Machines, and Gift Shops

et al. 2022

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Purpose Hospitals are important workplaces for nurses with many perceived barriers to healthy eating, but objective assessments are lacking. This study evaluated the healthfulness of hospital consumer food environments. Design Cross-sectional observational; Setting: South Carolina; Subjects: Cafeterias, vending machines (VM), and gift shops (GS) in hospitals of varying size, urbanization, and region. Measures Using the Hospital Nutrition Environment Scan (HNES), primary outcomes of interest included availability, access, prices, and location of healthy foods in relation to nursing units. Analysis Descriptive and inferential statistics by independent samples t-test, ANOVA, Mann–Whitney U, χ2, or Fisher’s exact test as appropriate. Results Thirty-one hospitals were observed from December 2019 to February 2020. Average composite HNES score (n = 28) was 46.3 ± 14.9 (−45 to 173 range), indicating sub-optimal food environments. Cafeterias (n = 31) scored an average of 30.9 ± 10.5 (−33 to 86 range). Average VM (n = 31) and GS (n = 28) scores were 11.6 ± 6.0 (−6 to 55 range) and 2.9 ± 4.0 (−6 to 32 range), respectively. Small hospitals (≤100 beds) had lower average cafeteria score (22.4 ± 10.3) than extra-large hospitals (≥500 beds; 42 ± 5.2, P < .01). Small hospitals also had lower composite HNES scores (34.4 ± 17.1) compared to extra-large hospitals (61.0 ± 14.4, P = .02). Data regarding availability, access, prices, and location were also reported. Conclusion Due to abundant availability of unhealthy foods and beverages, hospital consumer food environments scored low on observations using the HNES, highlighting the opportunity to improve the healthfulness of facility offerings.

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A scoping review of policies to encourage breastfeeding, healthy eating, and physical activity among rural people and places in the United States

Umstattd Meyer,

Houghtaling,

Wende

et al. 2024

BMC Public Health

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Background Rural U.S. residents experience a disproportionate burden of diet and physical activity (PA) related chronic disease compared to urban residents, due to resource and economic challenges. Diverse policy approaches for chronic disease prevention have been implemented to address barriers to breastfeeding, healthy eating, and PA. Therefore, the purpose of this paper is to describe policy supports for breastfeeding, healthy eating, and/or PA occurring in rural U.S. areas. Methods A scoping review was conducted March-June 2020 to identify policy, systems, and environment change approaches occurring in the rural U.S. for breastfeeding, healthy eating, and PA. Search procedures were guided by the PRISMA-ScR, Arksey and O’Malley’s work (2007), and a science librarian. Medline, PubMed, Web of Science, and Agricola were used to identify peer-reviewed research. ProQuest Dissertations and Theses A&I were used to identify dissertation research. Grey literature searches included Google, Google Scholar, government pages, and public health, federal nutrition assistance program, Cooperative Extension Services, and related webpages. Policy results are reported and inclusion criteria were: (1) breastfeeding, healthy eating, and/or PA focus; (2) about policy factors; (3) specific to U.S. rural populations/places; and (4) English language. Outcomes (study/source design, objective(s), methods/measurement, setting, population characteristics, behavioral focus, policy-specific results) were extracted into a standardized Excel document. Results Results include 122 total sources: original research, with some sources referencing multiple behaviors, (n = 74 sources: 8 breastfeeding, 41 healthy eating, 42 PA), grey literature (n = 45 sources: 16 breastfeeding, 15 healthy eating, 27 PA), and graduate research (n = 3 sources: 1 breastfeeding, 2 healthy eating, 1 PA). Breastfeeding policy initiatives included policies or programs at hospitals, increasing access to resources, and improving culture or norms at workplaces. Healthy eating policy initiatives included increasing access to healthy foods, reducing financial burden, implementing programs, food assistance programs, and healthy food prescriptions at healthcare facilities. PA policy initiatives focused on Complete Streets, joint or shared use efforts, Safe Routes to Schools, master plans for greenways, trails, and/or transportation, school health plans, and childcare/school standards. Conclusions Results from this scoping review compile and offer commentary on existing policy solutions to improve breastfeeding, healthy eating, and/or PA in the rural U.S.

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Adoption of Sodium Reduction Strategies in Small and Rural Hospitals, Illinois, 2012

Cited by 5 publications

References 2 publications

Improving the Food Environment in Hospitals and Senior Meal Programs

Improving the Food Environment in Hospitals and Senior Meal Programs

Foods and Beverages Available to Nurses in Hospital Cafeterias, Vending Machines, and Gift Shops

A scoping review of policies to encourage breastfeeding, healthy eating, and physical activity among rural people and places in the United States

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