Long-term sustainability of a worksite canteen intervention of serving more fruit and vegetables

Thorsen, Anne Vibeke; Lassen, Anne Dahl; Tetens, Inge; Hels, Ole; Mikkelsen, Bent Egberg

doi:10.1017/s1368980010001242

Cited by 47 publications

(63 citation statements)

References 21 publications

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“…free available fruit and serving more fruit and vegetables at worksite canteens) (6)(7)(8) . Moreover, these kinds of environmental-level initiatives may not be restricted to a self-selected subset of motivated individuals who choose to participate in worksite health promotion programmes but rather has the potential to impact the entire worksite population (9) .…”

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confidence: 99%

Effectiveness of a Canteen Take Away concept in promoting healthy eating patterns among employees

Lassen

Ernst

Poulsen

et al. 2011

Public Health Nutr.

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Objective: To investigate the effectiveness of a relatively novel concept of providing employees with healthy ready-to-heat meals to bring home to their families, here referred to as Canteen Take Away (CTA). Design: Employees' dietary intake on two weekdays when they received free CTA was compared with that on weekdays when they did not receive CTA. Four nonconsecutive 24 h dietary recalls were applied to assess dietary intake on a daily basis. Moreover, a digital photographic method was used to assess evening meal intake for three consecutive weeks. Data were analysed using a mixed-effects model. Setting: A financial worksite offering CTA. Subjects: Twenty-seven employees. Results: Overall dietary quality as expressed by the energy density of the food (excluding beverages) was found to be significantly lower on days consuming CTA meals compared to days not consuming CTA with regard to evening meal intake (average difference: 2187 (95 % CI 2225, 2149) kJ/100 g) and on a daily basis (average difference: 277 (95 % CI 2132, 221) kJ/100 g). Other favourable differences included increased vegetable intake (average difference: 83 (95 % CI 67, 98) g/evening meal, 109 (95 % CI 62, 155) g/d).Conclusion: The present study shows that providing healthy take-away dinners has potential for promoting healthy dietary habits among employees. This reinforces the importance of availability and convenience as effective tools to promote healthy eating habits.

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confidence: 99%

Effectiveness of a Canteen Take Away concept in promoting healthy eating patterns among employees

Lassen

Ernst

Poulsen

et al. 2011

Public Health Nutr.

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“…The implementation of health-promoting initiatives is an ongoing challenge for public health, and the workplace setting is no exception (Thorsen et al, 2010). This study suggests that fruit boxes may be likely to be implemented in workplaces, provided that three main criteria are met: management support, a receptive culture and sufficient resources.…”

Section: Discussionmentioning

confidence: 91%

“…Studies have shown that by introducing changes in the workplace that promote a healthy diet, there can be beneficial outcomes in terms of dietary behaviours for employees (Mhurchu et al, 2010). One way of improving employees' diets is the provision of fruit in the workplace (Alinia et al, 2009;Hutchinson et al, 2013;Thorsen et al, 2010). Introducing fruit into the workplace is a simple way of providing employees with access to a healthy snack option that does not require preparation or cooking (Alinia et al, 2009(Alinia et al, , 2010.…”

Section: Introductionmentioning

confidence: 99%

A healthier workplace? Implementation of fruit boxes in the workplace

Pescud

Waterworth

Shilton

et al. 2016

Health Education Journal

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Objective: The purpose of this study was to investigate whether making fruit boxes available in the workplace is a successful health promotion strategy. Design: A quasi-experimental study involving three conditions -free fruit, 50c per piece of fruit and $1 per piece of fruit -to investigate the effect of a contribution scheme on employees' fruit purchase/consumption behaviours and willingness to contribute when in the paid conditions. Setting: Perth, Western Australia. Methods: In total, 36 workplaces participated and were randomly assigned to one of the three conditions. The results were analysed using generalised linear modelling. A qualitative follow-up was conducted with workplace representatives 6 weeks after the completion of the trial to investigate how many workplaces implemented the provision of fruit boxes after the trial and the factors influencing the decision to implement fruit boxes. Results: A significant difference in average fruit purchasing/consumption per person was found with respect to condition (p < .001), with businesses in the free condition purchasing/consuming a significantly greater amount of fruit than businesses in the 50c contribution condition or $1 contribution condition. Following the trial, 13 workplaces continued providing their own fruit box, of which 7 were initially in the free condition. Qualitative findings revealed that management support, a receptive culture and sufficient resources were key to the implementation of fruit boxes. Conclusion: Having a fruit box may be a feasible health promotion strategy, and the financial burden of this strategy could be alleviated by asking employees to contribute to the cost of fruit.

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“…These include behavioral/nutrition education interventions [22,24–39,41,42,59], increasing access to F&V [37,45,47,49,60–62], and multilevel interventions that combine environmental strategies with behavioral nutrition programs [30,37,46,50–55,60,62]. Systematic reviews of F&V interventions at worksites have concluded that workplace health promotion efforts need to include both educational and environmental changes to have a significant impact on dietary behavior [23,48,56].…”

Section: Introductionmentioning

confidence: 99%

“…Most environmental worksite interventions to increase F&V intake have focused on changing cafeteria or vending offerings and/or making fresh fruit available at no cost to employees [45,47–49,60,61]. No studies have evaluated the implementation of regular, mobile, fresh F&V markets at worksites.…”

Section: Introductionmentioning

confidence: 99%

A multi-level intervention in worksites to increase fruit and vegetable access and intake: Rationale, design and methods of the ‘Good to Go’ cluster randomized trial

Risica

Gorham

Dionne

et al. 2018

Contemporary Clinical Trials

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Background Fruit and vegetable (F&V) consumption is an important contributor to chronic disease prevention. However, most Americans do not eat adequate amounts. The worksite is an advantageous setting to reach large, diverse segments of the population with interventions to increase F&V intake, but research gaps exist. No studies have evaluated the implementation of mobile F&V markets at worksites nor compared the effectiveness of such markets with or without nutrition education. Methods This paper describes the protocol for Good to Go (GTG), a cluster randomized trial to evaluate F&V intake change in employees from worksites randomized into three experimental arms: discount, fresh F&V markets (Access Only arm); markets plus educational components including campaigns, cooking demonstrations, videos, newsletters, and a web site (Access Plus arm); and an attention placebo comparison intervention on physical activity and stress reduction (Comparison). Secondary aims include: 1) Process evaluation to determine costs, reach, fidelity, and dose as well as the relationship of these variables with changes in F&V intake; 2) Applying a mediating variable framework to examine relationships of psychosocial factors/determinants with changes in F&V consumption; and 3) Cost effectiveness analysis of the different intervention arms. Discussion The GTG study will fill important research gaps in the field by implementing a rigorous cluster randomized trial to evaluate the efficacy of an innovative environmental intervention providing access and availability to F&V at the worksite and whether this access intervention is further enhanced by accompanying educational interventions. GTG will provide an important contribution to public health research and practice. Trial registration number NCT02729675, ClinicalTrials.gov

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Long-term sustainability of a worksite canteen intervention of serving more fruit and vegetables

Cited by 47 publications

References 21 publications

Effectiveness of a Canteen Take Away concept in promoting healthy eating patterns among employees

Effectiveness of a Canteen Take Away concept in promoting healthy eating patterns among employees

A healthier workplace? Implementation of fruit boxes in the workplace

A multi-level intervention in worksites to increase fruit and vegetable access and intake: Rationale, design and methods of the ‘Good to Go’ cluster randomized trial

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