The Food provision, cUlture and Environment in secondary schooLs (FUEL) study: protocol of a mixed methods evaluation of national School Food Standards implementation in secondary schools and their impact on pupils’ dietary intake and dental health

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@article{c999d327d2254cf7b3f17636e9d428b1,
title = "The Food provision, cUlture and Environment in secondary schooLs (FUEL) study: protocol of a mixed methods evaluation of national School Food Standards implementation in secondary schools and their impact on pupils{\textquoteright} dietary intake and dental health",
abstract = "Introduction: Excess free sugar intake is associated with obesity and poor dental health. Adolescents consume substantially more free sugar than is recommended. National (UK) School Food Standards (SFS) are in place, but are not mandatory in all schools, and their impact on the diets of secondary school pupils is unknown. We aim to evaluate how SFS and wider healthy eating recommendations (from the national School Food Plan (SFP)) are implemented in secondary schools, and how they influence pupils{\textquoteright} diets and dental health. Methods and analysis: Secondary-level academies/free schools in the West Midlands, UK were divided into two groups: SFS mandated; SFS non-mandated. Using propensity scores to guide sampling, we aim to recruit 22 schools in each group. We will compare data on school food provision and sales, school food culture and environment, and the food curriculum from each group, collected through: school staff, governor, pupil, parent surveys; school documents; and observation. We will explore implementation level for the SFS requirements and SFP recommendations, and develop a school food typology. We aim to recruit 1980 pupils aged 1115 years across the 44 schools and collect dietary intake (24 hour recall) and dental health data through self-completion surveys. We will compare free sugar/other dietary intake and dental health across the two SFS groups, and across the identified school types. School type will be further characterised in 4-8 case study schools through school staff interviews and pupil focus groups. Evaluation of economic impact will be through a cost-consequence analysis and an exploratory cost-utility analysis. Ethics and dissemination: Ethical approval was obtained from the University of Birmingham Ethical Review Committee (ERN_18-1738). Findings will be disseminated to key national and local agencies, schools and the public through reports, presentations, the media and open access publications. Registration details: ISRCTN 68757496 (registered 17/10/2019) ",
keywords = "Food policy, Schools, Adolescents, Dietary Intake, Dental health",
author = "Marie Murphy and Miranda Pallan and Emma Lancashire and Rhona Duff and Ashley Adamson and Suzanne Bartington and Emma Frew and Tania Griffin and Kiya Hurley and Jayne Parry and Sandra Passmore and Vahid Ravaghi and Alice Sitch and Suzanne Spence and Rowland, {Maisie K} and Scott Wheeldon and Peymane Adab",
year = "2020",
month = oct,
day = "16",
doi = "10.1136/bmjopen-2020-042931",
language = "English",
volume = "10",
journal = "BMJ open",
issn = "2044-6055",
publisher = "BMJ Publishing Group",
number = "10",

}

RIS

TY - JOUR

T1 - The Food provision, cUlture and Environment in secondary schooLs (FUEL) study

T2 - protocol of a mixed methods evaluation of national School Food Standards implementation in secondary schools and their impact on pupils’ dietary intake and dental health

AU - Murphy, Marie

AU - Pallan, Miranda

AU - Lancashire, Emma

AU - Duff, Rhona

AU - Adamson, Ashley

AU - Bartington, Suzanne

AU - Frew, Emma

AU - Griffin, Tania

AU - Hurley, Kiya

AU - Parry, Jayne

AU - Passmore, Sandra

AU - Ravaghi, Vahid

AU - Sitch, Alice

AU - Spence, Suzanne

AU - Rowland, Maisie K

AU - Wheeldon, Scott

AU - Adab, Peymane

PY - 2020/10/16

Y1 - 2020/10/16

N2 - Introduction: Excess free sugar intake is associated with obesity and poor dental health. Adolescents consume substantially more free sugar than is recommended. National (UK) School Food Standards (SFS) are in place, but are not mandatory in all schools, and their impact on the diets of secondary school pupils is unknown. We aim to evaluate how SFS and wider healthy eating recommendations (from the national School Food Plan (SFP)) are implemented in secondary schools, and how they influence pupils’ diets and dental health. Methods and analysis: Secondary-level academies/free schools in the West Midlands, UK were divided into two groups: SFS mandated; SFS non-mandated. Using propensity scores to guide sampling, we aim to recruit 22 schools in each group. We will compare data on school food provision and sales, school food culture and environment, and the food curriculum from each group, collected through: school staff, governor, pupil, parent surveys; school documents; and observation. We will explore implementation level for the SFS requirements and SFP recommendations, and develop a school food typology. We aim to recruit 1980 pupils aged 1115 years across the 44 schools and collect dietary intake (24 hour recall) and dental health data through self-completion surveys. We will compare free sugar/other dietary intake and dental health across the two SFS groups, and across the identified school types. School type will be further characterised in 4-8 case study schools through school staff interviews and pupil focus groups. Evaluation of economic impact will be through a cost-consequence analysis and an exploratory cost-utility analysis. Ethics and dissemination: Ethical approval was obtained from the University of Birmingham Ethical Review Committee (ERN_18-1738). Findings will be disseminated to key national and local agencies, schools and the public through reports, presentations, the media and open access publications. Registration details: ISRCTN 68757496 (registered 17/10/2019)

AB - Introduction: Excess free sugar intake is associated with obesity and poor dental health. Adolescents consume substantially more free sugar than is recommended. National (UK) School Food Standards (SFS) are in place, but are not mandatory in all schools, and their impact on the diets of secondary school pupils is unknown. We aim to evaluate how SFS and wider healthy eating recommendations (from the national School Food Plan (SFP)) are implemented in secondary schools, and how they influence pupils’ diets and dental health. Methods and analysis: Secondary-level academies/free schools in the West Midlands, UK were divided into two groups: SFS mandated; SFS non-mandated. Using propensity scores to guide sampling, we aim to recruit 22 schools in each group. We will compare data on school food provision and sales, school food culture and environment, and the food curriculum from each group, collected through: school staff, governor, pupil, parent surveys; school documents; and observation. We will explore implementation level for the SFS requirements and SFP recommendations, and develop a school food typology. We aim to recruit 1980 pupils aged 1115 years across the 44 schools and collect dietary intake (24 hour recall) and dental health data through self-completion surveys. We will compare free sugar/other dietary intake and dental health across the two SFS groups, and across the identified school types. School type will be further characterised in 4-8 case study schools through school staff interviews and pupil focus groups. Evaluation of economic impact will be through a cost-consequence analysis and an exploratory cost-utility analysis. Ethics and dissemination: Ethical approval was obtained from the University of Birmingham Ethical Review Committee (ERN_18-1738). Findings will be disseminated to key national and local agencies, schools and the public through reports, presentations, the media and open access publications. Registration details: ISRCTN 68757496 (registered 17/10/2019)

KW - Food policy

KW - Schools

KW - Adolescents

KW - Dietary Intake

KW - Dental health

U2 - 10.1136/bmjopen-2020-042931

DO - 10.1136/bmjopen-2020-042931

M3 - Article

VL - 10

JO - BMJ open

JF - BMJ open

SN - 2044-6055

IS - 10

M1 - e042931

ER -