Moving from Policy to Practice: A Report of School Nutrition Policy Adherence in Nova Scotia

Publication: Canadian Journal of Dietetic Practice and Research
16 July 2018

Abstract

Purpose: School food and nutrition policies have the potential to encourage healthier eating among children and youth to address rising concerns of poor diet quality. Despite their widespread implementation, there is little reported monitoring of policy adherence. This short report describes adherence to the provincial school food and nutrition policy in Nova Scotia (NS) that was implemented in 2006.
Methods: An online survey was distributed to NS public schools in 2014–2015 to assess adherence to the directives and guidelines of the policy. Descriptive information was obtained for schools and indicators for policy adherence were explored.
Results: A total of 242 schools completed the survey (73% response rate) and policy adherence was variable across the different components. Few schools adhered to the policy standard related to the sale of unhealthy foods and there was inconsistency in school adherence reported for other policy indicators.
Conclusions: This research suggests that further action is need to ensure “minimum nutrition” food and beverages are not available in schools and that healthy eating is reinforced through prioritizing key policy actions like pricing strategies, discontinuing fundraising with unhealthy food, and ensuring food programs are available in a nonstigmatizing manner.

Résumé

Objectif. Les politiques alimentaires et nutritionnelles dans les écoles ont le potentiel de favoriser une alimentation plus saine chez les enfants et les jeunes et ainsi de répondre aux inquiétudes grandissantes à propos de la mauvaise qualité des régimes alimentaires. Malgré l’implantation à grande échelle de ces politiques, peu de rapports permettent d’indiquer si elles sont dans les faits respectées. Ce court rapport présente des données sur l’adhésion à la politique provinciale de la Nouvelle-Écosse en matière d’alimentation et de nutrition dans les écoles adoptée en 2006.
Méthodes. L’adhésion aux directives et aux recommandations de la politique a été évaluée à l’aide d’un sondage en ligne distribué aux écoles publiques de la Nouvelle-Écosse durant l’année scolaire 2014–2015. Le sondage a permis d’obtenir des informations descriptives sur les écoles et des indicateurs sur l’adhésion à la politique alimentaire.
Résultats. Complété par 242 écoles (taux de réponse de 73 %), le sondage a montré que le niveau d’adhésion à la politique variait selon les éléments considérés. Peu d’écoles adhéraient à la norme de la politique en lien avec la vente d’aliments malsains. De plus, d’autres indicateurs suggèrent que l’adhésion des écoles à la politique est irrégulière.
Conclusions. Cette étude indique que d’autres mesures devront être prises pour veiller à ce que les aliments et boissons à valeur nutritive minimale ne soient plus offerts dans les écoles et à ce que la saine alimentation soit encouragée en priorisant des mesures politiques clés telles que des stratégies de prix, l’arrêt des campagnes de financement basées sur des aliments malsains et la mise en place de programmes d’alimentation offerts de manière non stigmatisante.

Get full access to this article

View all available purchase options and get full access to this article.

Financial support: This work was funded by the Nova Scotia Department of Health and Wellness, the Max Bell Foundation and the Canadian Institutes of Health Research (CIHR) [FRN: 335426]. JLM acknowledges funding from the Canadian Cancer Society (Grant # 703878), awarded to Dalhousie University, over the time the study was conducted. SFLK held a CIHR Canada Research Chair at the time this study was undertaken.
Conflict of interest: All of the authors declare they have no competing interests.

References

1
Garriguet D. Diet quality in Canada. Health Rep. 2009;20(3):41–52.
2
Minaker L and Hammond D. Low frequency of fruit and vegetable consumption among Canadian youth: findings from the 2012/2013 Youth Smoking Survey. J Sch Health. 2016;86(2):135–42.
3
McKenna ML. Policy options to support healthy eating in schools. Can J Public Health. 2010;101(Suppl. 2):S14–S17.
4
Fung C, McIsaac J-LD, Kuhle S, Kirk SFL, and Veugelers PJ. The impact of a population-level school food and nutrition policy on dietary intake and body weights of Canadian children. Prev Med. 2013;57(6):934–40.
5
Mâsse LC, de Niet-Fitzgerald JE, Watts AW, Naylor P-J, and Saewyc EM. Associations between the school food environment, student consumption and body mass index of Canadian adolescents. Int J Behav Nutr Phys Act. 2014;11(1):29.
6
Mullally ML, Taylor JP, Kuhle S, Bryanton J, Hernandez KJ, McKenna ML, et al. A province-wide school nutrition policy and food consumption in elementary school children on Prince Edward Island. Can J Public Health. 2010;101(1):40–3.
7
Leonard PSJ. Do school junk food bans improve student health? Evidence from Canada. Can Public Policy. 2017;43:105–19.
8
Downs SM, Farmer A, Quintanilha M, Berry TR, Mager DR, Willows ND, et al. From paper to practice: barriers to adopting nutrition guidelines in schools. J Nutr Educ Behav. 2012;44(2):114–22.
9
MacLellan D, Taylor J, and Freeze C. Developing school nutrition policies: enabling and barrier factors. Can J Diet Pract Res. 2009;70(4):166–71.
10
Mâsse LC, Naiman D, and Naylor P-J. From policy to practice: implementation of physical activity and food policies in schools. Int J Behav Nutr Phys Act. 2013;10(1):71.
11
Vine MM, Elliott SJ, and Raine KD. Exploring implementation of the Ontario school food and beverage policy at the secondary-school level: a qualitative study. Can J Diet Pract Res. 2014;75(3):118–24.
12
Leo A. Are schools making the grade? School nutrition policies across Canada. Ottawa, ON: Center for Science in the Public Interest; 2007 [cited 2017 Oct 15]. Available from: www.cspinet.org/canada/pdf/makingthegrade_1007.pdf.
13
Taylor J, MacLellan D, Caiger J, Hernandez K, McKenna M, Gray B, et al. Implementing elementary school nutrition policy: Principals’ perspectives. Can J Diet Pract Res. 2011;72(4):e205–e211.
14
Province of Nova Scotia. Food and Nutrition Policy Documents. Food and Nutrition Policy for Nova Scotia Public Schools; Halifax, NS. 2006 [cited 2018 Apr 1]. Available from: http://www.ednet.ns.ca/healthy_eating/.
15
McIsaac J-LD, Chu YL, Blanchard C, Rossiter MD, Williams PL, Raine KD, et al. The impact of school policies and practices on students’ diets, physical activity levels and body weights. A province-wide practice-based evaluation. Can J Public Health. 2015;106(2):43–51.
16
McIsaac J-LD, Shearer CL, Veugelers PJ, and Kirk SFL. Moving forward with school nutrition policies: a case study of policy adherence in Nova Scotia. Can J Diet Pract Res. 2015;76(4):172–77.
17
Mâsse LC and de Niet JE. School nutritional capacity, resources and practices are associated with availability of food/beverage items in schools. Int J Behav Nutr Phys Act. 2013;10(1):26.
18
Holthe A, Larsen T, and Samdal O. Understanding barriers to implementing the Norwegian national guidelines for healthy school meals: a case study involving three secondary schools. Matern Child Nutr. 2011;7(3):315–27.
19
Lanier WA, Wagstaff RS, DeMill JH, Friedrichs MD, and Metos J. Teacher awareness and implementation of food and physical activity policies in Utah elementary schools, 2010. Prev Chronic Dis. 2012;9:E18.
20
MacLellan D, Holland A, Taylor J, McKenna M, and Hernandez K. Implementing school nutrition policy: student and parent perspectives. Can J Diet Pract Res. 2010;71(4):172–77.
21
McDonnell E, Probart C, Weirich E. School foodservice directors perceptions and concerns about local wellness policy development, implementation and enforcement. J Child Nutr. Manage. 2006 [cited 2018 Apr 1]. Available from: http://docs.schoolnutrition.org/newsroom/jcnm/06spring/mcdonnell/index.asp.
22
Moore S, Murphy S, Tapper K, and Moore L. From policy to plate: barriers to implementing healthy eating policies in primary schools in Wales. Health Policy. 2010;94(3):239–45.
23
van Ansem WJ, Schrijvers CT, Rodenburg G, Schuit AJ, and van de Mheen D. School food policy at Dutch primary schools: room for improvement? Cross-sectional findings from the INPACT study. BMC Public Health. 2013;13:339.
24
Tarasuk V, Mitchell A, Dachner N. Household Food Insecurity in Canada, 2012. Toronto, ON: Research to identify policy options to reduce food insecurity (PROOF); 2014 [cited 2017 Oct 15]. Available from: http://nutritionalsciences.lamp.utoronto.ca/.
25
Perry EA, Thomas H, Samra HR, Edmonstone S, Davidson L, Faulkner A, et al. Identifying attributes of food literacy: a scoping review. Public Health Nutr. 2017;20(13):2406–15.
26
Mcisaac J-LD, Read K, Williams PL, Raine KD, Veugelers PJ, and Kirk SFL. Reproducing or reducing inequity? Considerations for school food programs. Can J Diet Pract Res. 2017;79(1):18–22.

Supplementary Material

File (cjdpr-2018-017suppla.docx)

Information & Authors

Information

Published In

cover image Canadian Journal of Dietetic Practice and Research
Canadian Journal of Dietetic Practice and Research
Volume 79Number 4December 2018
Pages: 196 - 199

History

Version of record online: 16 July 2018

Authors

Affiliations

Jessie-Lee D. McIsaac PhD
Healthy Populations Institute, School of Health and Human Performance, Dalhousie University, Halifax, NS
Faculty of Education and Department of Child and Youth Study, Mount Saint Vincent University, Halifax, NS
Julia C.H. Kontak MA
Healthy Populations Institute, School of Health and Human Performance, Dalhousie University, Halifax, NS
Sara F.L. Kirk PhD
Healthy Populations Institute, School of Health and Human Performance, Dalhousie University, Halifax, NS

Metrics & Citations

Metrics

Other Metrics

Citations

Cite As

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

There are no citations for this item

View Options

Get Access

Login options

Check if you access through your login credentials or your institution to get full access on this article.

Subscribe

Click on the button below to subscribe to Canadian Journal of Dietetic Practice and Research

Purchase options

Purchase this article to get full access to it.

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

View options

PDF

View PDF

Full Text

View Full Text

Media

Media

Other

Tables

Share Options

Share

Share the article link

Share on social media