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- W2471795439 abstract "OF DISSERTATION COMPETITIVE FOOD POLICY IMPLEMENTATION IN KENTUCKY SCHOOLS This study was designed to explore the literature on competitive food policy implementation (CFPI); examines demographic and school factors associated with CFPI; and explores the experiences of school leaders and staff in CFPI using a proposed theoretical framework to guide the research. Competitive foods are those sold in vending machines, a la carte settings, fundraisers, class parties and other venues which compete with foods offered through the national school lunch and breakfast programs. Competitive foods have traditionally been of low nutritional value and high energy density. CFPI may be effective in reducing student calorie intake and BMI. However, evaluation of competitive food policy effectiveness is difficult due to variability in policy implementation. A theoretical framework is needed to guide research on CFPI. This research was a mixed methods study including a review of the literature, quantitative secondary analysis, and a qualitative content analysis of transcripts from semi-structured interviews with school personnel to understand their experience with CFPI. First, a systematic review of the research literature on CFPI was conducted. Demographic and school factors, policy features, and school and parent/community-level factors that impact CFPI were identified. Second, the association of multiple demographic and school factors with CFPI scores was examined. CFPI scale (overall) and sub-scales (“inside” and “outside” school) were developed and validated to evaluate CFPI effectiveness in Kentucky middle and high schools (N=640, grades 5-12). The scales were based on responses to 8 questions on competitive food practices from a 2011 School Tobacco and Wellness Policy biannual survey conducted by the University Of Kentucky College Of Nursing Tobacco Policy Research Program. Student BMI tracking and presence of a written wellness policy predicted higher scores on the overall CFPI scale (BMI OR=2.06, p=0.001; Wellness OR=1.74, p=0.02), inside subscale scores (BMI OR=2.46, p<0.0001; Wellness OR=1.58, p=0.05), and outside subscale scores (BMI OR=2.27, p=0.03; Wellness OR=1.54, p=0.0005). Greater county-level adult obesity rates predicted lower overall CFPI scores (OR=0.93, p=0.02). Private school status predicted lower scores on inside CFPI subscale scores (OR=0.47, p=0.004). Third, semi-structured interviews were conducted with 23 school personnel to explore CFPI. Interviews were recorded, transcribed and content analysis was conducted. Kentucky schools were stratified into four groups based on school level (middle or high) and CFPI scores (high or low). Sixteen schools were randomly selected for each of the four groups. A total of eight schools, two from each group, agreed to participate. The interview guide was based on a proposed CFPI framework based on implementation science, educational and organizational theory research. Six key themes emerged: internal/external forces enabling CFPI; internal and external obstacles to CFPI; key organizational values; organization value of CFPI; methods that organizations use to communicate organizational values; and CFPI policies and procedures. Findings were discussed in the context of the proposed theoretical framework. Implications for policy, practice and future research are presented." @default.
- W2471795439 created "2016-07-22" @default.
- W2471795439 creator A5047222164 @default.
- W2471795439 date "2016-01-01" @default.
- W2471795439 modified "2023-09-23" @default.
- W2471795439 title "COMPETITIVE FOOD POLICY IMPLEMENTATION IN KENTUCKY SCHOOLS" @default.
- W2471795439 cites W138858833 @default.
- W2471795439 cites W1531889486 @default.
- W2471795439 cites W1728051744 @default.
- W2471795439 cites W1942377940 @default.
- W2471795439 cites W1970525030 @default.
- W2471795439 cites W1974244890 @default.
- W2471795439 cites W1979357797 @default.
- W2471795439 cites W1982313514 @default.
- W2471795439 cites W1989860961 @default.
- W2471795439 cites W1990947396 @default.
- W2471795439 cites W2008353660 @default.
- W2471795439 cites W2013956777 @default.
- W2471795439 cites W2015978615 @default.
- W2471795439 cites W2017801560 @default.
- W2471795439 cites W2021926013 @default.
- W2471795439 cites W2022759148 @default.
- W2471795439 cites W2023465048 @default.
- W2471795439 cites W2025521968 @default.
- W2471795439 cites W2027848745 @default.
- W2471795439 cites W2030054181 @default.
- W2471795439 cites W2030502397 @default.
- W2471795439 cites W2032195385 @default.
- W2471795439 cites W2032665158 @default.
- W2471795439 cites W2033423868 @default.
- W2471795439 cites W2035270844 @default.
- W2471795439 cites W2036441880 @default.
- W2471795439 cites W2036704981 @default.
- W2471795439 cites W2039273363 @default.
- W2471795439 cites W2041353534 @default.
- W2471795439 cites W2041431057 @default.
- W2471795439 cites W2042037531 @default.
- W2471795439 cites W2047330863 @default.
- W2471795439 cites W2051803585 @default.
- W2471795439 cites W2053198136 @default.
- W2471795439 cites W2057089684 @default.
- W2471795439 cites W2068211804 @default.
- W2471795439 cites W2072822257 @default.
- W2471795439 cites W2078306491 @default.
- W2471795439 cites W2079766822 @default.
- W2471795439 cites W2080394662 @default.
- W2471795439 cites W2080750729 @default.
- W2471795439 cites W2081414198 @default.
- W2471795439 cites W2083925749 @default.
- W2471795439 cites W2084059192 @default.
- W2471795439 cites W2084438699 @default.
- W2471795439 cites W2087599827 @default.
- W2471795439 cites W2088776902 @default.
- W2471795439 cites W2094568798 @default.
- W2471795439 cites W2096890149 @default.
- W2471795439 cites W2097045277 @default.
- W2471795439 cites W2097772724 @default.
- W2471795439 cites W2102575997 @default.
- W2471795439 cites W2107105921 @default.
- W2471795439 cites W2111423660 @default.
- W2471795439 cites W2115612300 @default.
- W2471795439 cites W2116548618 @default.
- W2471795439 cites W2117284748 @default.
- W2471795439 cites W2117486686 @default.
- W2471795439 cites W2121465219 @default.
- W2471795439 cites W2126014660 @default.
- W2471795439 cites W2126676332 @default.
- W2471795439 cites W2134599457 @default.
- W2471795439 cites W2136922698 @default.
- W2471795439 cites W2137319089 @default.
- W2471795439 cites W2138932993 @default.
- W2471795439 cites W2139850808 @default.
- W2471795439 cites W2145011726 @default.
- W2471795439 cites W2145913694 @default.
- W2471795439 cites W2145979148 @default.
- W2471795439 cites W2153210627 @default.
- W2471795439 cites W2156151681 @default.
- W2471795439 cites W2156593441 @default.
- W2471795439 cites W2156605295 @default.
- W2471795439 cites W2158339539 @default.
- W2471795439 cites W2159662325 @default.
- W2471795439 cites W2159938781 @default.
- W2471795439 cites W2160064067 @default.
- W2471795439 cites W2160875214 @default.
- W2471795439 cites W2162940353 @default.
- W2471795439 cites W2165406918 @default.
- W2471795439 cites W2167095987 @default.
- W2471795439 cites W2179683524 @default.
- W2471795439 cites W2216247531 @default.
- W2471795439 cites W2238348016 @default.
- W2471795439 cites W2268193710 @default.
- W2471795439 cites W2772482629 @default.
- W2471795439 cites W2792127029 @default.
- W2471795439 cites W2811394654 @default.
- W2471795439 cites W590291065 @default.
- W2471795439 cites W632534496 @default.
- W2471795439 cites W2008266470 @default.
- W2471795439 cites W2323966919 @default.
- W2471795439 cites W2592692991 @default.
- W2471795439 doi "https://doi.org/10.13023/etd.2016.121" @default.