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ABSTRACT BACKGROUND/OBJECTIVES: This paper reports on the evaluation of the Smart Choices healthy food and drink supply strategy for Queensland schools (Smart Choices) implementation across
the whole school environment in state government primary and secondary schools in Queensland, Australia. SUBJECTS/METHODS: Three concurrent surveys using different methods for each group of
stakeholders that targeted all 1275 school Principals, all 1258 Parent and Citizens’ Associations (P&Cs) and a random sample of 526 tuckshop convenors throughout Queensland. Nine hundred
and seventy-three Principals, 598 P&Cs and 513 tuckshop convenors participated with response rates of 78%, 48% and 98%, respectively. RESULTS: Nearly all Principals (97%), P&Cs
(99%) and tuckshop convenors (97%) reported that their school tuckshop had implemented Smart Choices. The majority of Principals and P&Cs reported implementation, respectively, in:
school breakfast programs (98 and 92%); vending machine stock (94 and 83%); vending machine advertising (85 and 84%); school events (87 and 88%); school sporting events (81 and 80%);
sponsorship and advertising (93 and 84%); fundraising events (80 and 84%); and sporting clubs (73 and 75%). Implementation in curriculum activities, classroom rewards and class parties was
reported, respectively, by 97%, 86% and 75% of Principals. Respondents also reported very high levels of understanding of Smart Choices and engagement of the school community. CONCLUSIONS:
The results demonstrated that food supply interventions to promote nutrition across all domains of the school environment can be implemented successfully. Access through your institution Buy
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SYSTEM Article 18 September 2024 REFERENCES * Queensland Government. _Eat Well Be Active - Healthy Kids for Life_. Queensland Health: Brisbane, QLD, 2005 (cited 8 May 2012); Available from
http://www.health.qld.gov.au/ph/documents/hpu/29187.pdf. * Bellisle F . Effects of diet on behaviour and cognition in children. _Br J Nutr_ 2004; 92 (Suppl 2), S227–S232. Article CAS
Google Scholar * Taras H . Nutrition and student performance at school. _J Sch Health_ 2005; 75: 199–213. Article Google Scholar * Abbott R, Macdonald D, Stubbs C, Lee A, Harper C, Davies
P . _Healthy Kids Queensland Survey 2006: Full Report_. Queensland Health: Brisbane, QLD, 2008 (cited 8 May 2012); Available from
http://www.health.qld.gov.au/ph/documents/hpu/healthykidsqld2006.pdf. Google Scholar * Lobstein T, Baur L, Uauy R . Obesity in children and young people: a crisis in public health. _Obes
Rev_ 2004; 5 (Suppl 1), 4–104. Article Google Scholar * Perez-Rodrigo C, Klepp KI, Yngve A, Sjostrom M, Stockley L, Aranceta J . The school setting: an opportunity for the implementation
of dietary guidelines. _Public Health Nutr_ 2001; 4: 717–724. Article CAS Google Scholar * Bell AC, Swinburn BA . What are the key food groups to target for preventing obesity and
improving nutrition in schools? _Eur J Clin Nutr_ 2004; 58: 258–263. Article CAS Google Scholar * Sanigorski AM, Bell AC, Kremer PJ, Swinburn BA . Lunchbox contents of Australian school
children: room for improvement. _Eur J Clin Nutr_ 2005; 59: 1310–1316. Article CAS Google Scholar * Bell AC, Swinburn BA . School canteens: using ripples to create a wave of healthy
eating. _Med J Aust_ 2005; 183: 5–6. PubMed Google Scholar * Cleland V, Worsley A, Crawford D . What are grade 6 and 6 children buying from school canteens and what do parents and teachers
think about it? _Nutr Diet_ 2004; 61: 145–150. Google Scholar * Subratty AH, Chan Sun M, Kassean HK . A need for healthy canteens in secondary schools in mauritius. _Nutr Food Sci_ 2003;
33: 208–212. Article Google Scholar * Moore L, Tapper K . The impact of school fruit tuck shops and school food policies on children’s fruit consumption: a cluster randomised trial of
schools in deprived areas. _J Epidemiol Community Health_ 2008; 62: 926–931. Article CAS Google Scholar * Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y _et al_.
Interventions for preventing obesity in children. _Cochrane Database Syst Rev_ 2011 CD001871. * Office of Economic and Statistical Research. _Information Brief Schools Australia_ 2007: OESR:
Brisbane, 2008. * Queensland Council of Parents and Citizens’ Associations Inc. _Operations Manual 2011_. manual for P&C Associations. QCPCA: Brisbane, 2011, Available from
http://www.qcpca.org.au/publications/manuals/pc-operations-manual. * Queensland Government. _Smart Choices: Healthy Food and Drink Supply Strategy for Queensland Schools_. Department of
Education, Training and the Arts: Brisbane, QLD, 2005 (cited 3 October 2011); Available from http://education.qld.gov.au/schools/healthy/food-drink-resources.html. * National Health and
Medical Research Council. _Dietary Guidelines for Children and Adolescents in Australia_. NHMRC: Canberra, 2003. * Briggs M, Safaii S, Beall DL . Position of the American Dietetic
Association, Society for Nutrition Education, and American School Food Service Association--Nutrition services: an essential component of comprehensive school health programs. _J Am Diet
Assoc_ 2003; 103: 505–514. Article Google Scholar * Perez-Rodrigo C, Aranceta J . Nutrition education in schools: experiences and challenges. _Eur J Clin Nutr_ 2003; 57 (Suppl 1), S82–S85.
Article Google Scholar * Warren JM, Henry CJ, Lightowler HJ, Bradshaw SM, Perwaiz S . Evaluation of a pilot school programme aimed at the prevention of obesity in children. _Health Promot
Int_ 2003; 18: 287–296. Article CAS Google Scholar * New South Wales Health. _Fresh Tastes@School: NSW Healthy School Canteen Strategy_. NSW Health: North Sydney, NSW, 2004 (cited 3
October 2011); Available from http://www.health.nsw.gov.au/resources/publichealth/healthpromotion/obesity/pdf/can_menuplan.pdf. * Kafatos A, Manios Y, Moschandreas J . Health and nutrition
education in primary schools of Crete: follow-up changes in body mass index and overweight status. _Eur J Clin Nutr_ 2005; 59: 1090–1092. Article CAS Google Scholar * Powers AR,
Struempler BJ, Guarino A, Parmer SM . Effects of a nutrition education program on the dietary behavior and nutrition knowledge of second-grade and third-grade students. _J Sch Health_ 2005;
75: 129–133. Article Google Scholar * Cullen KW, Hartstein J, Reynolds KD, Vu M, Resnicow K, Greene N _et al_. Improving the school food environment: results from a pilot study in middle
schools. _J Am Diet Assoc_ 2007; 107: 484–489. Article Google Scholar * Cullen KW, Watson K, Zakeri I . Improvements in middle school student dietary intake after implementation of the
Texas Public School Nutrition Policy. _Am J Public Health_ 2008; 98: 111–117. Article Google Scholar * Cullen KW, Watson KB . The impact of the Texas public school nutrition policy on
student food selection and sales in Texas. _Am J Public Health_ 2009; 99: 706–712. Article Google Scholar * Matthews A, Nelson M, Kaur A, Rayner M, Kelly P, Cowburn G . Where has all the
chocolate gone? A national survey assesses the effects of recent legislation to improve the nutritional quality of English secondary-school vending. _Public Health Nutr_ 2011; 14: 1394–1402.
Article Google Scholar * Powell CA, Walker SP, Chang SM, Grantham-McGregor SM . Nutrition and education: a randomized trial of the effects of breakfast in rural primary school children.
_Am J Clin Nutr_ 1998; 68: 873–879. Article CAS Google Scholar * Shemilt I, Harvey I, Shepstone L, Swift L, Reading R, Mugford M _et al_. A national evaluation of school breakfast clubs:
evidence from a cluster randomized controlled trial and an observational analysis. _Child Care Health Dev_ 2004; 30: 413–427. Article CAS Google Scholar * Ozer EJ . The effects of school
gardens on students and schools: conceptualization and considerations for maximizing healthy development. _Health Edu Behav_ 2007; 34: 846–863. Article Google Scholar * de Sa J, Lock K .
Will European agricultural policy for school fruit and vegetables improve public health? A review of school fruit and vegetable programmes. _Eur J Public Health_ 2008; 18: 558–568. Article
Google Scholar * Laurence S, Peterken R, Burns C . Fresh Kids: the efficacy of a Health Promoting Schools approach to increasing consumption of fruit and water in Australia. _Health Promot
Int_ 2007; 22: 218–226. Article CAS Google Scholar * French SA, Story M, Fulkerson JA, Hannan P . An environmental intervention to promote lower-fat food choices in secondary schools:
outcomes of the TACOS Study. _Am J Public Health_ 2004; 94: 1507–1512. Article Google Scholar * Cullen KW, Watson K, Zakeri I, Ralston K . Exploring changes in middle-school student lunch
consumption after local school food service policy modifications. _Public Health Nutr_ 2006; 9: 814–820. Article Google Scholar * Contento IR, Randell JS, Basch CE . Review and Analysis of
Evaluation Measures Used in Nutrition Education Intervention Research. _J Nutr Edu Behav_ 2002; 34: 2–25. Article Google Scholar * de Silva-Sanigorski A, Breheny T, Jones L, Lacy K,
Kremer P, Carpenter L _et al_. Government food service policies and guidelines do not create healthy school canteens. _Aust N Z J Public Health_ 2011; 35: 117–121. Article Google Scholar *
Perry CL, Bishop DB, Taylor GL, Davis M, Story M, Gray C _et al_. A randomized school trial of environmental strategies to encourage fruit and vegetable consumption among children. _Health
Edu Behav_ 2004; 31: 65–76. Article Google Scholar * Masse LC, Frosh MM, Chriqui JF, Yaroch AL, Agurs-Collins T, Blanck HM _et al_. Development of a School Nutrition-Environment State
Policy Classification System (SNESPCS). _Am J Prev Med_ 2007; 33 (4 Suppl), S277–S291. Article Google Scholar * Pettigrew S, Donovan RJ, Jalleh G, Pescud M, Cowie S _Addressing Childhood
Obesity Through School Canteens_. University of Western Australia Business School and Centre for Behavioural Research in Cancer Control, Curtin University: Perth, WA, 2009 (cited 3 October
2011); Available from http://www.det.wa.edu.au/healthyfoodanddrink/detcms/navigation/resources/?oid=Category-id-11227876. Google Scholar * Story M, Nanney MS, Schwartz MB . Schools and
obesity prevention: creating school environments and policies to promote healthy eating and physical activity. _Milbank Q_ 2009; 87: 71–100. Article Google Scholar * Wharton CM, Long M,
Schwartz MB . Changing nutrition standards in schools: the emerging impact on school revenue. _J Sch Health_ 2008; 78: 245–251. Article Google Scholar * Queensland Association of School
Tuckshops. _Fresh Ideas for Fundraising_. The Association: Brisbane, QLD, 2006 (cited 4 May 2012); Available from http://www.qast.org.au/FreshIdeasforFundraising/tabid/89/Default.aspx. *
Harrison MS, Coyne T, Lee AJ, Leonard D, Lowson S, Groos A _et al_. The increasing cost of the basic foods required to promote health in Queensland. _Med J Aust_ 2007; 186: 9–14. PubMed
Google Scholar * Queensland Association of School Tuckshops. _Tuckshop Snapshot 2008_. The Association: Brisbane, QLD, 2008 (cited 4 May 2012); Available from
http://www.qast.org.au/Portals/0/PDFS/MBF%20summary.pdf. * Australian Bureau of Statistics. _Australian Social Trends_. Chapter 4, Volunteers ABS: Canberra, 2008 [cited 3 October 2011];
Available from http://www.abs.gov.au/AUSSTATS/[email protected]/Lookup/4102.0Chapter4102008. * Sutherland R, Gill T, Binns C . Do parents, teachers, and health professionals support school-based
obesity prevention? _Nutr Diet_ 2004; 61: 137–144. Google Scholar * Hagar MA, Wilson S, Pollack TH, Rooney PM . Response Rates for Mail Surveys of Non-profit Organisations: a review and
empirical test. _Nonprofit Volunt Sector Q_ 2003; 32: 252–267. Article Google Scholar * Kaplowitz MD, Hadlock TD, Levine R . A comparison of web and mail survey response rates. _Public
Opin Q_ 2004; 1: 94–101. Article Google Scholar * Cho H, Nadow MZ . Understanding barriers to implementing quality lunch and nutrition education. _J Community Health_ 2004; 29: 421–435.
Article Google Scholar Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Healthy Living Branch, Queensland Health, Brisbane, Queensland, Australia M Dick & J Miller *
School of Public Health and Social Work and School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia A Lee *
Population Epidemiology Unit, Queensland Health, Brisbane, Queensland, Australia M Bright * Department of Education, Training, and Employment, Brisbane, Queensland, Australia K Turner *
Tropical Regional Services, Queensland Health, Cairns, Queensland, Australia R Edwards * Department of Education, Student Support Programs, Training, and Employment, Brisbane, Queensland,
Australia J Dawson Authors * M Dick View author publications You can also search for this author inPubMed Google Scholar * A Lee View author publications You can also search for this author
inPubMed Google Scholar * M Bright View author publications You can also search for this author inPubMed Google Scholar * K Turner View author publications You can also search for this
author inPubMed Google Scholar * R Edwards View author publications You can also search for this author inPubMed Google Scholar * J Dawson View author publications You can also search for
this author inPubMed Google Scholar * J Miller View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to M Dick. ETHICS
DECLARATIONS COMPETING INTERESTS The authors declare no conflict of interest. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Dick, M., Lee, A., Bright,
M. _et al._ Evaluation of implementation of a healthy food and drink supply strategy throughout the whole school environment in Queensland state schools, Australia. _Eur J Clin Nutr_ 66,
1124–1129 (2012). https://doi.org/10.1038/ejcn.2012.108 Download citation * Received: 09 May 2012 * Revised: 17 July 2012 * Accepted: 17 July 2012 * Published: 15 August 2012 * Issue Date:
October 2012 * DOI: https://doi.org/10.1038/ejcn.2012.108 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable
link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * schools * food supply * environment *
evaluation * Australia * obesity