Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/30719
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dc.contributor.authorStead, Martineen_UK
dc.contributor.authorEadie, Douglasen_UK
dc.contributor.authorMcKell, Jenniferen_UK
dc.contributor.authorSparks, Leighen_UK
dc.contributor.authorMacGregor, Andyen_UK
dc.contributor.authorAnderson, Annieen_UK
dc.date.accessioned2020-02-29T01:02:03Z-
dc.date.available2020-02-29T01:02:03Z-
dc.date.issued2020-01-30en_UK
dc.identifier.other132en_UK
dc.identifier.urihttp://hdl.handle.net/1893/30719-
dc.description.abstractBackground The range of products stocked and their promotions in food retail outlets in healthcare settings can affect food choices by staff, patients and visitors. The innovative Scottish Healthcare Retail Standard (HRS) is a national mandatory scheme requiring all hospital food retail outlets to change the balance of food products stocked and their promotion to comply with nutritional criteria and promotional restrictions. The aim is to facilitate healthier food choices in healthcare settings. This study examined the implementation of HRS and the impact on foods stocked and promoted. Methods The study aimed to examine implementation process and changes to the retail environment in relation to food promotions and choice. A sample of hospital retail outlets (n=17) including shops and trolley services were surveyed using a mixed methods design comprising: (a) structured observational audits of stock, layout and promotions (with a specific focus on chocolate and fruit product lines, and) (b) face-to-face, semi-structured interviews with the shop manager or nominated members of staff (n=32). Data were collected at Wave 1 (2016), at the beginning and during the early stages of HRS implementation; and Wave 2, 12 months later, after the HRS implementation deadline. Results All outlets, both commercial and not-for-profit, in the sample successfully implemented HRS. Implementation was reported to be more challenging by independent shop managers compared to chain store staff. Retail managers identified areas where more implementation guidance and support could have been provided. The number of chocolate product lines and promotions reduced substantially between Waves 1 and 2, but with no substantial increase in fruit product lines and promotions. Despite initial negative expectations of HRS’s impact, managers identified some opportunities in the scheme and positive changes in the supply chain. Conclusions Positive changes in food retail outlets occurred after hospital shops were required to implement HRS. By creating a consistent approach across hospital shops in Scotland, HRS changed the food retail environment for hospital staff, visitors and patients. HRS provides a regulatory template and implementation learning points for influencing retail environments in other jurisdictions and settings.en_UK
dc.language.isoenen_UK
dc.publisherBMCen_UK
dc.relationStead M, Eadie D, McKell J, Sparks L, MacGregor A & Anderson A (2020) Making hospital shops healthier: evaluating the implementation of a mandatory standard for limiting food products and promotions in hospital retail outlets. BMC Public Health, 20, Art. No.: 132. https://doi.org/10.1186/s12889-020-8242-7en_UK
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectRetailen_UK
dc.subjectHospitalsen_UK
dc.subjectPromotionsen_UK
dc.subjectMandatory regulationen_UK
dc.subjectImplementationen_UK
dc.subjectEvaluationen_UK
dc.subjectPatientsen_UK
dc.subjectMixed methodsen_UK
dc.titleMaking hospital shops healthier: evaluating the implementation of a mandatory standard for limiting food products and promotions in hospital retail outletsen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2020-01-30en_UK
dc.identifier.doi10.1186/s12889-020-8242-7en_UK
dc.identifier.pmid32000746en_UK
dc.citation.jtitleBMC Public Healthen_UK
dc.citation.issn1471-2458en_UK
dc.citation.volume20en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderNHS Health Scotlanden_UK
dc.author.emailmartine.stead@stir.ac.uken_UK
dc.citation.date30/01/2020en_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationMarketing & Retailen_UK
dc.contributor.affiliationScotCenen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.identifier.isiWOS:000513526800003en_UK
dc.identifier.scopusid2-s2.0-85078712463en_UK
dc.identifier.wtid1509965en_UK
dc.contributor.orcid0000-0002-3066-4604en_UK
dc.contributor.orcid0000-0002-2912-0837en_UK
dc.contributor.orcid0000-0002-9280-3219en_UK
dc.date.accepted2020-01-19en_UK
dcterms.dateAccepted2020-01-19en_UK
dc.date.filedepositdate2020-01-20en_UK
dc.relation.funderprojectHealthcare Retail Standard Evaluationen_UK
dc.relation.funderref2015/16 RE004en_UK
rioxxterms.apcpaiden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorStead, Martine|0000-0002-3066-4604en_UK
local.rioxx.authorEadie, Douglas|en_UK
local.rioxx.authorMcKell, Jennifer|0000-0002-2912-0837en_UK
local.rioxx.authorSparks, Leigh|0000-0002-9280-3219en_UK
local.rioxx.authorMacGregor, Andy|en_UK
local.rioxx.authorAnderson, Annie|en_UK
local.rioxx.project2015/16 RE004|NHS Health Scotland|http://dx.doi.org/10.13039/100010527en_UK
local.rioxx.freetoreaddate2020-01-30en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||2020-01-30en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2020-01-30|en_UK
local.rioxx.filenameStead2020_Article_MakingHospitalShopsHealthierEv.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1471-2458en_UK
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