Facilitators and barriers to implementing healthy school canteen intervention among Malaysian adolescents: A qualitative study

Azizan, Nurul Ain and Papadaki, Angeliki and Su, Tin Tin and Jalaludin, Muhammad Yazid and Mohammadi, Shooka and Dahlui, Maznah and Mohamed, Mohd Nahar Azmi and Majid, Hazreen Abdul (2021) Facilitators and barriers to implementing healthy school canteen intervention among Malaysian adolescents: A qualitative study. Nutrients, 13 (9). ISSN 2072-6643, DOI https://doi.org/10.3390/nu13093078.

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Abstract

This study evaluated implementing a school-based intervention to promote healthier dietary habits in the school environment among Malaysian adolescents using qualitative methods. This qualitative study was conducted in four secondary schools in Perak and Selangor (two urban and two rural schools) that received the intervention (either training or training and food subsidy). A total of eight focus groups (68 students aged 15 years old) and 16 in-depth interviews were conducted with canteen operators, school convenience shop operators, school teachers and school principals in each school. Thematic analysis was used to analyse the qualitative data to identify suitable themes. We found several initiatives and changes by the schools' stakeholders to change to a healthy school canteen programme. The stakeholders also noticed the students' food preferences that influence healthy food intake in canteens and convenience shops. The food vendors and school administrators also found that subsidising healthy meals might encourage healthy eating. Among barriers to implementing healthy school initiatives were the student's perception of healthy food and their eating habits, which also affect the food vendors' profit if they want to implement a healthy canteen. The school-based intervention has the potential to promotes healthier eating among school adolescents. Continuous training and monitoring of canteen operators and convenience shops are needed, including building partnerships and educating the students on healthy eating to cultivate healthy eating habits.

Item Type: Article
Funders: Academy of Sciences Malaysia (Newton Ungku Omar Fund), UK Medical Research Council[IF 017-2017], UM CARES fund[UMCARES001-2019S]
Uncontrolled Keywords: Healthy eating;Diet;School-based;Adolescents;Malaysia
Subjects: R Medicine
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 20 Jul 2022 03:09
Last Modified: 20 Jul 2022 03:09
URI: http://eprints.um.edu.my/id/eprint/33998

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