Factors and barriers associated with early adoption of nutrition guidelines in Alberta, Canada

Objective: To identify factors that influenced early adoption and implementation of the Alberta Nutrition Guidelines for Children and Youth (ANGCY) in schools in Alberta, Canada; and to identify healthy eating strategies that were implemented as a result of the guidelines. Barriers and facilitators were also investigated. Design: Multiple case study design (n = 3). Semi-structured interviews and direct observations were used to collect data. Setting and Participants: Three schools in Alberta were selected for individual case studies. Eighteen key informants were interviewed from the 3 cases. Phenomenon of Interest: To investigate how the motivation shown by school administration and stakeholders for the ANGCY influenced the early adoption and implementation of the guidelines. Analysis: Content analysis was used to analyze data. Results: Various healthy eating strategies were implemented within the 3 cases after uptake of the guidelines. Support from the school superintendent and the work of a health champion facilitated the adoption and implementation of the guidelines, whereas parents posed some barriers to the adoption and implementation of the ANGCY. Conclusions and Implications: This study reinforces the importance of identifying a health champion to oversee healthy eating strategies in schools, and of involving parents in the promotion of children's healthy lifestyles.