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Implementation of a calorie menu labeling policy in public hospitals: study protocol for a multiple case study

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dc.contributor.author Kerins, Claire
dc.contributor.author Houghton, Catherine
dc.contributor.author McHugh, Sheena M.
dc.contributor.author Geaney, Fiona
dc.contributor.author Toomey, Elaine C.
dc.contributor.author Hayes, Catherine B.
dc.contributor.author Perry, Ivan J.
dc.contributor.author Kelly, Colette
dc.date.accessioned 2020-11-11T12:34:40Z
dc.date.available 2020-11-11T12:34:40Z
dc.date.issued 2019
dc.identifier.issn 1609-4069
dc.identifier.uri http://hdl.handle.net/10344/9438
dc.description peer-reviewed en_US
dc.description.abstract Background: Promotion of good nutrition is essential for reducing the risk of chronic disease and premature death. Evidence shows menu labeling interventions should be implemented in workplaces as part of a comprehensive approach to improve employees' dietary habits; however, implementation challenges have arisen. This article describes a protocol for a multiple case study to explore the factors that impact on implementation of a calorie menu labeling policy in Irish public hospitals. Methods: Using a multiple case study design, comprising four Irish acute public hospitals, this study will draw on multiple perspectives and sources of evidence (observations followed by interviews, focus groups, and documentary analysis) to allow for a comprehensive depth and breadth of inquiry. Data collection and analysis will be guided by the Consolidated Framework for Implementation Research, bringing together constructs from implementation theories to understand the complexity of implementing policies. Hospitals will be categorized into high and low implementers of the policy based on quantitative data obtained from structured observations. Using framework analysis, within- and cross-case analyses will be performed to identify factors influencing policy implementation and to identify distinguishing patterns across high and low implementers and across hospital direct and indirect stakeholders. Strategies will be employed to ensure rigorous case study research, for example, triangulation, audit trail, reflexivity, and thick descriptions. An integrated knowledge translation approach, where researchers work with stakeholders throughout the research process, will be adopted to facilitate the translation of research into policy and practice. Discussion: This protocol highlights methodological insights in utilizing case study research to gain a greater understanding of the menu labeling implementation process. Study findings will be relevant to policy makers and other stakeholders involved in the rollout of such interventions and will provide a foundation to select and tailor implementation strategies to assist with scale-up of calorie menu labeling across the health service. en_US
dc.language.iso eng en_US
dc.publisher SAGE Publications en_US
dc.relation.ispartofseries International Journal of Qualitative Methods;18, pp. 1-10
dc.subject nutrition en_US
dc.subject food services en_US
dc.subject workplace interventions en_US
dc.subject menu labeling en_US
dc.subject policy implementation en_US
dc.title Implementation of a calorie menu labeling policy in public hospitals: study protocol for a multiple case study en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2020-11-11T12:24:38Z
dc.description.version PUBLISHED
dc.identifier.doi https://doi.org/10.1177/1609406919878339
dc.contributor.sponsor HRB en_US
dc.relation.projectid SPHeRE/2013/1 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2966527
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle International Journal Of Qualitative Methods
dc.description.status peer-reviewed


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