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
dc.contributor.author Geaney, Fiona
dc.contributor.author Toomey, Elaine
dc.contributor.author Hayes, Catherine
dc.contributor.author Perry, Ivan J.
dc.contributor.author Kelly, Colette
dc.date.accessioned 2019-10-23T04:06:34Z
dc.date.available 2019-10-23T04:06:34Z
dc.date.issued 2019-09-24
dc.identifier.citation Kerins, C., Houghton, C., McHugh, S., Geaney, F., Toomey, E., Hayes, C., Perry, I. J. and Kelly, C. (2019) 'Implementation of a Calorie Menu Labeling Policy in Public Hospitals: Study Protocol for a Multiple Case Study', International Journal of Qualitative Methods, 18, 1609406919878339. (10pp.) DOI: 10.1177/1609406919878339 en
dc.identifier.volume 18 en
dc.identifier.startpage 1 en
dc.identifier.endpage 10 en
dc.identifier.uri http://hdl.handle.net/10468/8822
dc.identifier.doi 10.1177/1609406919878339 en
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
dc.description.sponsorship Health Research Board (Grant SPHeRE/2013/1) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Sage en
dc.relation.uri https://journals.sagepub.com/doi/10.1177/1609406919878339
dc.rights © The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). en
dc.rights.uri http://www.creativecommons.org/licenses/by-nc/4.0/ en
dc.subject Nutrition en
dc.subject Food services en
dc.subject Workplace interventions en
dc.subject Menu labeling en
dc.subject Policy implementation en
dc.subject Fidelity en
dc.subject Consolidated Framework for Implementation Research en
dc.subject Multiple case study en
dc.subject Knowledge translation en
dc.title Implementation of a calorie menu labeling policy in public hospitals: study protocol for a multiple case study en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Fiona Geaney, School of Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email:F.Geaney@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle International Journal of Qualitative Methods en
dc.internal.IRISemailaddress F.Geaney@ucc.ie en
dc.identifier.articleid 1609406919878339 en
dc.internal.bibliocheck Check article ID en
dc.identifier.eissn 1609-4069


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© The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Except where otherwise noted, this item's license is described as © The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
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