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
dc.contributor.author	Hayes, Catherine
dc.contributor.author	Perry, Ivan J.
dc.contributor.author	Kelly, Colette
dc.contributor.funder	Health Research Board	en
dc.date.accessioned	2019-10-23T04:06:34Z
dc.date.available	2019-10-23T04:06:34Z
dc.date.issued	2019-09-24
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.description.status	Peer reviewed	en
dc.description.version	Published Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.articleid	1609406919878339	en
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.doi	10.1177/1609406919878339	en
dc.identifier.eissn	1609-4069
dc.identifier.endpage	10	en
dc.identifier.journaltitle	International Journal of Qualitative Methods	en
dc.identifier.startpage	1	en
dc.identifier.uri	https://hdl.handle.net/10468/8822
dc.identifier.volume	18	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

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

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