Healthy eating interventions conducted in small, local restaurants and hot food takeaways: a systematic review
Abstract Objective: This systematic review investigates the characteristics, effectiveness and acceptability of interventions to encourage healthier eating in small, independent restaurants and takeaways. Design: We searched five databases (CENTRAL, MEDLINE, Embase, CINAHL and Science Citation I...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Public Health Nutrition |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980025000035/type/journal_article |
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| _version_ | 1832584748753485824 |
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| author | Cinja Jostock Hannah Forde Nia Roberts Susan A Jebb Rachel Pechey Lauren Bandy |
| author_facet | Cinja Jostock Hannah Forde Nia Roberts Susan A Jebb Rachel Pechey Lauren Bandy |
| author_sort | Cinja Jostock |
| collection | DOAJ |
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Abstract
Objective:
This systematic review investigates the characteristics, effectiveness and acceptability of interventions to encourage healthier eating in small, independent restaurants and takeaways.
Design:
We searched five databases (CENTRAL, MEDLINE, Embase, CINAHL and Science Citation Index and Social Science Citation Index) in June 2022. Eligible studies had to measure changes in sales, availability, nutritional quality, portion sizes or dietary intake of interventions targeting customer behaviour or restaurant environments. We evaluated study quality using the Mixed Methods Appraisal Tool. Results are synthesised narratively, and interventions’ impact on personal autonomy is assessed using the Nuffield intervention ladder.
Setting:
Small, independent or local restaurants or hot food takeaway outlets, with no restrictions by year or country.
Participants:
Anyone selling or purchasing food in intervention settings (e.g. restaurant staff/owners, customers).
Results:
We screened 4624 records and included 12 studies describing 13 interventions in 351 businesses. Most studies were of poor quality. Customer-level intervention components mostly operated on the lower rungs of the Nuffield ladder, and most had limited positive effects on increasing demand, measured as sales or orders of healthy options. Whilst rare, most interventions measuring business outcomes operated on higher ladder rungs and showed small positive results. There was insufficient evidence to investigate differences in impact by intervention intrusiveness. Acceptability was greater for interventions that were low-effort, inexpensive and perceived as not negatively impacting on customer satisfaction.
Conclusions:
Despite some evidence of small positive effects of healthy eating interventions on healthier purchases or restaurant/hot food takeaway practices, a weak evidence base hinders robust inference.
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| format | Article |
| id | doaj-art-bcd3c14c312e42e78d5e11546b288702 |
| institution | Kabale University |
| issn | 1368-9800 1475-2727 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj-art-bcd3c14c312e42e78d5e11546b2887022025-01-27T11:38:12ZengCambridge University PressPublic Health Nutrition1368-98001475-27272025-01-012810.1017/S1368980025000035Healthy eating interventions conducted in small, local restaurants and hot food takeaways: a systematic reviewCinja Jostock0Hannah Forde1Nia Roberts2Susan A Jebb3Rachel Pechey4Lauren Bandy5Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UKNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UKBodleian Health Care Libraries, University of Oxford, Oxford, UKNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UKNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UKNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK Abstract Objective: This systematic review investigates the characteristics, effectiveness and acceptability of interventions to encourage healthier eating in small, independent restaurants and takeaways. Design: We searched five databases (CENTRAL, MEDLINE, Embase, CINAHL and Science Citation Index and Social Science Citation Index) in June 2022. Eligible studies had to measure changes in sales, availability, nutritional quality, portion sizes or dietary intake of interventions targeting customer behaviour or restaurant environments. We evaluated study quality using the Mixed Methods Appraisal Tool. Results are synthesised narratively, and interventions’ impact on personal autonomy is assessed using the Nuffield intervention ladder. Setting: Small, independent or local restaurants or hot food takeaway outlets, with no restrictions by year or country. Participants: Anyone selling or purchasing food in intervention settings (e.g. restaurant staff/owners, customers). Results: We screened 4624 records and included 12 studies describing 13 interventions in 351 businesses. Most studies were of poor quality. Customer-level intervention components mostly operated on the lower rungs of the Nuffield ladder, and most had limited positive effects on increasing demand, measured as sales or orders of healthy options. Whilst rare, most interventions measuring business outcomes operated on higher ladder rungs and showed small positive results. There was insufficient evidence to investigate differences in impact by intervention intrusiveness. Acceptability was greater for interventions that were low-effort, inexpensive and perceived as not negatively impacting on customer satisfaction. Conclusions: Despite some evidence of small positive effects of healthy eating interventions on healthier purchases or restaurant/hot food takeaway practices, a weak evidence base hinders robust inference. https://www.cambridge.org/core/product/identifier/S1368980025000035/type/journal_articleHealthy eating interventionsRestaurantsHot food takeawaysSystematic reviewFood environmentFood purchasing |
| spellingShingle | Cinja Jostock Hannah Forde Nia Roberts Susan A Jebb Rachel Pechey Lauren Bandy Healthy eating interventions conducted in small, local restaurants and hot food takeaways: a systematic review Public Health Nutrition Healthy eating interventions Restaurants Hot food takeaways Systematic review Food environment Food purchasing |
| title | Healthy eating interventions conducted in small, local restaurants and hot food takeaways: a systematic review |
| title_full | Healthy eating interventions conducted in small, local restaurants and hot food takeaways: a systematic review |
| title_fullStr | Healthy eating interventions conducted in small, local restaurants and hot food takeaways: a systematic review |
| title_full_unstemmed | Healthy eating interventions conducted in small, local restaurants and hot food takeaways: a systematic review |
| title_short | Healthy eating interventions conducted in small, local restaurants and hot food takeaways: a systematic review |
| title_sort | healthy eating interventions conducted in small local restaurants and hot food takeaways a systematic review |
| topic | Healthy eating interventions Restaurants Hot food takeaways Systematic review Food environment Food purchasing |
| url | https://www.cambridge.org/core/product/identifier/S1368980025000035/type/journal_article |
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