PDF(Pubmed)
Abstract：
BACKGROUND: Aboriginal and Torres Strait Islander communities in remote Australia have initiated bold policies for health-enabling stores. Benchmarking, a data-driven and facilitated \'audit and feedback\' with action planning process, provides a potential strategy to strengthen and scale health-enabling best-practice adoption by remote community store directors/owners. We aim to co-design a benchmarking model with five partner organisations and test its effectiveness with Aboriginal and Torres Strait Islander community stores in remote Australia.
METHODS: Study design is a pragmatic randomised controlled trial with consenting eligible stores (located in very remote Northern Territory (NT) of Australia, primary grocery store for an Aboriginal community, and serviced by a Nutrition Practitioner with a study partner organisation). The Benchmarking model is informed by research evidence, purpose-built best-practice audit and feedback tools, and co-designed with partner organisation and community representatives. The intervention comprises two full benchmarking cycles (one per year, 2022/23 and 2023/24) of assessment, feedback, action planning and action implementation. Assessment of stores includes i adoption status of 21 evidence-and industry-informed health-enabling policies for remote stores, ii implementation of health-enabling best-practice using a purpose-built Store Scout App, iii price of a standardised healthy diet using the Aboriginal and Torres Strait Islander Healthy Diets ASAP protocol; and, iv healthiness of food purchasing using sales data indicators. Partner organisations feedback reports and co-design action plans with stores. Control stores receive assessments and continue with usual retail practice. All stores provide weekly electronic sales data to assess the primary outcome, change in free sugars (g) to energy (MJ) from all food and drinks purchased, baseline (July-December 2021) vs July-December 2023.
CONCLUSIONS: We hypothesise that the benchmarking intervention can improve the adoption of health-enabling store policy and practice and reduce sales of unhealthy foods and drinks in remote community stores of Australia. This innovative research with remote Aboriginal and Torres Strait Islander communities can inform effective implementation strategies for healthy food retail more broadly.
BACKGROUND: ACTRN12622000596707, Protocol version 1.
METHODS: Study design is a pragmatic randomised controlled trial with consenting eligible stores (located in very remote Northern Territory (NT) of Australia, primary grocery store for an Aboriginal community, and serviced by a Nutrition Practitioner with a study partner organisation). The Benchmarking model is informed by research evidence, purpose-built best-practice audit and feedback tools, and co-designed with partner organisation and community representatives. The intervention comprises two full benchmarking cycles (one per year, 2022/23 and 2023/24) of assessment, feedback, action planning and action implementation. Assessment of stores includes i adoption status of 21 evidence-and industry-informed health-enabling policies for remote stores, ii implementation of health-enabling best-practice using a purpose-built Store Scout App, iii price of a standardised healthy diet using the Aboriginal and Torres Strait Islander Healthy Diets ASAP protocol; and, iv healthiness of food purchasing using sales data indicators. Partner organisations feedback reports and co-design action plans with stores. Control stores receive assessments and continue with usual retail practice. All stores provide weekly electronic sales data to assess the primary outcome, change in free sugars (g) to energy (MJ) from all food and drinks purchased, baseline (July-December 2021) vs July-December 2023.
CONCLUSIONS: We hypothesise that the benchmarking intervention can improve the adoption of health-enabling store policy and practice and reduce sales of unhealthy foods and drinks in remote community stores of Australia. This innovative research with remote Aboriginal and Torres Strait Islander communities can inform effective implementation strategies for healthy food retail more broadly.
BACKGROUND: ACTRN12622000596707, Protocol version 1.
摘要：
背景：澳大利亚偏远的原住民和托雷斯海峡岛民社区已经为健康商店启动了大胆的政策。基准,数据驱动和促进的“审计和反馈”与行动计划过程，提供了一个潜在的战略，以加强和扩大远程社区商店主管/所有者采用有利于健康的最佳实践。我们的目标是与五个合作伙伴组织共同设计基准模型，并与澳大利亚偏远地区的原住民和托雷斯海峡岛民社区商店测试其有效性。
方法：研究设计是一项务实的随机对照试验，有同意的合格商店（位于澳大利亚非常偏远的北领地（NT），原住民社区的主要杂货店，并由营养从业者与研究伙伴组织提供服务）。基准模型是由研究证据提供的，专门构建的最佳实践审计和反馈工具，并与合作伙伴组织和社区代表共同设计。干预包括两个完整的基准周期(每年一个，2022/23和2023/24)评估，反馈,行动计划和行动实施。商店评估包括21个证据和行业知情的远程商店健康扶持政策的采纳状态，ii使用专门构建的StoreScout应用程序实施有利于健康的最佳实践，iii使用原住民和托雷斯海峡岛民健康饮食ASAP协议的标准化健康饮食的价格；和，使用销售数据指标的食品采购的健康度。合作伙伴组织反馈报告并与商店共同设计行动计划。控制商店接受评估并继续进行常规零售实践。所有商店都提供每周电子销售数据以评估主要结果，从所有购买的食品和饮料中游离糖(G)到能量(MJ)的变化，基线（2021年7月至12月）与2023年7月至12月。
结论：我们假设基准干预措施可以改善对健康有利的商店政策和实践的采用，并减少澳大利亚偏远社区商店中不健康食品和饮料的销售。这项针对偏远原住民和托雷斯海峡岛民社区的创新研究可以为更广泛的健康食品零售提供有效的实施策略。
背景：ACTRN12622000596707，协议版本1。
方法：研究设计是一项务实的随机对照试验，有同意的合格商店（位于澳大利亚非常偏远的北领地（NT），原住民社区的主要杂货店，并由营养从业者与研究伙伴组织提供服务）。基准模型是由研究证据提供的，专门构建的最佳实践审计和反馈工具，并与合作伙伴组织和社区代表共同设计。干预包括两个完整的基准周期(每年一个，2022/23和2023/24)评估，反馈,行动计划和行动实施。商店评估包括21个证据和行业知情的远程商店健康扶持政策的采纳状态，ii使用专门构建的StoreScout应用程序实施有利于健康的最佳实践，iii使用原住民和托雷斯海峡岛民健康饮食ASAP协议的标准化健康饮食的价格；和，使用销售数据指标的食品采购的健康度。合作伙伴组织反馈报告并与商店共同设计行动计划。控制商店接受评估并继续进行常规零售实践。所有商店都提供每周电子销售数据以评估主要结果，从所有购买的食品和饮料中游离糖(G)到能量(MJ)的变化，基线（2021年7月至12月）与2023年7月至12月。
结论：我们假设基准干预措施可以改善对健康有利的商店政策和实践的采用，并减少澳大利亚偏远社区商店中不健康食品和饮料的销售。这项针对偏远原住民和托雷斯海峡岛民社区的创新研究可以为更广泛的健康食品零售提供有效的实施策略。
背景：ACTRN12622000596707，协议版本1。
