Public health strategies are placing increasing emphasis
on the key role worksites can play in preventing illness
and promoting health and well-being [6]. However, this
review highlights a critical lack of evidence regarding the
most acceptable and cost-effective worksite health programmes.
Strategies employed to promote healthy eating
to date have largely focussed on individual responsibility
(education and behaviour change). Some programmes
have implemented changes to worksite environments in
order to make healthy choices easier but these have largely
focussed on changing the physical environment, i.e. food
availability, and have mostly failed to tackle the economic,
political, and socio-cultural aspects of the worksite.
Greater use of frameworks for interventions that acknowledge
the complexity of the environment and the need to
intervene at many levels may help to achieve more meaningful
changes [38]. In particular, workplace canteens
which frequently include a degree of food subsidisation
provide an ideal environment in which to test the potential
of economic incentives to change food purchasing behaviour
[39]. Evidence suggests that economic incentives
impact positively on dietary behaviour [40]; and favorable
effects have been seen for weight loss [41,42], purchase of
low-fat snacks [43], and self-reported fruit and vegetable
consumption [44]. Changes to political (the rules) and
socio-cultural (social norms) aspects of the worksite also
merit more consideration in future interventions.
Public health strategies are placing increasing emphasis
on the key role worksites can play in preventing illness
and promoting health and well-being [6]. However, this
review highlights a critical lack of evidence regarding the
most acceptable and cost-effective worksite health programmes.
Strategies employed to promote healthy eating
to date have largely focussed on individual responsibility
(education and behaviour change). Some programmes
have implemented changes to worksite environments in
order to make healthy choices easier but these have largely
focussed on changing the physical environment, i.e. food
availability, and have mostly failed to tackle the economic,
political, and socio-cultural aspects of the worksite.
Greater use of frameworks for interventions that acknowledge
the complexity of the environment and the need to
intervene at many levels may help to achieve more meaningful
changes [38]. In particular, workplace canteens
which frequently include a degree of food subsidisation
provide an ideal environment in which to test the potential
of economic incentives to change food purchasing behaviour
[39]. Evidence suggests that economic incentives
impact positively on dietary behaviour [40]; and favorable
effects have been seen for weight loss [41,42], purchase of
low-fat snacks [43], and self-reported fruit and vegetable
consumption [44]. Changes to political (the rules) and
socio-cultural (social norms) aspects of the worksite also
merit more consideration in future interventions.
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