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Co-creation and implementation of a healthy snacks policy in primary schools: data from Sintra Grows Healthy

2024Journal article Open access
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dc.contributor.authorNogueira, Telma
dc.contributor.authorFerreira, Raquel J.
dc.contributor.authorLiñan Pinto, Mariana
dc.contributor.authorSilva, Vitória Dias da
dc.contributor.authorNogueira, Paulo Jorge
dc.contributor.authorSousa, Joana
dc.date.accessioned2025-06-11T13:29:32Z
dc.date.available2025-06-11T13:29:32Z
dc.date.issued2024
dc.description© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).pt_PT
dc.description.abstractPolicy interventions in the school food environment can improve dietary behaviors. However, the literature describing its development and implementation is scarce. This manuscript aims to describe the process of co-creation, implementation, monitoring, and evaluation of a Healthy Snacks Policy, in the scope of Sintra Grows Healthy intervention. Through a community-based participatory research methodology, the co-creation of the Healthy Snacks Policy comprises six stages: snacks evaluation, feedback sessions, class assemblies, school community assemblies, school cluster policy approval, and process evaluation. Within one school year, a Healthy Snacks Policy was co-created, approved, incorporated in the school regulations, implemented, continuously monitored, and evaluated. Regarding snacks evaluation, 1900 snacks were evaluated at the beginning of the school year and 1079 at the end of the school year. There were three feedback sessions, twenty-two class assemblies, and three school community assemblies. Most teachers perceived that children began to consume healthier snacks (72%); 66% of the children were considered to have started eating healthier; and most families said "yes or sometimes" when asked whether their children started requesting healthier snacks (70%), trying new foods (63%), and noticing improvements in their eating habits (74%). The co-creation of a Healthy Snacks Policy establishes an approach to effectively implement existing guidelines for school food supplies, complying with national priority implementation recommendations.pt_PT
dc.description.sponsorshipThe Sintra Grows Healthy is promoted by the Municipality of Sintra. The Gulbenkian Academies for Knowledge, Calouste Gulbenkian Foundation, supported (231980) the Municipality of Sintra in assigning a subsidy in order to promote social and emotional skills but played no role in the study design. The Municipality of Sintra provides financial support (7819008155) to Faculdade de Medicina, Universidade de Lisboa, for this institution to undertake the technical and scientific leadership, including the study design validation, development, and dissemination of Sintra Grows Healthy, in its various actions.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNutrients. 2024 Oct 4;16(19):3374pt_PT
dc.identifier.doi10.3390/nu16193374pt_PT
dc.identifier.eissn2072-6643
dc.identifier.urihttp://hdl.handle.net/10400.5/101489
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/journal/nutrientspt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCommunity-based interventionpt_PT
dc.subjectFood policypt_PT
dc.subjectHealthy snackspt_PT
dc.subjectPreventionpt_PT
dc.subjectSchoolpt_PT
dc.titleCo-creation and implementation of a healthy snacks policy in primary schools: data from Sintra Grows Healthypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue19pt_PT
oaire.citation.titleNutrientspt_PT
oaire.citation.volume16pt_PT
person.familyNameNogueira
person.familyNameLiñan Pinto
person.familyNameNogueira
person.familyNameSousa
person.givenNameTelma
person.givenNameMariana
person.givenNamePaulo Jorge
person.givenNameJoana
person.identifier1013768
person.identifier.ciencia-id5213-9FE7-AF5F
person.identifier.ciencia-id2410-2DCC-F213
person.identifier.orcid0000-0001-7328-1817
person.identifier.orcid0000-0003-1823-9223
person.identifier.orcid0000-0001-8316-5035
person.identifier.orcid0000-0002-7875-0149
person.identifier.ridAAR-5605-2020
person.identifier.scopus-author-id7005428250
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationa08ec9cd-89e2-448f-bf48-d3052edfe01f
relation.isAuthorOfPublicationcac77f50-c37b-46fd-aa43-55a62169f427
relation.isAuthorOfPublication9d24d0e5-5fab-4fef-b962-b0333e28f9d1
relation.isAuthorOfPublication1f9bba31-e20d-41de-861d-5d0acfa7bcbf
relation.isAuthorOfPublication.latestForDiscoverya08ec9cd-89e2-448f-bf48-d3052edfe01f

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