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. 2022 Sep 2;14(17):3640. doi: 10.3390/nu14173640

Table 3.

NOURISHING framework’s domains and action areas, and their application in the current review.

Domain * Action Areas * Sub-Action Areas Relevant to the Current Review * Classification of Intervention Strategies from Included Studies
Food environment N Nutrition label standards and regulations on use of claims and implied claims on food
  • Interpretive labelling

  • On-shelf labelling

  • Calorie and nutrient labelling on menus and displays

  • Promotion—nutrition labelling on menus or at point of selection (e.g., traffic light, calorie or nutrient labelling)

O Offer healthy food and set standards in public institutions and other specific settings
  • Fruit and vegetable initiatives in schools

  • Mandatory standards for food available in schools including restrictions on unhealthy food

  • Voluntary guidelines for food available in schools

  • Choice architecture

  • Food standards or policy implementation

  • Implementation of voluntary policy or guideline initiatives

  • Implementation of updated policy or national guidelines

  • Presentation—improvements to the physical environment (e.g., dining room layout including wall decor, table arrangement) or presentation of food (e.g., attractive containers for healthy food, garnish on meals)

  • Accessibility—placement, convenience (includes pre-sliced fruit/veg)

U Use economic tools to address food affordability and purchase incentives
  • Targeted subsidies for healthy food

  • Price targets to attract choice towards healthier options

R Restrict food advertising and other forms of commercial promotion
  • NA for this review

  • NA

I Improve nutritional quality of the whole food supply
  • Voluntary reformulation of food products

  • Voluntary commitments to reduce portion sizes

  • Limits on availability of high-fat meat products and high-sugar food products and beverages

  • Reformulation of recipes or menu to enhance nutritional quality; includes engagement of professional chef or dietitian

  • Acceptability—taste-testing to inform changes; seasoning or sauces to enhance palatability

  • Limits on fat and sugar in meals, and restrict portion sizes

S Set incentives and rules to create a healthy retail and food service environment
  • Initiatives to increase the availability of healthier food in stores and out-of-home venues

  • Incentives and rules to offer healthy food options as a default in food service outlets

  • Incentives and rules to reduce salt in food service outlets

  • Changes to food service operations such as modifications to the point of service or service lines

  • Availability—increased variety or expand healthy options (includes offering pre-sliced fruit in addition to whole fruit); reduced availability of less healthy food and beverages

Food system H Harness food supply chain and actions across sectors to ensure coherence with health
  • Working with food suppliers to provide healthier ingredients

  • Public procurement through ‘short-chains’ (e.g., local farmers)

  • Community food production

  • Governance structures; multi-sector/stakeholder engagement

  • Stakeholder engagement—student, school staff or food service staff engaged to participate in program development or implementation

  • Sourcing healthier ingredients from food suppliers

  • Using school garden produce in meal preparation

Behaviour change communication I Inform people about food and nutrition through public awareness
  • Public awareness, mass media and informational campaigns and social marketing on healthy eating, fruit and vegetables, unhealthy food and beverages, or concerning salt

  • Promotion and marketing—student sampling, posters, table tents, food naming, school announcements or food service staff prompts

N Nutrition advice and counselling in health care settings
  • NA for this review

  • NA

G Give nutrition education and skills
  • Nutrition education on curricula

  • Community-based nutrition education

  • Cooking skills

  • Initiatives to train school children on growing food

  • Training for caterers and food service providers

  • Food service staff training

  • School garden initiatives with students and food service staff

  • Student education or skills training related to modifications to the meal service

* This material has been reproduced from the World Cancer Research Fund International NOURISHING framework https://www.wcrf.org/int/policy/policy-databases/nourishing-framework (accessed on 26 July 2019). [75]; Hawkes et al., 2013 [76]; NOURISHING frameworks’ domains, denoted by shade colour: blue = food environment domain; green = food system domain; orange = behaviour change communication domain. NA: not applicable.