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dc.contributor.authorTrevena, H
dc.contributor.authorThow, AM
dc.contributor.authorDunford, E
dc.contributor.authorWu, JHY
dc.contributor.authorNeal, B
dc.date.accessioned2019-08-29
dc.date.available2019-08-29
dc.date.issued2016-01-25
dc.identifier.citationTrevena H, Thow AM, Dunford E, Wu JHY, Neal B. Protocol for a cluster-randomised trial to determine the effects of advocacy actions on the salt content of processed foods. BMC Public Health. 2015;16(1). doi:10.1186/s12889-016-2743-4en_AU
dc.identifier.urihttp://hdl.handle.net/2123/21001
dc.description.abstractBackground: Corporate decisions affecting the composition of processed foods are a potent factor shaping the nutritional quality of the food supply. The addition of large quantities of salt to foods is incompatible with Australian Dietary Guidelines and the reformulation of processed foods to have less salt is a focus of non-governmental organisations (NGOs). There is evidence that advocacy can influence corporate behaviour but there are few data to define the effects of NGOs working in the food space. The aim of this study is to quantify the effects of advocacy delivered by a local NGO on the salt content of food products produced or marketed by companies in Australia. Methods/Design: This is a cluster-randomised controlled trial that will be done in Australia from 2013 to 2015 which includes 45 food companies. The 23 companies in the control group will receive no specific intervention whilst the 22 companies in the intervention group will receive an advocacy program based upon an established theory of change model. The primary outcome will be the mean change in sodium content (mg/100 g) of processed foods produced or marketed by intervention compared to control companies assessed at 24 months. Interim outcomes (statements of support, published nutrition policies, level of engagement, knowledge and use of technology to reduce salt, salt reduction plans, and support for national initiatives) will also be assessed and a qualitative evaluation will provide more detailed insight. Discussion: This novel study will provide robust randomised evidence about the effects of advocacy on food company behaviour and the quality of the processed food supply. A finding of improved food company behaviour will highlight the potential for greater investment in advocacy whilst the opposite result will reinforce the importance of government-led initiatives for the improvement of the food supply.en_AU
dc.language.isoen_AUen_AU
dc.publisherBMC Public Healthen_AU
dc.rights© The Author(s) 2018. This article is licensed under a Creative Commons Attribution 4.0 International License.en_AU
dc.subjectAustraliaen_AU
dc.subjectConsumer Advocacyen_AU
dc.subjectFast Foodsen_AU
dc.subjectFood handlingen_AU
dc.subjectHealth Promotionen_AU
dc.subjectHumansen_AU
dc.subjectNutrition Policyen_AU
dc.subjectNutritive Valueen_AU
dc.subjectSodium Chloride, Dietaryen_AU
dc.subjectSalt Reductionen_AU
dc.subjectPublic Healthen_AU
dc.subjectRandomised Trialen_AU
dc.subjectAdvocacyen_AU
dc.subjectFood Companiesen_AU
dc.titleProtocol for a cluster-randomised trial to determine the effects of advocacy actions on the salt content of processed foodsen_AU
dc.typeArticleen_AU
dc.identifier.doi10.1186/s12889-016-2743-4
dc.type.pubtypePublisher's versionen_AU


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