Tables and figures Figure 1 Summary of recruitment process
Primary Recruitment Strategy
Independent workplace sites contacted directly by study team n=37
Workplace sites invited to take part via Healthy Living Award Team email invitation (Summer 2011)
Unsuitable n=1
Sites contacted directly by the Health living Award Team (April/May 2012) n=4
No response n=2
Interested n=4
Nonresponsive n=2
Secondary Recruitment Strategy
Withdrew n=1
Sites participated in the study n=0
Interested n=2
No senior approval to participate n=1
Positive meeting but no further participation n=1
Sites participated in the study n=0
Sites contacted directly by the Healthy Working Lives Programme (Jan – May 2012) n=4
Responded but not interested n=2
Interested n=2
Interested sister site n=1
Sites participated in the study n=2
Sites completed the study n=2
1
Figure 2 EatSMART promotional materials in situ
Site A
Site B 2
Table 1 Site details including recruitment response Site Description
Recruitment Strategy
Location
No of contact (approx)
–
Edinburgh
Email/ Mail 8
Telephone Calls 4
Financial Services
Primary (HLA Summer 2011)
Oil Refinery
Primary (HLA Summer 2011)
–
Grangemouth
6
Insurance Company Local authority
Primary (HLA Summer 2011) Primary (HLA Summer 2011)
–
Edinburgh
–
Energy company
Call centre (Brewers) Local authority Contract caterers
Outcome
Person Visits 1(x1 personnel) 1(x2 personnel)
Unsuitable: Site anticipated 12% increase in sales & limited capacity with staff at Olympics
8
1(x2 personnel)
Un-responsive: Site stopped returning calls
4
1
0
Un-responsive
Cardenden, Fife
13
12
1 (x1 personnel) 2 (x2 personnel)
Secondary (HLA – Spring 2012)
Glasgow
2
2
0
Secondary (HLA – Spring 2012) Secondary (HLA – Spring 2012) Secondary (HLA – Spring 2012)
Livingston
2
2
0
Withdrew: Due to uncertain future Withdrew: Caterer unwilling to participate Un-responsive
Hamilton
2
3
0
Un-responsive
Headquarters – Stirling Sites across Scotland Cumbernauld
5
4
1(x1 personnel)
Un-responsive
3
2
0
Interested initially but then nothing more following approvals Not interested
Energy Company customer service centre
Secondary (HWL – Spring 2012)
Call Centre
Secondary (HWL – Spring 2012) Secondary (HWL – Spring 2012)
Uddingston
1
0
1
Airdrie
49
9
Intervention completed
Secondary (Via Teleperformance Airdrie – Spring 2012) Secondary (HWL – Spring 2012)
Erskine
9
2
7(x1personnel) 6(x2 personnel) 1(x3 personnel) 1(x1 personnel)
Motherwell
47
9
3(x1 personnel) 6(x2 personnel) 1(x3 personnel)
Intervention completed
151
58
53 person visits
Call centre Call centre
Government call centre
Total number of contacts/visits
3
Un-responsive
Table 2 Summary of EatSMART tailored intervention & marketing package Site A
Site B
Intervention
Combination deal
Combination deal
Specifics
Alternate weeks Soup & Sandwich Soup, Salad & Brown roll £1.80
Two options: Soup & Sandwich Soup, Sandwich & Fruit £2.50 or £3.00
Marketing Strategy
Product New reduced price combination deal Combination is healthy and complies with TL nutrient profiling system Price Reduced price for the 10 week intervention period 10-20% reduction price Following qualitative research price to be below £2 mark (actual £1.80) Place Site A Canteen Promotion Desk awareness strategy (3B’s) Visualisation Strategy Catering staff communication strategy
Product New reduced price combination deal Combination is healthy and complies with TL nutrient profiling system Price Reduced price for the 10 week intervention period 10-20% reduction price (actually may be more given current price range of sandwiches) Following qualitative research price to be (actual £2.50 for soup and sandwich and £3 for soup, sandwich & fruit) Place Site B Canteen Promotion Site B company intranet (new) Visualisation Strategy in canteen only (paperless site) Catering staff communication strategy (small team all on board and aware of intervention – all active players)
Nutrient criteria
Comply with green TL nutrient criteria for 3 out of 4 nutrients below: Fat Saturated Fat Salt Sugar
Price
4
Table 3 Intervention Uptake Week
Site A
Site B
n=1600#
n=550 Snacks
Combo
Estimated Intervention Soup1
Soup
Salads
Sandwiches*
(crisps, chocolate sweets)
Combo
Sandwiches
Snacks
Intervention
% total soup sales
Intervention
% total sandwich sales
(crisps, chocolate, sweets)
Week 1
17
62
16
70
206
27
44
43
8
34
454
Week 2
7
85
20
55
193
23
55
45
1
28
517
Week 3
4
45
29
72
169
31
49
54
0
31
566
Week 4
10
59
13
70
129
27
52
63
0
33
531
Week 5
29
138
20
130
159
21
94
82
0
38
430
Week 6
8
68
2
76
161
8
52
37
0
13
540
Week 7
17
57
13
52
114
7
55
37
0
9
560
Week 8
24
118
17
81
236
22
58
50
0
41
612
Week 9
9
92
18
95
293
9
71
57
1
27
553
17
95
18
74
242
12
72
45
1
27
493
Week 10
# Only ~800 employees on the premises at any one time 1 estimated from production and waste *Included non-intervention items
5
Table 4 Online questionnaire survey respondent demographics Site A
Site B
Pre-intervention n=46
Post-intervention n=28
Pre-intervention n=84
Post-intervention n=53
24(52)
19(68)
24(29)
14(27)
36(20 – 64)
31(21 – 41)
43(23 – 72)
42(23 – 65)
SIMD 1-5* (%)
29(74)
15(75)
39(65)
25(63)
Highest educational achievement –school level qualification (%)
14(30)
5(18)
37(46)
24(45)
Highest educational achievement – post school certificates (%)
14(30)
16(57)
28(35)
18(34)
Highest educational achievement – degree (%)
15(33)
6(21)
14(18)
9(17)
9(27)
7(30)
12(20)
7(20)
19(58)
11(49)
30(50)
17(49)
5(15)
5(22)
18(30)
11(31)
Ethnicity – white (%)
43(94)
27(96)
76(95)
51(96)
Smoker (%)
13(30)
7(26)
8(10)
11(21)
Live with other adults (%)
36(86)
15(56)
72(88)
44(86)
Children in household (%)
18(39)
12(44)
34(42)
19(37)
Part-time working (%)
8(17)
5(17)
16(19)
10(20)
Full-time working (%)
38(83)
23(83)
64(81)
40(80)
BMI >30kg/m2
27(61)
11(41)
40(54)
12(27)
Male (%)
Age (years) Mean (range)
Gross annual household income < 15000 (%) Gross annual household income 15000 - 40000 (%) Gross annual household income >40000 (%)
All percentages reported are valid percentages *Scottish Index of Multiple Deprivation deciles 1-5 = most deprived areas
6
Table 5a Reported food intake in last 24 hour Site A
Site B
Pre-intervention n=46 25(57)
Post-intervention n=28 14(52)
Pre-intervention n=84 53(67)
Post-intervention n=53 30(60)
Fruit (Portions) Mean (range)
3.2 (1 - 9)
3.1 (1 - 10)
2.6 (0 – 12)
2.7 (0 – 10)
Vegetables (portions) Mean (range)
2.3 (0 - 5)
2.0 (0 - 8)
2.3 (0 – 9)
2.2 (0 – 10)
Crisps, chocolate,(portions) Mean (range)
1.6 (0 – 6)
1.5 (0 - 7)
2.1 (0 – 8)
1.7 (0 – 4)
25(56)
17(68)
32(40)
17(34)
Sugary drinks (portions) Mean (range)
1.3 (0 – 4)
1.4 (0 – 4)
0.7 (0 – 4)
1.5 (1 – 4)
Meat - >2 portions (%)
3(7)
5(19)
9(11)
6(12)
Fish – at least 1 portion (%)
10(23)
8(30)
23(31)
9(19)
Homemade soup – at least 1 portion (%)
16(36)
8(32)
25(32)
14(30)
Breakfast cereal – at least 1 portion (%)
Sugary drinks – at least 1 portion (%)
7
Table 5b Reported food intake in last 24 hour (paired data) Site B p=1
Pre-intervention n=20 14(82)
Post-intervention n=20 13(69)
1.00
Fruit (Portions) Mean (range) Vegetables (portions) Mean (range) Crisps, chocolate (portions) Mean (range) Sugary drinks, at least 1 portion (%)
1.8 (0 – 5)
2.4(0 - 10
0.31
2.7 (1 – 9)
2.1 (0 – 7)
0.13
2.9 (0 – 6)
1.8 (0 – 4)
0.02*
8(42)
9(50)
1.00
Sugary drinks (portions) Mean (range) Meat, >2 portions (%)
1.6 (1 – 3)
1.7 (1 – 3)
0.77
3(16)
4(20)
1.00
Fish, at least 1 portion (%)
7(39)
4(24)
0.48
Homemade soup, at least 1 portion (%)
7(37)
2(13)
0.13
Breakfast cereal, at least 1 portion (%)
1 Fisher Exact tests (chi squared test for differences in proportions/small samples) or paired student t test for differences in means
8
Table 6 – Reported lunch time spend Site A
Site B
Pre-intervention (n=46) 4 (8.8)
Post-intervention (n=28) 7(25.9)
Pre-intervention (n=83) 7 (8.8)
Post-intervention (n=53) 8(15.4)
£1.51 - £2.50(%)
25 (55.6)
14(51.8)
37 (46.3)
25(48.1)
£2.51 - £3.00(%)
7 (15.6)
2(7.4)
21 (26.3)
9(17.3)
2 (4.4)
0(0)
5 (6.3)
0(0)
5 (11.1)
2(7.4)
10 (12.5)
7(13.5)
2 (4.4)
2(7.4)
0(0)
3(5.8)
< £1.50 (%)
> £3.00(%) No set amount (%) Not sure (%)
9
Table 7a Perceptions of canteen
Choice of items on sale Mean (range)1 Range of healthy eating choices Mean (range)1 Quality of food Mean (range)1 Value for money Mean (range) 1 Marketing materials Mean (range) 1 Promoted items Mean (range) 1 Dining experience Mean (range) 1
Site A Pre-intervention Post-intervention n=46 n=28 2.9 (1 – 5) 3.9 (1-7)
Site B Pre-intervention Post-intervention n=84 n=53 2.8 (1 – 6) 3.3 (1 – 6)
2.6 (1 – 6)
3.8 (1 – 6)
2.6 (1 – 6)
3.5 (1 – 6)
3.1 (1 – 5)
3.3 (1 – 6)
2.6 (1 – 5)
3.3 (1 – 6)
2.3 (1 – 5)
3.1 (1 – 7)
1.9 (1 – 5)
2.5 (1 – 5)
2.3 (1 – 5)
2.8 (1 – 6)
3.0 (1 – 6)
3.7 (1 – 6)
2.2 (1 – 6)
3.0 (1 – 6)
3.1 (1 – 6)
3.6 (1 – 7)
2.6 (1 – 5)
3.3 (1 – 6)
2.6 (1 – 6)
3.0 (1 – 6)
1 Likert scale 1=poor, 7=excellent
10
Table 7b Perceptions of canteen (paired data)
Choice of items on sale Mean (range)1 Range of healthy eating choices Mean (range)1 Quality of food Mean (range)1 Value for money Mean (range) 1 Marketing materials Mean (range) 1 Promoted items Mean (range) 1 Dining experience Mean (range) 1
Pre-intervention n=20 3.0 (1 – 5)
Site B Post-intervention n=20 3.4(1 – 6)
0.008*
2.8(1 – 6)
3.6(1 – 6)
0.08
2.9(1 – 5)
3.3(1 – 5)
0.008*
2.1 (1 – 5)
2.7(1 – 5)
0.035*
3.2 (2 – 5)
3.8(1 – 6)
0.008*
3.4 (1 – 6)
3.8(1 – 7)
0.047*
2.9 (1 – 6)
3.1(1 – 5)
0.004*
1 Likert scale 1=poor, 7=excellent 2 Paired Student t test for comparison of means *Significant p<0.05
11
p=2
Table 8 Uptake of EatSMART promotion
Has purchased combination deal (%)
Site A n=28 12(43)
Site B n=53 15(28)
Has purchased EatSMART sandwich alone (%)
9(35)
8(15)
Has purchased EatSMART salad alone (%)
8(29)
N/A
Has purchased EatSMART soup alone (%)
7(25)
21(40)
Has seen promotional materials for EatSMART promotion (%)
10(36)
30(58)
12
Table 9â&#x20AC;&#x201C; Contributions of co-applicants and staff Name Professor Annie S Anderson
Principal Investigator: Study design, study tool development, interpretation of results, writing report.
Dr Dionne Mackison
Research Fellow & Co-applicant: Study design, site recruitment, liaison with HLA & HWL teams, site liaison, study tool development, data collection, data analysis, presentation and interpretation of results, writing report
Mr John Mooney
Co-applicant: Study design, site recruitment, data analysis, writing report
Dr Maureen Macleod
Data analysis, interpretation of results, writing report
Mrs Karen Barton
Data collection, data analysis, site liaison
Ms Lyndsay Watkins
University of Abertay summer intern assisted with administrative and data analysis
Ms Clare Doogan
Graphic design intern designing intervention logo
13