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Table 1 Implementation strategies employed by each LHD

From: Improving the adoption of a school-based nutrition program: findings from a collaborative network of randomised trials

Strategy

LHD 1

LHD 2

LHD 3

Strategy 1

Educational materials

Actor: LHD health promotion staff

Action: Email to central school email address, and direct Principal or Key Contact email address where known, specifically promoting SWAP IT as an exciting new program to improve student lunchboxes. A video (video one) providing an overview of SWAP IT and the time required to implement the program was embedded within the email

Target: Principals and Key School Contacts in HI and BAU groups

Temporality: Term 2, Week 2 (4/5/2022)

Dose: Once during the study period

Educational materials

Actor: LHD health promotion staff

Action: A 14-page Health Promoting Schools newsletter emailed to the central school email address to promote LHD health promotion programs. The newsletter is distributed each term to primary and secondary schools and showcases the range of health promotion programs available within the LHD. SWAP IT information was presented across two-thirds of page four and contained a link to video one (described in LHD 1 Strategy 1)

Target: Principals and Key School Contacts in HI and BAU groups

Temporality: Term 1, Week 7 (11/3/2022)

Dose: Once during the study period

Educational materials

Actor: LHD health promotion staff

Action: A two-page calendar promoting LHD health promotion programs and a link to an online survey emailed to the central school email address. The calendar is an annual resource that contains links to available health programs within the LHD, including SWAP IT. The survey enables schools to provide up-to-date contact details to the LHD and links schools to available programs, including SWAP IT

Target: Principal and Key School Contacts in HI and BAU groups

Temporality: Term 1, Week 3 (8/2/2022)

Dose: Once during the study period

Strategy 2

Educational materials

Actor: LHD health promotion staff

Action: Email to central school email address, and direct Principal or Key Contact email address where known, specifically promoting SWAP IT as “free, easy to run and delivers healthier lunchboxes for kids”. A video (video two) describing the ease of the program to implement and expected workload on staff was embedded within the email

Target: Principals and Key School Contacts in HI group only

Temporality: Term 2, Week 6 (1/6/2022)

Dose: Once during the study period

Educational materials

Actor: LHD health promotion staff

Action: Email to central school email address specifically promoting SWAP IT and offering free resources for supporting parents to pack healthy lunchboxes for schools. These free resources included parent booklets and classroom resources. Video one (described in LHD 1 Strategy 1) was embedded in the email

Target: Principals and other teaching staff in HI and BAU groups

Temporality: Term 2, Week 1 (26/4/2022)

Dose: Once during the study period

Educational materials

Actor: LHD health promotion staff

Action: An e-newsletter emailed to the central school email address to promote LHD health promotion programs. The e-newsletter promoted six programs available to schools within the LHD. SWAP IT appeared second

Target: Principals and Key School Contacts in HI and BAU groups

Temporality: Term 1, Week 5 (23/2/2022)

Dose: Once during the study period

Strategy 3

Educational materials

Actor: LHD health promotion staff

Action: Email to central school email address, and direct Principal or Key Contact email address where known, specifically promoting SWAP IT and offering free resources for kinder orientation for schools. Free resources included a SWAP IT parent booklet and a Crunch&Sip brochure. A video (video three) describing why healthy lunchboxes are important for child health and wellbeing was embedded within the email

Target: Principals and Key School Contacts in HI group only

Temporality: Term 3, Week 2 (27/7/2022)

Dose: Once during the study period

Educational materials

Actor: LHD health promotion staff

Action: Email to central school email address specifically promoting SWAP IT as being “free, easy to run and delivers healthier lunchboxes for kids”. Videos one and two (described in LHD 1) were embedded in the email

Target: Principals and other staff in HI group only

Temporality: Term 2, Week 6 (31/5/2022)

Dose: Once during the study period

Educational materials

Actor: LHD health promotion staff

Action: Email to central school email address specifically promoting SWAP IT and offering free electronic resources to support parents to pack healthy lunchboxes. Video one (described in LHD 1) was embedded in the email

Target: Principals in HI group only

Temporality: Term 1, Week 6 (1/3/2022)

Dose: Once during the study period

Strategy 4

Local facilitation

Actor: LHD health promotion staff

Action: Phone call to central school phone number, requesting to speak with the Principal or Key Contact. Aim of the phone call was to introduce SWAP IT to schools (if they weren’t familiar with the program) and address school identified barriers to adoption

Target: Principals and Key School Contacts in HI group

Temporality: Term 3, Weeks 6 – 8 (23/8/2022 – 9/9/2022)

Dose: Once during the study period

Educational materials

Actor: LHD health promotion staff

Action: Email to central school email address specifically promoting SWAP IT by highlighting why lunchboxes matter and offering free kindy orientation resources for schools. Videos one and two (described in LHD 1) were embedded in the email

Target: Principals and other staff in HI group only

Temporality: Term 3, Week 1 (20/7/2022)

Dose: Once during the study period

Educational materials

Actor: LHD health promotion staff

Action: Email to central school email address specifically promoting SWAP IT as “free, easy to run and delivers healthier lunchboxes for kids”. Videos one and two (described in LHD 1) were embedded in the email

Target: Principals in the HI group only

Temporality: Term 1, Week 7 (8/3/2022)

Dose: Once during the study period

Strategy 5

  

Educational materials

Actor: LHD health promotion staff

Action: Email to central school email address specifically promoting SWAP IT by highlighting the link between healthy lunchboxes and learning. All three videos (described in LHD 1) were embedded in the email

Target: Principals in the HI group only

Temporality: Term 2, Week 4 (17/5/2022)

Dose: Once during the study period