Characteristics of the 48 included studies and key findings extracted for this review
Authors, year of publication . | Study design . | Target behaviour . | Samplea . | Acceptability themeb . | Data collection method . | Lengthc . | Details on data collection provided by the authors . |
---|---|---|---|---|---|---|---|
Aarts et al. (2011)42 | Qualitative research | PA | Political: N = 25 policy officers | ‘support’ | Semi-structured face-to-face interviews | Ø 45 min | Open-ended questions about the current state municipalities regarding multi-sector policy action as well as opinions on facilitators and challenges for multi-sector policies. Support for the policy actions was determined based on the number of quotations in the transcripts (pooled for the four municipalities) about policies initiatives related to (the environmental determinants of) physical activity among children. |
Alassaf et al. (2020)34 | Cross-sectional study | Diet | Public: N = 1265 | ‘support’ | Online survey | N = 1 item | One item rated on a two-point scale (‘yes’/‘no’): ‘Do you support the new policy mandating that restaurants display calories on their menus?’ |
Allender et al. (2012)43 | Qualitative research | Diet and PA | Political: N = 11 (key informants, e.g. Chief Executive Officer of a local council; two healthy programme coordinators) | ‘support’ | Semi-structured interviews | N = 3 questions | The following information was asked from respondents: ‘Which interventions from the list of nine possible policy areas were likely to be supported within local government?’ Authors also asked participants for any other policy areas not included on the list that they felt might be relevant. Participants were asked to provide their view of the policy situation throughout the state of Victoria and not simply their own local council. |
Beeken et al. (2013)35 | Cross-sectional study | Diet | Public: N = 1986 (adults) | ‘support’ | Computer-assisted, face-to-face omnibus survey | N = 5 items | Participants were asked to rate their level of agreement for different statements such as: ‘The government should restrict advertising and marketing of unhealthy foods’. |
Belizan et al. (2019)56 | Mixed-method study | Diet and PA | Public: N = 250 (n = 206 survey; n = 44 interview) | ‘acceptability’, no definition provided | (1) Semi-structured interviews, (2) Online survey | NA |
|
Bentley et al. (2015)40 | Qualitative research | PA (SB) |
| ‘attitudes’ | Semi-structured interviews | 43 min (mean; min: 23, max: 64) | Interview questions on attitudes towards the specific targets of the guidelines. Data analysed thematically using a framework approach.51 |
Bhawra et al. (2018)45 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 21 items (n = 1 item per policy) | For each policy, participants were asked, ‘Would you support or oppose a government policy that would require [policy]?’ and had the option of selecting, ‘Support’, ‘Neutral’, ‘Oppose’, or ‘Don’t Know’. |
Bleich et al. (2010)47 | Cross-sectional study | Diet |
| ‘perception’ | Telephone survey | N = 8 Items (n = 6 caloric labelling in chain restaurants; n = 2 calorie posting legislation) | Item example: ‘Do you favour or oppose the government requiring chain restaurants, such as McDonalds or Subway, to post calorie information on menus or menu boards for each food item at the point of purchase?’ |
Carson et al. (2014)57 | Qualitative research | PA (SB) |
| ‘perception’ | Semi-structured focus groups | N = 6 questions | Questions:
|
Cradock et al. (2018)58 | Cross-sectional study | PA |
| ‘support’ | Telephone survey | N = 5 items, (n = 1 item per policy) | Item example: ‘Do you support funding for programs that encourage walking and bicycling to school?’ Response format: ‘Yes’/’No’ |
Curbach et al. (2018)59 | Cross-sectional study | PA |
| ‘attitudes’ | Mail survey | N = 17 items |
|
Day et al. (2015)60 | Qualitative research | Diet |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Semi-structured focus groups | 20–40 min | The focus group topic schedule used semi-structured open-ended questions to guide discussion, for example: ‘What do you think about your school meals? (healthiness/quality/choice/quantity?)’ |
De la Cruz-Góngora et al. (2017)21 | Qualitative research | Diet |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Focus groups | Ø 75 min | Focus groups following thematic analysis: Food label acceptability has been operationalized as ‘liking it and confidence in it’ |
Emm et al. (2013)26 | Cross-sectional study | Diet and PA |
| ‘support’ | Online survey | N = 17 items (n = 7 for redistributive; n = 6 for compensatory and n = 4 for price-raising policies) |
|
Faulkner et al. (2016)41 | Qualitative research | PA (SB) |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Semi-structured focus group interviews | NA | Question example: ‘In the current case for example, do people perceive a need for 24-hour movement guidelines and are the recommendations perceived as relevant, achievable, and acceptable to their lives as a parent, qualified exercise professional, or paediatrician?’ |
Fitzgerald et al. (2018)61 | Qualitative research | Diet |
| ‘attitudes’ | Semi-structured interviews | 40–60 min | Interviews focused on participants’ perceptions and experiences, potential barriers and facilitators surrounding the implementation of calorie menu labelling. A semi-structured topic guide was developed to allow for comparisons of experiences and attitudes in relation to calorie menu labelling. The topic guides took an inductive approach and allowed for unique insights and perspectives to emerge. Framework approach51 was used for data analysis. |
Gase et al. (2015)48 | Cross-sectional study | PA (AT) |
| ‘support’ | Telephone survey | N = 31 items; 3–4 items per policy (n = 9) | Questions partially developed on already existing (Omnibus Household Survey, California Household Travel Survey), partially developed specifically for this study. Participants were asked whether they strongly supported, somewhat supported, somewhat opposed or strongly opposed ‘redirecting current federal, state or local transportation dollars’ to implement nine specific transportation improvements (increase traffic enforcement, develop more bike paths or lanes, etc.). |
Hagmann et al. (2018)17 | Cross-sectional study | Diet |
| ‘acceptability’, definition provided: ‘how individuals feel and think about the implementation or continued existence of policies’2 | Online survey | N = 8 items | Respondents were provided with a short introductory statement: ‘Given the overweight problem (in our society), a lot of measures have been proposed (in order to tackle it).’ They were then asked to indicate their acceptance of different specific measures (‘How do you rate the following strategies to reduce sugar consumption in the Swiss population?’). Each item was rated on a seven-point response scale ranging from 1 (‘do not agree at all’) to 7 (‘fully agree’). |
Joyce et al. (2020)20 | Randomized cross-over trial | Diet |
| ‘acceptability’, no definition provided | Randomized cross-over trial | NA | A modified version of the United Stated Department of Agriculture, Food and Nutrition Services, Child Nutrition Programs, Team Nutrition try-day taste-testing ballot was used.74 Acceptability operationalized trough optics, taste fulfilment (satiation) and leftovers (plate waste weighing). |
Julia et al. (2015)25 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 7 items | Questionnaire items pertained to issues regarding acceptance of the tax (‘I support imposing a tax on sweetened beverages’, ‘I support imposing taxes on any and all foods and beverages which are bad for health’, ‘I support imposing a tax on sweetened beverages only if the money is then used to improve the health-care system’). |
Jürkenbeck et al. (2020)27 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 8 items |
|
Kang et al. (2017)46 | Qualitative study | Diet and PA |
| ‘opinions’ | Textual analysis (of Twitter data) | N = 480 tweets |
|
Kongats et al. (2019)28 | Cross-sectional study | Diet |
| ‘support’, authors use ‘acceptability’ synonymously and refer to the review by Diepeveen et al.4 | Online survey | N = 14 items |
|
Kwon et al. (2019)29 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 13 items; (n = 1 item for each policy option) |
|
Le Roux et al. (2021)62 | Cross-sectional study | Diet and PA |
| ‘satisfaction’ | Paper survey | N = 14 items | ‘Satisfaction questionnaire’, the scale consisted of ‘agree’ and ‘disagree’ or ‘yes’ and ‘no’. |
Mathews et al. (2010)39 | Cross-sectional study | PA |
| ‘attitudes’ | Web-based and paper surveys | N = 18 items | ‘School Travel Survey’ for district officials: http://prevention.sph.sc.edu/projects/Travel%20survey-District.pdf and school principals: http://prevention.sph.sc.edu/projects/Travel%20survey-Principals.pdf. Respondents were asked if they currently support local efforts to encourage walking to school and what type of impact walking can have on students’ health and academic performance. |
Micheelsen et al. (2014)63 | Randomized controlled trial | Diet |
| ‘acceptability’, no definition provided | Question-naire | N = 14 items, 7 for each policy dimension (n = 2) |
|
Milford et al. (2019)44 | Mixed-methods study | Diet |
| ‘attitudes’ | (1) Interviews and (2) paper-based question-naire |
|
|
Morley et al. (2012)30 | Cross-sectional study | Diet |
| ‘acceptability’, no definition provided | Phone Interviews | N = 18 items (n = 3 food labelling, n = 3 taxation, n = 1 product reformulation, n = 11 marketing) | Participants gave their opinions on food labelling, product reformulation, taxation and marketing through the use of Likert scales and close-ended questions. Participants were asked whether they were in favour of a number of policy practices and give their answer mostly using a five-point Likert scale. Some items instead used a three-point Likert scale (‘not regulate’/‘restrict’/‘stop this practice completely’). Some items also presented a selection of options from which participants were able to select their answer. |
Nathan et al. (2011)36 | Cross-sectional study | Diet |
| ‘attitudes’ | Computer Assisted Telephone Interview | 20 min | Principals were asked to respond on a four-point Likert scale (1 = ‘strongly agree’ to 4 = ‘strongly disagree’), whether they felt that it is part of a school’s role to provide an environment which encourages healthy eating; that it is appropriate for schools to implement vegetable and fruit breaks and that vegetable and fruit breaks do not take away too much time from other educational priorities in the classroom or are disruptive to classroom routine. |
Nguyen et al. (2015)49 | Cross-sectional study | Diet |
| ‘perception’ | Self-administered structured questio-nnaire | N = 3 items | Experts in the development of the food based dietary guidelines and primary-school-based interventions were involved in the development process of the questionnaire. The questionnaire was piloted at two schools and modified to enhance its validity before being used for the main study. |
Odom et al. (2017)23 | Cross-sectional study | Diet |
| ‘attitudes’ | Online survey | N = 6 items (n = 3 items per policy) |
|
Payán et al. (2017)55 | Qualitative research | Diet |
| ‘acceptability’, no definition provided | Focus groups | N = 6 questions | Focus group questions:
|
Pell et al. (2019)38 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 1 item | Single-item measure for support of the policy: ‘In 2018 a new sugary drink tax will be introduced in the UK. This aims to encourage manufacturers to reduce the sugar in drinks. The money will be spent on breakfast clubs, and sports in primary schools. Do you support or oppose this policy?’ |
Pettigrew et al. (2019)24 | Cross-sectional study | Diet |
| ‘attitudes’ | Online survey | NA | Respondents were asked to report their attitudes to a range of potential policy extensions and their preferences for various forms of support that would enable them to effectively implement an enhanced version of the policy (rated on a five-point scale from ‘strongly disagree’ to ‘strongly agree’). |
Regan et al. (2016)31 | Cross-sectional study | Diet |
| ‘perspective’ | Online survey | N = 13 items (one item for each policy) | Participants were asked to rate the level of importance that they felt the Irish government should assign to 13 different salt reduction policies. The assessed policies spanned government-industry cooperation, educational measures, restrictions on salt content of foods, labelling and fiscal measures. Each item was scored on a scale of one (‘not at all important’) to five (‘extremely important’). |
Reynolds et al. (2019)18 | Randomized controlled trial | Diet |
|
| Online survey | N = 3 items |
|
Riazi et al. (2017)32 | Qualitative research | PA (SB) |
|
| (1) Interview, (2) Focus groups |
|
|
Richards et al. (2011)65 | Qualitative research | PA (AT) |
| ‘support’ | Textual analysis (of submissions to city council annual plans) | N = 2784 submissions | Analysis of submissions to city council annual plans related to active transport: All submissions were reviewed and categories of responses were created, for city, year, type of respondent, transport mode, what they were asking for and the reasons given for the request (e.g. health or sustainability). |
Rida et al. (2019)66 | Mixed-methods study | Diet |
| ‘attitudes’ | Structured focus groups | N = 13 questions | Questions were developed to describe the nutrition knowledge of school food-personnel and the school food environment, contextualize attitudes and strategies of school food-personnel towards offering healthy school meals and barriers to face in offering and serving healthy meals. These questions were presented in two focus group sessions. |
Robles et al. (2017)37 | Cross-sectional study | Diet |
| ‘support’ | Telephone survey | N = 9 items |
|
Rydell et al. (2018)67 | Randomized controlled trial | Diet |
| ‘satisfaction’ | Online survey | N = 4 items | Participants received a questionnaire with four close-ended questions to assess satisfaction with various elements of the programme via an anchored six-point Likert scale. |
Signal et al. (2018)22 | Qualitative research | Diet |
| ‘acceptability’, no definition provided | Key informant interview method52 | N = 11 semi-structured interview questions |
|
Swift et al. (2018)68 | Qualitative research | Diet |
| ‘perception’ | Textual analysis (of online forum posts and tweets) |
|
|
Thomas-Meyer et al. (2017)69 | Qualitative research | Diet |
| ‘support’ | Textual analysis (of online comments on news articles) | N = 1645 comments | Thematic analysis of online reader comments using framework method.51 Analysis of public commenting on popular news websites in relation to SSB taxes. Comments were categorized as negative or positive, positive indicating support. |
Turner-McGrievy et al. (2014)70 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 37 items (referring to different aspects of the program) |
|
Vargas-Meza et al. (2019)19 | Randomized controlled trial | Diet |
| ‘acceptability’, based on theoretical framework by Grunert and Wills76 | Online survey |
| Label acceptability was evaluated using three indicators: likability, attractiveness and perceived cognitive workload, based on the framework of system acceptability by Nielsen.50 A questionnaire with ten statements was used to assess acceptability. Questions were answered by the participants using a five-point Likert scale. |
Yun et al. (2018)33 | Cross-sectional study | PA (SB and AT) |
| ‘support’ | Online survey | NA | Aspects assessed:
|
Authors, year of publication . | Study design . | Target behaviour . | Samplea . | Acceptability themeb . | Data collection method . | Lengthc . | Details on data collection provided by the authors . |
---|---|---|---|---|---|---|---|
Aarts et al. (2011)42 | Qualitative research | PA | Political: N = 25 policy officers | ‘support’ | Semi-structured face-to-face interviews | Ø 45 min | Open-ended questions about the current state municipalities regarding multi-sector policy action as well as opinions on facilitators and challenges for multi-sector policies. Support for the policy actions was determined based on the number of quotations in the transcripts (pooled for the four municipalities) about policies initiatives related to (the environmental determinants of) physical activity among children. |
Alassaf et al. (2020)34 | Cross-sectional study | Diet | Public: N = 1265 | ‘support’ | Online survey | N = 1 item | One item rated on a two-point scale (‘yes’/‘no’): ‘Do you support the new policy mandating that restaurants display calories on their menus?’ |
Allender et al. (2012)43 | Qualitative research | Diet and PA | Political: N = 11 (key informants, e.g. Chief Executive Officer of a local council; two healthy programme coordinators) | ‘support’ | Semi-structured interviews | N = 3 questions | The following information was asked from respondents: ‘Which interventions from the list of nine possible policy areas were likely to be supported within local government?’ Authors also asked participants for any other policy areas not included on the list that they felt might be relevant. Participants were asked to provide their view of the policy situation throughout the state of Victoria and not simply their own local council. |
Beeken et al. (2013)35 | Cross-sectional study | Diet | Public: N = 1986 (adults) | ‘support’ | Computer-assisted, face-to-face omnibus survey | N = 5 items | Participants were asked to rate their level of agreement for different statements such as: ‘The government should restrict advertising and marketing of unhealthy foods’. |
Belizan et al. (2019)56 | Mixed-method study | Diet and PA | Public: N = 250 (n = 206 survey; n = 44 interview) | ‘acceptability’, no definition provided | (1) Semi-structured interviews, (2) Online survey | NA |
|
Bentley et al. (2015)40 | Qualitative research | PA (SB) |
| ‘attitudes’ | Semi-structured interviews | 43 min (mean; min: 23, max: 64) | Interview questions on attitudes towards the specific targets of the guidelines. Data analysed thematically using a framework approach.51 |
Bhawra et al. (2018)45 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 21 items (n = 1 item per policy) | For each policy, participants were asked, ‘Would you support or oppose a government policy that would require [policy]?’ and had the option of selecting, ‘Support’, ‘Neutral’, ‘Oppose’, or ‘Don’t Know’. |
Bleich et al. (2010)47 | Cross-sectional study | Diet |
| ‘perception’ | Telephone survey | N = 8 Items (n = 6 caloric labelling in chain restaurants; n = 2 calorie posting legislation) | Item example: ‘Do you favour or oppose the government requiring chain restaurants, such as McDonalds or Subway, to post calorie information on menus or menu boards for each food item at the point of purchase?’ |
Carson et al. (2014)57 | Qualitative research | PA (SB) |
| ‘perception’ | Semi-structured focus groups | N = 6 questions | Questions:
|
Cradock et al. (2018)58 | Cross-sectional study | PA |
| ‘support’ | Telephone survey | N = 5 items, (n = 1 item per policy) | Item example: ‘Do you support funding for programs that encourage walking and bicycling to school?’ Response format: ‘Yes’/’No’ |
Curbach et al. (2018)59 | Cross-sectional study | PA |
| ‘attitudes’ | Mail survey | N = 17 items |
|
Day et al. (2015)60 | Qualitative research | Diet |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Semi-structured focus groups | 20–40 min | The focus group topic schedule used semi-structured open-ended questions to guide discussion, for example: ‘What do you think about your school meals? (healthiness/quality/choice/quantity?)’ |
De la Cruz-Góngora et al. (2017)21 | Qualitative research | Diet |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Focus groups | Ø 75 min | Focus groups following thematic analysis: Food label acceptability has been operationalized as ‘liking it and confidence in it’ |
Emm et al. (2013)26 | Cross-sectional study | Diet and PA |
| ‘support’ | Online survey | N = 17 items (n = 7 for redistributive; n = 6 for compensatory and n = 4 for price-raising policies) |
|
Faulkner et al. (2016)41 | Qualitative research | PA (SB) |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Semi-structured focus group interviews | NA | Question example: ‘In the current case for example, do people perceive a need for 24-hour movement guidelines and are the recommendations perceived as relevant, achievable, and acceptable to their lives as a parent, qualified exercise professional, or paediatrician?’ |
Fitzgerald et al. (2018)61 | Qualitative research | Diet |
| ‘attitudes’ | Semi-structured interviews | 40–60 min | Interviews focused on participants’ perceptions and experiences, potential barriers and facilitators surrounding the implementation of calorie menu labelling. A semi-structured topic guide was developed to allow for comparisons of experiences and attitudes in relation to calorie menu labelling. The topic guides took an inductive approach and allowed for unique insights and perspectives to emerge. Framework approach51 was used for data analysis. |
Gase et al. (2015)48 | Cross-sectional study | PA (AT) |
| ‘support’ | Telephone survey | N = 31 items; 3–4 items per policy (n = 9) | Questions partially developed on already existing (Omnibus Household Survey, California Household Travel Survey), partially developed specifically for this study. Participants were asked whether they strongly supported, somewhat supported, somewhat opposed or strongly opposed ‘redirecting current federal, state or local transportation dollars’ to implement nine specific transportation improvements (increase traffic enforcement, develop more bike paths or lanes, etc.). |
Hagmann et al. (2018)17 | Cross-sectional study | Diet |
| ‘acceptability’, definition provided: ‘how individuals feel and think about the implementation or continued existence of policies’2 | Online survey | N = 8 items | Respondents were provided with a short introductory statement: ‘Given the overweight problem (in our society), a lot of measures have been proposed (in order to tackle it).’ They were then asked to indicate their acceptance of different specific measures (‘How do you rate the following strategies to reduce sugar consumption in the Swiss population?’). Each item was rated on a seven-point response scale ranging from 1 (‘do not agree at all’) to 7 (‘fully agree’). |
Joyce et al. (2020)20 | Randomized cross-over trial | Diet |
| ‘acceptability’, no definition provided | Randomized cross-over trial | NA | A modified version of the United Stated Department of Agriculture, Food and Nutrition Services, Child Nutrition Programs, Team Nutrition try-day taste-testing ballot was used.74 Acceptability operationalized trough optics, taste fulfilment (satiation) and leftovers (plate waste weighing). |
Julia et al. (2015)25 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 7 items | Questionnaire items pertained to issues regarding acceptance of the tax (‘I support imposing a tax on sweetened beverages’, ‘I support imposing taxes on any and all foods and beverages which are bad for health’, ‘I support imposing a tax on sweetened beverages only if the money is then used to improve the health-care system’). |
Jürkenbeck et al. (2020)27 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 8 items |
|
Kang et al. (2017)46 | Qualitative study | Diet and PA |
| ‘opinions’ | Textual analysis (of Twitter data) | N = 480 tweets |
|
Kongats et al. (2019)28 | Cross-sectional study | Diet |
| ‘support’, authors use ‘acceptability’ synonymously and refer to the review by Diepeveen et al.4 | Online survey | N = 14 items |
|
Kwon et al. (2019)29 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 13 items; (n = 1 item for each policy option) |
|
Le Roux et al. (2021)62 | Cross-sectional study | Diet and PA |
| ‘satisfaction’ | Paper survey | N = 14 items | ‘Satisfaction questionnaire’, the scale consisted of ‘agree’ and ‘disagree’ or ‘yes’ and ‘no’. |
Mathews et al. (2010)39 | Cross-sectional study | PA |
| ‘attitudes’ | Web-based and paper surveys | N = 18 items | ‘School Travel Survey’ for district officials: http://prevention.sph.sc.edu/projects/Travel%20survey-District.pdf and school principals: http://prevention.sph.sc.edu/projects/Travel%20survey-Principals.pdf. Respondents were asked if they currently support local efforts to encourage walking to school and what type of impact walking can have on students’ health and academic performance. |
Micheelsen et al. (2014)63 | Randomized controlled trial | Diet |
| ‘acceptability’, no definition provided | Question-naire | N = 14 items, 7 for each policy dimension (n = 2) |
|
Milford et al. (2019)44 | Mixed-methods study | Diet |
| ‘attitudes’ | (1) Interviews and (2) paper-based question-naire |
|
|
Morley et al. (2012)30 | Cross-sectional study | Diet |
| ‘acceptability’, no definition provided | Phone Interviews | N = 18 items (n = 3 food labelling, n = 3 taxation, n = 1 product reformulation, n = 11 marketing) | Participants gave their opinions on food labelling, product reformulation, taxation and marketing through the use of Likert scales and close-ended questions. Participants were asked whether they were in favour of a number of policy practices and give their answer mostly using a five-point Likert scale. Some items instead used a three-point Likert scale (‘not regulate’/‘restrict’/‘stop this practice completely’). Some items also presented a selection of options from which participants were able to select their answer. |
Nathan et al. (2011)36 | Cross-sectional study | Diet |
| ‘attitudes’ | Computer Assisted Telephone Interview | 20 min | Principals were asked to respond on a four-point Likert scale (1 = ‘strongly agree’ to 4 = ‘strongly disagree’), whether they felt that it is part of a school’s role to provide an environment which encourages healthy eating; that it is appropriate for schools to implement vegetable and fruit breaks and that vegetable and fruit breaks do not take away too much time from other educational priorities in the classroom or are disruptive to classroom routine. |
Nguyen et al. (2015)49 | Cross-sectional study | Diet |
| ‘perception’ | Self-administered structured questio-nnaire | N = 3 items | Experts in the development of the food based dietary guidelines and primary-school-based interventions were involved in the development process of the questionnaire. The questionnaire was piloted at two schools and modified to enhance its validity before being used for the main study. |
Odom et al. (2017)23 | Cross-sectional study | Diet |
| ‘attitudes’ | Online survey | N = 6 items (n = 3 items per policy) |
|
Payán et al. (2017)55 | Qualitative research | Diet |
| ‘acceptability’, no definition provided | Focus groups | N = 6 questions | Focus group questions:
|
Pell et al. (2019)38 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 1 item | Single-item measure for support of the policy: ‘In 2018 a new sugary drink tax will be introduced in the UK. This aims to encourage manufacturers to reduce the sugar in drinks. The money will be spent on breakfast clubs, and sports in primary schools. Do you support or oppose this policy?’ |
Pettigrew et al. (2019)24 | Cross-sectional study | Diet |
| ‘attitudes’ | Online survey | NA | Respondents were asked to report their attitudes to a range of potential policy extensions and their preferences for various forms of support that would enable them to effectively implement an enhanced version of the policy (rated on a five-point scale from ‘strongly disagree’ to ‘strongly agree’). |
Regan et al. (2016)31 | Cross-sectional study | Diet |
| ‘perspective’ | Online survey | N = 13 items (one item for each policy) | Participants were asked to rate the level of importance that they felt the Irish government should assign to 13 different salt reduction policies. The assessed policies spanned government-industry cooperation, educational measures, restrictions on salt content of foods, labelling and fiscal measures. Each item was scored on a scale of one (‘not at all important’) to five (‘extremely important’). |
Reynolds et al. (2019)18 | Randomized controlled trial | Diet |
|
| Online survey | N = 3 items |
|
Riazi et al. (2017)32 | Qualitative research | PA (SB) |
|
| (1) Interview, (2) Focus groups |
|
|
Richards et al. (2011)65 | Qualitative research | PA (AT) |
| ‘support’ | Textual analysis (of submissions to city council annual plans) | N = 2784 submissions | Analysis of submissions to city council annual plans related to active transport: All submissions were reviewed and categories of responses were created, for city, year, type of respondent, transport mode, what they were asking for and the reasons given for the request (e.g. health or sustainability). |
Rida et al. (2019)66 | Mixed-methods study | Diet |
| ‘attitudes’ | Structured focus groups | N = 13 questions | Questions were developed to describe the nutrition knowledge of school food-personnel and the school food environment, contextualize attitudes and strategies of school food-personnel towards offering healthy school meals and barriers to face in offering and serving healthy meals. These questions were presented in two focus group sessions. |
Robles et al. (2017)37 | Cross-sectional study | Diet |
| ‘support’ | Telephone survey | N = 9 items |
|
Rydell et al. (2018)67 | Randomized controlled trial | Diet |
| ‘satisfaction’ | Online survey | N = 4 items | Participants received a questionnaire with four close-ended questions to assess satisfaction with various elements of the programme via an anchored six-point Likert scale. |
Signal et al. (2018)22 | Qualitative research | Diet |
| ‘acceptability’, no definition provided | Key informant interview method52 | N = 11 semi-structured interview questions |
|
Swift et al. (2018)68 | Qualitative research | Diet |
| ‘perception’ | Textual analysis (of online forum posts and tweets) |
|
|
Thomas-Meyer et al. (2017)69 | Qualitative research | Diet |
| ‘support’ | Textual analysis (of online comments on news articles) | N = 1645 comments | Thematic analysis of online reader comments using framework method.51 Analysis of public commenting on popular news websites in relation to SSB taxes. Comments were categorized as negative or positive, positive indicating support. |
Turner-McGrievy et al. (2014)70 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 37 items (referring to different aspects of the program) |
|
Vargas-Meza et al. (2019)19 | Randomized controlled trial | Diet |
| ‘acceptability’, based on theoretical framework by Grunert and Wills76 | Online survey |
| Label acceptability was evaluated using three indicators: likability, attractiveness and perceived cognitive workload, based on the framework of system acceptability by Nielsen.50 A questionnaire with ten statements was used to assess acceptability. Questions were answered by the participants using a five-point Likert scale. |
Yun et al. (2018)33 | Cross-sectional study | PA (SB and AT) |
| ‘support’ | Online survey | NA | Aspects assessed:
|
Political, any individuals involved in the decision-making process (e.g. policy-makers, politicians and informants from ministries); public, any individuals potentially affected by an SSBs tax (i.e. the public).
Acceptability theme: aspects relating to acceptability in the study.
Length refers to Item/Questions aiming at acceptability(-related concepts).
AT, active transport; Diet, dietary behaviour; NA, not available; PA, physical activity; SB, sedentary behaviour.
Characteristics of the 48 included studies and key findings extracted for this review
Authors, year of publication . | Study design . | Target behaviour . | Samplea . | Acceptability themeb . | Data collection method . | Lengthc . | Details on data collection provided by the authors . |
---|---|---|---|---|---|---|---|
Aarts et al. (2011)42 | Qualitative research | PA | Political: N = 25 policy officers | ‘support’ | Semi-structured face-to-face interviews | Ø 45 min | Open-ended questions about the current state municipalities regarding multi-sector policy action as well as opinions on facilitators and challenges for multi-sector policies. Support for the policy actions was determined based on the number of quotations in the transcripts (pooled for the four municipalities) about policies initiatives related to (the environmental determinants of) physical activity among children. |
Alassaf et al. (2020)34 | Cross-sectional study | Diet | Public: N = 1265 | ‘support’ | Online survey | N = 1 item | One item rated on a two-point scale (‘yes’/‘no’): ‘Do you support the new policy mandating that restaurants display calories on their menus?’ |
Allender et al. (2012)43 | Qualitative research | Diet and PA | Political: N = 11 (key informants, e.g. Chief Executive Officer of a local council; two healthy programme coordinators) | ‘support’ | Semi-structured interviews | N = 3 questions | The following information was asked from respondents: ‘Which interventions from the list of nine possible policy areas were likely to be supported within local government?’ Authors also asked participants for any other policy areas not included on the list that they felt might be relevant. Participants were asked to provide their view of the policy situation throughout the state of Victoria and not simply their own local council. |
Beeken et al. (2013)35 | Cross-sectional study | Diet | Public: N = 1986 (adults) | ‘support’ | Computer-assisted, face-to-face omnibus survey | N = 5 items | Participants were asked to rate their level of agreement for different statements such as: ‘The government should restrict advertising and marketing of unhealthy foods’. |
Belizan et al. (2019)56 | Mixed-method study | Diet and PA | Public: N = 250 (n = 206 survey; n = 44 interview) | ‘acceptability’, no definition provided | (1) Semi-structured interviews, (2) Online survey | NA |
|
Bentley et al. (2015)40 | Qualitative research | PA (SB) |
| ‘attitudes’ | Semi-structured interviews | 43 min (mean; min: 23, max: 64) | Interview questions on attitudes towards the specific targets of the guidelines. Data analysed thematically using a framework approach.51 |
Bhawra et al. (2018)45 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 21 items (n = 1 item per policy) | For each policy, participants were asked, ‘Would you support or oppose a government policy that would require [policy]?’ and had the option of selecting, ‘Support’, ‘Neutral’, ‘Oppose’, or ‘Don’t Know’. |
Bleich et al. (2010)47 | Cross-sectional study | Diet |
| ‘perception’ | Telephone survey | N = 8 Items (n = 6 caloric labelling in chain restaurants; n = 2 calorie posting legislation) | Item example: ‘Do you favour or oppose the government requiring chain restaurants, such as McDonalds or Subway, to post calorie information on menus or menu boards for each food item at the point of purchase?’ |
Carson et al. (2014)57 | Qualitative research | PA (SB) |
| ‘perception’ | Semi-structured focus groups | N = 6 questions | Questions:
|
Cradock et al. (2018)58 | Cross-sectional study | PA |
| ‘support’ | Telephone survey | N = 5 items, (n = 1 item per policy) | Item example: ‘Do you support funding for programs that encourage walking and bicycling to school?’ Response format: ‘Yes’/’No’ |
Curbach et al. (2018)59 | Cross-sectional study | PA |
| ‘attitudes’ | Mail survey | N = 17 items |
|
Day et al. (2015)60 | Qualitative research | Diet |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Semi-structured focus groups | 20–40 min | The focus group topic schedule used semi-structured open-ended questions to guide discussion, for example: ‘What do you think about your school meals? (healthiness/quality/choice/quantity?)’ |
De la Cruz-Góngora et al. (2017)21 | Qualitative research | Diet |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Focus groups | Ø 75 min | Focus groups following thematic analysis: Food label acceptability has been operationalized as ‘liking it and confidence in it’ |
Emm et al. (2013)26 | Cross-sectional study | Diet and PA |
| ‘support’ | Online survey | N = 17 items (n = 7 for redistributive; n = 6 for compensatory and n = 4 for price-raising policies) |
|
Faulkner et al. (2016)41 | Qualitative research | PA (SB) |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Semi-structured focus group interviews | NA | Question example: ‘In the current case for example, do people perceive a need for 24-hour movement guidelines and are the recommendations perceived as relevant, achievable, and acceptable to their lives as a parent, qualified exercise professional, or paediatrician?’ |
Fitzgerald et al. (2018)61 | Qualitative research | Diet |
| ‘attitudes’ | Semi-structured interviews | 40–60 min | Interviews focused on participants’ perceptions and experiences, potential barriers and facilitators surrounding the implementation of calorie menu labelling. A semi-structured topic guide was developed to allow for comparisons of experiences and attitudes in relation to calorie menu labelling. The topic guides took an inductive approach and allowed for unique insights and perspectives to emerge. Framework approach51 was used for data analysis. |
Gase et al. (2015)48 | Cross-sectional study | PA (AT) |
| ‘support’ | Telephone survey | N = 31 items; 3–4 items per policy (n = 9) | Questions partially developed on already existing (Omnibus Household Survey, California Household Travel Survey), partially developed specifically for this study. Participants were asked whether they strongly supported, somewhat supported, somewhat opposed or strongly opposed ‘redirecting current federal, state or local transportation dollars’ to implement nine specific transportation improvements (increase traffic enforcement, develop more bike paths or lanes, etc.). |
Hagmann et al. (2018)17 | Cross-sectional study | Diet |
| ‘acceptability’, definition provided: ‘how individuals feel and think about the implementation or continued existence of policies’2 | Online survey | N = 8 items | Respondents were provided with a short introductory statement: ‘Given the overweight problem (in our society), a lot of measures have been proposed (in order to tackle it).’ They were then asked to indicate their acceptance of different specific measures (‘How do you rate the following strategies to reduce sugar consumption in the Swiss population?’). Each item was rated on a seven-point response scale ranging from 1 (‘do not agree at all’) to 7 (‘fully agree’). |
Joyce et al. (2020)20 | Randomized cross-over trial | Diet |
| ‘acceptability’, no definition provided | Randomized cross-over trial | NA | A modified version of the United Stated Department of Agriculture, Food and Nutrition Services, Child Nutrition Programs, Team Nutrition try-day taste-testing ballot was used.74 Acceptability operationalized trough optics, taste fulfilment (satiation) and leftovers (plate waste weighing). |
Julia et al. (2015)25 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 7 items | Questionnaire items pertained to issues regarding acceptance of the tax (‘I support imposing a tax on sweetened beverages’, ‘I support imposing taxes on any and all foods and beverages which are bad for health’, ‘I support imposing a tax on sweetened beverages only if the money is then used to improve the health-care system’). |
Jürkenbeck et al. (2020)27 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 8 items |
|
Kang et al. (2017)46 | Qualitative study | Diet and PA |
| ‘opinions’ | Textual analysis (of Twitter data) | N = 480 tweets |
|
Kongats et al. (2019)28 | Cross-sectional study | Diet |
| ‘support’, authors use ‘acceptability’ synonymously and refer to the review by Diepeveen et al.4 | Online survey | N = 14 items |
|
Kwon et al. (2019)29 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 13 items; (n = 1 item for each policy option) |
|
Le Roux et al. (2021)62 | Cross-sectional study | Diet and PA |
| ‘satisfaction’ | Paper survey | N = 14 items | ‘Satisfaction questionnaire’, the scale consisted of ‘agree’ and ‘disagree’ or ‘yes’ and ‘no’. |
Mathews et al. (2010)39 | Cross-sectional study | PA |
| ‘attitudes’ | Web-based and paper surveys | N = 18 items | ‘School Travel Survey’ for district officials: http://prevention.sph.sc.edu/projects/Travel%20survey-District.pdf and school principals: http://prevention.sph.sc.edu/projects/Travel%20survey-Principals.pdf. Respondents were asked if they currently support local efforts to encourage walking to school and what type of impact walking can have on students’ health and academic performance. |
Micheelsen et al. (2014)63 | Randomized controlled trial | Diet |
| ‘acceptability’, no definition provided | Question-naire | N = 14 items, 7 for each policy dimension (n = 2) |
|
Milford et al. (2019)44 | Mixed-methods study | Diet |
| ‘attitudes’ | (1) Interviews and (2) paper-based question-naire |
|
|
Morley et al. (2012)30 | Cross-sectional study | Diet |
| ‘acceptability’, no definition provided | Phone Interviews | N = 18 items (n = 3 food labelling, n = 3 taxation, n = 1 product reformulation, n = 11 marketing) | Participants gave their opinions on food labelling, product reformulation, taxation and marketing through the use of Likert scales and close-ended questions. Participants were asked whether they were in favour of a number of policy practices and give their answer mostly using a five-point Likert scale. Some items instead used a three-point Likert scale (‘not regulate’/‘restrict’/‘stop this practice completely’). Some items also presented a selection of options from which participants were able to select their answer. |
Nathan et al. (2011)36 | Cross-sectional study | Diet |
| ‘attitudes’ | Computer Assisted Telephone Interview | 20 min | Principals were asked to respond on a four-point Likert scale (1 = ‘strongly agree’ to 4 = ‘strongly disagree’), whether they felt that it is part of a school’s role to provide an environment which encourages healthy eating; that it is appropriate for schools to implement vegetable and fruit breaks and that vegetable and fruit breaks do not take away too much time from other educational priorities in the classroom or are disruptive to classroom routine. |
Nguyen et al. (2015)49 | Cross-sectional study | Diet |
| ‘perception’ | Self-administered structured questio-nnaire | N = 3 items | Experts in the development of the food based dietary guidelines and primary-school-based interventions were involved in the development process of the questionnaire. The questionnaire was piloted at two schools and modified to enhance its validity before being used for the main study. |
Odom et al. (2017)23 | Cross-sectional study | Diet |
| ‘attitudes’ | Online survey | N = 6 items (n = 3 items per policy) |
|
Payán et al. (2017)55 | Qualitative research | Diet |
| ‘acceptability’, no definition provided | Focus groups | N = 6 questions | Focus group questions:
|
Pell et al. (2019)38 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 1 item | Single-item measure for support of the policy: ‘In 2018 a new sugary drink tax will be introduced in the UK. This aims to encourage manufacturers to reduce the sugar in drinks. The money will be spent on breakfast clubs, and sports in primary schools. Do you support or oppose this policy?’ |
Pettigrew et al. (2019)24 | Cross-sectional study | Diet |
| ‘attitudes’ | Online survey | NA | Respondents were asked to report their attitudes to a range of potential policy extensions and their preferences for various forms of support that would enable them to effectively implement an enhanced version of the policy (rated on a five-point scale from ‘strongly disagree’ to ‘strongly agree’). |
Regan et al. (2016)31 | Cross-sectional study | Diet |
| ‘perspective’ | Online survey | N = 13 items (one item for each policy) | Participants were asked to rate the level of importance that they felt the Irish government should assign to 13 different salt reduction policies. The assessed policies spanned government-industry cooperation, educational measures, restrictions on salt content of foods, labelling and fiscal measures. Each item was scored on a scale of one (‘not at all important’) to five (‘extremely important’). |
Reynolds et al. (2019)18 | Randomized controlled trial | Diet |
|
| Online survey | N = 3 items |
|
Riazi et al. (2017)32 | Qualitative research | PA (SB) |
|
| (1) Interview, (2) Focus groups |
|
|
Richards et al. (2011)65 | Qualitative research | PA (AT) |
| ‘support’ | Textual analysis (of submissions to city council annual plans) | N = 2784 submissions | Analysis of submissions to city council annual plans related to active transport: All submissions were reviewed and categories of responses were created, for city, year, type of respondent, transport mode, what they were asking for and the reasons given for the request (e.g. health or sustainability). |
Rida et al. (2019)66 | Mixed-methods study | Diet |
| ‘attitudes’ | Structured focus groups | N = 13 questions | Questions were developed to describe the nutrition knowledge of school food-personnel and the school food environment, contextualize attitudes and strategies of school food-personnel towards offering healthy school meals and barriers to face in offering and serving healthy meals. These questions were presented in two focus group sessions. |
Robles et al. (2017)37 | Cross-sectional study | Diet |
| ‘support’ | Telephone survey | N = 9 items |
|
Rydell et al. (2018)67 | Randomized controlled trial | Diet |
| ‘satisfaction’ | Online survey | N = 4 items | Participants received a questionnaire with four close-ended questions to assess satisfaction with various elements of the programme via an anchored six-point Likert scale. |
Signal et al. (2018)22 | Qualitative research | Diet |
| ‘acceptability’, no definition provided | Key informant interview method52 | N = 11 semi-structured interview questions |
|
Swift et al. (2018)68 | Qualitative research | Diet |
| ‘perception’ | Textual analysis (of online forum posts and tweets) |
|
|
Thomas-Meyer et al. (2017)69 | Qualitative research | Diet |
| ‘support’ | Textual analysis (of online comments on news articles) | N = 1645 comments | Thematic analysis of online reader comments using framework method.51 Analysis of public commenting on popular news websites in relation to SSB taxes. Comments were categorized as negative or positive, positive indicating support. |
Turner-McGrievy et al. (2014)70 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 37 items (referring to different aspects of the program) |
|
Vargas-Meza et al. (2019)19 | Randomized controlled trial | Diet |
| ‘acceptability’, based on theoretical framework by Grunert and Wills76 | Online survey |
| Label acceptability was evaluated using three indicators: likability, attractiveness and perceived cognitive workload, based on the framework of system acceptability by Nielsen.50 A questionnaire with ten statements was used to assess acceptability. Questions were answered by the participants using a five-point Likert scale. |
Yun et al. (2018)33 | Cross-sectional study | PA (SB and AT) |
| ‘support’ | Online survey | NA | Aspects assessed:
|
Authors, year of publication . | Study design . | Target behaviour . | Samplea . | Acceptability themeb . | Data collection method . | Lengthc . | Details on data collection provided by the authors . |
---|---|---|---|---|---|---|---|
Aarts et al. (2011)42 | Qualitative research | PA | Political: N = 25 policy officers | ‘support’ | Semi-structured face-to-face interviews | Ø 45 min | Open-ended questions about the current state municipalities regarding multi-sector policy action as well as opinions on facilitators and challenges for multi-sector policies. Support for the policy actions was determined based on the number of quotations in the transcripts (pooled for the four municipalities) about policies initiatives related to (the environmental determinants of) physical activity among children. |
Alassaf et al. (2020)34 | Cross-sectional study | Diet | Public: N = 1265 | ‘support’ | Online survey | N = 1 item | One item rated on a two-point scale (‘yes’/‘no’): ‘Do you support the new policy mandating that restaurants display calories on their menus?’ |
Allender et al. (2012)43 | Qualitative research | Diet and PA | Political: N = 11 (key informants, e.g. Chief Executive Officer of a local council; two healthy programme coordinators) | ‘support’ | Semi-structured interviews | N = 3 questions | The following information was asked from respondents: ‘Which interventions from the list of nine possible policy areas were likely to be supported within local government?’ Authors also asked participants for any other policy areas not included on the list that they felt might be relevant. Participants were asked to provide their view of the policy situation throughout the state of Victoria and not simply their own local council. |
Beeken et al. (2013)35 | Cross-sectional study | Diet | Public: N = 1986 (adults) | ‘support’ | Computer-assisted, face-to-face omnibus survey | N = 5 items | Participants were asked to rate their level of agreement for different statements such as: ‘The government should restrict advertising and marketing of unhealthy foods’. |
Belizan et al. (2019)56 | Mixed-method study | Diet and PA | Public: N = 250 (n = 206 survey; n = 44 interview) | ‘acceptability’, no definition provided | (1) Semi-structured interviews, (2) Online survey | NA |
|
Bentley et al. (2015)40 | Qualitative research | PA (SB) |
| ‘attitudes’ | Semi-structured interviews | 43 min (mean; min: 23, max: 64) | Interview questions on attitudes towards the specific targets of the guidelines. Data analysed thematically using a framework approach.51 |
Bhawra et al. (2018)45 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 21 items (n = 1 item per policy) | For each policy, participants were asked, ‘Would you support or oppose a government policy that would require [policy]?’ and had the option of selecting, ‘Support’, ‘Neutral’, ‘Oppose’, or ‘Don’t Know’. |
Bleich et al. (2010)47 | Cross-sectional study | Diet |
| ‘perception’ | Telephone survey | N = 8 Items (n = 6 caloric labelling in chain restaurants; n = 2 calorie posting legislation) | Item example: ‘Do you favour or oppose the government requiring chain restaurants, such as McDonalds or Subway, to post calorie information on menus or menu boards for each food item at the point of purchase?’ |
Carson et al. (2014)57 | Qualitative research | PA (SB) |
| ‘perception’ | Semi-structured focus groups | N = 6 questions | Questions:
|
Cradock et al. (2018)58 | Cross-sectional study | PA |
| ‘support’ | Telephone survey | N = 5 items, (n = 1 item per policy) | Item example: ‘Do you support funding for programs that encourage walking and bicycling to school?’ Response format: ‘Yes’/’No’ |
Curbach et al. (2018)59 | Cross-sectional study | PA |
| ‘attitudes’ | Mail survey | N = 17 items |
|
Day et al. (2015)60 | Qualitative research | Diet |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Semi-structured focus groups | 20–40 min | The focus group topic schedule used semi-structured open-ended questions to guide discussion, for example: ‘What do you think about your school meals? (healthiness/quality/choice/quantity?)’ |
De la Cruz-Góngora et al. (2017)21 | Qualitative research | Diet |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Focus groups | Ø 75 min | Focus groups following thematic analysis: Food label acceptability has been operationalized as ‘liking it and confidence in it’ |
Emm et al. (2013)26 | Cross-sectional study | Diet and PA |
| ‘support’ | Online survey | N = 17 items (n = 7 for redistributive; n = 6 for compensatory and n = 4 for price-raising policies) |
|
Faulkner et al. (2016)41 | Qualitative research | PA (SB) |
| ‘perception’, authors use ‘acceptability’ synonymously (no definition provided) | Semi-structured focus group interviews | NA | Question example: ‘In the current case for example, do people perceive a need for 24-hour movement guidelines and are the recommendations perceived as relevant, achievable, and acceptable to their lives as a parent, qualified exercise professional, or paediatrician?’ |
Fitzgerald et al. (2018)61 | Qualitative research | Diet |
| ‘attitudes’ | Semi-structured interviews | 40–60 min | Interviews focused on participants’ perceptions and experiences, potential barriers and facilitators surrounding the implementation of calorie menu labelling. A semi-structured topic guide was developed to allow for comparisons of experiences and attitudes in relation to calorie menu labelling. The topic guides took an inductive approach and allowed for unique insights and perspectives to emerge. Framework approach51 was used for data analysis. |
Gase et al. (2015)48 | Cross-sectional study | PA (AT) |
| ‘support’ | Telephone survey | N = 31 items; 3–4 items per policy (n = 9) | Questions partially developed on already existing (Omnibus Household Survey, California Household Travel Survey), partially developed specifically for this study. Participants were asked whether they strongly supported, somewhat supported, somewhat opposed or strongly opposed ‘redirecting current federal, state or local transportation dollars’ to implement nine specific transportation improvements (increase traffic enforcement, develop more bike paths or lanes, etc.). |
Hagmann et al. (2018)17 | Cross-sectional study | Diet |
| ‘acceptability’, definition provided: ‘how individuals feel and think about the implementation or continued existence of policies’2 | Online survey | N = 8 items | Respondents were provided with a short introductory statement: ‘Given the overweight problem (in our society), a lot of measures have been proposed (in order to tackle it).’ They were then asked to indicate their acceptance of different specific measures (‘How do you rate the following strategies to reduce sugar consumption in the Swiss population?’). Each item was rated on a seven-point response scale ranging from 1 (‘do not agree at all’) to 7 (‘fully agree’). |
Joyce et al. (2020)20 | Randomized cross-over trial | Diet |
| ‘acceptability’, no definition provided | Randomized cross-over trial | NA | A modified version of the United Stated Department of Agriculture, Food and Nutrition Services, Child Nutrition Programs, Team Nutrition try-day taste-testing ballot was used.74 Acceptability operationalized trough optics, taste fulfilment (satiation) and leftovers (plate waste weighing). |
Julia et al. (2015)25 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 7 items | Questionnaire items pertained to issues regarding acceptance of the tax (‘I support imposing a tax on sweetened beverages’, ‘I support imposing taxes on any and all foods and beverages which are bad for health’, ‘I support imposing a tax on sweetened beverages only if the money is then used to improve the health-care system’). |
Jürkenbeck et al. (2020)27 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 8 items |
|
Kang et al. (2017)46 | Qualitative study | Diet and PA |
| ‘opinions’ | Textual analysis (of Twitter data) | N = 480 tweets |
|
Kongats et al. (2019)28 | Cross-sectional study | Diet |
| ‘support’, authors use ‘acceptability’ synonymously and refer to the review by Diepeveen et al.4 | Online survey | N = 14 items |
|
Kwon et al. (2019)29 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 13 items; (n = 1 item for each policy option) |
|
Le Roux et al. (2021)62 | Cross-sectional study | Diet and PA |
| ‘satisfaction’ | Paper survey | N = 14 items | ‘Satisfaction questionnaire’, the scale consisted of ‘agree’ and ‘disagree’ or ‘yes’ and ‘no’. |
Mathews et al. (2010)39 | Cross-sectional study | PA |
| ‘attitudes’ | Web-based and paper surveys | N = 18 items | ‘School Travel Survey’ for district officials: http://prevention.sph.sc.edu/projects/Travel%20survey-District.pdf and school principals: http://prevention.sph.sc.edu/projects/Travel%20survey-Principals.pdf. Respondents were asked if they currently support local efforts to encourage walking to school and what type of impact walking can have on students’ health and academic performance. |
Micheelsen et al. (2014)63 | Randomized controlled trial | Diet |
| ‘acceptability’, no definition provided | Question-naire | N = 14 items, 7 for each policy dimension (n = 2) |
|
Milford et al. (2019)44 | Mixed-methods study | Diet |
| ‘attitudes’ | (1) Interviews and (2) paper-based question-naire |
|
|
Morley et al. (2012)30 | Cross-sectional study | Diet |
| ‘acceptability’, no definition provided | Phone Interviews | N = 18 items (n = 3 food labelling, n = 3 taxation, n = 1 product reformulation, n = 11 marketing) | Participants gave their opinions on food labelling, product reformulation, taxation and marketing through the use of Likert scales and close-ended questions. Participants were asked whether they were in favour of a number of policy practices and give their answer mostly using a five-point Likert scale. Some items instead used a three-point Likert scale (‘not regulate’/‘restrict’/‘stop this practice completely’). Some items also presented a selection of options from which participants were able to select their answer. |
Nathan et al. (2011)36 | Cross-sectional study | Diet |
| ‘attitudes’ | Computer Assisted Telephone Interview | 20 min | Principals were asked to respond on a four-point Likert scale (1 = ‘strongly agree’ to 4 = ‘strongly disagree’), whether they felt that it is part of a school’s role to provide an environment which encourages healthy eating; that it is appropriate for schools to implement vegetable and fruit breaks and that vegetable and fruit breaks do not take away too much time from other educational priorities in the classroom or are disruptive to classroom routine. |
Nguyen et al. (2015)49 | Cross-sectional study | Diet |
| ‘perception’ | Self-administered structured questio-nnaire | N = 3 items | Experts in the development of the food based dietary guidelines and primary-school-based interventions were involved in the development process of the questionnaire. The questionnaire was piloted at two schools and modified to enhance its validity before being used for the main study. |
Odom et al. (2017)23 | Cross-sectional study | Diet |
| ‘attitudes’ | Online survey | N = 6 items (n = 3 items per policy) |
|
Payán et al. (2017)55 | Qualitative research | Diet |
| ‘acceptability’, no definition provided | Focus groups | N = 6 questions | Focus group questions:
|
Pell et al. (2019)38 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 1 item | Single-item measure for support of the policy: ‘In 2018 a new sugary drink tax will be introduced in the UK. This aims to encourage manufacturers to reduce the sugar in drinks. The money will be spent on breakfast clubs, and sports in primary schools. Do you support or oppose this policy?’ |
Pettigrew et al. (2019)24 | Cross-sectional study | Diet |
| ‘attitudes’ | Online survey | NA | Respondents were asked to report their attitudes to a range of potential policy extensions and their preferences for various forms of support that would enable them to effectively implement an enhanced version of the policy (rated on a five-point scale from ‘strongly disagree’ to ‘strongly agree’). |
Regan et al. (2016)31 | Cross-sectional study | Diet |
| ‘perspective’ | Online survey | N = 13 items (one item for each policy) | Participants were asked to rate the level of importance that they felt the Irish government should assign to 13 different salt reduction policies. The assessed policies spanned government-industry cooperation, educational measures, restrictions on salt content of foods, labelling and fiscal measures. Each item was scored on a scale of one (‘not at all important’) to five (‘extremely important’). |
Reynolds et al. (2019)18 | Randomized controlled trial | Diet |
|
| Online survey | N = 3 items |
|
Riazi et al. (2017)32 | Qualitative research | PA (SB) |
|
| (1) Interview, (2) Focus groups |
|
|
Richards et al. (2011)65 | Qualitative research | PA (AT) |
| ‘support’ | Textual analysis (of submissions to city council annual plans) | N = 2784 submissions | Analysis of submissions to city council annual plans related to active transport: All submissions were reviewed and categories of responses were created, for city, year, type of respondent, transport mode, what they were asking for and the reasons given for the request (e.g. health or sustainability). |
Rida et al. (2019)66 | Mixed-methods study | Diet |
| ‘attitudes’ | Structured focus groups | N = 13 questions | Questions were developed to describe the nutrition knowledge of school food-personnel and the school food environment, contextualize attitudes and strategies of school food-personnel towards offering healthy school meals and barriers to face in offering and serving healthy meals. These questions were presented in two focus group sessions. |
Robles et al. (2017)37 | Cross-sectional study | Diet |
| ‘support’ | Telephone survey | N = 9 items |
|
Rydell et al. (2018)67 | Randomized controlled trial | Diet |
| ‘satisfaction’ | Online survey | N = 4 items | Participants received a questionnaire with four close-ended questions to assess satisfaction with various elements of the programme via an anchored six-point Likert scale. |
Signal et al. (2018)22 | Qualitative research | Diet |
| ‘acceptability’, no definition provided | Key informant interview method52 | N = 11 semi-structured interview questions |
|
Swift et al. (2018)68 | Qualitative research | Diet |
| ‘perception’ | Textual analysis (of online forum posts and tweets) |
|
|
Thomas-Meyer et al. (2017)69 | Qualitative research | Diet |
| ‘support’ | Textual analysis (of online comments on news articles) | N = 1645 comments | Thematic analysis of online reader comments using framework method.51 Analysis of public commenting on popular news websites in relation to SSB taxes. Comments were categorized as negative or positive, positive indicating support. |
Turner-McGrievy et al. (2014)70 | Cross-sectional study | Diet |
| ‘support’ | Online survey | N = 37 items (referring to different aspects of the program) |
|
Vargas-Meza et al. (2019)19 | Randomized controlled trial | Diet |
| ‘acceptability’, based on theoretical framework by Grunert and Wills76 | Online survey |
| Label acceptability was evaluated using three indicators: likability, attractiveness and perceived cognitive workload, based on the framework of system acceptability by Nielsen.50 A questionnaire with ten statements was used to assess acceptability. Questions were answered by the participants using a five-point Likert scale. |
Yun et al. (2018)33 | Cross-sectional study | PA (SB and AT) |
| ‘support’ | Online survey | NA | Aspects assessed:
|
Political, any individuals involved in the decision-making process (e.g. policy-makers, politicians and informants from ministries); public, any individuals potentially affected by an SSBs tax (i.e. the public).
Acceptability theme: aspects relating to acceptability in the study.
Length refers to Item/Questions aiming at acceptability(-related concepts).
AT, active transport; Diet, dietary behaviour; NA, not available; PA, physical activity; SB, sedentary behaviour.
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