Evidence map›Paper›PMID 40976262›Full record

SynthesisThe Journal of school health2026

Food Service Professionals' Perspectives on the Barriers and Facilitators to the Implementation of Nutrition Standards for School Food: A Mixed-Methods Systematic Review.

Breda O'Mahony, Claire Kerins, Claire Barrett, Celine Murrin, Colette Kelly

Abstract readSystematic Review
In one paragraph

Synthesis in The Journal of school health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Breda O'MahonyDiscipline of Health Promotion, School of Health Sciences, University of Galway, Galway, Ireland.ORCID 0000-0002-1940-8431
Claire KerinsHealth Promotion Research Centre, School of Health Sciences, University of Galway, Galway, Ireland.
Claire BarrettHuman Development and Family Studies, School of Human Ecology, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Celine MurrinSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
Colette KellyHealth Promotion Research Centre, School of Health Sciences, University of Galway, Galway, Ireland.

Funding

Munster Technological University through the Staff Doctorate Program
6 · The paper itself

Abstract

backgroundInternationally, nutrition standards for school food have been implemented. Food service professionals are key to their implementation. This mixed-methods systematic review provides an overview of the barriers and facilitators faced by food service professionals when implementing food/nutrition standards and provides an important link between policy and practice.

methodsPeer-reviewed and grey literature were searched across electronic databases and public health organization websites. The Consolidated Framework for Implementation Research (CFIR) was used as a framework in the analysis.

findingsTwenty-nine studies met the eligibility criteria. The most frequently cited barriers to the CFIR constructs/subconstructs were linked to the internal school setting. This included staffing, materials and equipment, and funding. Frequently cited facilitators coded to CFIR included external partnerships/connections and staff motivation to implement the standards. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Our findings highlight not only well-documented challenges such as funding and staffing but also the novel and pivotal insights from food service professionals that point to practical, systems-level solutions.

conclusionResearchers and practitioners can utilize the results to devise strategies to heighten implementation, as well as capitalize on factors that aid in the implementation process.

Indexed as

Food ServicesNutrition PolicySchool Health ServicesSchoolsHumansbarriersconsolidated framework for implementationfacilitatorsmixed‐methods systematic reviewnutrition standardsschool food

Identifiers

PMID40976262
PMCPMC12669818

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.