{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:42:53Z","timestamp":1792662173073,"version":"4.5.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"unspecified","delay-in-days":294,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":294,"URL":"https:\/\/www.cambridge.org\/tdm\/tdmrep-policy.json"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2026]]},"abstract":"Abstract<\/jats:title>\n \n Objective:<\/jats:title>\n To understand how special and alternative education settings implement national school food standards and policy and identify challenges to and support for implementation.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Mixed methods study comprising (1) cross-sectional quantitative assessment of: (a) compliance with standards through menu review and researcher observation; (b) implementation of actions from the School Food Plan (SFP) through survey and (2) qualitative interviews with school staff.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n State-funded special and alternative education settings with pupils aged 4\u201318-years in England.<\/jats:p>\n <\/jats:sec>\n \n Participants:<\/jats:title>\n Eight settings and thirty-seven school staff with a role in school food, including catering staff, school leadership, teaching staff and school governors.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The median level of compliance for all standards was 66\u00b77 % (interquartile range (IQR) = 61\u00b73\u201370\u00b70), with highest compliance for lunchtime standards (median = 73\u00b73 %, IQR = 68\u00b72\u201375\u00b73) and standards aiming to promote dietary variety (median = 73\u00b73 %, IQR = 66\u00b77\u201373\u00b73) and lowest for standards that apply across the whole school day (median = 50\u00b70 %,\n sd<\/jats:sc>\n = 36\u00b74\u201359\u00b71) and standards aiming to restrict foods\/drinks high in fat, salt and sugar (median = 57\u00b77 %, IQR = 50\u00b70\u201371\u00b72). Most schools carried out independent monitoring of standards (71\u00b74 %), but none had a healthy eating award. Three qualitative themes demonstrated challenges in meeting the standards, including accommodating the complex needs of pupils and varied staff engagement and school food monitoring processes.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Special and alternative education settings had intensive, highly individualised approaches to school food that often conflicted with standards compliance. School food standards and policy need consider the unique challenges for these settings and the need for flexibility, adequate funding, tailored resources and staff training to improve quality of diets in this population.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s1368980026103607","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:24:54Z","timestamp":1792661094000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of national school food policy in special and alternative education: a mixed methods study"],"prefix":"10.1017","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1177-1890","authenticated-orcid":false,"given":"Marie","family":"Murphy","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03angcq70","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0385-4995","authenticated-orcid":false,"given":"Iain","family":"Brownlee","sequence":"additional","affiliation":[{"name":"Northumbria University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Tanner","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03angcq70","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily K.","family":"Hope","sequence":"additional","affiliation":[{"name":"Northumbria University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estera","family":"Sevel","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03angcq70","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Friedman","sequence":"additional","affiliation":[{"name":"University of Edinburgh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2808-523X","authenticated-orcid":false,"given":"Margaret","family":"Defeyter","sequence":"additional","affiliation":[{"name":"Northumbria University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Meira","sequence":"additional","affiliation":[{"name":"University of Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleanor-May","family":"Ford","sequence":"additional","affiliation":[{"name":"University of Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Mathieson","sequence":"additional","affiliation":[{"name":"University of Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2868-4892","authenticated-orcid":false,"given":"Miranda J.","family":"Pallan","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03angcq70","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,22]]},"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980026103607","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980026103607","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:24:55Z","timestamp":1792661095000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980026103607\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"alternative-id":["S1368980026103607"],"URL":"https:\/\/doi.org\/10.1017\/s1368980026103607","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e204"}}