{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T08:04:26Z","timestamp":1784189066110,"version":"3.55.0"},"reference-count":18,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"King and Amy O\u2019Malley Trust"},{"name":"The University of Queensland and Australian Government Research Training Program"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perspect Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite most school-based food and nutrition programmes improving determinants of healthy eating, most programmes are abandoned within 2\u2009years due to external vulnerabilities in funding and political support. The aim of this study was to explore the enablers and barriers to the implementation and sustainability of Pick of the Crop. Pick of the Crop is a whole-school nutrition programme aimed at increasing opportunities for primary school students to learn about and consume more vegetables and fruit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Qualitative methods were used for this study. Purposive sampling targeted the recruitment of the Pick of the Crop programme champions from primary schools in three regions of Queensland, Australia (socio-educationally disadvantaged areas; ranging in degree of remoteness). The schools had to be in their third year of implementation. Semi-structured interviews that were informed by the domains of the Consolidated Framework for Implementation Research (CFIR) were conducted with participants. The interviews were transcribed verbatim and coded deductively and inductively. Deductive coding was based on the constructs and sub-constructs of the CFIR, and inductive coding was applied when CFIR constructs were not suitable. The coding informed the development of themes through thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Interviews were conducted with 10 school champions including three principals and seven teachers from across all three regions. Forty-five constructs and 14 sub-constructs of the CFIR were identified, with an additional three inductive codes. Five main themes emerged: (1) implementation facilitators; (2) compatibility with education priorities; (3) generation and use of funding; (4) partnerships and connections with community and (5) programme impact.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>To enhance and promote sustainability of the initiative, partnerships between schools and community need to be actively fostered, funding attainment needs to be systematic and programme coordinators play an integral role to supporting Pick of the Crop implementers and their partners.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17579139261452962","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T05:41:55Z","timestamp":1783921315000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A qualitative exploration of the sustainability of a whole-school nutrition programme in Queensland, Australia: \u2018keep the money coming!\u2019"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9228-1345","authenticated-orcid":false,"given":"LI","family":"Fathi","sequence":"first","affiliation":[{"name":"School of Human Movement and Nutrition Sciences, The University of Queensland, Human Movement Studies Building, St Lucia, Brisbane, QLD 4067, Australia"},{"name":"Centre for Food Policy, City St George\u2019s University of London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4911-7106","authenticated-orcid":false,"given":"M","family":"Robinson","sequence":"additional","affiliation":[{"name":"Institute for Social Science Research, The University of Queensland, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6325-453X","authenticated-orcid":false,"given":"J","family":"Walker","sequence":"additional","affiliation":[{"name":"School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia"},{"name":"Health and Wellbeing Queensland, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9955-3662","authenticated-orcid":false,"given":"R","family":"Littlewood","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Queensland, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1992-1649","authenticated-orcid":false,"given":"H","family":"Truby","sequence":"additional","affiliation":[{"name":"School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,12]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"How school systems can improve health and well-being. Topic briefs: nutrition","author":"World Health Organization","year":"2023","unstructured":"World Health Organization. How school systems can improve health and well-being. Topic briefs: nutrition. Geneva: World Health Organization; 2023."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-19-9972-7_7"},{"issue":"4","key":"e_1_3_3_4_2","article-title":"Exploring the long-term sustainability of school-based nutrition and food programs","volume":"35","author":"Fathi LI","year":"2024","unstructured":"Fathi LI, Yang D, Walker JL et al. Exploring the long-term sustainability of school-based nutrition and food programs: What works, where and why? Health Promot J Austr 2024;35(4):1149\u20131157.","journal-title":"What works, where and why? Health Promot J Austr"},{"issue":"1","key":"e_1_3_3_5_2","first-page":"37","article-title":"Understanding the sustainment of population health programmes from a whole-of-system approach","volume":"20","author":"Crane M","year":"2022","unstructured":"Crane M, Nathan N, McKay H et al. Understanding the sustainment of population health programmes from a whole-of-system approach. Health Res Policy Syst 2022;20(1):37.","journal-title":"et al"},{"key":"e_1_3_3_6_2","unstructured":"Health Wellbeing Queensland. Pick of the crop: health and wellbeing Queensland 2020. Available online at: https:\/\/hw.qld.gov.au\/pick-of-the-crop\/"},{"issue":"1","key":"e_1_3_3_7_2","first-page":"1","article-title":"Developing a comprehensive definition of sustainability","volume":"12","author":"Moore JE","year":"2017","unstructured":"Moore JE, Mascarenhas A, Bain J et al. Developing a comprehensive definition of sustainability. Implementation Sci 2017;12(1):1\u20138.","journal-title":"et al"},{"key":"e_1_3_3_8_2","unstructured":"Davies R Dart J. The \u2018most significant change\u2019 (MSC) technique. A guide to its use 2005. Available online at: https:\/\/www.betterevaluation.org\/tools-resources\/most-significant-change-technique-guide-its-use"},{"issue":"1","key":"e_1_3_3_9_2","first-page":"75","article-title":"The updated consolidated framework for implementation research based on user feedback","volume":"17","author":"Damschroder LJ","year":"2022","unstructured":"Damschroder LJ, Reardon CM, Widerquist MAO et al. The updated consolidated framework for implementation research based on user feedback. Implementation Sci 2022;17(1):75.","journal-title":"et al"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/hpja.70087"},{"key":"e_1_3_3_11_2","unstructured":"Australian Government Department of Health and Aged Care. Modifed Monash model: Australian government department of health and aged care 2024. Available online at: https:\/\/www.health.gov.au\/topics\/rural-health-workforce\/classifications\/mmm#how-to-find-current-areas-under-the-mmm (last accessed 18 November 2024)"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/09614520701336907"},{"key":"e_1_3_3_13_2","first-page":"3","article-title":"The consolidated framework for implementation research: a reflection on researchers\u2019 experiences of its benefits and challenges and the lessons learnt from using it","volume":"32","author":"Jorgenson A","year":"2024","unstructured":"Jorgenson A, Luz RA, Juskevicius LF et al. The consolidated framework for implementation research: a reflection on researchers\u2019 experiences of its benefits and challenges and the lessons learnt from using it. Nurse Res 2024;32:3.","journal-title":"et al"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1017\/S136898001300150X"},{"issue":"7","key":"e_1_3_3_15_2","article-title":"Dietetic workforce capacity assessment for public health nutrition and community nutrition","volume":"121","author":"El-Kour TY","year":"2021","unstructured":"El-Kour TY, Kelley K, Bruening M et al. Dietetic workforce capacity assessment for public health nutrition and community nutrition. J Acad Nutr Diet 2021;121(7):1379\u201391.","journal-title":"et al"},{"key":"e_1_3_3_16_2","volume-title":"Implementing school food and nutrition policies: a review of contextual factors","author":"World Health Organization","year":"2021","unstructured":"World Health Organization. Implementing school food and nutrition policies: a review of contextual factors. 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