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Application of the Advocacy Coalition Framework in the NOPRN restaurant project.

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Presentation on theme: "Application of the Advocacy Coalition Framework in the NOPRN restaurant project."— Presentation transcript:

1 Application of the Advocacy Coalition Framework in the NOPRN restaurant project

2 County Public Health Departments Work to Improve Restaurant Food

3 Advocacy Coalition Framework 1 1) Adapted from: Breton E, Richard L, Gagnon F, Jacques M, Bergeron P. Health promotion research and practice require sound policy analysis models: The case of Quebecs Tobacco Act. Social Science & Medicine 2008; 67: Relatively Stable Parameters System-wide with enduring/constraining effect External Events - Change in socioeconomic conditions, public opinion, leaders - Policy decisions/impacts from other subsystems Constraints & Resources Policy Subsystem Coalition A Policy beliefs Resources Strategy Coalition B Policy beliefs Resources Strategy Decisions by Governmental Authorities Policy Outputs & Impacts

4 Interview Guide Example ACF Construct Coalition beliefs Identification of social groups or other entities whose welfare is of greatest concern Overall seriousness of the problem Ability of society to solve the problem Interview Questions Public Health Employees Importance of menu labeling work: How important was it to tailor your approach to populations at high risk for obesity? How important do you think the quality of restaurant food is to the health of the population? To what extent do you think that the nutritional quality of restaurant food can realistically be improved?

5 Interview Sample (n) Public Health Staff BOH Members Restaurant Owners Seattle-King344 Tacoma-Pierce555 Thurston301 One interview with Washington Restaurant Association Representative

6 Coding Example: Beliefs ACF construct CharacteristicsSample codes Deep Core Beliefs Fundamental values, unlikely to change Freedom, justice, health (priority of) Policy Core Beliefs Policy positions, strategies for achieving deep core values Education, regulation (priority of), role of government Secondary Aspects Implementation of policy core beliefs, easier to change Environment, behavior (change strategies), resources used

7 Preliminary Findings External Events Constraints & Resources Policy Beliefs Policy Oriented Learning

8 Examples of External Events CSPI & NYC helped set policy agenda Pushback from Restaurant Assoc in NYC –Pierce: restaurants & their association very interested in partnering –Thurston: avoided any regulations National legislation –Preemption

9 Examples of Constraints & Resources: Leadership King Co, new Director: policy as a public health tool championed the menu labeling policy despite industry pushback Pierce Co, budget cuts led to personnel changes: loss of several champions for menu labeling menu labeling policy development was put on hold during department restructuring

10 Examples of Coalition Beliefs Deep core beliefs –Protection of freedom from regulation –Protection of public health Policy beliefs: Role of Health Department –Distribution of authority between government and marketplace Collaboration, voluntary approaches, regulation

11 Example of Policy-Oriented Learning King County WRA went to legislature in an attempt to get preemptive and less restrictive statewide regulations Forced a change to Health Departments secondary beliefs (policy implementation) Health Dept and WRA negotiated modifications to regulation Key informants report increased understanding of opposing coalitions perspective

12 Questions?

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