A Systems Innovation Perspective on Implementation and Sustainment Barriers for Healthy Food Store Interventions:A Reflexive Monitoring in Action Study in Dutch Supermarkets

BACKGROUND: Healthy food store interventions (HFIs) are an important health-promotion tool, but face implementation and sustainment barriers. This paper aims to explore the underlying factors that produce these barriers using an innovative systems innovation perspective, through the case study of a multi-component HFI. The HFI was implemented in a minor, national, cooperative supermarket chain, in the Netherlands, a competitive market where price-based competition is the norm. METHODS: The HFI was implemented for 6-12 months, in six stores. It was implemented by the researchers, and maintained... Mehr ...