Hostname: page-component-857557d7f7-bvshn Total loading time: 0 Render date: 2025-12-04T00:06:25.598Z Has data issue: false hasContentIssue false
Accepted manuscript

Factors contributing to food choice in the UK secondary school food setting: a systems map perspective

Published online by Cambridge University Press:  03 December 2025

Niamh O’Kane*
Affiliation:
Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast
Ruth Hunter
Affiliation:
Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast
Desiree Schliemann
Affiliation:
Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast
Leandro Garcia
Affiliation:
Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast
Jayne Woodside
Affiliation:
Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast
*
*Corresponding author: Dr Niamh O’Kane, Centre for Public Health, Queen’s University Belfast, Institute for Clinical Sciences Block A, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BJ. Email: niamh.okane@qub.ac.uk. Tel: +447783821590.
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective:

To co-develop a systems map of the UK secondary school food system and to understand what factors contribute to food choice within it.

Design:

Participatory methods were used with a range of UK school stakeholders to co-produce a systems map of factors contributing to food choice in the secondary school food system. An online survey with stakeholders (n=26) was used to gather an initial list of factors, and a group model building workshop was conducted with stakeholders (n=13) to establish relationships between these factors. Two school workshops captured views of students (n=17). The map then underwent final refinement by the research team and all stakeholders were provided the opportunity to provide feedback on the final version.

Setting:

United Kingdom

Participants:

UK school stakeholders

Results:

The systems map contained 24 factors with 43 direct causal relationships between them, each factor falling into one of six themes: catering and procurement; school leadership and governance; the priority of food within schools; social experience, behaviours and attitudes; the food space and experience in school; and financial. The map demonstrates how each of the factors interact with each other, including direction of influence. It also reveals feedback loops that shape and sustain food choice patterns in secondary schools.

Conclusions:

The systems map provides a visualisation of the complex secondary school food system and can be used by stakeholders in the design and evaluation of whole-school, multi-component interventions and programmes targeting food choice in secondary schools.

Information

Type
Research Paper
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society