title: Guiding Principles And A Decision-Making Framework For Stakeholders Pursuing Healthy Food Environments.
abstract: To address obesity and diet-related chronic diseases in the United States, organizations such as the Robert Wood Johnson Foundation and the Institute of Medicine have encouraged the use of voluntary engagement strategies among stakeholders. By using public-private partnerships as well as networks, alliances, and coalitions, voluntary engagement can translate evidence-informed dietary recommendations into effective policies and actions and into innovative products and services. We offer six guiding principles and a decision-making framework that stakeholders can use to ensure that partnerships are accountable and effective in their pursuit of health-related goals. We apply the principles and framework to four national partnerships of US food, beverage, and food retail industry stakeholders working to prevent child obesity and to promote healthy food environments through product reformulation and healthy food retail incentives. We conclude that partnerships should be evaluated for their synergy, accountability, and effectiveness at achieving the partners' objectives. Independent evaluations will help build credibility and public trust in the capacity of voluntary engagement strategies to promote healthy food environments and positively influence public health.
authors.affiliation: Vivica I. Kraak (vivica51@vt.edu) is an assistant professor of food and nutrition policy in the Department of Human Nutrition, Foods, and Exercise at Virginia Polytechnic Institute and State University, in Blacksburg, Virginia.
authors.forename: Vivica I
authors.initials: VI
authors.lastname: Kraak
authors.affiliation: Mary Story is a professor of global health and community and family medicine in the Global Health Institute at Duke University, in Durham, North Carolina.
authors.forename: Mary
authors.initials: M
authors.lastname: Story
mesh_terms: D002908:Chronic Disease; D003132:Commerce; D003256:Community Participation; D003657:Decision Making; D000072001:Diet, Healthy; D017408:Guidelines as Topic; D006801:Humans; D009765:Obesity / Q000517:prevention & control; D014481:United States
keywords: Business Coalitions < Insurance; Health Philanthropy; Health Promotion/Disease Prevention; Nonprofit/For-Profit Status; Public Health