Eat, play, live: a randomized controlled trial within a natural experiment examining the role of nutrition policy and capacity building in improving food environments in recreation and sport facilities

Table 5 Change in the proportion of packaged snacks and beverages and in the overall quality of the concession food environment by intervention group in the Eat, Play, Live trial

GL + CBI guideline + capacity building intervention facilities, GL-ONLY guideline only facilities, NO-GL no guideline facilities, rNEMS-R Nutrition Environment Measures Survey–Restaurant reduced item audit
A total of 40 concessions were audited at baseline and 38 concessions were audited at follow-up. 8 facilities did not have a concession, 1 could not be audited at baseline or follow-up and 2 concessions closed between baseline and follow-up. In addition, 1 concession no longer sold packaged beverages and 2 no longer sold packaged snacks at follow-up. A total of 756 packaged beverages and 772 packaged snacks were audited at follow-up
^aHigher scores (possible range for fast casual: - 4.02 to + 48.27; fast food: −10.17 to + 51.35) indicate greater availability, supports for, and lower cost of healthy options
^bThe intervention effect is the p value for the interaction of time by condition from repeated measures ANOVA
^cSignificant pairwise differences between GL + CBI and NO-GL (p < 0.001); and between GL-ONLY and NO-GL (p < 0.01)

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