E valuating the Folate - Neural Tube Defect Health Claim Pilot
Process Evaluation of the Management Framework
Outcome Evaluation
September 2000
Australia New Zealand Food Authority
Contents
Part 1-Summary [ pdf ]
1 Introduction
1.1 Process evaluation
1.2 Outcome evaluation
2 Establishment and implementation of the pilot
3 Conclusions from the process and outcome evaluations
3.1 Process evaluation
3.2 Outcome evaluation
4 Future directions
4.1 Process evaluation
4.2 Outcome evaluation
Part 2 -Process evaluation of the management framework for the folate neural tube defect health claims pilot: Final report [ pdf ]
1 Introduction
1.1 Folate - neural tube defect health claim pilot
1.2 Proposed management framework for health claims
1.3 Process evaluation
1.4 Methodology
2 Implementation of the pilot
2.1 Establishment and implementation of the pilot
2.2 Costs associated with the pilot
2.3 Management of the pilot
2.4 Context for interpreting evaluation findings
3 Scientific assessment
3.1 How it worked in the pilot
3.2 Stakeholder perceptions based on the pilot
3.3 Issues if health claims are permitted more generally
3.4 Implications for scientific assessment processes
4 Regulatory system
4.1 How it worked in the pilot
4.2 Stakeholder perceptions based on the pilot
4.3 Issues if health claims are permitted more generally
4.4 Implications for regulatory processes
5 Surveillance and enforcement
5.1 How it worked in the pilot
5.2 Stakeholder perceptions based on the pilot
5.3 Issues if health claims are permitted more generally
5.4 Implications for surveillance and enforcement processes
6 Education and communication
6.1 How it worked in the pilot
6.2 Stakeholder perceptions based on the pilot
6.3 Issues if health claims are permitted more generally
6.4 Implications for education and communication processes
7 Monitoring and evaluation
7.1 Processes used in the pilot
7.2 Stakeholder perceptions based on the pilot
7.3 Issues if health claims are permitted more generally
7.4 Implications for the monitoring and evaluation processes
8 Overall management framework
8.1 Effectiveness of the management framework
8.2 Strengths and limitations of the management framework
8.3 Implications for future use of the management framework
8.4 Costs associated with the pilot
8.5 Management of the pilot across Australia and New Zealand
Part 3 -Outcome evaluation of the folate - neural tube defect health claim pilot: Final report
1 Introduction
1.1 Neural tube defects and folate
1.2 Folate - NTD health claim pilot
1.3 Proposed management framework for health claims
1.4 Aims of outcomes monitoring and evaluation
2 Process evaluation of the health claim pilot
2.1 Implementation of the health claim pilot
2.2 Survey of food industry
3 The surveys to evaluate the outcomes of the health claim pilot
3.1 Methods
3.2 Results
3.3 Discussion
4 Comparison of outcomes survey results with other surveys
4.1 CSIRO survey of consumer' s knowledge about folate
4.2 Kellogg' s surveys of consumer' s knowledge about folate
4.3 Responses to Spina Bifida Association 1300 number
5 Sales of products with health claims
5.1 Sales of ready-to-eat breakfast cereals
5.2 Sales of fruit and vegetables
5.3 Comparison of food sales with survey responses
6 Overall conclusions from the health claim pilot
Indications for a folate- NTD health claim
7 Future indications for monitoring and evaluating health claims
Part 4 -Appendices
Appendix 1.1
Pro forma for information provided by food industry on implementation
of folate health claim
Appendix 1.2
Information provided by food industry on implementation of folate health claim
Appendix 1.3
Folate label information on foods including messages on folate content,
added folate and the health claim
Appendix 2.1
ANZFA Folate/Folic Acid Questions - South Australian Health Monitor and
Eat Well Tasmania Surveys
Appendix 2.2
Australian Supermarket Institute Survey
Appendix 2.3
CSIRO questionnaire
Appendix 3
Tables from analysis of surveys
Appendix 4
Consumers' Knowledge about Folate:
A report for ANZFA outlining preliminary results from the
CSIRO 1998 - 99 National Dietary Surveys
Appendix 5
Products with scanned retail sales data available
Glossary
References
Abbreviations
AFGC | Australian Food and Grocery Council |
ANZFA | Australia New Zealand Food Authority |
ASI | Australian Supermarket Institute |
CATI | Computer-assisted telephone interview |
CI | Confidence interval |
µg | Microgram |
NHMRC | National Health and Medical Research Council |
NTD | Neural tube defect |
OR | Odds ratio |
p-value | Probability value |
RDI | Recommended dietary intake |
RTEC | Ready-to-eat breakfast cereals |
SAHM | South Australian Health Monitor |
USFDA | United States Food and Drug Administration |