A Q methodology study of stakeholders' views about accountability for promoting healthy food environments in England through the responsibility deal food network

摘要: Abstract In March 2011, the United Kingdom’s (UK’s) Government launched five Public Health Responsibility Deal Networks to address public health priorities. The used voluntary partnerships influence peoples’ choice architecture move them toward healthier behaviors. purpose of this research was conduct an exploratory study diverse stakeholders’ perspectives about perceived responsibility and accountability expectations improve food environments in England through Food Network partnerships. A purposive sample policy elites ( n  = 31) from government, academia, industry non-government organizations sorted 48 statements related improving England. Statements were grounded three theoretical (i.e., legitimacy, nudge law). PQMethod 2.33 statistical software program factor analysis identify viewpoints based on intra-individual differences for how participants statements. results revealed distinct viewpoints, which explained 64% variance 31 participants, emphasized different responsibility. environment protectors  = 17) underscored government unhealthy if are ineffective; partnership pioneers  = 12) recognized government–industry as legitimate necessary environments; commercial market defenders  = 1) individual choices rejected intervention environments. Consensus issues included: protecting children’s right health; practices that can should be changed; working with product reformulation; building consumer support economically viable healthy products. Contentious were: inadequacy structures inaction regulate marketing targeting children. We conclude understanding is a step mutual trust strengthen may help stakeholders navigate ideologically contentious promote