The purpose of this study is to examine the impact of environmental modifications (choice architecture and a marketing campaign) in combination with weekly text messages on purchases of foods made by parents shopping in a large supermarket.
The "Make It Fresh, For Less" Supermarket Pilot Study is a supermarket-based intervention developed by the Harvard T.H. Chan School of Public Health in collaboration with the nonprofit organization ChopChop Magazine (chopchopmagazine.org) and a large Northeastern supermarket chain. A promotional campaign advertising low-cost, kid-friendly meals was piloted in one store selected by the supermarket partner, with promotions rotating every 4 weeks during a 16-week intervention period. Parent shoppers were recruited (n=401) at the store and given a study loyalty card to track their transactions. At the start of the intervention, half of the participants were additionally randomized to receive weekly behavioral messages via text message or email. Supermarket purchases were assessed at baseline, during the 16-week intervention, and up to 6-weeks post-intervention. Primary Aim 1: to examine the impact of a choice architecture intervention in combination with a promotional campaign on food purchases of parents shopping in a large supermarket. It is hypothesized that there will be an increase in selection of foods targeted by the promotional campaign when physical modifications are made. Primary Aim 2: to examine the impact of weekly behavioral messages in combination with an environmental change intervention on food purchases of parents shopping in a large supermarket. It is hypothesized that there will be a greater increase in selection of foods targeted by the promotional campaign among participants receiving the messages compared to participants exposed to the environmental change intervention alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
401
1. Offer kid-friendly, low-cost recipes in a prominent, high-traffic location. 2. Offer healthy default ingredients (bundled ingredients promoted with recipes). 3. Promote recipe ingredients with prominently displayed signage and images. 4. Promote recipes in multiple locations throughout the store.
Short, behavioral messages sent to participants via text message or email each week to promote the in-store environmental changes
Change in weekly purchases of recipe components (Selection of items bundled with each recipe) during four, 4-week promotional campaigns
Purchase of recipe ingredients
Time frame: Baseline, during intervention (4 weeks each) and up to 6 weeks post-intervention
Change in weekly purchases of other food categories (substitution of recipe ingredients for other foods)
Substitution of recipe ingredients for other foods
Time frame: Baseline, during intervention (4 weeks each) and up to 6 weeks post-intervention
Differential change in weekly purchases of recipe components by SNAP-eligibility
Stratification by SNAP-eligibility, recipe components
Time frame: Baseline, during intervention (4 weeks each) and up to 6 weeks post-intervention
Differential change in weekly purchases of other food groups (substitution) by SNAP-eligibility
Stratification by SNAP-eligibility, other food groups
Time frame: Baseline, during intervention (4 weeks each) and up to 6 weeks post-intervention
Acceptability of intervention (self-reported survey measures)
Shopper responses to survey questions asking participants to rate the acceptability of each recipe (taste, cost, difficulty, perceptions of children's preferences) on a Likert scale from 1-5.
Time frame: Up to 6 weeks post-intervention
Recall of intervention (self-reported survey measures)
Shopper responses to survey questions regarding aided and unaided recall. Unaided recall asks shoppers to choose the best description of what they saw in the store and aided recall asks shoppers whether they remember seeing various elements of the display in the store (yes, no, not sure). These measures will be combined to report the proportion of shoppers who recalled each component of the intervention either through aided or unaided means.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Up to 6 weeks post-intervention
Adoption of intervention (self-reported survey measures)
Shopper responses to survey questions asking whether the shopper made each recipe in the display.
Time frame: Up to 6 weeks post-intervention
Reach of intervention (direct observation measures)
Observation of shopper interactions with promotional campaign (count of number of shoppers who passed the display, looked at the display, and took an item from the display).
Time frame: During intervention (4 weeks each)
Fidelity to intended intervention (direct observation measures)
Monthly random site visits to assess presence or absence of each element of the display (placards, poster, recipe cards, intended ingredients, store banners).
Time frame: During intervention (4 weeks each)