The aim of this study is to compare the impact of 4 different types of front of package (FOP) food and beverage messages: 1) green labels on healthy foods, 2) red/yellow/green labels on less healthy/moderately healthy/healthy foods, 3) physical activity calorie equivalent labels, and 4) posters reminding consumers of the sweetened beverage tax on consumers' beverage and snack selections.
This project involves a randomized field experiment. The investigators worked with the vending contractor for the City of Philadelphia to randomize vending machine locations (covering \~260 beverage and snack machines) to one of the four different message conditions: 1) single green traffic light labels (on healthy foods); 2) multiple traffic light labels (red traffic light labels applied to less healthy foods, yellow applied to moderately healthy foods, and green on healthy foods); 3) physical activity labels (calorie content displayed in terms of physical activity equivalents); 4) posters reminding consumers of the Philadelphia sweetened beverage tax and encouraging healthier choices. The City's vending machine contractors provided monthly aggregated sales data from each machine for analysis. Customer intercepts were also collected at the point of sale, after customers completed their purchase, to evaluate factors that moderate message influence. They were asked to answer questions about their perceptions of the different labels.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
1,065
Green labels only for beverages and foods scored as healthy
All beverages and foods labeled as either healthy (green), moderately healthy (yellow), or less healthy (red)
All beverages and foods labeled with physical activity required to burn their calories
University of Pennsylvania
Philadelphia, Pennsylvania, United States
Percentage of beverages sold with calories per month
Outcome is percentage of monthly beverages selected that had calories
Time frame: Every month, for 13 months
Calories sold from beverages per month, if beverages with calories sold
Outcome is calories in beverages sold per month - only for beverages with calories.
Time frame: Every month, for 13 months
Calories sold from snacks per month
Outcome is calories in snacks sold per month.
Time frame: Every month, for 13 months
Likelihood of selecting a healthy beverage
Outcome is percentage of monthly beverages selected were healthy beverages (green labeled in the traffic light condition)
Time frame: Every month, for 13 months
Likelihood of selecting a moderately healthy beverage
Outcome is percentage of monthly beverages selected were moderately healthy beverages (yellow labeled in the traffic light condition)
Time frame: Every month, for 13 months
Likelihood of selecting a less healthy beverage
Outcome is percentage of monthly beverages selected were less healthy beverages (red labeled in the traffic light condition)
Time frame: Every month, for 13 months
Likelihood of selecting a healthy snack
Outcome is percentage of monthly snacks selected were healthy snacks (green labeled in the traffic light condition)
Time frame: Every month, for 13 months
Likelihood of selecting a moderately healthy snack
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Message reminding consumers to make healthier choices
Outcome is percentage of monthly snacks selected were moderately healthy snacks (yellow labeled in the traffic light condition)
Time frame: Every month, for 13 months
Likelihood of selecting a less healthy snack
Outcome is percentage of monthly snacks selected were less healthy snacks (red labeled in the traffic light condition)
Time frame: Every month, for 13 months
Total beverage units sold per month per machine.
Outcome is number of monthly beverages sold per machine
Time frame: Every month, for 13 months
Total snack units sold per month per machine
Outcome is number of monthly snacks sold per machine
Time frame: Every month, for 13 months
Total revenue per month per beverage machine
Outcome is the total dollar sales per month per beverage machine.
Time frame: Every month, for 13 months
Total revenue per month per snack machine
Outcome is the total dollar sales per month per snack machine.
Time frame: Every month, for 13 months
Total calories sold per customer trip
Customer purchase assessments will be conducted in front of study machines. Outcome is total number of calories (beverage + snack) purchased per customer trip.
Time frame: 5-minute survey