Reshaping Food Choice at University of Michigan

Sponsor
University of Michigan (Other)
Overall Status
Enrolling by invitation
CT.gov ID
NCT05131529
Collaborator
Graham Sustainability Institute of the University of Michigan (Other)
3,000
1
2
15
199.4

Study Details

Study Description

Brief Summary

Nearly a quarter of global greenhouse gas emissions originate from agriculture. Consumer demand for food, especially carbon-intensive red meats, largely underlies these emissions. Therefore, reducing consumption of red meat has the potential for transformative impacts on climate change. Our interdisciplinary team of researchers and dining staff aims to determine the carbon impact of evidence-based behavior change interventions to reduce red meat consumption at University of Michigan dining halls. Using an experimental design, we will evaluate the impacts of three "nudge" interventions (i.e., modifying environmental cues and incentives) to reduce red meat consumption in three randomly assigned treatment dining halls vis-à-vis three paired control dining halls. Nudges will include changing default food items and altering food labels. We will: 1) collect data on meals served during each intervention periods to assess the separate and combined effects of the interventions on red meat consumption; 2) conduct e-mail interviews with students to understand treatment effect heterogeneity and sociodemographic determinants of food choice; and, 3) conduct focus group discussions and interviews, respectively, with students and dining staff to assess implementation feasibility. We expect that this research will generate scalable, replicable solutions for reducing greenhouse gas emissions through dietary change at universities and similar institutions, will significantly advance the food choice literature, and will influence sustainability strategies at university dining operations nationally given the proposed team's close partnership with regional and national dining programs.

Condition or Disease Intervention/Treatment Phase
  • Other: Taste-focused labels
  • Other: Carbon impact labels
  • Other: Changing default menu options
N/A

Study Design

Study Type:
Interventional
Anticipated Enrollment :
3000 participants
Allocation:
Randomized
Intervention Model:
Sequential Assignment
Intervention Model Description:
We will carry out the proposed project within six of the University of Michigan's MDining's nine residential dining halls on the Ann Arbor campus. Using a cluster-randomized controlled trial, we will create three matched pairs among the six dining halls based on the size of each facility. One dining hall from each of the pairs will be randomly assigned to a treatment and control group, respectively. Participants will receive interventions based on which dining halls they visit regularly and most often.We will carry out the proposed project within six of the University of Michigan's MDining's nine residential dining halls on the Ann Arbor campus. Using a cluster-randomized controlled trial, we will create three matched pairs among the six dining halls based on the size of each facility. One dining hall from each of the pairs will be randomly assigned to a treatment and control group, respectively. Participants will receive interventions based on which dining halls they visit regularly and most often.
Masking:
None (Open Label)
Masking Description:
Participants are not randomly allocated to treatment groups, but rather, dining halls are randomly allocated to treatments. This is what "Randomized" refers to under "Allocation" below. Under "Enrollment" below, the number of participants refers strictly to the number of participants in an e-mail survey that will go out to students during each of the three semesters of the project. We anticipate 1,000 respondents during each semester. These respondents do not include the entire population of dining hall patrons that will interact with the dining halls (and therefore the interventions) during the three semesters of the study.
Primary Purpose:
Prevention
Official Title:
Reshaping Food Choice at University of Michigan Dining Halls to Accelerate Carbon Neutrality
Actual Study Start Date :
Aug 30, 2021
Anticipated Primary Completion Date :
Dec 1, 2022
Anticipated Study Completion Date :
Dec 1, 2022

Arms and Interventions

Arm Intervention/Treatment
No Intervention: Control

The 3 dining halls allocated to this arm will receive none of the three interventions during the 3 semesters of the project.

Experimental: Treatment

The 3 dining halls allocated to this arm will receive one intervention during each of the 3 semesters of the project (only one intervention per semester).

Other: Taste-focused labels
We will implement taste-focused labels on plant-based dishes in each of the 3 treatment dining halls to re-brand dishes with attributes focused on the taste of the dish (e.g., renaming a "Squash with Ginger" side to "Aromatic Thai Curry Kabocha Squash With Zesty Ginger").

Other: Carbon impact labels
We will add labels next to all dishes served in treatment dining halls that indicate whether production of the ingredients in the dish contribute a high, moderate or low amount of carbon emissions. These labels will be absent from the same dishes served in control dining halls. Labels will be added to point-of-service signs, digital menu boards, and menu information on a mobile app.

Other: Changing default menu options
We will make red meat items an opt-in (as opposed to opt-out) item across all meal stations in treatment dining halls. All menu stations will exclude red meat by default, and dining hall patrons will have to request the addition of red meat to meals. At control dining halls, red meat items will be provided by default at meal stations as normal.

Outcome Measures

Primary Outcome Measures

  1. The difference in the change in the average amount of red meat served in treatment vs. control dining halls from the pre-intervention to intervention period based on service data from dining hall operations staff [11 week intervention period (during each of 3 academic semesters)]

    We will assess the amount of red meat served across project dining halls from the the pre-intervention to the intervention period using "post-cost" data collected by operations staff (i.e., the amount of each dish prepared prior to the start of a meal period as well as the amount of each dish remaining at the end of the meal period with units of measure standardized to kg. We will assess the average weight of red meat served in each dining hall during the pre-intervention baseline period compared to the average weight of red meat served in each dining hall during the intervention period. We will do a difference-in-difference analysis to identify whether the change in the amount of red meat served at treatment vs. control dining halls differed during this time period. Difference-in-difference analyses examine the difference in the change in an outcome between a treatment and control group.

  2. The difference in the change in the average amount of red meat purchased by dining halls in treatment vs. control dining halls from the pre-intervention to intervention period [11 week intervention period (during each of 3 academic semesters)]

    We will assess the average amount of red meat purchased by each of the 6 project dining halls during the pre-intervention period and during the intervention period. We will do a difference-in-difference analysis to identify whether the change in the amount of red meat purchased at treatment vs. control dining halls differed during these time periods.

  3. The difference in the change in the average amount of red meat consumed in treatment vs. control dining halls from the pre-intervention to intervention period based on 30-day food frequency questionnaire intake [11 week intervention period (during each of 3 academic semesters)]

    We will assess the amount of red meat consumed by a subsample of dining hall patrons (n = 1,000) at each of the 6 project dining halls from the start to the end of each intervention period. This will be done through a self-administered food frequency questionnaire that asks respondents to report their frequency of consumption of red meat items in the previous 30 days. We will do a difference-in-difference analysis to identify whether the change in the amount of red meat consumed by respondents who frequently patron treatment vs. control dining halls differed during this time period.

Secondary Outcome Measures

  1. The change in the average amount of red meat served at meal stations in treatment vs. control dining halls from the pre-intervention to intervention period based on service data from dining hall operations staff [15 weeks (4 week baseline period + 11 week intervention period (during each of 3 academic semesters)]

    We will assess the average amount of red meat served in each of the 6 project dining halls during the pre-intervention and the intervention periods. We will assess the difference in this amount of red meat served within a single dining hall to assess if and how this amount changed. Data on red meat served in each dining hall will begin 4 weeks before the start of each intervention period, thereby allowing us to compare the amount of red meat served before interventions begin to red meat served thereafter. We will assess the average weight of red meat served in each dining hall during the pre-intervention baseline period compared to the average weight of red meat served in each dining hall during the intervention period.

  2. The change in the average amount of red meat purchased by dining halls in treatment vs. control dining halls from the pre-intervention to intervention period [15 weeks (4 week baseline period + 11 week intervention period (during each of 3 academic semesters)]

    We will assess the amount of red meat purchased in each of the 6 project dining halls during the pre-intervention and the intervention periods. We will assess the difference in this amount of red meat purchased within a single dining hall to assess if and how this amount changed. Data on red meat purchased in each dining hall will begin 4 weeks before the start of each intervention period, thereby allowing us to compare the amount of red meat purchased before interventions begin to red meat purchased thereafter.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Student Survey:
  • An individual must have been a frequent diner at one of the six project dining halls during the first three weeks of the academic term

  • An individual must have attended only treatment or only control dining halls for 90% or more of their dining hall visits during the first three weeks of the academic term

Student Focus Group:
  • Must have participated in the student survey

  • We will stratify the sample by selecting respondents whose red meat consumption either increased, decreased or remained the same (based on baseline to endline comparisons of data in the student survey)

Dining Staff Interviews:
  • Must have been a non-student member of the Michigan Dining staff at one of the six project dining halls during the relevant intervention period.

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Michigan Ann Arbor Michigan United States 48109

Sponsors and Collaborators

  • University of Michigan
  • Graham Sustainability Institute of the University of Michigan

Investigators

  • Principal Investigator: Andrew D Jones, PhD, University of Michigan

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Andrew Jones, Associate Professor, University of Michigan
ClinicalTrials.gov Identifier:
NCT05131529
Other Study ID Numbers:
  • HUM00198619
First Posted:
Nov 23, 2021
Last Update Posted:
Nov 23, 2021
Last Verified:
Nov 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No

Study Results

No Results Posted as of Nov 23, 2021