"Make It Fresh, For Less" Supermarket Pilot Study

Sponsor
Harvard School of Public Health (HSPH) (Other)
Overall Status
Completed
CT.gov ID
NCT03340363
Collaborator
Duke University (Other), University of New England (Other), Massachusetts General Hospital (Other)
401
2
14.8

Study Details

Study Description

Brief Summary

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.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: environmental change
  • Behavioral: messaging
N/A

Detailed Description

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 Design

Study Type:
Interventional
Actual Enrollment :
401 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Other
Official Title:
"Make It Fresh, For Less" Supermarket Pilot Study
Actual Study Start Date :
Oct 8, 2015
Actual Primary Completion Date :
Jan 1, 2017
Actual Study Completion Date :
Jan 1, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: environmental change

Shoppers were exposed to modifications to the supermarket environment to encourage selection of low-cost, kid-friendly meals

Behavioral: environmental change
Offer kid-friendly, low-cost recipes in a prominent, high-traffic location. Offer healthy default ingredients (bundled ingredients promoted with recipes). Promote recipe ingredients with prominently displayed signage and images. Promote recipes in multiple locations throughout the store.
Other Names:
  • choice architecture
  • promotional campaign
  • Experimental: environmental change and messaging

    Shoppers were exposed to modifications to the supermarket environment and weekly messages via text or email to encourage selection of low-cost, kid-friendly meals

    Behavioral: environmental change
    Offer kid-friendly, low-cost recipes in a prominent, high-traffic location. Offer healthy default ingredients (bundled ingredients promoted with recipes). Promote recipe ingredients with prominently displayed signage and images. Promote recipes in multiple locations throughout the store.
    Other Names:
  • choice architecture
  • promotional campaign
  • Behavioral: messaging
    Short, behavioral messages sent to participants via text message or email each week to promote the in-store environmental changes

    Outcome Measures

    Primary Outcome Measures

    1. Change in weekly purchases of recipe components (Selection of items bundled with each recipe) during four, 4-week promotional campaigns [Baseline, during intervention (4 weeks each) and up to 6 weeks post-intervention]

      Purchase of recipe ingredients

    Secondary Outcome Measures

    1. Change in weekly purchases of other food categories (substitution of recipe ingredients for other foods) [Baseline, during intervention (4 weeks each) and up to 6 weeks post-intervention]

      Substitution of recipe ingredients for other foods

    2. Differential change in weekly purchases of recipe components by SNAP-eligibility [Baseline, during intervention (4 weeks each) and up to 6 weeks post-intervention]

      Stratification by SNAP-eligibility, recipe components

    3. Differential change in weekly purchases of other food groups (substitution) by SNAP-eligibility [Baseline, during intervention (4 weeks each) and up to 6 weeks post-intervention]

      Stratification by SNAP-eligibility, other food groups

    4. Acceptability of intervention (self-reported survey measures) [Up to 6 weeks post-intervention]

      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.

    5. Recall of intervention (self-reported survey measures) [Up to 6 weeks post-intervention]

      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.

    6. Adoption of intervention (self-reported survey measures) [Up to 6 weeks post-intervention]

      Shopper responses to survey questions asking whether the shopper made each recipe in the display.

    7. Reach of intervention (direct observation measures) [During intervention (4 weeks each)]

      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).

    8. Fidelity to intended intervention (direct observation measures) [During intervention (4 weeks each)]

      Monthly random site visits to assess presence or absence of each element of the display (placards, poster, recipe cards, intended ingredients, store banners).

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • 18 years of age or older

    • English-speaking

    • Live with a child 18 years of age or younger

    • Do more than 50% of shopping at the study store

    • Primary shopper in the household

    Exclusion Criteria:
    • None

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Harvard School of Public Health (HSPH)
    • Duke University
    • University of New England
    • Massachusetts General Hospital

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Eric B. Rimm, Professor of Epidemiology and Nutrition, Harvard School of Public Health (HSPH)
    ClinicalTrials.gov Identifier:
    NCT03340363
    Other Study ID Numbers:
    • BECR-111191
    First Posted:
    Nov 13, 2017
    Last Update Posted:
    Nov 13, 2017
    Last Verified:
    Nov 1, 2017
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No

    Study Results

    No Results Posted as of Nov 13, 2017