Studying the Impact of Product Packaging in a Virtual Store Environment

Sponsor
University of North Carolina, Chapel Hill (Other)
Overall Status
Completed
CT.gov ID
NCT04381481
Collaborator
Robert Wood Johnson Foundation (Other), National Heart, Lung, and Blood Institute (NHLBI) (NIH)
2,374
1
12
2.3
1017.7

Study Details

Study Description

Brief Summary

Purpose: Examine the impact of nutrition claims on parents' decisions to purchase fruit drinks in a randomized controlled trial in an online virtual convenience store (task 1) and examine the impact of added sugar warnings on parents' snack purchasing decisions in a randomized controlled trial in an online virtual convenience store.

Participants: Participants will consist of approximately 2,500 individuals 18 and older with at least one child ages 1-5. The child 1-5 who had their birthday most recently must have consumed at least one fruit drink in the previous week. Additionally, they will live in the United States and identify as non-Hispanic black, non-Hispanic white, or Hispanic. The panel research company Kantar will recruit individuals from its pool of potential individuals.

Procedures (methods): The investigators will randomize participants to one of 12 versions of a virtual convenience store (iShoppe) and then the participants will complete two shopping tasks in the store. They will select two beverages (task 1) for their child 1-5 who had their birthday most recently, and they will select a snack (task 2) for that same child. After completing the shopping tasks, the participant will complete a survey in Qualtrics. The survey will ask a series of questions about the beverages and snacks (e.g., perceived healthfulness, perceived appeal, intentions to consume products). Questions will also include standard demographic and health related variables.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Experimental Drink: Nutrition claim on fruit drinks
  • Behavioral: Control Drink: No nutrition claim
  • Behavioral: Experimental snack: Text warning
  • Behavioral: Experimental snack: Graphic warning
  • Behavioral: Control snack: barcode label
N/A

Detailed Description

There are major racial-ethnic disparities in the US childhood obesity epidemic. Among children age 1-5 years, Black children are twice as likely to be obese and Latino children are three times as likely to be obese compared to White children. Sugar-sweetened beverage (SSB) and processed food consumption are major drivers of the childhood obesity epidemic, and an important driver of racial-ethnic obesity disparities. Policies to reduce marketing and require warning labels are important strategies for improving health outcomes among US parents and children at risk for obesity. Understanding the impact of nutrition claims on fruit drink purchases among Black and Latino parents is especially important given pre-existing disparities in early childhood SSB consumption and obesity. However, little is known about the relationship between nutrition claims and SSB purchases among racial-ethnic minorities. Thus, it is important to understand the effect of nutrition claims on racial-ethnic minority parents' purchases of fruit drinks. Another key research gap relates to the impact of warning labels for processed food among this population. Thus, in this study the investigators also aim to test warning labels on food/snack products as part of this study.

Setting: The trial will take place in a virtual convenience store setting created for researchers to examine how store and product characteristics influence consumer purchases in a controlled but realistic environment.

Recruitment: Participants will be recruited online through Kantar's currently available panel participants. Interested potential participants will complete a screener online, and if they are eligible, they will be redirected to the consent form.

Informed consent: Participants will view an online consent form prior to participating in the study, They will acknowledge their consent by proceeding onto the study.

Randomization: After acknowledging consent, participants will be randomized to one of 12 versions of the store(see trial arms). Participants will have an equal chance to be randomized to one of the arms of the store.

Assessment: Participants will enter the virtual convenience store and be given a shopping task to select 2 beverages (task 1) for their child age 1-5 who celebrated their birthday most recently. The participant will have to select between 100% grape juice and a grape-flavored fruit drink, and they will have to select between water and an apple-flavored fruit drink. After selecting two beverages, the participant will then be directed to complete a snack shopping task (task 2). After completing the two shopping tasks, the participant will be redirected to an online survey to complete. Participation in the study will last approximately 15-18 minutes.

Trial arms: All participants will complete two shopping tasks where they have to (1) choose between a grape fruit drink and a 100% grape juice, and choose between an apple fruit drink and water, and (2) choose between a snack with a nutrient warning label or a snack with no warning label. There will be 4 versions of the fruit drinks that participants will be randomized to. They will see either a fruit drink with no claim (control) or a fruit drink with 1 of 3 claims ("No artificial sweeteners," "100% vitamin c daily value," "100% all natural"). For the snack with the nutrient warning label, participants will see either a control label (barcode) or a nutrient warning label (text or graphic).

Study Design

Study Type:
Interventional
Actual Enrollment :
2374 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Participant)
Primary Purpose:
Prevention
Official Title:
Studying the Impact of Product Packaging in a Virtual Store Environment
Actual Study Start Date :
May 14, 2020
Actual Primary Completion Date :
Jul 24, 2020
Actual Study Completion Date :
Jul 24, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Control beverage, text snack

The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2).

Behavioral: Control Drink: No nutrition claim
Fruit drinks does not contain a nutrition claim (task 1)

Behavioral: Experimental snack: Text warning
The snack contains a text warning (task 2)

Experimental: Control beverage, control snack

The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a barcode label (control label) (task 2).

Behavioral: Control Drink: No nutrition claim
Fruit drinks does not contain a nutrition claim (task 1)

Behavioral: Control snack: barcode label
The snack contains a neutral barcode label (task 2)

Experimental: Control beverage, graphic snack

The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2).

Behavioral: Control Drink: No nutrition claim
Fruit drinks does not contain a nutrition claim (task 1)

Behavioral: Experimental snack: Graphic warning
The snack contains a graphic warning (task 2)

Experimental: Claim 1 beverage, text snack

The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2).

Behavioral: Experimental Drink: Nutrition claim on fruit drinks
Fruit drink contains a nutrition claim (task 1)

Behavioral: Experimental snack: Text warning
The snack contains a text warning (task 2)

Experimental: Claim 1 beverage, control snack

The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a barcode label (control label) (task 2).

Behavioral: Experimental Drink: Nutrition claim on fruit drinks
Fruit drink contains a nutrition claim (task 1)

Behavioral: Control snack: barcode label
The snack contains a neutral barcode label (task 2)

Experimental: Claim 1 beverage, graphic snack

The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2).

Behavioral: Experimental Drink: Nutrition claim on fruit drinks
Fruit drink contains a nutrition claim (task 1)

Behavioral: Experimental snack: Graphic warning
The snack contains a graphic warning (task 2)

Experimental: Claim 2 beverage, text snack

The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2).

Behavioral: Experimental Drink: Nutrition claim on fruit drinks
Fruit drink contains a nutrition claim (task 1)

Behavioral: Experimental snack: Text warning
The snack contains a text warning (task 2)

Experimental: Claim 2 beverage, control snack

The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a barcode label (control label) (task 2).

Behavioral: Experimental Drink: Nutrition claim on fruit drinks
Fruit drink contains a nutrition claim (task 1)

Behavioral: Control snack: barcode label
The snack contains a neutral barcode label (task 2)

Experimental: Claim 2 beverage, graphic snack

The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2).

Behavioral: Experimental Drink: Nutrition claim on fruit drinks
Fruit drink contains a nutrition claim (task 1)

Behavioral: Experimental snack: Graphic warning
The snack contains a graphic warning (task 2)

Experimental: Claim 3 beverage, text snack

The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2).

Behavioral: Experimental Drink: Nutrition claim on fruit drinks
Fruit drink contains a nutrition claim (task 1)

Behavioral: Experimental snack: Text warning
The snack contains a text warning (task 2)

Experimental: Claim 3 beverage, control snack

The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a barcode label (control label) (task 2).

Behavioral: Experimental Drink: Nutrition claim on fruit drinks
Fruit drink contains a nutrition claim (task 1)

Behavioral: Control snack: barcode label
The snack contains a neutral barcode label (task 2)

Experimental: Claim 3 beverage, graphic snack

The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2).

Behavioral: Experimental Drink: Nutrition claim on fruit drinks
Fruit drink contains a nutrition claim (task 1)

Behavioral: Experimental snack: Graphic warning
The snack contains a graphic warning (task 2)

Outcome Measures

Primary Outcome Measures

  1. Percent of Participants Who Selected the Grape-Flavored Fruit Drink (Fruit Drink Experimental Task 1) [During virtual shopping task which will last ~5 minutes]

    Measured as percent of participants selecting grape-flavored fruit drink rather than 100% grape juice (objectively measured).

  2. Percent of Participants Who Selected the Lower Sugar Granola Snack (Snack Experimental Task 2) [During virtual shopping task which will last ~5 minutes]

    Measured as percent of participants selecting lower sugar granola snack rather than higher sugar granola snack (objectively measured).

Secondary Outcome Measures

  1. Percent of Participants Who Misperceive That the Fruit Drink Does Not Have Added Sugar (Fruit Drink Experimental Task 1) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    The percent of participants who hold the misperception that the fruit drink does not have added sugar. Measured by response to the question, "Do you think this beverage has added sugar?" Response options are yes/no. Misperception coded as "no."

  2. Percent of Participants Who Misperceive That the Fruit Drink is 100% Fruit Juice (Fruit Drink Experimental Task 1) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    The percent of participants who hold the misperception that the fruit drink is 100% fruit juice. Measured by response to the question, "Do you think this beverage is 100% fruit juice?" Response options are yes/no. Misperception coded as "yes."

  3. Number of Teaspoons of Added Sugar Participants Think the Fruit Drink Contains (Fruit Drink Experimental Task 1) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Amount of added sugar people think the product contains. Measured by response to the questions, "A can of regular soda contains 8 teaspoons of added sugar. How many teaspoons of added sugar do you think this beverage has?" Response is free text entry limited to 0-100 (# of teaspoons). This question is only asked if the participant believes the product has added sugar (see outcome 3).

  4. Mean Percent of Fruit Juice That Participants Believe the Fruit Drink Contains (Fruit Drink Experimental Task 1) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    The mean percentage of fruit juice participants think the product contains. Measured by response to the question, "What percentage of this beverage do you think is fruit juice?" Response is a sliding scale 0 - 100 (percent fruit juice). This question is only asked if the participant does not believe the drink is 100% fruit juice (see outcome 4).

  5. Perceived Misleadingness of Fruit Drink (Fruit Drink Experimental Task 1) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Perceived misleadingness of the fruit drink as determined by asking the question, "This beverage is 20% fruit juice and contains 39 grams of added sugar. How misleading do you think the information on this product is?" The response options are on a scale: 1 = Not at all misleading…5 = Extremely misleading.

  6. Perceived Product Healthfulness of Fruit Drink for Child's Daily Consumption (Fruit Drink Experimental Task 1) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Perceived product healthfulness as determined by asking the question, "How healthy or unhealthy would it be for [child you shopped for] to drink this beverage every day?" The response options are on a scale: 1 = Very unhealthy...5= Very healthy.

  7. Interest in Giving the Fruit Drink to One's Child (Fruit Drink Experimental Task 1) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Interest in giving fruit drinks to one's child as determined by asking the question, "How likely would you be to give this beverage to your child?" The response options are on a scale: 1 = Not at all likely…5 = Extremely likely)

  8. Percent of Participants Who Selected Apple-flavored Fruit Drink (Fruit Drink Experimental Task 1) [During virtual shopping task which will last ~5 minutes]

    Measured as percent of participants selecting apple-flavored fruit drink rather than water (objectively measured).

  9. Perceived Appeal of Fruit Drink (Fruit Drink Experimental Task 1) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Perceived appeal of fruit drink as determined by asking the question, "How appealing would your child find this beverage?" The response options are on a scale: 1 = Very unappealing…5=Very appealing.

  10. Interest in Consuming the Fruit Drink (Fruit Drink Experimental Task 1) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Interest in consuming the fruit drink as determined by asking the questions, "How likely would you be to drink. this beverage?" The response options are on a scale: 1 = Not at all likely…5= Extremely likely.

  11. Relative Harm of the Fruit Drink Compared to Soda (Fruit Drink Experimental Task 1) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Relative harm of the fruit drink compared to soda as determined by asking the question, "Compared to regular (non-diet) soda, this beverage is…" The response options are on a scale: 1 = Much less healthy…5 = Much healthier.

  12. Relative Harm of the Fruit Drink Compared to 100% Fruit Juice (Fruit Drink Experimental Task 1) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Relative harm of the fruit drink compared to 100% fruit juice as determined by asking the question, "Compared to 100% fruit juice, this beverage is…" The response options are on a scale: 1 = Much less healthy…5 = Much healthier.

  13. Perceived Product Healthfulness of Snack (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Perceived product healthfulness of the snack as determined by asking, "How healthy would it be for your child to eat this snack every day?" The response options are on a scale: 1=very unhealthy…5=very healthy.

  14. Product Appeal of Snack for One's Child (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Product appeal of the snack as determined by asking, "How appealing would your child find this snack?" The response options are on a scale: 1=very unappealing…5=very appealing.

  15. Participant Intentions to Give Snack to One's Child (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Intentions to give snack to child as determined by asking, "How likely would you be to give this snack to your child?" The response options are on a scale: 1=not at all likely…5=extremely likely.

  16. Intentions to Purchase the Snack (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Intentions to purchase snack as determined by asking, "How likely would you be to buy this snack in the next week?" The response options are on a scale: 1=not at all likely…5=extremely likely.

  17. Intentions to Consume the Snack (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Intentions to consume snack as determined by asking, "How likely would you be to consume this snack?" The response options are on a scale: 1=not at all likely….5=extremely likely.

  18. Percent of Participants Able to Identify the Healthier Snack (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Correct identification of healthier snack, as measured by response to the question "Which of these snacks would be healthier for your child?" Response options include the snack product with the added sugar warning and the snack product without the sugar warning. snack without the added sugar warning = healthier snack

  19. Percent of Participants Able to Identify the Snack With Higher Amount of Added Sugar (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Correct identification of snack with higher added sugar, as measured by response to the question "Which of these snacks is higher in added sugar?" Response options include the snack product with the added sugar warning and the snack product without the sugar warning. snack with added sugar warning = snack with higher amount of added sugar

  20. Percent of Participants Who Intend to Purchase the Snack With Higher Added Sugar (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Intentions to purchase snack with higher added sugar, as measured by response to the question, "Which of these snacks would you most want to buy for your child?" Response options include the snack product with the added sugar warning and the snack product without the sugar warning. snack with added sugar warning = snack with higher amount of added sugar

  21. Perceived Message Effectiveness of Snack (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Perceived message effectiveness as measured by average response to three questions: How much does this label make you concerned about the health effects of consuming this product? The response options are on a scale: 1=not at all…5=a great deal. How much does this label make consuming this product seem unpleasant to you? The response options are on a scale: 1=not at all…5=a great deal. How much does this label discourage you from wanting to consume this product? The response options are on a scale: 1=not at all…5=a great deal.

  22. Social Reactions to Snack (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Anticipated social reactions as measured by response to questions, "How likely are you to talk about this label with others in the next week?" The response options are on a scale: 1= not at all likely…5=extremely likely.

  23. Percent of Participants Who Learned Something New About the Snack (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    Percent who learned something new about the snack as measured by the question, "Did you learn something new from this label" The response options are yes/no. Yes indicates the participant learned something new.

  24. Snack Grabbed the Participant's Attention (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    The extent to which the snack grabbed the participant's attention as measured by the question, "How much does this label grab your attention?" The response options are on a scale:1=not at all…5=a great deal.

  25. Label on Snack Makes Participant Feel Scared (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    The extent to which the snack made the participant feel scared as measured by the questions, "How much does this label make you feel scared?" The response options are on a scale: 1=not at all…5=a great deal.

  26. Thinking About the Health Effects of the Snack (Snack Experimental Task 2) [13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.]

    The extent to which the snack made the participant think about the health effects of the snack as measured by the question, "How much does this label make you think about the health problems caused by eating this snack?" The response options are on a scale: 1=not at all…5=a great deal.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 99 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Be 18 years or older

  • Currently reside in the US

  • Be a Kantar panel member

  • have at least one child aged 1-5

  • Child 1-5 with the most recent birthday must have consumed at least one fruit drink in the previous week (7 days)

  • Self-identify as non-Hispanic white, non-Hispanic black, or Hispanic any race

Exclusion Criteria:

Contacts and Locations

Locations

Site City State Country Postal Code
1 UNC Carolina Population Center Chapel Hill North Carolina United States 27599

Sponsors and Collaborators

  • University of North Carolina, Chapel Hill
  • Robert Wood Johnson Foundation
  • National Heart, Lung, and Blood Institute (NHLBI)

Investigators

  • Principal Investigator: Marissa G Hall, PhD, University of North Carolina

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier:
NCT04381481
Other Study ID Numbers:
  • 19-3227
  • K01HL147713
First Posted:
May 8, 2020
Last Update Posted:
Jun 18, 2021
Last Verified:
May 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
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Control Beverage, Text Snack Control Beverage, Control Snack Control Beverage, Graphic Snack Claim 1 Beverage, Text Snack Claim 1 Beverage, Control Snack Claim 1 Beverage, Graphic Snack Claim 2 Beverage, Text Snack Claim 2 Beverage, Control Snack Claim 2 Beverage, Graphic Snack Claim 3 Beverage, Text Snack Claim 3 Beverage, Control Snack Claim 3 Beverage, Graphic Snack
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) Experimental snack: Text warning: The snack contains a text warning (task 2) The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a barcode label (control label) (task 2). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) Control snack: barcode label: The snack contains a neutral barcode label (task 2) The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) Experimental snack: Graphic warning: The snack contains a graphic warning (task 2) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Text warning: The snack contains a text warning (task 2) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a barcode label (control label) (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Control snack: barcode label: The snack contains a neutral barcode label (task 2) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Graphic warning: The snack contains a graphic warning (task 2) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Text warning: The snack contains a text warning (task 2) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a barcode label (control label) (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Control snack: barcode label: The snack contains a neutral barcode label (task 2) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Graphic warning: The snack contains a graphic warning (task 2) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Text warning: The snack contains a text warning (task 2) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a barcode label (control label) (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Control snack: barcode label: The snack contains a neutral barcode label (task 2) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Graphic warning: The snack contains a graphic warning (task 2)
Period Title: Overall Study
STARTED 200 205 199 197 199 195 194 193 214 198 192 188
COMPLETED 185 190 190 183 191 180 184 177 195 188 183 173
NOT COMPLETED 15 15 9 14 8 15 10 16 19 10 9 15

Baseline Characteristics

Arm/Group Title Control Beverage, Text Snack Control Beverage, Control Snack Control Beverage, Graphic Snack Claim 1 Beverage, Text Snack Claim 1 Beverage, Control Snack Claim 1 Beverage, Graphic Snack Claim 2 Beverage, Text Snack Claim 2 Beverage, Control Snack Claim 2 Beverage, Graphic Snack Claim 3 Beverage, Text Snack Claim 3 Beverage, Control Snack Claim 3 Beverage, Graphic Snack Total
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a barcode label (control label) (task 2). The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a barcode label (control label) (task 2). The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a barcode label (control label) (task 2). The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a barcode label (control label) (task 2). The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Total of all reporting groups
Overall Participants 185 190 190 183 191 180 184 177 195 188 183 173 2219
Age (Count of Participants)
<=18 years
1
0.5%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
0.5%
0
0%
1
0.5%
1
0.6%
4
0.2%
Between 18 and 65 years
184
99.5%
190
100%
190
100%
183
100%
190
99.5%
180
100%
184
100%
177
100%
194
99.5%
188
100%
181
98.9%
172
99.4%
2213
99.7%
>=65 years
0
0%
0
0%
0
0%
0
0%
1
0.5%
0
0%
0
0%
0
0%
0
0%
0
0%
1
0.5%
0
0%
2
0.1%
Sex/Gender, Customized (Count of Participants)
Man
56
30.3%
61
32.1%
67
35.3%
63
34.4%
70
36.6%
69
38.3%
66
35.9%
58
32.8%
62
31.8%
75
39.9%
63
34.4%
58
33.5%
768
34.6%
Woman
126
68.1%
129
67.9%
121
63.7%
113
61.7%
115
60.2%
108
60%
114
62%
111
62.7%
128
65.6%
108
57.4%
115
62.8%
114
65.9%
1402
63.2%
Transgender or other gender identity
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
0.5%
0
0%
0
0%
0
0%
1
0%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
60
32.4%
63
33.2%
64
33.7%
62
33.9%
56
29.3%
53
29.4%
67
36.4%
62
35%
62
31.8%
66
35.1%
58
31.7%
62
35.8%
735
33.1%
Not Hispanic or Latino
125
67.6%
127
66.8%
126
66.3%
121
66.1%
135
70.7%
127
70.6%
117
63.6%
115
65%
133
68.2%
122
64.9%
125
68.3%
111
64.2%
1484
66.9%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
1
0.5%
2
1.1%
1
0.5%
1
0.5%
2
1.1%
3
1.6%
1
0.6%
1
0.5%
1
0.5%
0
0%
2
1.2%
15
0.7%
Asian
0
0%
2
1.1%
1
0.5%
1
0.5%
0
0%
1
0.6%
1
0.5%
2
1.1%
1
0.5%
2
1.1%
2
1.1%
2
1.2%
15
0.7%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
0
0%
1
0.5%
0
0%
0
0%
0
0%
2
1%
0
0%
2
1.1%
0
0%
5
0.2%
Black or African American
42
22.7%
49
25.8%
41
21.6%
39
21.3%
32
16.8%
39
21.7%
35
19%
38
21.5%
46
23.6%
32
17%
39
21.3%
40
23.1%
472
21.3%
White
129
69.7%
124
65.3%
137
72.1%
131
71.6%
149
78%
128
71.1%
132
71.7%
126
71.2%
136
69.7%
139
73.9%
123
67.2%
117
67.6%
1571
70.8%
More than one race
5
2.7%
5
2.6%
5
2.6%
4
2.2%
2
1%
5
2.8%
2
1.1%
3
1.7%
2
1%
2
1.1%
7
3.8%
4
2.3%
46
2.1%
Unknown or Not Reported
9
4.9%
9
4.7%
4
2.1%
7
3.8%
6
3.1%
5
2.8%
11
6%
7
4%
7
3.6%
12
6.4%
10
5.5%
8
4.6%
95
4.3%

Outcome Measures

1. Primary Outcome
Title Percent of Participants Who Selected the Grape-Flavored Fruit Drink (Fruit Drink Experimental Task 1)
Description Measured as percent of participants selecting grape-flavored fruit drink rather than 100% grape juice (objectively measured).
Time Frame During virtual shopping task which will last ~5 minutes

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 565 554 556 544
Number [percentage of participants]
32
17.3%
45
23.7%
51
26.8%
54
29.5%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Logistic
Comments
2. Primary Outcome
Title Percent of Participants Who Selected the Lower Sugar Granola Snack (Snack Experimental Task 2)
Description Measured as percent of participants selecting lower sugar granola snack rather than higher sugar granola snack (objectively measured).
Time Frame During virtual shopping task which will last ~5 minutes

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 741 740 738
Number [percentage of participants]
66
35.7%
79
41.6%
82
43.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments snacks with warning compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Logistic
Comments
3. Secondary Outcome
Title Percent of Participants Who Misperceive That the Fruit Drink Does Not Have Added Sugar (Fruit Drink Experimental Task 1)
Description The percent of participants who hold the misperception that the fruit drink does not have added sugar. Measured by response to the question, "Do you think this beverage has added sugar?" Response options are yes/no. Misperception coded as "no."
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 561 540 544 536
Number [percentage of participants]
12
6.5%
42
22.1%
22
11.6%
47
25.7%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Logistic
Comments
4. Secondary Outcome
Title Percent of Participants Who Misperceive That the Fruit Drink is 100% Fruit Juice (Fruit Drink Experimental Task 1)
Description The percent of participants who hold the misperception that the fruit drink is 100% fruit juice. Measured by response to the question, "Do you think this beverage is 100% fruit juice?" Response options are yes/no. Misperception coded as "yes."
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 561 541 544 536
Number [percentage of participants]
22
11.9%
36
18.9%
35
18.4%
56
30.6%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Logistic
Comments
5. Secondary Outcome
Title Number of Teaspoons of Added Sugar Participants Think the Fruit Drink Contains (Fruit Drink Experimental Task 1)
Description Amount of added sugar people think the product contains. Measured by response to the questions, "A can of regular soda contains 8 teaspoons of added sugar. How many teaspoons of added sugar do you think this beverage has?" Response is free text entry limited to 0-100 (# of teaspoons). This question is only asked if the participant believes the product has added sugar (see outcome 3).
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
This question is only asked of those participants who believe the product has added sugar.
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 495 311 427 282
Mean (Standard Deviation) [teaspoons]
6.4
(3.8)
5.8
(3.4)
5.7
(3.8)
5.9
(4.4)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments Beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.01
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
6. Secondary Outcome
Title Mean Percent of Fruit Juice That Participants Believe the Fruit Drink Contains (Fruit Drink Experimental Task 1)
Description The mean percentage of fruit juice participants think the product contains. Measured by response to the question, "What percentage of this beverage do you think is fruit juice?" Response is a sliding scale 0 - 100 (percent fruit juice). This question is only asked if the participant does not believe the drink is 100% fruit juice (see outcome 4).
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
This question is only asked of those participants who believe the product is not 100 percent fruit juice.
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 437 344 355 236
Mean (Standard Deviation) [percentage of fruit juice]
35.4
(23.0)
46.3
(24.4)
40.8
(24.7)
43.9
(25.4)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
7. Secondary Outcome
Title Perceived Misleadingness of Fruit Drink (Fruit Drink Experimental Task 1)
Description Perceived misleadingness of the fruit drink as determined by asking the question, "This beverage is 20% fruit juice and contains 39 grams of added sugar. How misleading do you think the information on this product is?" The response options are on a scale: 1 = Not at all misleading…5 = Extremely misleading.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Frui
Measure Participants 561 540 544 536
Mean (Standard Deviation) [score on a scale]
3.3
(1.3)
3.7
(1.3)
3.7
(1.2)
3.9
(1.2)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
8. Secondary Outcome
Title Perceived Product Healthfulness of Fruit Drink for Child's Daily Consumption (Fruit Drink Experimental Task 1)
Description Perceived product healthfulness as determined by asking the question, "How healthy or unhealthy would it be for [child you shopped for] to drink this beverage every day?" The response options are on a scale: 1 = Very unhealthy...5= Very healthy.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 561 545 547 539
Mean (Standard Deviation) [score on a scale]
3.3
(1.3)
3.6
(1.2)
3.7
(1.2)
3.8
(1.1)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
9. Secondary Outcome
Title Interest in Giving the Fruit Drink to One's Child (Fruit Drink Experimental Task 1)
Description Interest in giving fruit drinks to one's child as determined by asking the question, "How likely would you be to give this beverage to your child?" The response options are on a scale: 1 = Not at all likely…5 = Extremely likely)
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 561 545 547 539
Mean (Standard Deviation) [score on a scale]
3.4
(1.2)
3.7
(1.1)
3.7
(1.2)
3.8
(1.1)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
10. Secondary Outcome
Title Percent of Participants Who Selected Apple-flavored Fruit Drink (Fruit Drink Experimental Task 1)
Description Measured as percent of participants selecting apple-flavored fruit drink rather than water (objectively measured).
Time Frame During virtual shopping task which will last ~5 minutes

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 565 554 556 544
Number [percentage of participants]
55
29.7%
61
32.1%
60
31.6%
62
33.9%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.01
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Logistic
Comments
11. Secondary Outcome
Title Perceived Appeal of Fruit Drink (Fruit Drink Experimental Task 1)
Description Perceived appeal of fruit drink as determined by asking the question, "How appealing would your child find this beverage?" The response options are on a scale: 1 = Very unappealing…5=Very appealing.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 561 545 547 539
Mean (Standard Deviation) [score on a scale]
4.1
(1.0)
4.2
(0.9)
4.3
(0.8)
4.2
(0.9)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.01
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
12. Secondary Outcome
Title Interest in Consuming the Fruit Drink (Fruit Drink Experimental Task 1)
Description Interest in consuming the fruit drink as determined by asking the questions, "How likely would you be to drink. this beverage?" The response options are on a scale: 1 = Not at all likely…5= Extremely likely.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 561 545 546 539
Mean (Standard Deviation) [score on a scale]
3.3
(1.4)
3.5
(1.3)
3.5
(1.3)
3.6
(1.3)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
13. Secondary Outcome
Title Relative Harm of the Fruit Drink Compared to Soda (Fruit Drink Experimental Task 1)
Description Relative harm of the fruit drink compared to soda as determined by asking the question, "Compared to regular (non-diet) soda, this beverage is…" The response options are on a scale: 1 = Much less healthy…5 = Much healthier.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 561 540 544 536
Mean (Standard Deviation) [score on a scale]
3.6
(0.9)
3.9
(0.8)
3.9
(0.9)
4.0
(0.9)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
14. Secondary Outcome
Title Relative Harm of the Fruit Drink Compared to 100% Fruit Juice (Fruit Drink Experimental Task 1)
Description Relative harm of the fruit drink compared to 100% fruit juice as determined by asking the question, "Compared to 100% fruit juice, this beverage is…" The response options are on a scale: 1 = Much less healthy…5 = Much healthier.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Beverage Claim 1 Beverage Claim 2 Beverage Claim 3 Beverage
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1)
Measure Participants 561 540 544 536
Mean (Standard Deviation) [score on a scale]
2.3
(1.3)
2.8
(1.2)
2.8
(1.4)
3.2
(1.3)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage, Claim 3 Beverage
Comments beverages with claim compared to control beverage
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
15. Secondary Outcome
Title Perceived Product Healthfulness of Snack (Snack Experimental Task 2)
Description Perceived product healthfulness of the snack as determined by asking, "How healthy would it be for your child to eat this snack every day?" The response options are on a scale: 1=very unhealthy…5=very healthy.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 730 728 728
Mean (Standard Deviation) [score on a scale]
3.9
(0.9)
2.6
(1.5)
2.5
(1.4)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
16. Secondary Outcome
Title Product Appeal of Snack for One's Child (Snack Experimental Task 2)
Description Product appeal of the snack as determined by asking, "How appealing would your child find this snack?" The response options are on a scale: 1=very unappealing…5=very appealing.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 730 727 727
Mean (Standard Deviation) [score on a scale]
3.7
(1.1)
3.5
(1.3)
3.5
(1.3)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
17. Secondary Outcome
Title Participant Intentions to Give Snack to One's Child (Snack Experimental Task 2)
Description Intentions to give snack to child as determined by asking, "How likely would you be to give this snack to your child?" The response options are on a scale: 1=not at all likely…5=extremely likely.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 729 727 728
Mean (Standard Deviation) [score on a scale]
3.6
(1.1)
2.6
(1.4)
2.5
(1.4)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
18. Secondary Outcome
Title Intentions to Purchase the Snack (Snack Experimental Task 2)
Description Intentions to purchase snack as determined by asking, "How likely would you be to buy this snack in the next week?" The response options are on a scale: 1=not at all likely…5=extremely likely.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 730 727 729
Mean (Standard Deviation) [score on a scale]
3.4
(1.2)
2.5
(1.4)
2.4
(1.4)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
19. Secondary Outcome
Title Intentions to Consume the Snack (Snack Experimental Task 2)
Description Intentions to consume snack as determined by asking, "How likely would you be to consume this snack?" The response options are on a scale: 1=not at all likely….5=extremely likely.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 730 728 727
Mean (Standard Deviation) [score on a scale]
3.5
(1.2)
2.7
(1.4)
2.6
(1.4)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
20. Secondary Outcome
Title Percent of Participants Able to Identify the Healthier Snack (Snack Experimental Task 2)
Description Correct identification of healthier snack, as measured by response to the question "Which of these snacks would be healthier for your child?" Response options include the snack product with the added sugar warning and the snack product without the sugar warning. snack without the added sugar warning = healthier snack
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 726 725 726
Number [percentage of participants]
59
31.9%
87
45.8%
87
45.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
21. Secondary Outcome
Title Percent of Participants Able to Identify the Snack With Higher Amount of Added Sugar (Snack Experimental Task 2)
Description Correct identification of snack with higher added sugar, as measured by response to the question "Which of these snacks is higher in added sugar?" Response options include the snack product with the added sugar warning and the snack product without the sugar warning. snack with added sugar warning = snack with higher amount of added sugar
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 726 726 728
Number [percentage of participants]
44
23.8%
79
41.6%
74
38.9%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
22. Secondary Outcome
Title Percent of Participants Who Intend to Purchase the Snack With Higher Added Sugar (Snack Experimental Task 2)
Description Intentions to purchase snack with higher added sugar, as measured by response to the question, "Which of these snacks would you most want to buy for your child?" Response options include the snack product with the added sugar warning and the snack product without the sugar warning. snack with added sugar warning = snack with higher amount of added sugar
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 726 727 727
Number [percentage of participants]
38
20.5%
12
6.3%
13
6.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
23. Secondary Outcome
Title Perceived Message Effectiveness of Snack (Snack Experimental Task 2)
Description Perceived message effectiveness as measured by average response to three questions: How much does this label make you concerned about the health effects of consuming this product? The response options are on a scale: 1=not at all…5=a great deal. How much does this label make consuming this product seem unpleasant to you? The response options are on a scale: 1=not at all…5=a great deal. How much does this label discourage you from wanting to consume this product? The response options are on a scale: 1=not at all…5=a great deal.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 729 724 728
Mean (Standard Deviation) [score on a scale]
2.3
(1.3)
4.2
(0.9)
4.3
(0.8)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
24. Secondary Outcome
Title Social Reactions to Snack (Snack Experimental Task 2)
Description Anticipated social reactions as measured by response to questions, "How likely are you to talk about this label with others in the next week?" The response options are on a scale: 1= not at all likely…5=extremely likely.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 730 727 729
Mean (Standard Deviation) [score on a scale]
2.2
(1.4)
3.1
(1.4)
3.1
(1.4)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
25. Secondary Outcome
Title Percent of Participants Who Learned Something New About the Snack (Snack Experimental Task 2)
Description Percent who learned something new about the snack as measured by the question, "Did you learn something new from this label" The response options are yes/no. Yes indicates the participant learned something new.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 728 727 728
Number [percentage of participants]
24
13%
75
39.5%
77
40.5%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
26. Secondary Outcome
Title Snack Grabbed the Participant's Attention (Snack Experimental Task 2)
Description The extent to which the snack grabbed the participant's attention as measured by the question, "How much does this label grab your attention?" The response options are on a scale:1=not at all…5=a great deal.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 728 727 729
Mean (Standard Deviation) [score on a scale]
2.5
(1.4)
4.4
(0.9)
4.4
(0.9)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
27. Secondary Outcome
Title Label on Snack Makes Participant Feel Scared (Snack Experimental Task 2)
Description The extent to which the snack made the participant feel scared as measured by the questions, "How much does this label make you feel scared?" The response options are on a scale: 1=not at all…5=a great deal.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 728 726 728
Mean (Standard Deviation) [score on a scale]
1.9
(1.3)
3.3
(1.3)
3.4
(1.3)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments
28. Secondary Outcome
Title Thinking About the Health Effects of the Snack (Snack Experimental Task 2)
Description The extent to which the snack made the participant think about the health effects of the snack as measured by the question, "How much does this label make you think about the health problems caused by eating this snack?" The response options are on a scale: 1=not at all…5=a great deal.
Time Frame 13-15 minutes post-test computer survey following the ~5 minute virtual shopping task.

Outcome Measure Data

Analysis Population Description
Data provided for those participants who responded to this optional question.
Arm/Group Title Control Snack Text Snack Graphic Snack
Arm/Group Description The participant will see a snack with a barcode label (control label) Control snack: barcode label: The snack contains a neutral barcode label The participant will see a snack with a text warning "WARNING: High in added sugar" Experimental snack: Text warning: The snack contains a text warning The participant will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental snack: Graphic warning: The snack contains a graphic warning
Measure Participants 728 727 729
Mean (Standard Deviation) [score on a scale]
2.1
(1.4)
4.1
(1.0)
4.1
(1.0)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Control Beverage, Claim 1 Beverage, Claim 2 Beverage
Comments warning snacks compared to control snack
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments The a priori threshold for statistical significance is < 0.05.
Method Regression, Linear
Comments

Adverse Events

Time Frame From the time of signing the Informed Consent through study completion, an approximate total of up to 20 minutes.
Adverse Event Reporting Description
Arm/Group Title Control Beverage, Text Snack Control Beverage, Control Snack Control Beverage, Graphic Snack Claim 1 Beverage, Text Snack Claim 1 Beverage, Control Snack Claim 1 Beverage, Graphic Snack Claim 2 Beverage, Text Snack Claim 2 Beverage, Control Snack Claim 2 Beverage, Graphic Snack Claim 3 Beverage, Text Snack Claim 3 Beverage, Control Snack Claim 3 Beverage, Graphic Snack
Arm/Group Description The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) Experimental snack: Text warning: The snack contains a text warning (task 2) The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a barcode label (control label) (task 2). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) Control snack: barcode label: The snack contains a neutral barcode label (task 2) The participant will see fruit drinks with no nutrition claims (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Control Drink: No nutrition claim: Fruit drinks does not contain a nutrition claim (task 1) Experimental snack: Graphic warning: The snack contains a graphic warning (task 2) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Text warning: The snack contains a text warning (task 2) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a barcode label (control label) (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Control snack: barcode label: The snack contains a neutral barcode label (task 2) The participant will see fruit drinks with the nutrition claim "No Artificial Sweeteners" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Graphic warning: The snack contains a graphic warning (task 2) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Text warning: The snack contains a text warning (task 2) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a barcode label (control label) (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Control snack: barcode label: The snack contains a neutral barcode label (task 2) The participants will see fruit drinks with the nutrition claim "100% Vitamin C daily value" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Graphic warning: The snack contains a graphic warning (task 2) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a text warning "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Text warning: The snack contains a text warning (task 2) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a barcode label (control label) (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Control snack: barcode label: The snack contains a neutral barcode label (task 2) The participants will see fruit drinks with the nutrition claim "100% All Natural" (task 1). They will see a snack with a graphic label (image of sugar cubes in a cup) along with the text "WARNING: High in added sugar" (task 2). Experimental Drink: Nutrition claim on fruit drinks: Fruit drink contains a nutrition claim (task 1) Experimental snack: Graphic warning: The snack contains a graphic warning (task 2)
All Cause Mortality
Control Beverage, Text Snack Control Beverage, Control Snack Control Beverage, Graphic Snack Claim 1 Beverage, Text Snack Claim 1 Beverage, Control Snack Claim 1 Beverage, Graphic Snack Claim 2 Beverage, Text Snack Claim 2 Beverage, Control Snack Claim 2 Beverage, Graphic Snack Claim 3 Beverage, Text Snack Claim 3 Beverage, Control Snack Claim 3 Beverage, Graphic Snack
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/200 (0%) 0/205 (0%) 0/199 (0%) 0/197 (0%) 0/199 (0%) 0/195 (0%) 0/194 (0%) 0/193 (0%) 0/214 (0%) 0/198 (0%) 0/192 (0%) 0/188 (0%)
Serious Adverse Events
Control Beverage, Text Snack Control Beverage, Control Snack Control Beverage, Graphic Snack Claim 1 Beverage, Text Snack Claim 1 Beverage, Control Snack Claim 1 Beverage, Graphic Snack Claim 2 Beverage, Text Snack Claim 2 Beverage, Control Snack Claim 2 Beverage, Graphic Snack Claim 3 Beverage, Text Snack Claim 3 Beverage, Control Snack Claim 3 Beverage, Graphic Snack
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/200 (0%) 0/205 (0%) 0/199 (0%) 0/197 (0%) 0/199 (0%) 0/195 (0%) 0/194 (0%) 0/193 (0%) 0/214 (0%) 0/198 (0%) 0/192 (0%) 0/188 (0%)
Other (Not Including Serious) Adverse Events
Control Beverage, Text Snack Control Beverage, Control Snack Control Beverage, Graphic Snack Claim 1 Beverage, Text Snack Claim 1 Beverage, Control Snack Claim 1 Beverage, Graphic Snack Claim 2 Beverage, Text Snack Claim 2 Beverage, Control Snack Claim 2 Beverage, Graphic Snack Claim 3 Beverage, Text Snack Claim 3 Beverage, Control Snack Claim 3 Beverage, Graphic Snack
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/200 (0%) 0/205 (0%) 0/199 (0%) 0/197 (0%) 0/199 (0%) 0/195 (0%) 0/194 (0%) 0/193 (0%) 0/214 (0%) 0/198 (0%) 0/192 (0%) 0/188 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

All Principal Investigators ARE employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Marissa Hall, PhD
Organization University of North Carolina at Chapel Hill
Phone 919-962-5907
Email mghall@unc.edu
Responsible Party:
University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier:
NCT04381481
Other Study ID Numbers:
  • 19-3227
  • K01HL147713
First Posted:
May 8, 2020
Last Update Posted:
Jun 18, 2021
Last Verified:
May 1, 2021