Online retail nudges to help parents with lower-income choose healthy beverages for their children: A randomized clinical trial

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2024-07-11 DOI:10.1111/ijpo.13150

Pasquale E. Rummo, Carla Seet, Alexandria E. Reimold, Emily W. Duffy, Carmen E. Prestemon, Marissa G. Hall, Marie A. Bragg, Lindsey Smith Taillie

{"title":"Online retail nudges to help parents with lower-income choose healthy beverages for their children: A randomized clinical trial","authors":"Pasquale E. Rummo, Carla Seet, Alexandria E. Reimold, Emily W. Duffy, Carmen E. Prestemon, Marissa G. Hall, Marie A. Bragg, Lindsey Smith Taillie","doi":"10.1111/ijpo.13150","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Nudges offer a promising tool to reduce sugary drink intake among children who are most at risk for diet-related disease.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>To examine the impact of online store nudges on purchases of sugary drinks for children in lower-income households.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Caregivers with lower-income were recruited to an online shopping experiment and instructed to spend $10–$30 on three beverages for their child aged 1–5 years. Participants were randomized to navigate an online supermarket in its standard version (<i>n</i> = 1106) or a version with nudges (<i>n</i> = 1135), including a product placement nudge (i.e. placing healthy beverages in prominent positions) and a swap nudge (i.e. offering a swap of water, plain milk and/or 100% fruit juice upon selection of sugary drinks).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>On average, participants purchased 1887 (SD = 2113) and 620 (SD = 1528) calories from sugary drinks per basket in the control and experimental conditions, respectively. Model-based results indicate that those in the experimental condition purchased 1267 (95% CI: 1419, 1114) fewer calories from sugary drinks, and fewer grams of total sugar (<i>β</i> = −253.5 g (95% CI: −286.3, −220.6)) and added sugar (<i>β</i> = −287.8 g (95% CI: −323.1, −252.5)) purchased from sugary drinks.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Nudges may be an effective, acceptable, scalable strategy for leading caregivers in lower-income households to purchase fewer sugary drinks for their children.</p>\n </section>\n </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"19 9","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Obesity","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ijpo.13150","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Nudges offer a promising tool to reduce sugary drink intake among children who are most at risk for diet-related disease.

Objective

To examine the impact of online store nudges on purchases of sugary drinks for children in lower-income households.

Methods

Caregivers with lower-income were recruited to an online shopping experiment and instructed to spend $10–$30 on three beverages for their child aged 1–5 years. Participants were randomized to navigate an online supermarket in its standard version (n = 1106) or a version with nudges (n = 1135), including a product placement nudge (i.e. placing healthy beverages in prominent positions) and a swap nudge (i.e. offering a swap of water, plain milk and/or 100% fruit juice upon selection of sugary drinks).

Results

On average, participants purchased 1887 (SD = 2113) and 620 (SD = 1528) calories from sugary drinks per basket in the control and experimental conditions, respectively. Model-based results indicate that those in the experimental condition purchased 1267 (95% CI: 1419, 1114) fewer calories from sugary drinks, and fewer grams of total sugar (β = −253.5 g (95% CI: −286.3, −220.6)) and added sugar (β = −287.8 g (95% CI: −323.1, −252.5)) purchased from sugary drinks.

Conclusion

Nudges may be an effective, acceptable, scalable strategy for leading caregivers in lower-income households to purchase fewer sugary drinks for their children.

查看原文本刊更多论文

帮助低收入父母为孩子选择健康饮料的在线零售提示：随机临床试验。

背景：劝导为减少与饮食相关疾病风险最高的儿童的含糖饮料摄入量提供了有前途的工具：劝导是减少儿童含糖饮料摄入量的一种有前途的工具，这些儿童是膳食相关疾病的高危人群：目的：研究网店提示对低收入家庭儿童购买含糖饮料的影响：方法：招募低收入家庭的照顾者参加网上购物实验，要求他们花 10-30 美元为 1-5 岁的孩子购买三种饮料。参与者被随机安排浏览标准版（n = 1106）或带有提示的版本（n = 1135）的网上超市，包括产品摆放提示（即在显眼位置摆放健康饮料）和交换提示（即在选择含糖饮料时提供水、纯牛奶和/或 100% 果汁的交换）：在对照组和实验组条件下，参与者平均每篮从含糖饮料中购买的热量分别为1887卡路里（标准差=2113卡路里）和620卡路里（标准差=1528卡路里）。基于模型的结果表明，实验条件下的参与者从含糖饮料中购买的卡路里减少了1267（95% CI：1419，1114），从含糖饮料中购买的总糖（β = -253.5 克（95% CI：-286.3，-220.6））和添加糖（β = -287.8克（95% CI：-323.1，-252.5））的克数也减少了：劝导可能是一种有效、可接受、可推广的策略，可引导低收入家庭的照顾者减少为孩子购买含糖饮料。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.