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NCT Number: NCT07526584

Comparing the Effects of Front-of-Package Labeling Schemes in Indonesia

The goal of this study is to examine what type of front-of-package label (FOPL) would be most effective at discouraging consumption of products high in nutrients of concern in Indonesia. The main questions this experiment aims to answer are:

1. Would nutrient warning labels be more effective at discouraging consumption of products high in nutrients of concern compared to the Nutri-Level label? 2. Would nutrient warning labels improve consumers' ability to identify unhealthy products compared to the Nutri-Level label?

Additionally, this experiment also aims to determine how should nutrient warning labels be designed to most effectively discourage consumption of products high in nutrients of concern among Indonesian consumers.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

About this study

Participants will complete an online randomized experiment programmed in Qualtrics. Following online consent, participants will be randomly assigned to one of two arms: 1. Nutrient Warning Label 2. Nutri-Level Label (color-coded summary nutritional label). Participants will view four different products (sweet tea, sausages, instant noodles, and yogurt) carrying their assigned label and will answer a series of questions about the products and the labels. All participants will then see nutrient warning labels with different designs in random order, and will select the label design they consider to best signal when products have high in nutrients of concern. Survey questions will also include standard demographic and health related variables.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18 years of age or older
  • Lives in Indonesia
  • Able to read and write in Indonesian
  • Has purchased processed foods in the last month

Exclusion criteria

  • Less than 18 years old
  • Does not live in Indonesia
  • Not able to read and write in Indonesian
  • Has not purchased processed foods in the last month

Treatment and study plan

Nutrient Warning Label

Behavioral

Presentation of food products with one or more nutrient warning labels (black octagons) indicating that the product is high in sugar, salt, and/or fat.

Nutri-Level

Behavioral

Presentation of food products with a Nutri-Level summary nutrition label assigning a letter grade (A-D) based on sugar, salt, and/or fat content.

Primary outcomes

  1. Correct identification of products high in nutrients of concern

    Time frame: During exposure to intervention (i.e., study stimuli), assessed during one-time online 10-minute survey.

    Correct identification of products as high in nutrients of concern will be measured categorically by survey. Response will be coded in a dichotomous 0-1 range, where 1 indicates that the participant correctly identified that the product was high in a nutrient of concern and 0 indicates that the participant did not correctly identify that the products was high in a nutrient of concern.

Secondary outcomes

  1. Perceived message effectiveness

    Time frame: During exposure to intervention (i.e., study stimuli), assessed during one-time online 10-minute survey.

    Perceived message effectiveness will be measured by survey through a three-item scale. Items will inquire about how much participants perceive the labels to (1) discourage them from wanting to buy products with non-nutritive sweeteners for their child, (2) make them concerned about the health effects of their child consuming products with non-nutritive sweeteners, and (3) make buying products with non-nutritive sweeteners for their child seem unpleasant to them. Response options will be on a 5-point scale between "not at all" (coded as 1) and "very much" (coded as 5), with higher scores representing a higher perceived message effectiveness. Each participant's responses to each item will be combined to obtain their final score on the outcome.

  2. Attention drawn by the labels

    Time frame: During exposure to intervention (i.e., study stimuli), assessed during one-time online 10-minute survey.

    How much attention the labels draw will be measured by survey. Response options will be on a 5-point scale between "not at all" (coded as 1) and "extremely" (coded as 5), with higher scores representing more attention drawn by the labels.

  3. Ease of understanding the labels

    Time frame: During exposure to intervention (i.e., study stimuli), assessed during one-time online 10-minute survey.

    How easy or difficult the information presented by the labels is to understand will be measured by survey. Response options will be on a 5-point scale between "very difficult" (coded as 1) and "very easy" (coded as 5), with higher scores representing higher ease of understanding the labels.

  4. Support for the labels

    Time frame: During exposure to intervention (i.e., study stimuli), assessed during one-time online 10-minute survey.

    How much participants would oppose or support a law requiring the labels products with too much sugar, salt, and fat will be measured by survey. Response options will be on a 5-point scale between "strongly oppose" (coded as 1) and "Strongly support" (coded as 5), with higher scores representing higher support for the labels.

  5. Trust in the labels

    Time frame: During exposure to intervention (i.e., study stimuli), assessed during one-time online 10-minute survey.

    How much participants trust or distrust the information presented by the labels will be measured by survey. Response options will be on a 5-point scale between "distrust completely" (coded as 1) and "trust completely" (coded as 5), with higher scores representing more trust in the labels.

  6. Cultural acceptance of the labels

    Time frame: During exposure to intervention (i.e., study stimuli), assessed during one-time online 10-minute survey.

    How acceptable would the labels would be in Indonesian society will be measured by survey. Response options will be on a 5-point scale between "completely unacceptable" (coded as 1) and "completely acceptable" (coded as 5), with higher scores representing more cultural acceptance of the labels.

  7. Reactance to the labels

    Time frame: During exposure to intervention (i.e., study stimuli), assessed during one-time online 10-minute survey.

    Reactance to the labels will be measured by survey through a three-item scale. Items will inquire about how much participants agree or disagree that the labels (1) are trying to manipulate them, (2) are overblown, and (3) annoy them. Response options to each item will be on a 5-point scale between "strongly disagree" (coded as 1) and "strongly agree" (coded as 5), with higher scores representing a reactance to the labels. Each participant's responses to each item will be averaged to obtain their final score on the outcome on a scale between 1-5, where a higher score indicates higher reactance to the labels.

Study contacts

Contact information is provided by the study sponsor or research team.

Aline D'Angelo Campos, PhD, MPP

CONTACT

[email protected]

919-962-1136

Corey Levinson, MPH

CONTACT

[email protected]

Sponsors and collaborators

Lead sponsor

University of North Carolina, Chapel Hill

Other

Collaborators

  • Bloomberg Philanthropies

Registry information

Official study title

Comparing the Effects of Two Front-of-Package Labeling Schemes Among Indonesian Consumers

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Apr 13, 2026
Registry last updated
Jun 29, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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