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OpenTrials
Completed

NCT Number: NCT04716010

Developing and Evaluating Product Messaging

Purpose: To assess the impact of taxes, warnings, and a combination of taxes and warnings on US adults' decisions to purchase products that contain red meat in an online grocery store.

Procedures (methods): Participants will be recruited from Prime Panels (an online panel research company). Following online consent, participants will be assigned to one of four trial arms: 1) Control (no warning and no tax), 2) Warnings (all products that contain red meat have a health warning and environmental warning), 3) Tax (30% tax on products that contain red meat), and 4) Combined warning and tax (all products that contain red meat will have the two warnings and a 30% tax). Then, participant will enter an online grocery store reflecting their assigned arm. The participant will be instructed to complete a shopping task in the online grocery store. After completing the shopping task, participants will be redirected to an online survey and answer a series of questions about the shopping task, labels (excluding tax and control groups), and taxes (excluding warning and control groups). Questions will also include standard demographic and health related variables.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Carolina Population Center

Chapel Hill, North Carolina, 27516, United States

About this study

Participants will be recruited from Prime Panels (an online panel research company). Following online consent, participants will be randomly assigned to one of four trial arms affecting the appearance of an online grocery store. Once in the online grocery store, participants will complete a shopping task. The participants will have 9 specified items to add to their shopping cart (1 pizza, 1 burrito, Burger patties [meat or vegetarian], Breakfast sausages [meat or vegetarian], 1 frozen individual meal, 1 loaf of bread, 1 sandwich filling [for example, ham, turkey, or peanut butter], 1 pack of tortillas, 1 taco filling [for example, steak, chicken, or beans]). Participants will be informed that they will not be spending any of their own money to complete the shopping task. After completing the shopping task, participants will be redirected to a survey. They will provide self-reported responses to survey questions (e.g. perceived healthfulness from eating red meat, perceived risk of cancer from eating red meat, thinking about the health/environmental harms of food products). Participants will also answer demographic and health related questions.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • 18 years or older
  • Consumes red meat at least once per week.
  • Responsible for at least 50% of grocery shopping for the household.
  • Lives in the United States

Exclusion criteria

  • Individuals who have participated in research studies from previous aims of this research.

Treatment and study plan

Control

Other

Participants will complete a shopping task in the online grocery store, and the products that contain red meat will not have warning labels or a 30% increase in price.

Warning Labels

Other

While completing the shopping task in the online grocery store, the health and environmental warning labels will appear next to the image of every product that contains red meat.

Tax

Other

While completing the shopping task in the online grocery store, all products containing red meat will have a 30% increase in price.

Combined Warning Labels and Tax

Other

While completing the shopping task in the online grocery store, all products containing red meat will have the health and environmental warning labels appear next to the product image and a 30% increase in price.

Primary outcomes

  1. Count of Products That Contain Red Meat

    Time frame: At completion of ~15 minute shopping task

    The number of products in a participant's shopping basket that contain red meat.

  2. Percentage of Red Meat Containing Products

    Time frame: At completion of ~15 minute shopping task

    The percentage of products in a participant's shopping basket that contain red meat.

Secondary outcomes

  1. Total Saturated Fat

    Time frame: At completion of ~15 minute shopping task

    Total grams of saturated fat of products in a participant's shopping basket. This will be calculated by adding together the total saturated fat from each product in the participant's shopping basket. Saturated fat for each product will come from the product's nutrition facts panel. All products in the store are real life products that have designated nutrition facts panels.

  2. Total Sodium

    Time frame: At completion of ~15 minute shopping task

    Total grams of sodium of products in a participant's shopping basket. This will be calculated by adding together the total sodium from each product in the participant's shopping basket. Sodium for each product will come from the product's nutrition facts panel. All products in the store are real life products that have designated nutrition facts panels.

  3. Total Calories

    Time frame: At completion of ~15 minute shopping task

    Total calories of products in a participant's shopping basket. This will be calculated by adding together the total calories from each product in the participant's shopping basket. Calories for each product will come from the product's nutrition facts panel. All products in the store are real life products that have designated nutrition facts panels.

  4. Perceived Healthfulness

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Perceived healthfulness of eating red meat. Likert response options are on a 1 to 5 scale, with higher scores representing a higher perceived healthfulness of eating red meat.

  5. Perceived Cancer Risk

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Perceived risk of colon and rectal cancer from eating red meat. Likert response options are on a 1 to 5 scale, with higher scores representing a higher perceived risk of colon and rectal cancer from eating red meat.

  6. Perceived Environmental Risk

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Perceived risk of environmental harms from eating red meat. Likert response options are on a 1 to 5 scale, with higher scores representing a higher perceived risk of environmental harms from eating red meat.

  7. Cognitive Elaboration (Health)

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Thinking about the health harms of food products while completing the shopping task. Likert response options are on a 1 to 5 scale, with higher scores representing a higher amount of thinking about health harms of food products.

  8. Cognitive Elaboration (Environment)

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Thinking about the environmental harms of food products while completing the shopping task. Likert response options are on a 1 to 5 scale, with higher scores representing a higher amount of thinking about the environmental harms of food products.

  9. Cognitive Elaboration (Price)

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Thinking about the price of food products while completing the shopping task. Likert response options are on a 1 to 5 scale, with higher scores representing a higher amount of thinking about the price of food products.

  10. Specific Perceived Healthfulness

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Perceived healthfulness of specific red meat products (burgers, pepperoni pizza, and deli ham). Likert response options are on a 1 to 5 scale, with lower scores representing worse for health and higher scores representing better for health.

  11. Specific Perceived Environmental Risk

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Perceived environmental harm of specific red meat products (burgers, pepperoni pizza, and deli ham). Likert response options are on a 1 to 5 scale, with lower scores representing worse for the environment and higher scores representing better for the environment.

  12. Perceived Cost of the Burger Product.

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Perceived cost of the burger product. Likert response options are on a 1 to 5 scale, with lower scores representing less expensive and higher scores representing more expensive.

  13. Perceived Cost of the Pizza Product.

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Perceived cost of the pizza product. Likert response options are on a 1 to 5 scale, with lower scores representing less expensive and higher scores representing more expensive.

  14. Perceived Cost of the Ham Product.

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Perceived cost of the ham product. Likert response options are on a 1 to 5 scale, with lower scores representing less expensive and higher scores representing more expensive.

  15. Intention to Reduce

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Intention to reduce red meat consumption in the next 30 days. Likert response options are on a 1 to 5 scale, with higher scores representing a higher intention to reduce red meat consumption in the next 30 days.

Other outcomes

  1. Percentage of Participants Who Support Tax

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Support of policy for taxes on red meat products in the U.S. Likert response options are on a 1 to 5 scale, with higher scores representing a greater deal of support. Those who indicated '4' or '5' were assumed to more strongly agree to support a red meat product tax. This measure reports the percentage of those with a response of '4' or '5'.

  2. Percentage of Participants Who Support Health Warning Label

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Support of policy for health warning labels on red meat products in the U.S. Likert response options are on a 1 to 5 scale, with higher scores representing a greater deal of support. Those who indicated '4' or '5' were assumed to more strongly agree to support a health warning label. This measure reports the percentage of those with a response of '4' or '5'.

  3. Percentage of Participants Who Support Environmental Warning Label

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Support of policy for environmental warning labels on red meat products in the U.S. Likert response options are on a 1 to 5 scale, with higher scores representing a greater deal of support. Support of policy for taxes on environmental warning labels in the U.S. Likert response options are on a 1 to 5 scale, with higher scores representing a greater deal of support. Those who indicated '4' or '5' were assumed to more strongly agree to support an environmental warning label. This measure reports the percentage of participants with a response of '4' or '5'.

  4. Mean Modified Waterlander Acceptability Scale Score

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Acceptability of the online grocery store. Likert response options are on a 1 to 5 scale, with higher scores representing a higher amount of agreement.

    Acceptability of the online grocery store is measured using 3 items adapted from Waterlander et al., 2011. Responses to the 3 items will be averaged to create an acceptability score sum ranging from 3-15 then divided by the total number of questions asked (n = 3).

    Prompt: Say whether you agree or disagree with the following statements.

    I could easily find all of the food and beverages I was looking for in the online grocery store.

    There were enough food and beverage options in the online grocery store.

    This online grocery store felt like a real online grocery store.

    Waterlander WE, Scarpa M, Lentz D, Steenhuis IHM. The virtual supermarket: an innovative research tool to study consumer food purchasing behavior. 2011;11:589. DOI: 10.1186/1471-2458-11-589.

  5. Ease of Store Use

    Time frame: ~15 minutes post-test computer survey following the ~15 minute shopping task

    Ease of use of the online grocery store. Likert response options are on a 1 to 5 scale, with higher scores representing more agreement that the online grocery store is easy to use.

Sponsors and collaborators

Lead sponsor

University of North Carolina, Chapel Hill

Other

Collaborators

  • National Heart, Lung, and Blood Institute (NHLBI)
  • University of Edinburgh
  • Wellcome Trust

Registry information

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Jan 20, 2021
Registry last updated
Aug 18, 2023

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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