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Completed

NCT Number: NCT05953194

Effects of Sugary Drinks Counter-marketing Messages

This study aims to examine consumer responses to traditional and counter-marketing messages discouraging sugary drink consumption, including effects on intentions to consume sugary drinks and perceived weight stigma. Because prior research has suggested that counter-marketing may be especially effective among younger populations, the investigators will examine effects overall and by age group (young adults [ages 18-29 years] vs. middle and older adults [ages 30+ years]).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Stanford School of Medicine

Palo Alto, California, 94304, United States

About this study

In this online randomized clinical trial, participants will be randomized to one of three arms: 1) Control (neutral) messages, 2) Traditional health messages, and 3) Counter-marketing messages. In each arm, participants will view four messages developed for their randomly assigned arm and answer questions about the messages and their behavioral intentions.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • 18 years old or older

Exclusion criteria

  • Less than 18 years old

Treatment and study plan

Exposure to counter-marketing messages

Behavioral

Counter-marketing messages about sugary drinks that incorporate principles of effective counter-marketing campaigns, including describing industry manipulation of consumers, appealing to emotions (especially anger), describing health consequences, and criticizing the industry for demographic targeting. Messages include text adapted from prior counter-marketing campaigns. Participants will view a total of 4 messages developed for this arm.

Exposure to traditional health messages

Behavioral

Traditional health messages focused on the health consequences of sugar-sweetened beverage consumption, using text adapted from prior sugary drink campaigns. Participants will view a total of 4 messages developed for this arm.

Exposure to control (neutral) messages

Behavioral

Control messages approximately matched to the intervention messages on length, but discussing a neutral topic unrelated to sugary drinks (safe driving). Participants will view a total of 4 messages developed for this arm.

Primary outcomes

  1. Intentions to consume sugary drinks

    Time frame: The survey will take up to 20 minutes

    We will assess intentions to consume sugary drinks using 2 items: "In the next week, I plan to drink sugary drinks like sodas, sports drinks, or fruit drinks," and "In the next week, I am likely to drink sugar-sweetened beverages like sodas, sports drinks, or fruit drinks". Response options to both items will use a 5-point Likert scale: the first item's response options will range from "definitely not" (1) to "definitely yes" (5), and the second item's response options will range from "not at all likely" (1) to "extremely likely" (5). We will average responses to the 2 items.

Secondary outcomes

  1. Perceived message effectiveness for discouraging sugary drink consumption

    Time frame: The survey will take up to 20 minutes

    Item: "These messages discourage me from wanting to drink sugary drinks." This variable will be measured on a 5-point Likert scale ranging from "not at all" (1) to "a great deal" (5).

  2. Negative feelings toward drinking sugary drinks

    Time frame: The survey will take up to 20 minutes

    Item: "How do these messages make you feel about drinking sugary drinks?" This variable will be measured on a 5-point Likert scale ranging from "extremely positive" (1) to "extremely negative" (5).

  3. Anticipated social interactions

    Time frame: The survey will take up to 20 minutes

    We will examine anticipated social interactions by asking, "How likely are you to talk about these messages with others in the next week?" This item will be scored on a 5-pt Likert scale ranging from "not at all likely" (1) to "extremely likely" (5).

  4. Attitudes toward sugary drink companies

    Time frame: The survey will take up to 20 minutes

    We will examine attitudes toward sugary drink companies by asking, "How do you feel about companies that make sugary drinks?" This item will be scored on a 5-pt Likert scale ranging from "dislike them a lot" (1) to "like them a lot" (5).

  5. Perceived obesity stigma

    Time frame: The survey will take up to 20 minutes

    We will examine the extent to which participants perceive the messages as contributing to obesity stigma by asking 3 items: "These messages promote negative attitudes about people who have overweight or obesity," "These messages increase blame towards people for being overweight," and "These messages make obesity seem like a much simpler issue than it really is." Each item will be scored on a 5-point Likert scale from "not at all" (1) to "a great deal" (5). We will average responses to these items.

  6. Message reactance

    Time frame: The survey will take up to 20 minutes

    We will examine psychological reactance to the messages by asking 3 items: "These messages are trying to manipulate me," "These messages are overblown" and "How much do these messages make you feel angry?" Each item will be scored on a 5-point Likert scale from "not at all" (1) to "a great deal" (5). We will average responses to these items, assuming sufficient internal consistency (alpha>=.70).

Sponsors and collaborators

Lead sponsor

Stanford University

Other

Collaborators

  • Harvard Pilgrim Health Care

Registry information

Official study title

Effects of Anti-sugar-sweetened-beverage Counter-marketing on Behavioral Intentions and Perceived Weight Stigma

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Jul 20, 2023
Registry last updated
Feb 28, 2024

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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