Skip to main content
OpenTrials
Completed

NCT Number: NCT05432271

Online Food and Beverage Labels and Vending Machine Selections

The aim of this study is to compare the impact of 5 different types of front of package (FOP) food and beverage labels: 1) calorie labels [control], 2) green labels on healthy foods, 3) red/yellow/green labels on less healthy/moderately healthy/healthy foods, 4) physical activity calorie equivalent labels, and 5) "High in" nutrient warning labels) on consumers' beverage and snack selections.

Completed

Looking for future studies?

Notify Me

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

About this study

This project involves an online randomized experiment. We are working with an external survey company that will recruit 8,000 participants to complete an online survey in which they will be randomized to one of the five different label conditions: 1) calorie labels (control condition); 2) single green traffic light labels (on healthy foods); 3) multiple traffic light labels (red traffic light labels applied to less healthy foods, yellow applied to moderately healthy foods, and green on healthy foods); 4) physical activity labels (calorie content displayed in terms of physical activity equivalents); 5) "High in" warnings (applied to all products exceeding thresholds for calories, saturated fat, sugar, or sodium content). Participants will be instructed to select products to purchase in a mock vending machine. After purchasing their products, they will be asked to answer questions about their perceptions of the different labels.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Participants will be US adults
  • Ages 18 or older
  • With an over-sample of adults with lower educational attainment (some college or less)

Exclusion criteria

  • Younger than 18
  • Non-US
  • Educational quota filled

Treatment and study plan

Exposure to calorie information

Behavioral

Calories for all beverages and foods

Exposure to healthy labels only

Behavioral

Green labels only for beverages and foods scored as healthy

Exposure to healthiness information

Behavioral

All beverages and foods labeled as either healthy (green), moderately healthy (yellow), or less healthy (red)

Exposure to physical activity equivalents

Behavioral

All beverages and foods labeled with physical activity required to burn their calories

Exposure to "high in" nutrient warning labels

Behavioral

Warning labels only for beverages and foods that exceed the thresholds for sugar, sodium, saturated fat, or calorie content

Primary outcomes

  1. Number of Participants Purchasing Beverages With Calories

    Time frame: The survey will take up to 20 minutes.

    Participants will select a beverage to purchase from the online vending machine. Outcome is binary: purchased a beverage with calories or not.

  2. Calories Purchased From Beverages, if Beverage With Calories Chosen

    Time frame: The survey will take up to 20 minutes.

    Participants will select a beverage to purchase from the online vending machine. Outcome is calories in beverage chosen to purchase - only for those participants who chose a beverage with calories.

  3. Calories Purchased From Snacks

    Time frame: The survey will take up to 20 minutes.

    Participants will select a snack to purchase from the online vending machine. Outcome is calories in snacks chosen to purchase.

Secondary outcomes

  1. Likelihood of Selecting a Healthy Beverage

    Time frame: The survey will take up to 20 minutes.

    Participants will select a beverage to purchase in the virtual store. Outcome is percentage of people selecting a healthy beverage (green labeled in the traffic light condition)

  2. Likelihood of Selecting a Moderately Healthy Beverage

    Time frame: The survey will take up to 20 minutes.

    Participants will select a beverage to purchase in the virtual store. Outcome is percentage of people selecting a moderately healthy beverage (yellow labeled in the traffic light condition)

  3. Likelihood of Selecting a Less Healthy Beverage

    Time frame: The survey will take up to 20 minutes.

    Participants will select a beverage to purchase in the virtual store. Outcome is percentage of people selecting a less healthy beverage (red labeled in the traffic light condition)

  4. Likelihood of Selecting a Healthy Snack

    Time frame: The survey will take up to 20 minutes.

    Participants will select a snack to purchase in the virtual store. Outcome is percentage of people selecting a healthy snack (green labeled in the traffic light condition)

  5. Likelihood of Selecting a Moderately Healthy Snack

    Time frame: The survey will take up to 20 minutes.

    Participants will select a snack to purchase in the virtual store. Outcome is percentage of people selecting a moderately healthy snack (yellow labeled in the traffic light condition)

  6. Likelihood of Selecting a Less Healthy Snack

    Time frame: The survey will take up to 20 minutes.

    Participants will select a snack to purchase in the virtual store. Outcome is percentage of people selecting a less healthy snack (red labeled in the traffic light condition)

  7. Saturated Fat Purchased From Beverages

    Time frame: The survey will take up to 20 minutes.

    Participants will select a beverage to purchase from the online vending machine. Outcome is saturated fat in beverage chosen to purchase.

  8. Sodium Purchased From Beverages

    Time frame: The survey will take up to 20 minutes.

    Participants will select a beverage to purchase from the online vending machine. Outcome is sodium in beverage chosen to purchase.

  9. Total Sugar Purchased From Beverages

    Time frame: The survey will take up to 20 minutes.

    Participants will select a beverage to purchase from the online vending machine. Outcome is total sugar in beverage chosen to purchase.

  10. Saturated Fat Purchased From Snacks

    Time frame: The survey will take up to 20 minutes.

    Participants will select a snack to purchase from the online vending machine. Outcome is saturated fat in snack chosen to purchase.

  11. Sodium Purchased From Snacks

    Time frame: The survey will take up to 20 minutes.

    Participants will select a snack to purchase from the online vending machine. Outcome is sodium in snack chosen to purchase.

  12. Total Sugar Purchased From Snacks

    Time frame: The survey will take up to 20 minutes.

    Participants will select a snack to purchase from the online vending machine. Outcome is total sugar in snack chosen to purchase.

  13. Perceived Healthiness of a Healthy Beverage

    Time frame: The survey will take up to 20 minutes.

    This variable will be measured on a 5-point Likert scale ranging from "very unhealthy" to "very healthy".

  14. Perceived Healthiness of a Moderately Healthy Beverage

    Time frame: The survey will take up to 20 minutes.

    This variable will be measured on a 5-point Likert scale ranging from "very unhealthy" to "very healthy".

  15. Perceived Healthiness of a Less Healthy Beverage

    Time frame: The survey will take up to 20 minutes.

    This variable will be measured on a 5-point Likert scale ranging from "very unhealthy" to "very healthy".

  16. Perceived Healthiness of a Healthy Snack

    Time frame: The survey will take up to 20 minutes.

    This variable will be measured on a 5-point Likert scale ranging from "very unhealthy" to "very healthy".

  17. Perceived Healthiness of a Moderately Healthy Snack

    Time frame: The survey will take up to 20 minutes.

    This variable will be measured on a 5-point Likert scale ranging from "very unhealthy" to "very healthy".

  18. Perceived Healthiness of a Less Healthy Snack

    Time frame: The survey will take up to 20 minutes.

    This variable will be measured on a 5-point Likert scale ranging from "very unhealthy" to "very healthy".

  19. Noticing Trial Labels

    Time frame: The survey will take up to 20 minutes.

    Participants will respond "yes," "no," or "not sure" to the item: "When you were selecting a beverage and a snack, did you notice any other nutrition labels on or next to the products?"

  20. Degree of Perceived Label Influence on Beverage Selection

    Time frame: The survey will take up to 20 minutes.

    Participants will respond on a 5-point scale ranging from "Not at all" to "A great deal" to the item: "How much did you use this label to help you decide what beverage to buy?"

  21. Degree of Perceived Label Influence on Snack Selection

    Time frame: The survey will take up to 20 minutes.

    Participants will respond on a 5-point scale ranging from "Not at all" to "A great deal" to the item: "How much did you use this label to help you decide what snack to buy?"

  22. Trust in Labels

    Time frame: The survey will take up to 20 minutes.

    Item: "How much do you trust or distrust the information on this label?". Responses will be measured on a 5-point Likert scale from "completely distrust" to "completely trust".

  23. Reactance to Labels

    Time frame: The survey will take up to 20 minutes.

    We will examine the average reactance to the label (said the label is trying to manipulate me, or annoys me). Each reactance item will be scored on a 5-pt likert scale from "not at all" to "a great deal".

  24. Attention to Labels

    Time frame: The survey will take up to 20 minutes.

    Item: "How much does this label grab your attention?". Responses will be measured on a 5-point Likert scale from "not at all" to "a great deal".

  25. Learned From Labels

    Time frame: The survey will take up to 20 minutes.

    Item: "To what extent did you learn something new from this label?". Responses will be measured on a 5-point Likert scale from "not at all" to "a great deal".

  26. Thinking About Health Effects

    Time frame: The survey will take up to 20 minutes.

    Item: "How much does this label make you think about the health effects of food and beverages?". Responses will be measured on a 5-point Likert scale from "not at all" to "a great deal"

  27. Perceived Discouragement

    Time frame: The survey will take up to 20 minutes.

    We will examine if they said the label discourages them from choosing unhealthy products. This item will be scored on a 5-pt likert scale from "not at all" to "a great deal"

  28. Perceived Encouragement

    Time frame: The survey will take up to 20 minutes.

    We will examine if they said the label encourages them to choose healthy products. This item will be scored on a 5-pt likert scale from "not at all" to "a great deal"

  29. Negative Emotional Reactions

    Time frame: The survey will take up to 20 minutes.

    We will examine the average negative emotional response to the label (said the label made them feel worried, scared, guilty, ashamed, or sad). Each emotion will be scored on a 5-pt likert scale from "not at all" to "a great deal".

  30. Perceived Control in Response to Labels

    Time frame: The survey will take up to 20 minutes.

    Participants will respond to the item "Overall does this label make you feel…" with one of 3 responses: "less in control of making healthy eating decisions", "more in control of healthy eating decisions", or "neither less nor more in control of making healthy eating decisions"

  31. Perceived Personal Stigmatization

    Time frame: The survey will take up to 20 minutes.

    Participants will respond to the item "How personally stigmatized does this label make you feel?" on a 5-pt likert scale from "not at all" to "a great deal".

  32. Perceived Obesity Stigma

    Time frame: The survey will take up to 20 minutes.

    We will examine the average stigma response to the label (the label stigmatizes people with obesity, the label increases blame toward people for being overweight). Each stigma item will be scored on a 5-pt likert scale from "not at all" to "a great deal".

  33. Disgust Toward People With Obesity

    Time frame: The survey will take up to 20 minutes.

    Participants will respond to the item "How disgusted do people with obesity make you feel?" on a 5-pt likert scale from "not at all" to "a great deal".

Sponsors and collaborators

Lead sponsor

University of Pennsylvania

Other

Collaborators

  • National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Registry information

Official study title

A Large-scale, Long-term, Randomized Trial of Nutrition Labeling Interventions

Acronym: VLO

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Jun 27, 2022
Registry last updated
Dec 20, 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.

Published trials that share one or more normalized conditions with this study.