Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 2KR951708 | Other Grant/Funding Number | North Carolina Translational and Clinical Sciences Institute |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| North Carolina Translational and Clinical Sciences Institute | OTHER |
Not provided
Not provided
Not provided
Not provided
Consumption of sugar-sweetened beverages (SSBs) like sodas, sports drinks, and fruit drinks remains a pressing public health concern in the United States. Consumption of SSBs remains well above recommended levels, and has been linked to obesity, diabetes, and cardiovascular disease. In response, policymakers across the U.S. have proposed requiring warning messages on SSB containers to inform the public and reduce consumption to healthier levels. While online studies find that such warnings reduce intentions to purchase SSBs, no studies have yet examined the impact of warnings on actual consumer behavior. The purpose of this randomized trial is to determine whether health warnings on sugar-sweetened beverages are more effective than control labels at reducing purchases of sugar-sweetened beverages. The trial will take place in a mock convenience store. Participants will be randomly assigned to a health warnings arm in which all sugar-sweetened beverages in the store are labeled with a health warning, or to a control arm in which all sugar-sweetened beverages in the store are labeled with a neutral label. Participants will select items to purchase with cash, and purchases will be compared across trial arms.
Background: Obesity, diabetes and cardiovascular disease are among the leading causes of death in the United States. Consumption of sugar-sweetened beverages (SSBs) such as sodas, fruit drinks and sports drinks increases risk of these preventable conditions. SSBs are particularly problematic because they are high in calories but offer little nutritional value, and because the liquid calories in SSBs cause faster spikes in blood sugar and lower feelings of fullness than solid foods.
Despite these risks, the average American adult consumes more than 130 calories per day from SSBs, well above recommended levels. A promising strategy for reducing SSB consumption is requiring health warnings on SSB containers. Online studies show that health warnings attract consumers' attention and reduce intentions to purchase SSBs. However, no research has tested the impact of SSB health warnings on actual behaviors. This randomized trial evaluates whether health warnings reduce purchases of SSBs.
Setting: The trial will take place a mock convenience store setting created for researchers to examine how store and product characteristics influence consumer purchases in a controlled but realistic environment. The store reflects a convenience store's characteristics, selling foods, beverages, and household items at real-world prices. Participants can buy these products using cash.
Recruitment: Participants will be recruited via university community subject pools, printed flyers posted, and online listings. Interested potential participants will complete an online pre-enrollment screening questionnaire to determine their eligibility. If eligible, they will be invited to schedule a time to visit the mock store for the trial.
Informed consent: At the beginning of the study visit, research staff will review the consent documents with the participants. After reviewing the form, the research staff member will ask the participant if he or she has any questions. Then both parties will sign the consent form and the participant will receive a copy of the consent form to keep.
Randomization: Participants will be randomly assigned to trial arms. An independent biostatistician will conduct the randomization a priori. Participants will have an equal chance of being randomized to either arm of the trial. Randomization will be carried out by generating a random number for each participant identification code (ID). Participant IDs will be ordered on this random number from smallest to largest. The bottom half of the IDs will be assigned to the control arm and the top half to the treatment arm (trial arms are described below). When participants arrive for their study visit, they will be assigned the next consecutive participant ID and will be allocated to the trial arm previously assigned to that ID.
Experimental Procedures: When participants arrive at the mock store, they will be provided with a shopping basket and their participation incentive in cash. Participants will be instructed to pretend they are on a usual shopping trip and reminded that there are no right or wrong products to select. They will not be told the trial's purpose.
Participants will be asked to complete a shopping task. They will be given a list of product categories and asked to select their preferred products in each of these categories. They will indicate their selections by placing products in their shopping basket. Before they begin the shopping task, participants will be instructed that they will be required to purchase one of the items they select, and that this item will be chosen for them at random by the experimenter. This procedure incentivizes participants to only select products they are actually interested in purchasing. After participants have completed the shopping task, the experimenter will randomly choose one of the products in the participant's basket for participant to purchase with his or her incentive cash. The participant will pay for the product and will receive change as necessary. After paying for their item, participants will complete a computer-based survey in another room.
Assessment: The products participants select will be recorded by the experimenter at the end of the shopping task. Participants will also complete 1 computer-based survey immediately after completing the shopping task.
Detailed description of the trial arms: Participants will be assigned to either a health warnings arm or a control arm. In the health warnings arm, all SSB products will be labeled with a health warning label. Investigators developed the text and design of these labels based on previous research and on label designs described in US and international legislation. In the control arm, all SSB products will be labeled with a neutral label, also developed by the investigators. In both arms, labels will be adhered directly on the front-of-package of SSB containers.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sugar-Sweetened Beverage Health Warning Label | Experimental |
| |
| Neutral Label | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sugar-Sweetened Beverage Health Warning Label | Behavioral | Labels with a health warning will be applied to the front-of-package of all sugar-sweetened beverage containers in the mock store. Investigators developed the text and design of these labels based on previous research and on designs described in US and international legislation. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Number of Calories (kcal) Purchased From Sugar-sweetened Beverages | The primary outcome is calories of sugar-sweetened beverages purchased during the shopping task. Calories from sugar-sweetened beverage purchases is defined as the total number of calories from sugar-sweetened beverages in the participant's basket when they complete the shopping task, calculated as the sum of calories/container for all SSB containers. Purchases will be recorded by the experimenter immediately after the participant completes the ~10-minute shopping task. | At completion of ~10-minute shopping task |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Number of Calories (kcal) Purchased From All Foods and Beverages | Total calories purchased from all foods and beverages is defined as the total number of calories from all products (including sugar-sweetened beverages, non-sugar-sweetened beverages, and all foods) in the participant's basket when they complete the shopping task. Total calories purchased will be calculated as the sum of calories/container for all products. Purchases will be recorded by the experimenter immediately after the participant completes the ~10 minute shopping task. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Injunctive Norms Score Regarding Consumption of Beverages With Added Sugar | Injunctive norms will be measured at post-test with items adapted from Zoellner et al. (2012). Items ask participants to rate the extent to which people who are important to them think they should drink less than 1 beverage with added sugar per week, would approve of them drinking less than 1 beverage with added sugar per week, and want them to drink less than 1 beverage with added sugar per week. Responses will be averaged to create a mean injunctive norms score. Responses are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating higher injunctive norms. |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Anna H Grummon, MSPH | University of North Carolina, Chapel Hill | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of North Carolina Chapel Hill | Chapel Hill | North Carolina | 27599 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27580589 | Background | Bollard T, Maubach N, Walker N, Ni Mhurchu C. Effects of plain packaging, warning labels, and taxes on young people's predicted sugar-sweetened beverage preferences: an experimental study. Int J Behav Nutr Phys Act. 2016 Sep 1;13(1):95. doi: 10.1186/s12966-016-0421-7. | |
| 26768346 | Background | Roberto CA, Wong D, Musicus A, Hammond D. The Influence of Sugar-Sweetened Beverage Health Warning Labels on Parents' Choices. Pediatrics. 2016 Feb;137(2):e20153185. doi: 10.1542/peds.2015-3185. Epub 2016 Jan 14. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Sugar-Sweetened Beverage (SSB) Health Warning Label | Labels with a health warning will be applied to the front-of-package of all sugar-sweetened beverage (SSB) containers in the mock store. Investigators developed the text and design of these labels based on previous research and on designs described in US and international legislation. |
| FG001 | Neutral Label | Neutral labels will be applied to the front-of-package of all sugar-sweetened beverage containers in the mock store. Investigators developed the design of these labels. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Sugar-Sweetened Beverage Health Warning Label | Labels with a health warning will be applied to the front-of-package of all sugar-sweetened beverage containers in the mock store. Investigators developed the text and design of these labels based on previous research and on designs described in US and international legislation. |
| BG001 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Mean Number of Calories (kcal) Purchased From Sugar-sweetened Beverages | The primary outcome is calories of sugar-sweetened beverages purchased during the shopping task. Calories from sugar-sweetened beverage purchases is defined as the total number of calories from sugar-sweetened beverages in the participant's basket when they complete the shopping task, calculated as the sum of calories/container for all SSB containers. Purchases will be recorded by the experimenter immediately after the participant completes the ~10-minute shopping task. | Posted | Mean | Standard Deviation | kcal | At completion of ~10-minute shopping task |
|
From the time of signing the Informed consent through study task completion, a total of approximately 1 hour.
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Sugar-Sweetened Beverage Health Warning Label | Labels with a health warning will be applied to the front-of-package of all sugar-sweetened beverage containers in the mock store. Investigators developed the text and design of these labels based on previous research and on designs described in US and international legislation. |
Not provided
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Anna Grummon, PhD | University of North Carolina at Chapel Hill | (617) 495-2021 | agrummon@hsph.harvard.edu |
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Apr 30, 2018 | Sep 11, 2018 | Prot_SAP_000.pdf |
Not provided
| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| ID | Term |
|---|---|
| D001522 | Behavior, Animal |
| D001519 | Behavior |
Not provided
Not provided
Not provided
Not provided
Not provided
This trial uses incomplete disclosure to mask the purpose of the trial from participants.
|
| Neutral Label | Other | Neutral labels will be applied to the front-of-package of all sugar-sweetened beverage containers in the mock store. Investigators developed the design of these labels. |
|
| At completion of ~10-minute shopping task |
| Percent of Participants Who Purchase a Sugar-sweetened Beverage | Purchase of a sugar-sweetened beverage is defined as the participant having one or more sugar-sweetened beverage in their basket when they complete the shopping task. Purchases will be recorded by the experimenter immediately after the participant completes the ~10-minute shopping task. | At completion of ~10-minute shopping task |
| Mean Number of Sugar-sweetened Beverages Purchased | Number of sugar-sweetened beverages purchased is defined as the number of sugar-sweetened beverages in the participants' basket when they complete the shopping task. Purchases will be recorded by the experimenter immediately after the participant completes the ~10-minute shopping task. | At completion of ~10 minute shopping task |
| Mean Intentions Score to Limit Consumption of Beverages Added Sugar | Intentions to limit consumption of beverages with added sugar will be measured at post-test using 3 items adapted from Klein, Zajax & Monin (2009). The items ask participants to rate the extent to which they want to, plan to, and are likely to, drink less than 1 beverage with added sugar in the next week. Responses to these three items will be averaged to create a mean intentions score. Response options are on a 1 to 7 scale, thus, mean scores can range from 1-7, with higher scores indicating higher intentions to limit consumption of beverages with added sugar. | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Intentions Sore to Limit Consumption of Specific Sugar-sweetened Beverages | Intentions to limit consumption of specific beverage categories (i.e., soda, fruit drinks, sport drinks/flavored waters, sweetened coffee/tea, and energy drinks) will be measured at post-test using measures adapted from Klein, Zajax, & Monin (2009). For each of the five beverage categories, participants will rate the extent to which they are likely to drink less than 1 serving of the beverage in the next week. Responses will be averaged to a create a mean intentions score. Response options are on a 1 to 7 scale. Thus, mean scores can range from 1-7, with higher scores indicating higher intentions to limit consumption of these beverages. | Within 30 minutes following completion of ~10-minute shopping task |
| Percent of Participants Who Notice the Trial Labels | Noticing of the trial labels will be measured at post-test using 1 item adapted from Roberto et al. (2016). The item asks participants to indicate whether they noticed the trial labels. Response options are 0 (no) and 1 (yes). | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Attention Score to the Trial Labels | Attention to the trial labels will be measured at post-test using 2 items adapted from Nonnemaker et al. (2010). The items ask participants to rate their agreement with statements about whether the label grabbed their attention and whether they read and looked closely at the label. Responses will be averaged to create a mean attention score. Responses are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating higher attention to the labels. | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Emotional Reactions Score to Trial Labels | Emotional reactions to the trial labels will be measured at post-test using 6 items adapted from Brewer et al. (2018). The items ask participants to indicate the extent to which trial labels elicited particular emotional reactions (e.g., fear, guilt, disgust). Responses will be averaged to create a mean emotional reactions score. Response options are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating stronger emotional reactions. | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Cognitive Elaboration Score | Cognitive elaboration will be measured at post-test using 2 items adapted from Moodie, MacKintosh & Hammond (2010) and Fathelrahman et al. (2010). Items ask participants to rate the amount they thought about the information conveyed by the trial label and about the health consequences of consuming beverages with added sugar. Responses will be averaged to create a mean cognitive elaboration score. Response options range from 1 to 5. Thus, mean scores can range from 1-5, with higher scores indicating more elaboration. | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Social Interactions About the Labels | Social interactions of the labels will be measured at post-test with a single item adapted from Brewer et al. (2018). Participants will rate the extent to which they are likely to have social interactions about the trial label. Response options are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating a higher likelihood of having social interactions. | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Perceptions of Added Sugar Score Content in Specific Sugar-sweetened Beverages | Perceptions of added sugar content in specific categories of sugar-sweetened beverages (i.e., soda, fruit drinks, sport drinks/flavored waters, sweetened coffee/tea, and energy drinks) will be measured at post-test using items adapted from Roberto et al. (2016). Items ask participants to rate the amount of added sugar they think is in 1 serving of the beverage. Responses will be averaged to create a mean perceptions of added sugar score. Response options are on a 1 to 4 scale. Thus, mean scores can range from 1-4, with higher scores indicating perceiving higher added sugar content. | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Attitudes Score Toward Consuming Specific Sugar-sweetened Beverages | Attitudes toward consuming specific sugar-sweetened beverages (i.e., soda, fruit drinks, sport drinks/flavored waters, sweetened coffee/tea, and energy drinks) will be measured at post-test using 5 items adapted from Bollard et al. (2016). Items ask participants to rate how healthy/unhealthy it is for them to consume each beverage category. Responses will be averaged to create an average attitudes score. Response options are on a 1 to 7 scale. Thus, mean scores can range from 1-7, with higher scores indicating more positive attitudes toward consuming these sugar-sweetened beverages. | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Product Attitudes Score Toward Specific Sugar-sweetened Beverages | Product attitudes toward specific sugar-sweetened beverages (i.e., soda, fruit drinks, sport drinks/flavored waters, sweetened coffee/tea, and energy drinks) will be measured at post-test using 10 items adapted from Bollard et al. (2016). Items ask participants to rate the appeal and the coolness of each beverage category. Responses will be averaged to create a mean product attitude score. Responses are on a 1 to 7 scale. Thus, mean scores can range from 1-7, with higher scores indicating more positive product attitudes toward these sugar-sweetened beverages. | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Outcome Expectations Score Regarding Consumption of Beverages With Added Sugar | Outcome expectations will be measured at post-test with items adapted from Roberto et al. (2016). Participants will rate the extent to which they expect that consuming beverages with added sugar would increase their risk of negative health outcomes (e.g., tooth decay). Responses will be averaged to a create a mean outcome expectations score. Responses are on a 1 to 7 scale. Thus, mean scores can range from 1-7, with higher scores indicating more negative outcome expectations. | Within 30 minutes following completion of ~10-minute shopping task |
| Within 30 minutes following completion of ~10-minute shopping task |
| Mean Perceived Message Effectiveness of Trial Label | Perceived message effectiveness will be measured at post-test with 1-item adapted from Brewer et al. (2018). Participants will rate the extent to which the trial label would discourage them from drinking beverages with added sugar. Response options are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating higher perceived effectiveness. | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Support for Sugar-sweetened Beverage Health Warning Labels Score | Support for sugar-sweetened beverage health warning labels will be measured at post-test with 1 item adapted from Brewer et al. (2018). Participants rate their support for a policy that would require health warning labels on sugar-sweetened beverages. Responses are on a 1 to 4 scale. Thus, mean scores can range from 1-4, with higher scores indicating greater support. | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Self-efficacy to Limit Consumption of Beverages With Added Sugar Score | Self-efficacy to limit consumption of beverages with added sugar will be measured at post-test with items adapted from Brewer et al. (2018). Items ask participants to rate the extent to which: it would be easy to drink less than 1 beverage with added sugar per week, they have the ability to drink less than 1 beverage with added sugar per week, and they are confident that they could drink less than 1 beverage with added sugar per week. Responses will be averaged to create a mean self-efficacy score. Responses are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating self-efficacy. | Within 30 minutes following completion of ~10-minute shopping task |
| Mean Response Efficacy of Limiting Consumption of Beverages With Added Sugar Score | Response efficacy of limiting consumption of beverages with added sugar will be measured at post-test with items adapted from Brewer et al. (2018). Participants will indicate the extent to which drinking no beverages with added sugar would lower their chances of weight gain, diabetes, tooth decay, and heart disease, and the extent to which drinking no beverages with added sugar would improve their health. Responses are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating greater response efficacy. | Within 30 minutes following completion of ~10-minute shopping task |
| 22154130 | Background | Zoellner J, Estabrooks PA, Davy BM, Chen YC, You W. Exploring the theory of planned behavior to explain sugar-sweetened beverage consumption. J Nutr Educ Behav. 2012 Mar-Apr;44(2):172-7. doi: 10.1016/j.jneb.2011.06.010. Epub 2011 Dec 8. |
| Background | Nonnemaker, J., Farrelly, M., Kamyab, K., Busey, A., & Mann, N. (2010). Experimental study of graphic cigarette warning labels. Final Results Report. RTI Project, 7. Accessed March 20, 2018. Available at: http://www.tobaccolabels.ca/wp/wp-content/uploads/2013/12/USA-2010-Experimental-Study-of-Graphic-Cigarette-Warning-Labels-Final-Results-Report-and-Appendices-FDA.pdf |
| 19959613 | Background | Moodie C, MacKintosh AM, Hammond D. Adolescents' response to text-only tobacco health warnings: results from the 2008 UK Youth Tobacco Policy Survey. Eur J Public Health. 2010 Aug;20(4):463-9. doi: 10.1093/eurpub/ckp199. Epub 2009 Dec 3. |
| 20049660 | Background | Klein WM, Zajac LE, Monin MM. Worry as a moderator of the association between risk perceptions and quitting intentions in young adult and adult smokers. Ann Behav Med. 2009 Dec;38(3):256-61. doi: 10.1007/s12160-009-9143-2. |
| 21139879 | Background | Fathelrahman AI, Omar M, Awang R, Cummings KM, Borland R, Bin Mohd Samin AS. Impact of the new Malaysian cigarette pack warnings on smokers' awareness of health risks and interest in quitting smoking. Int J Environ Res Public Health. 2010 Nov;7(11):4089-99. doi: 10.3390/ijerph7114089. Epub 2010 Nov 22. |
| 29654122 | Background | Brewer NT, Jeong M, Mendel JR, Hall MG, Zhang D, Parada H Jr, Boynton MH, Noar SM, Baig SA, Morgan JC, Ribisl KM. Cigarette pack messages about toxic chemicals: a randomised clinical trial. Tob Control. 2019 Jan;28(1):74-80. doi: 10.1136/tobaccocontrol-2017-054112. Epub 2018 Apr 13. |
| 31586510 | Derived | Grummon AH, Taillie LS, Golden SD, Hall MG, Ranney LM, Brewer NT. Sugar-Sweetened Beverage Health Warnings and Purchases: A Randomized Controlled Trial. Am J Prev Med. 2019 Nov;57(5):601-610. doi: 10.1016/j.amepre.2019.06.019. Epub 2019 Oct 2. |
| Neutral Label |
Neutral labels will be applied to the front-of-package of all sugar-sweetened beverage containers in the mock store. Investigators developed the design of these labels. |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex/Gender, Customized | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| OG001 | Neutral Label | Neutral labels will be applied to the front-of-package of all sugar-sweetened beverage containers in the mock store. Investigators developed the design of these labels. |
|
|
|
| Secondary | Mean Number of Calories (kcal) Purchased From All Foods and Beverages | Total calories purchased from all foods and beverages is defined as the total number of calories from all products (including sugar-sweetened beverages, non-sugar-sweetened beverages, and all foods) in the participant's basket when they complete the shopping task. Total calories purchased will be calculated as the sum of calories/container for all products. Purchases will be recorded by the experimenter immediately after the participant completes the ~10 minute shopping task. | Posted | Mean | Standard Deviation | kcal | At completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Percent of Participants Who Purchase a Sugar-sweetened Beverage | Purchase of a sugar-sweetened beverage is defined as the participant having one or more sugar-sweetened beverage in their basket when they complete the shopping task. Purchases will be recorded by the experimenter immediately after the participant completes the ~10-minute shopping task. | Posted | Number | percentage of participants | At completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Mean Number of Sugar-sweetened Beverages Purchased | Number of sugar-sweetened beverages purchased is defined as the number of sugar-sweetened beverages in the participants' basket when they complete the shopping task. Purchases will be recorded by the experimenter immediately after the participant completes the ~10-minute shopping task. | Posted | Mean | Standard Deviation | Beverages | At completion of ~10 minute shopping task |
|
|
|
|
| Secondary | Mean Intentions Score to Limit Consumption of Beverages Added Sugar | Intentions to limit consumption of beverages with added sugar will be measured at post-test using 3 items adapted from Klein, Zajax & Monin (2009). The items ask participants to rate the extent to which they want to, plan to, and are likely to, drink less than 1 beverage with added sugar in the next week. Responses to these three items will be averaged to create a mean intentions score. Response options are on a 1 to 7 scale, thus, mean scores can range from 1-7, with higher scores indicating higher intentions to limit consumption of beverages with added sugar. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Mean Intentions Sore to Limit Consumption of Specific Sugar-sweetened Beverages | Intentions to limit consumption of specific beverage categories (i.e., soda, fruit drinks, sport drinks/flavored waters, sweetened coffee/tea, and energy drinks) will be measured at post-test using measures adapted from Klein, Zajax, & Monin (2009). For each of the five beverage categories, participants will rate the extent to which they are likely to drink less than 1 serving of the beverage in the next week. Responses will be averaged to a create a mean intentions score. Response options are on a 1 to 7 scale. Thus, mean scores can range from 1-7, with higher scores indicating higher intentions to limit consumption of these beverages. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Percent of Participants Who Notice the Trial Labels | Noticing of the trial labels will be measured at post-test using 1 item adapted from Roberto et al. (2016). The item asks participants to indicate whether they noticed the trial labels. Response options are 0 (no) and 1 (yes). | Posted | Number | percentage of participants | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Mean Attention Score to the Trial Labels | Attention to the trial labels will be measured at post-test using 2 items adapted from Nonnemaker et al. (2010). The items ask participants to rate their agreement with statements about whether the label grabbed their attention and whether they read and looked closely at the label. Responses will be averaged to create a mean attention score. Responses are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating higher attention to the labels. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Mean Emotional Reactions Score to Trial Labels | Emotional reactions to the trial labels will be measured at post-test using 6 items adapted from Brewer et al. (2018). The items ask participants to indicate the extent to which trial labels elicited particular emotional reactions (e.g., fear, guilt, disgust). Responses will be averaged to create a mean emotional reactions score. Response options are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating stronger emotional reactions. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Mean Cognitive Elaboration Score | Cognitive elaboration will be measured at post-test using 2 items adapted from Moodie, MacKintosh & Hammond (2010) and Fathelrahman et al. (2010). Items ask participants to rate the amount they thought about the information conveyed by the trial label and about the health consequences of consuming beverages with added sugar. Responses will be averaged to create a mean cognitive elaboration score. Response options range from 1 to 5. Thus, mean scores can range from 1-5, with higher scores indicating more elaboration. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Mean Social Interactions About the Labels | Social interactions of the labels will be measured at post-test with a single item adapted from Brewer et al. (2018). Participants will rate the extent to which they are likely to have social interactions about the trial label. Response options are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating a higher likelihood of having social interactions. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Mean Perceptions of Added Sugar Score Content in Specific Sugar-sweetened Beverages | Perceptions of added sugar content in specific categories of sugar-sweetened beverages (i.e., soda, fruit drinks, sport drinks/flavored waters, sweetened coffee/tea, and energy drinks) will be measured at post-test using items adapted from Roberto et al. (2016). Items ask participants to rate the amount of added sugar they think is in 1 serving of the beverage. Responses will be averaged to create a mean perceptions of added sugar score. Response options are on a 1 to 4 scale. Thus, mean scores can range from 1-4, with higher scores indicating perceiving higher added sugar content. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Mean Attitudes Score Toward Consuming Specific Sugar-sweetened Beverages | Attitudes toward consuming specific sugar-sweetened beverages (i.e., soda, fruit drinks, sport drinks/flavored waters, sweetened coffee/tea, and energy drinks) will be measured at post-test using 5 items adapted from Bollard et al. (2016). Items ask participants to rate how healthy/unhealthy it is for them to consume each beverage category. Responses will be averaged to create an average attitudes score. Response options are on a 1 to 7 scale. Thus, mean scores can range from 1-7, with higher scores indicating more positive attitudes toward consuming these sugar-sweetened beverages. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Mean Product Attitudes Score Toward Specific Sugar-sweetened Beverages | Product attitudes toward specific sugar-sweetened beverages (i.e., soda, fruit drinks, sport drinks/flavored waters, sweetened coffee/tea, and energy drinks) will be measured at post-test using 10 items adapted from Bollard et al. (2016). Items ask participants to rate the appeal and the coolness of each beverage category. Responses will be averaged to create a mean product attitude score. Responses are on a 1 to 7 scale. Thus, mean scores can range from 1-7, with higher scores indicating more positive product attitudes toward these sugar-sweetened beverages. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Secondary | Mean Outcome Expectations Score Regarding Consumption of Beverages With Added Sugar | Outcome expectations will be measured at post-test with items adapted from Roberto et al. (2016). Participants will rate the extent to which they expect that consuming beverages with added sugar would increase their risk of negative health outcomes (e.g., tooth decay). Responses will be averaged to a create a mean outcome expectations score. Responses are on a 1 to 7 scale. Thus, mean scores can range from 1-7, with higher scores indicating more negative outcome expectations. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Other Pre-specified | Mean Injunctive Norms Score Regarding Consumption of Beverages With Added Sugar | Injunctive norms will be measured at post-test with items adapted from Zoellner et al. (2012). Items ask participants to rate the extent to which people who are important to them think they should drink less than 1 beverage with added sugar per week, would approve of them drinking less than 1 beverage with added sugar per week, and want them to drink less than 1 beverage with added sugar per week. Responses will be averaged to create a mean injunctive norms score. Responses are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating higher injunctive norms. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Other Pre-specified | Mean Perceived Message Effectiveness of Trial Label | Perceived message effectiveness will be measured at post-test with 1-item adapted from Brewer et al. (2018). Participants will rate the extent to which the trial label would discourage them from drinking beverages with added sugar. Response options are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating higher perceived effectiveness. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Other Pre-specified | Mean Support for Sugar-sweetened Beverage Health Warning Labels Score | Support for sugar-sweetened beverage health warning labels will be measured at post-test with 1 item adapted from Brewer et al. (2018). Participants rate their support for a policy that would require health warning labels on sugar-sweetened beverages. Responses are on a 1 to 4 scale. Thus, mean scores can range from 1-4, with higher scores indicating greater support. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Other Pre-specified | Mean Self-efficacy to Limit Consumption of Beverages With Added Sugar Score | Self-efficacy to limit consumption of beverages with added sugar will be measured at post-test with items adapted from Brewer et al. (2018). Items ask participants to rate the extent to which: it would be easy to drink less than 1 beverage with added sugar per week, they have the ability to drink less than 1 beverage with added sugar per week, and they are confident that they could drink less than 1 beverage with added sugar per week. Responses will be averaged to create a mean self-efficacy score. Responses are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating self-efficacy. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Other Pre-specified | Mean Response Efficacy of Limiting Consumption of Beverages With Added Sugar Score | Response efficacy of limiting consumption of beverages with added sugar will be measured at post-test with items adapted from Brewer et al. (2018). Participants will indicate the extent to which drinking no beverages with added sugar would lower their chances of weight gain, diabetes, tooth decay, and heart disease, and the extent to which drinking no beverages with added sugar would improve their health. Responses are on a 1 to 5 scale. Thus, mean scores can range from 1-5, with higher scores indicating greater response efficacy. | Posted | Mean | Standard Deviation | score on a scale | Within 30 minutes following completion of ~10-minute shopping task |
|
|
|
|
| Post-Hoc | Mean Number of Calories (kcal) Purchased From Food | Calories from food purchases is defined as the total number of calories from foods in the participant's basket when they complete the shopping task, calculated as the sum of calories/product for all food products. Purchases will be recorded by the experimenter immediately after the participant completes the ~10-minute shopping task. | Posted | Mean | Standard Deviation | kcal | At completion of ~10-minute shopping task |
|
|
|
|
| Post-Hoc | Mean Number of Calories (kcal) Purchased From Non-sugar-sweetened Beverages | Calories from non-sugar-sweetened beverage purchases is defined as the total number of calories from non-sugar-sweetened beverages in the participant's basket when they complete the shopping task, calculated as the sum of calories/container for all non-sugar-sweetened beverage containers. Purchases will be recorded by the experimenter immediately after the participant completes the ~10-minute shopping task. | Posted | Mean | Standard Deviation | kcal | At completion of ~10-minute shopping task |
|
|
|
|
| 0 |
| 200 |
| 0 |
| 200 |
| 0 |
| 200 |
| EG001 | Neutral Label | Neutral labels will be applied to the front-of-package of all sugar-sweetened beverage containers in the mock store. Investigators developed the design of these labels. | 0 | 200 | 0 | 200 | 0 | 200 |
Not provided
Not provided
Not provided