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The goal of this randomised controlled trial is to compare taxation with subsidies to encourage healthier food choices in the out-of-home food sector. Participants will be asked to make hypothetical food choices in an online simulation study of a delivery app. Participants will be randomised into four different intervention groups:
The investigators will further examine effectiveness of these fiscal policies on healthy eating by socioeconomic position to understand whether these policies are equitable.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Price reduction on healthier foods | Experimental |
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| Price increase to less healthy foods | Experimental |
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| Combination of price reduction to healthier foods and price increase to less healthy foods | Experimental |
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| Existing price structure (control) | Placebo Comparator | - No changes in prices |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Price reduction on healthier foods | Behavioral | Price reduction (10%) on healthier foods based on the UK NPM |
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| Measure | Description | Time Frame |
|---|---|---|
| Healthier vs less healthy main meals ordered based on the Nutrient Profiling Model and total energy (kcal) | Healthier vs less healthy main meals ordered | immediately after food choice |
| Total energy (kcal) ordered | The total energy content of the total hypothetical food order | immediately after food choice |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of selecting healthier vs less healthy meal items of the total food order based on the Nutrient Profiling Model and total energy (kcal) | Proportion of selecting healthier vs less healthy meal items of the total hypothetical food order | immediately after food choice |
| Total fat, saturated fat, salt and sugar ordered |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eric Robinson, PhD | University of Liverpool | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Liverpool | Liverpool | Merseyside | L69 7ZA | United Kingdom |
Study data (anonymised) will be shared on the Open Science Framework (OSF)
On publication, indefinitely
Open website
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The design is a randomised controlled trial, with 4 (interventions) x 2 (high vs low SEP) between-subject conditions.
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This study will be double-blinded, which means that both the participants and the researchers are not aware in which treatment group participants are assigned to.
| Price increase to less healthy foods | Behavioral | Price increase (10%) on less healthy foods based on the UK NPM |
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| Combination of price reduction on healthier foods and price increase on less healthy foods | Behavioral | Combination of price reduction (10%) on healthier foods based on the UK NPM and price increase (10%) on less healthy foods based on the UK NPM |
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| Control | Behavioral | Existing price structure |
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Total fat, saturated fat, salt and sugar of total hypothetical food order |
| immediately after food choice |
| ID | Term |
|---|---|
| D005518 | Food Preferences |
| D005247 | Feeding Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D001522 | Behavior, Animal |
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