Can (dynamic) social norms encourage plant-based food purchases? a quasi-experimental study in real-world Dutch supermarkets
BMC Medicine,
Год журнала:
2025,
Номер
23(1)
Опубликована: Март 11, 2025
Communicating
(dynamic)
social
norms
is
considered
a
promising
tool
to
stimulate
healthy
and
sustainable
food
choices.
The
aim
of
the
present
study
was
evaluate
what
extent
norm
intervention
in
real-world
supermarkets
could
increase
sales
(grams
per
week)
meat
alternatives
(i.e.
substitutes
legumes).
A
quasi-experimental
study,
including
three
control
supermarkets,
conducted
during
12-week
period.
communicated
dynamic
textually
on
stickers
banners
at
different
in-store
locations
(e.g.
entrance,
aisles).
Moreover,
prominence
(optically)
increased
legumes
were
conveniently
placed
near
section.
Weekly
data
over
period
75
weeks
obtained,
62
pre-intervention
13
intervention.
Comparative
interrupted
time
series
analyses
analyse
changes
alternative
(in
grams)
compared
trends
supermarkets.
Secondary
outcomes
included
grams
week
ratio
protein
content
sales.
Average
weekly
before
M
=
371,931.2
(SD
113,055.3)
299,012.5
91,722.8)
did
not
change
pre-implementation
(B
−
685.92,
95%
CI
[−
9904.8;
8525.7]).
Sales
meats
also
unaffected
130.91,
27,127.50;
26,858.33]),
as
well
sold
670.54,
8990.6;
7644.4]).
via
textual
environmental
cues
increasing
supermarkets)
nor
reduce
With
playing
an
important
role
modulating
choices,
more
substantial
effort
or
are
needed
plant-based
purchases
lower
purchases.
Язык: Английский
Effect of Lifestyle Counselling via a Mobile Application on Disease Activity Control in Inflammatory Arthritis: A Single-Blinded, Randomized Controlled Study
Nutrients,
Год журнала:
2024,
Номер
16(10), С. 1488 - 1488
Опубликована: Май 14, 2024
Background:
Mobile
applications
(apps)
are
a
resource
for
information
on
lifestyle
and
nutrition
which
associated
to
improved
outcomes
in
inflammatory
arthritis.
Objective:
The
aim
of
this
study
was
explore
whether
targeted
counselling
via
an
app
improves
disease
activity
arthritis
patients.
Methods:
Patients
with
rheumatoid
(RA),
spondyloarthritis
(SpA),
psoriatic
(PsA)
were
randomized
12
weeks
(Mida,
Midaia
GmbH,
Germany)
pertaining
healthy
Mediterranean
Diet,
physical
activity,
mental
health.
Disease
measured
specific
instruments
by
blinded
physician
categorized
(remission,
low,
moderate,
high).
Dietary
adherence
assessed
the
Diet
Adherence
Screener
(MEDAS).
Mixed
effects
logistic
regression
adjusted
baseline
age,
sex
calculated.
Results:
Of
158
patients
included
(73%
female,
53.3
±
11.7
years),
74
active
group
(ACG).
All
showed
improvement
low
or
remission.
ACG
had
odds
ratio
(OR)
2.8
(95%-CI
1.1–7.2,
p
=
0.035),
while
OR
control
not
significant
2.1
(0.9–5.0,
0.097).
less
likely
reach
MEDAS
>=
4
(OR
0.16
(0.03–0.77),
0.02),
seen
0.54
(0.06–4.63),
0.6).
tendency
towards
adhesion
(MEDAS)
(β
0.35
(−0.05–0.74),
0.086).
This
observed
0.09
(−0.29–0.46),
0.64).
Conclusions:
Individualized
dietary
may
help
improve
Язык: Английский
Supermarket interventions to improve dietary and lifestyle behaviours: what is the key to success?
BMC Medicine,
Год журнала:
2024,
Номер
22(1)
Опубликована: Фев. 27, 2024
Язык: Английский
The effects of nudging and pricing strategies on the availability and purchases of ultra-processed foods: A secondary analysis of the Supreme Nudge trial
Appetite,
Год журнала:
2024,
Номер
201, С. 107599 - 107599
Опубликована: Июль 9, 2024
Regular
consumption
of
ultra-processed
foods
(UPF)
is
a
risk
factor
for
morbidity
and
mortality.
UPF
are
widely
available
in
supermarkets.
Nudging
pricing
strategies
promising
to
promote
healthier
supermarket
purchases
may
reduce
purchases.
We
investigated
whether
nudging
targeting
healthy
foods,
but
not
specifically
discouraging
UPF,
would
change
availability,
price,
promotion
placement
(UPF-APPP)
supermarkets
customer
used
data
from
the
Supreme
Nudge
parallel
cluster-randomized
controlled
trial,
testing
effect
combined
intervention
promoting
products.
The
Dutch
Consumer
Food
Environment
Score
(D-CFES)
was
audit
12
participating
terms
UPF-APPP.
loyalty
card
first
twelve
weeks
321
participants
calculate
proportion
Descriptive
statistics
were
assess
differences
D-CFES
between
Mixed
model
analyses
association
on
No
difference
control
found.
statistically
significant
(β
=
-0.00,
95%CI:
-0.02,
0.01)
no
0.02,
-0.07,
0.12)
observed.
Given
unhealthy
products
supermarkets,
aimed
at
food
sufficient
reducing
UPF-APPP
nor
purchases,
nationwide
regulation
be
needed.Trial
registration
number:
Trial
Register
ID
NL7064,
May
30,
2018,
https://trialsearch.who.int/Trial2.aspx?TrialID=NTR7302.
Язык: Английский
Are Dutch adults equally susceptible to nudging and pricing strategies? Secondary analyses of the Supreme Nudge parallel cluster-randomised controlled supermarket trial
BMC Medicine,
Год журнала:
2024,
Номер
22(1)
Опубликована: Июнь 9, 2024
Abstract
Background
Supermarket
interventions
are
promising
to
promote
healthier
dietary
patterns,
but
not
all
individuals
may
be
equally
susceptible.
We
explored
whether
the
effectiveness
of
nudging
and
pricing
strategies
on
diet
quality
differs
by
psychological
grocery
shopping
characteristics.
Methods
used
data
12-month
Supreme
Nudge
parallel
cluster-randomised
controlled
supermarket
trial,
testing
diets.
Participants
were
Dutch
speaking
adults
aged
30–80
years
regular
shoppers
participating
supermarkets
(
n
=
12)
in
socially
disadvantaged
neighbourhoods.
Data
characteristics
(food-related
behaviours;
price
sensitivity;
food
decision
styles;
social
cognitive
factors;
self-control)
(time
spent
supermarket;
moment
day;
average
visits;
at
other
retailers;
proximity)
self-reported
baseline.
These
tested
for
their
moderating
effects
intervention
(scored
0–150)
linear
mixed
models.
Results
included
162
participants
from
199
control
(73%
female,
58
(±
10.8)
old,
42%
highly
educated).
The
had
no
overall
effect
quality.
Only
five
out
23
potential
moderators
statistically
significant.
Yet,
stratified
analyses
these
significant
showed
one
subgroups
non-significant
negative
other.
Negative
suggested
with
lower
baseline
levels
meal
planning
β
−
2.6,
95%
CI
5.9;
0.8),
healthy
convenience
3.0,
7.2;
1.3),
attractiveness
3.5,
8.3;
higher
consciousness
6.2;
1.0)
weekly
visits
2.4,
6.8;
1.9).
Conclusions
Adults
varying
largely
seem
(un)susceptible
strategies.
It
might
that
certain
lead
adverse
effects,
this
is
plausible,
observed
small
explained
chance
findings.
Verification
findings
needed
real-world
trials
based
larger
sample
sizes
use
more
comprehensive
interventions.
Trial
registration
Register
ID
NL7064,
30th
May,
2018,
https://onderzoekmetmensen.nl/en/trial/20990
Язык: Английский
Just-in-time adaptive interventions for behavior change in physiological health outcomes and the use case for knee osteoarthritis: a systematic review (Preprint)
Journal of Medical Internet Research,
Год журнала:
2024,
Номер
26, С. e54119 - e54119
Опубликована: Июль 20, 2024
Background
The
prevalence
of
knee
osteoarthritis
(KOA)
in
the
adult
population
is
high
and
patients
profit
from
individualized
therapy
approaches.
Just-in-time
adaptive
interventions
(JITAIs)
are
upcoming
digital
for
behavior
change.
Objective
This
systematic
review
summarizes
features
effectiveness
existing
JITAIs
regarding
important
physiological
health
outcomes
derives
most
promising
use
case
KOA.
Methods
electronic
databases
PubMed,
Web
Science,
Scopus,
EBSCO
were
searched
using
keywords
related
to
JITAIs,
physical
activity
(PA),
sedentary
(SB),
function,
quality
life,
pain,
stiffness.
adults
that
focused
on
at
least
1
selected
included
synthesized
qualitatively.
Study
was
assessed
with
Quality
Assessment
Tool
Effective
Public
Health
Practice
Project.
Results
A
total
45
studies
mainly
weak
overall
this
review.
mostly
PA
SB
no
study
examined
design
varied,
a
frequency
decision
points
minute
day,
device-based
measured
self-reported
tailoring
variables,
intervention
options
including
audible
or
vibration
prompts
tailored
feedback,
rules
simple
if-then
conditions
based
variable
more
complex
algorithms
contextual
variables.
Conclusions
frequent
points,
variables
accompanied
by
user
input,
preferences,
showed
results
previous
studies.
can
be
transferred
JITAI
KOA
target
include
breaks
an
optimum
considering
individual
load
benefits
patients.
Язык: Английский
Effectiveness of a Just-In-Time Adaptive App to Increase Daily Steps: An RCT
American Journal of Preventive Medicine,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 1, 2024
Язык: Английский
How might Hospital at Home enable a greener and healthier future?
npj Digital Medicine,
Год журнала:
2024,
Номер
7(1)
Опубликована: Сен. 16, 2024
Язык: Английский
Can nudge interventions targeting healthy food purchases in real-world grocery stores reduce diet-related health disparities? A pooled analysis of four controlled trials
International Journal of Behavioral Nutrition and Physical Activity,
Год журнала:
2024,
Номер
21(1)
Опубликована: Дек. 3, 2024
Abstract
Background
Healthy
food
nudges
may
be
more,
or
especially,
effective
among
groups
experiencing
socioeconomic
disadvantage.
We
investigated
the
modifying
role
of
and
demographic
characteristics
in
effectiveness
nudge
interventions
targeting
healthy
foods
real-world
grocery
store
settings
on
purchasing
patterns.
Methods
pooled
individual
participant
data
from
multiple
trials.
Eligible
trials
were
identified
via
a
PubMed
search
selected
based
having
controlled
design,
testing
nudging
intervention
promoting
purchases,
while
collecting
participants’
sociodemographic
data.
Out
four
eligible
trials,
three
had
longitudinal
measurements,
one
consisted
single
time
point,
two
randomised
not.
Applied
combination
placement
(focussing
availability
positioning)
property
(presentation
and/or
information).
Harmonised
included
dichotomised
variables
percentage
purchased
fruits
vegetables
total
purchases.
Multilevel
meta-regression
linear
mixed-effects
models
used
to
explore
effects
using
approaches:
cross-sectional
analyses.
Results
The
analytical
sample
analysis
comprised
638
participants,
who
predominantly
female
(76.3%),
lower
education
attainment
(67.7%),
mean
age
46.6
years
(SD
13.5).
These
similar
(
n
=
855).
Compared
control
group
there
was
no
main
effect
fruit
vegetable
purchases
by
participants
(β
0.00;
95%CI
-0.03,
0.09).
This
not
modified
educational
group*higher
-0.06;
-0.40,
0.02),
sex
group*females
0.13;
-0.00,
0.61)
nor
group*older
adults
-0.05;
-0.39,
0.02).
comparable.
Conclusions
analyses
did
find
evidence
supporting
hypothesis
that
work
more
effectively
Future
studies
are
needed
address
limitations
through
rigorous
trial
design
comprehensive
interventional
strategies,
standardised
outcome
measures,
also
evaluating
context-specific
approaches.
Such
insights
will
help
better
understand
equity
potential
for
reducing
diet-related
health
disparities.
Trial
registrations
Ayala
et
al.
(2022)
retrospectively
registered
at
ClinicalTrials.gov
(NCT01475526;
14
November
2011,
https://clinicaltrials.gov/study/NCT01475526
),
Huitink
(2020)
ISRCTN
registry
(ISRCTN39440735;
5
September
2018,
https://doi.org/10.1186/ISRCTN39440735
Vogel
(2024)
(NCT03518151;
24
April
https://clinicaltrials.gov/study/NCT03518151
finally
Stuber
Dutch
Register
(ID
NL7064,
30
May
https://www.onderzoekmetmensen.nl/en/trial/20990
).
Язык: Английский