None listed
Conditions
Brief summary
High intake of discretionary food and drinks contribute to the excessive burden of chronic disease experienced by Indigenous Australians living in remote Australia. In collaboration with the Arnhem Land Progress Aboriginal Corporation (ALPA; who manage 25 stores in remote Australia) we will test an intervention to reduce sales of discretionary products in remote Australian communities. Stores randomised to the intervention group will be supported by ALPA to reduce merchandising (i.e., availability and display) of four food categories (sugar, sugar sweetened beverages, sweet biscuits and confectionery) that in total provide 73% of discretionary foods and 90% of free sugars. The remaining stores (50% of total) will serve as controls. Electronic store sales data will be collected over the baseline period, 12-week intervention period and 24-week post intervention to objectively assess change in healthiness of purchases and gross store profit. This research will greatly advance our understanding of how the retail food environment can be used to improve population level dietary intake globally. We hypothesise that intervention stores will have a significant reduction in free sugars from food and drinks purchased (measured using sales data) compared with control stores over the 12 weeks of strategy compared to the baseline and this will be sustained over the 24 weeks post end of the intervention.
Interventions
a) The intervention described below will be administered for 12 weeks in stores randomised to receive the intervention. b) The intervention will be set-up in store by the research team and ALPA personnel and then maintained by the store manager c) A fortnightly phone-call will be made to the store manager by a research team member to assess implementation fidelity. The store manager will be asked to provide electronic photographs of specific locations in the store and to respond to a set of questions about implementation. Where non-compliance is identified, the store manager will be informed of this and asked to comply. Strategy detail: On discretionary food and drink products in store: - No visible promotional displays - No price discounts or volume promotions - Reduced facings of confectionery, sweet biscuits, sugar sweetened drinks, table sugar - No beverage units >600ml of soft drink permitted in refrigerators - Educational material showing amount of sugar in soft drinks On core food and drink products: - Healthy food end-cap displays - Increased facings of core products in the proximity of discretionary product categories where the facings have been reduced
Sponsors
Study design
Eligibility
Inclusion criteria
ALPA owned or managed store in a remote Australia Indigenous community ALPA = Arnhem Land Progress Aboriginal Corporation
Exclusion criteria
Remote Indigenous community store that is not owned and/or managed by ALPA