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Testing the Influence of Different Sugary Drink Warning Label Designs

Testing the Influence of Different Sugary Drink Warning Label Designs

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03648138
Enrollment
1016
Registered
2018-08-27
Start date
2020-01-17
Completion date
2020-01-28
Last updated
2020-03-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetes Type 2, Obesity, Weight Gain

Brief summary

The aim of this study is to compare different sugary drink labels to see which most influence knowledge, beliefs, purchase intentions and choices. Parents of children ages 6-11 will shop in a virtual convenience store after being randomized to 1 of 4 conditions: 1) calorie labels; 2) text warning labels; 3) graphic sugar warning labels; or 4) graphic health warning. This study will provide data comparing the influence of sugary drink text warning labels and two kinds of graphic warning labels.

Interventions

This information appears in the description of the study arms.

Sponsors

Drexel University
CollaboratorOTHER
New York University
CollaboratorOTHER
University of Connecticut
CollaboratorOTHER
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
CollaboratorNIH
University of Pennsylvania
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
PREVENTION
Masking
NONE

Masking description

Although participants are not blinded to the study arm to which they are randomized, they are not told the true purpose of the study until after completing the study.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. a primary caregiver of a child 6-to-11 years old; 2. ≥18 years old; and 3. can read and speak English

Exclusion criteria

1. not a primary caregiver of a child 6-to-11 years old; 2. \<18 years old; and 3. cannot read and/or speak English

Design outcomes

Primary

MeasureTime frameDescription
Hypothetical beverage choiceThe survey will take up to 20 minutesParticipants will select a beverage to purchase in the virtual store. Our outcome will be the percentage of parents choosing a 20-ounce sugary drink for their child

Secondary

MeasureTime frameDescription
Parent feels good serving the beveragesThe survey will take up to 20 minutesItem: Serving this product to my child would make me feel like I am doing something good for my child. This will be measured on a 7-point likert scale.
Child enjoyment of beveragesThe survey will take up to 20 minutesItem: How much do you think your child would enjoy this product? This will be answered on a 7-point likert scale.
Health beliefs and risk perceptions indexThe survey will take up to 20 minutesWe will create this outcome by summing responses to the following 7 health perception questions 6 prompted with the statement Drinking this product often would…. The statements end with the following health belief and risk perception language: lead my child to gain weight, increase my child's risk of heart disease, increase my child's risk of diabetes, make my child feel energized, help my child focus at school, and help my child live a healthy life. The other item is: How healthy do you think this product is for your child? Responses to questions about weight gain, heart disease, and diabetes will be reverse coded, so higher scores on the index will indicate a stronger positive health perception of the beverages. These will be scored on 7-point likert scales.
Estimate of how many teaspoons of added sugar are in the beveragesThe survey will take up to 20 minutesThis variable will be measured continuously based on a text box provided to participants.
Perceived amount of added sugar in beveragesThe survey will take up to 20 minutesThis variable will be measured on a 3-point Likert scale ranging from too little for my child to too much for my child.
Noticing the labelThe survey will take up to 20 minutesParticipants will respond yes, no, or I don't know to the item: When you selected a beverage to buy for your child at the beginning of this survey, did you notice any labels on the beverages other than calorie information?
Likely to serve or buy these beverages:The survey will take up to 20 minutesItem: How likely are you to serve or buy this product for your child in the next 4 weeks? This will be answered on a 7-point Likert scale.
Favor or oppose sugary drink warning label policyThe survey will take up to 20 minutesWe will compare the percentage of participants in favor of (combining somewhat favor and strongly favor), opposed to (combining somewhat oppose and strongly oppose), or neutral about the policy based on the following question: Would you favor or oppose a government policy requiring a warning label to be placed on beverages with added sugars? Ratings will be from -2 to 2.
Likelihood of label changing thoughtsThe survey will take up to 20 minutesItem: If this government warning label were on a beverage, how much would it change your thoughts about the healthiness of that beverage for your child? This will be measured on a 5-point Likert scale.
Encourage you to give fewer beverages to your childThe survey will take up to 20 minutesItem: If you saw this government warning label on a beverage, would the label encourage you to serve your child that beverage less often? The responses will be measured on a 5-point Likert scale.
How much do you trust the information on this labelThe survey will take up to 20 minutesItem: How much do you trust the information on this label?. Responses will be measured on a 7-point Likert scale.
Negative reactions to the labelThe survey will take up to 20 minutesWe will examine the average negative emotional response to the label (said the warning label made them feel worried, fearful, guilty, or disgusted or grossed out). Each emotion will be scored on a 5-pt likert scale.
Perceived label influenceThe survey will take up to 20 minutesParticipants will respond: yes, no, or I did not notice any labels in response to the question of whether the label influenced their purchase.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026