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Impact of Warnings on Sugar-Sweetened Beverages

Randomized Controlled Trial Evaluating the Impact of Warnings on Sugar-Sweetened Beverages

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04223687
Enrollment
326
Registered
2020-01-10
Start date
2020-01-29
Completion date
2021-03-24
Last updated
2021-09-01

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

Conditions

Dietary Habits

Keywords

Food and beverage purchases, Sugar-sweetened beverages, Beverages

Brief summary

The purpose of this randomized controlled trial is to determine whether pictorial warnings on sugar-sweetened beverages are more effective than neutral labels at reducing parents' purchases of sugar-sweetened beverages for their children. Participants will be parents or guardians of at least one child age 2-12. The trial will take place in a mock convenience store. Participants will be randomly assigned to a pictorial warnings arm in which all sugar-sweetened beverages in the store are labeled with pictorial warnings, or to a control arm in which all sugar-sweetened beverages in the store are labeled with a neutral label. All participants will visit the mock convenience store setup based on their randomized trial arm and be instructed to engage in a shopping task. Participants will complete a computer survey after the shopping task.

Detailed description

Childhood obesity is a major public health problem in the US among racial and ethnic minorities, including among the US's growing Latino population. One promising but understudied policy for addressing childhood obesity is requiring pictorial warnings on the front of sugar-sweetened beverage containers. The impact of pictorial warnings in real-world food retail environments on parents' sugar-sweetened beverage purchasing behavior for their children is unknown. This study will assess the impact of pictorial warnings on parents' sugar-sweetened beverage purchases for their children in a real-world randomized controlled trial. The investigators focus on parents as they are the primary decision-makers and purchasers of food products for children and exert strong influence over their children's dietary intake and food attitudes. Half of participants will be Latino as childhood obesity is a major public health problem among the US's growing Latino population. Setting: The trial will take place in 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, with foods, beverages, and household items set at real-world prices. Recruitment: Participants will be recruited locally via methods including community subject pools, printed flyers posted, and online listings. Interested potential participants will complete a screening questionnaire online, in person, or over the phone 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 in-person study visit, study staff will explain the consent form. The study staff will ask the participant if he or she has any questions; once the participant consents to the study, both parties will sign the consent form and the participant will receive a copy of the consent form. Randomization: After the participant signs the consent form, study staff will randomly assign participants to one of the two study arms. Randomization order will be determined a priori. Participants will have an equal chance of being randomized to either arm of the trial. Assessment: Using an established protocol, participants will visit the mock study convenience store and be given a shopping task to select 1 beverage and 1 snack to purchase for their child ages 2-12. If the participant has more than one child age 2-12, the investigators will randomly select the child they should shop for. At check-out, study staff will record the products selected. Participants will then complete 1 computer-based survey immediately after completing the shopping task. The visit will take approximately 45-60 minutes. At the end of the study, participants will receive an informational handout about sugar-sweetened beverages and healthier alternatives. Detailed description of the trial arms: Participants will be assigned to either a pictorial warnings arm or a control arm. In the pictorial warnings arm, all sugar-sweetened beverage products in the mock store will be labeled with a pictorial warning label (two different warning labels will be displayed at the same time, but only 1 warning label per product). Investigators developed the text and design of these warning labels using a pre-test. In the control arm, all sugar-sweetened beverage 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 sugar-sweetened beverage containers.

Interventions

Labels with a pictorial 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.

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.

Sponsors

Robert Wood Johnson Foundation
CollaboratorOTHER
National Heart, Lung, and Blood Institute (NHLBI)
CollaboratorNIH
University of North Carolina, Chapel Hill
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

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

Inclusion criteria

* Be 18 years or older * Be able to read and speak English or Spanish * Be able to take a computer survey in English or Spanish * Be the parent or guardian to at least one child between the ages of 2 and 12 who consumed at least one sugar-sweetened beverage in the week prior to taking the screener

Exclusion criteria

* Cannot have participated in the investigator's previous study at the convenience store in the past year * Cannot live in the same household as another enrolled study participant

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Purchase at Least 1 Sugar-sweetened Beverage for Their ChildAt completion of ~10 minute shopping task, during 1-time study visitThe primary outcome is the percent of participants who selected at least one sugar-sweetened beverage for their child during the shopping task. Purchases will be recorded by the experimenter when they complete the shopping task.

Secondary

MeasureTime frameDescription
Mean Anticipated Social InteractionsPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskAnticipated social interactions about the study labels will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher likelihood of discussing the study labels with others.
Mean Appeal of Sugar-sweetened Beverages for ChildPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskParents' perceptions about sugar-sweetened beverages appeal for their child will be measured at post-test by survey. Response options are on a 1 to 7 scale, with higher scores representing a higher perceived appeal of sugar-sweetened beverages for their child.
Mean Tastiness of Sugar-sweetened Beverages for ChildPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskParents' perceptions of tastiness of sugar-sweetened beverages for their child will be measured at post-test by survey. Response options are on a 1 to 7 scale, with higher scores representing a higher perceived tastiness of sugar-sweetened beverages for their child.
Mean Injunctive Norms About Limiting Child's Sugar-sweetened BeveragesPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskInjunctive norms about limiting child's sugar-sweetened beverage consumption will be measured at post-test by survey. Injunctive norms refer to perceived approval from people important in the participant's life. Response options are on a 1 to 5 scale, with higher scores representing higher perceived approval about limiting their child's sugar-sweetened beverages.
Mean Total Calories Purchased From Sugar-sweetened BeveragesAt completion of ~10 minute shopping task, during 1-time study visitTotal calories purchased from sugar-sweetened beverages is defined as the total number of calories of sugar-sweetened beverages in the participant's basket when they complete the shopping task.
Mean Intention to Give Sugar-sweetened Beverages to ChildPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskIntention to give sugar-sweetened beverages to child will be measured at post-test by survey. Response options are on a 1 to 7 scale, with higher scores representing a higher intention to give sugar-sweetened beverages to the participant's child.
Percentage of Participants Who Noticed Trial LabelPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskPercent of participants who noticed the trial labels will be measured at post-test by survey.
Mean Thinking About Harms of Drinking Sugar-sweetened BeveragesPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskHow much the participant reports thinking about the health problems caused by drinking sugar-sweetened beverages will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher amount of thinking about harms of drinking sugar-sweetened beverages.
Mean Negative Affective ReactionsPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskNegative affect will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher negative affect reaction.
Percentage of Participants Who Felt More in Control of Healthy Eating DecisionsPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskPercent of participants indicating they felt more in control of healthy eating decisions will be measured at post-test by survey.
Mean Perceived Amount of Added Sugar in Sugar-sweetened BeveragesPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskPerceptions of added sugar content in sugar-sweetened beverages will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher perceived amount of added sugar in sugar-sweetened beverages.
Mean Perceived Likelihood of Child Experiencing Health Problems Due to Sugar-sweetened BeveragesPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskPerceived likelihood of child experiencing sugar-sweetened beverage related health outcomes will be measured at post-test by survey. Response options are on a 1 to 7 scale, with higher scores representing a higher perceived likelihood of child experiencing health problems due to sugar-sweetened beverages.
Mean Healthfulness of Sugar-sweetened Beverages for ChildPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskParents' perceptions about sugar-sweetened beverages' healthfulness for their child will be measured at post-test by survey. Response options are on a 1 to 7 scale, with higher scores representing a higher perceived healthfulness of sugar-sweetened beverages for their child.

Other

MeasureTime frameDescription
Mean Policy SupportPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskSupport for sugar-sweetened beverage health warning labels will be measured at post-test by survey. Response options are on a 1 to 4 scale, with higher scores representing a higher amount of support for a sugar-sweetened beverage health warning label policy.
Mean Perceived Message EffectivenessPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskPerceived message effectiveness of the study labels will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher perceived message effectiveness of the study labels.
Mean Anticipated Avoidance of LabelPost-test computer survey within 30 minutes following completion of ~10 minute shopping taskAvoidance of the study labels will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher amount of avoidance of looking at the study labels.

Countries

United States

Participant flow

Participants by arm

ArmCount
Neutral Label
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.
162
Sugar-Sweetened Beverage Warning Label
Sugar-Sweetened Beverage Warning Label: Labels with a pictorial 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.
163
Total325

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyMissing primary outcome10

Baseline characteristics

CharacteristicNeutral LabelSugar-Sweetened Beverage Warning LabelTotal
Age, Customized
18-29
24 Participants21 Participants45 Participants
Age, Customized
30-39
65 Participants74 Participants139 Participants
Age, Customized
40-49
53 Participants54 Participants107 Participants
Age, Customized
50+
20 Participants14 Participants34 Participants
Race/Ethnicity, Customized
Data Not Reported
4 Participants3 Participants7 Participants
Race/Ethnicity, Customized
Hispanic, no race reported
14 Participants15 Participants29 Participants
Race/Ethnicity, Customized
Hispanic, other race(s)
8 Participants9 Participants17 Participants
Race/Ethnicity, Customized
Hispanic white
9 Participants10 Participants19 Participants
Race/Ethnicity, Customized
Non-Hispanic Asian
6 Participants7 Participants13 Participants
Race/Ethnicity, Customized
Non-Hispanic Black or African American
46 Participants34 Participants80 Participants
Race/Ethnicity, Customized
Non-Hispanic, more than one race
3 Participants13 Participants16 Participants
Race/Ethnicity, Customized
Non-Hispanic, other race
0 Participants2 Participants2 Participants
Race/Ethnicity, Customized
Non-Hispanic white
72 Participants70 Participants142 Participants
Region of Enrollment
United States
162 Participants163 Participants325 Participants
Sex/Gender, Customized
Another gender identity
1 Participants1 Participants2 Participants
Sex/Gender, Customized
Man
41 Participants32 Participants73 Participants
Sex/Gender, Customized
Woman
120 Participants130 Participants250 Participants
Time of participation
During pandemic
98 Participants98 Participants196 Participants
Time of participation
Pre-pandemic
64 Participants65 Participants129 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1630 / 163
other
Total, other adverse events
0 / 1630 / 163
serious
Total, serious adverse events
0 / 1630 / 163

Outcome results

Primary

Percentage of Participants Who Purchase at Least 1 Sugar-sweetened Beverage for Their Child

The primary outcome is the percent of participants who selected at least one sugar-sweetened beverage for their child during the shopping task. Purchases will be recorded by the experimenter when they complete the shopping task.

Time frame: At completion of ~10 minute shopping task, during 1-time study visit

ArmMeasureValue (NUMBER)
Neutral LabelPercentage of Participants Who Purchase at Least 1 Sugar-sweetened Beverage for Their Child45 percentage of participants
Sugar-Sweetened Beverage Warning LabelPercentage of Participants Who Purchase at Least 1 Sugar-sweetened Beverage for Their Child28 percentage of participants
p-value: <0.01Chi-squared
Secondary

Mean Anticipated Social Interactions

Anticipated social interactions about the study labels will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher likelihood of discussing the study labels with others.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Anticipated Social Interactions2.16 score on a scaleStandard Deviation 1.32
Sugar-Sweetened Beverage Warning LabelMean Anticipated Social Interactions3.89 score on a scaleStandard Deviation 1.24
p-value: <0.001Wilcoxon (Mann-Whitney)
Secondary

Mean Appeal of Sugar-sweetened Beverages for Child

Parents' perceptions about sugar-sweetened beverages appeal for their child will be measured at post-test by survey. Response options are on a 1 to 7 scale, with higher scores representing a higher perceived appeal of sugar-sweetened beverages for their child.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Appeal of Sugar-sweetened Beverages for Child3.32 score on a scaleStandard Deviation 0.96
Sugar-Sweetened Beverage Warning LabelMean Appeal of Sugar-sweetened Beverages for Child3.24 score on a scaleStandard Deviation 0.98
p-value: 0.42Wilcoxon (Mann-Whitney)
Secondary

Mean Healthfulness of Sugar-sweetened Beverages for Child

Parents' perceptions about sugar-sweetened beverages' healthfulness for their child will be measured at post-test by survey. Response options are on a 1 to 7 scale, with higher scores representing a higher perceived healthfulness of sugar-sweetened beverages for their child.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Healthfulness of Sugar-sweetened Beverages for Child2.24 score on a scaleStandard Deviation 0.8
Sugar-Sweetened Beverage Warning LabelMean Healthfulness of Sugar-sweetened Beverages for Child1.98 score on a scaleStandard Deviation 0.82
p-value: <0.001Wilcoxon (Mann-Whitney)
Secondary

Mean Injunctive Norms About Limiting Child's Sugar-sweetened Beverages

Injunctive norms about limiting child's sugar-sweetened beverage consumption will be measured at post-test by survey. Injunctive norms refer to perceived approval from people important in the participant's life. Response options are on a 1 to 5 scale, with higher scores representing higher perceived approval about limiting their child's sugar-sweetened beverages.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Injunctive Norms About Limiting Child's Sugar-sweetened Beverages3.21 score on a scaleStandard Deviation 1.33
Sugar-Sweetened Beverage Warning LabelMean Injunctive Norms About Limiting Child's Sugar-sweetened Beverages3.60 score on a scaleStandard Deviation 1.2
p-value: <0.01Wilcoxon (Mann-Whitney)
Secondary

Mean Intention to Give Sugar-sweetened Beverages to Child

Intention to give sugar-sweetened beverages to child will be measured at post-test by survey. Response options are on a 1 to 7 scale, with higher scores representing a higher intention to give sugar-sweetened beverages to the participant's child.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Intention to Give Sugar-sweetened Beverages to Child1.85 score on a scaleStandard Deviation 0.8
Sugar-Sweetened Beverage Warning LabelMean Intention to Give Sugar-sweetened Beverages to Child1.65 score on a scaleStandard Deviation 0.6
p-value: 0.03Wilcoxon (Mann-Whitney)
Secondary

Mean Negative Affective Reactions

Negative affect will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher negative affect reaction.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Negative Affective Reactions1.51 score on a scaleStandard Deviation 0.82
Sugar-Sweetened Beverage Warning LabelMean Negative Affective Reactions3.38 score on a scaleStandard Deviation 1.12
p-value: <0.001Wilcoxon (Mann-Whitney)
Secondary

Mean Perceived Amount of Added Sugar in Sugar-sweetened Beverages

Perceptions of added sugar content in sugar-sweetened beverages will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher perceived amount of added sugar in sugar-sweetened beverages.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Perceived Amount of Added Sugar in Sugar-sweetened Beverages3.99 score on a scaleStandard Deviation 0.67
Sugar-Sweetened Beverage Warning LabelMean Perceived Amount of Added Sugar in Sugar-sweetened Beverages4.08 score on a scaleStandard Deviation 0.77
p-value: 0.06Wilcoxon (Mann-Whitney)
Secondary

Mean Perceived Likelihood of Child Experiencing Health Problems Due to Sugar-sweetened Beverages

Perceived likelihood of child experiencing sugar-sweetened beverage related health outcomes will be measured at post-test by survey. Response options are on a 1 to 7 scale, with higher scores representing a higher perceived likelihood of child experiencing health problems due to sugar-sweetened beverages.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Perceived Likelihood of Child Experiencing Health Problems Due to Sugar-sweetened Beverages3.95 score on a scaleStandard Deviation 0.99
Sugar-Sweetened Beverage Warning LabelMean Perceived Likelihood of Child Experiencing Health Problems Due to Sugar-sweetened Beverages4.07 score on a scaleStandard Deviation 0.92
p-value: 0.37Wilcoxon (Mann-Whitney)
Secondary

Mean Tastiness of Sugar-sweetened Beverages for Child

Parents' perceptions of tastiness of sugar-sweetened beverages for their child will be measured at post-test by survey. Response options are on a 1 to 7 scale, with higher scores representing a higher perceived tastiness of sugar-sweetened beverages for their child.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Tastiness of Sugar-sweetened Beverages for Child3.47 score on a scaleStandard Deviation 0.89
Sugar-Sweetened Beverage Warning LabelMean Tastiness of Sugar-sweetened Beverages for Child3.30 score on a scaleStandard Deviation 0.95
p-value: 0.13Wilcoxon (Mann-Whitney)
Secondary

Mean Thinking About Harms of Drinking Sugar-sweetened Beverages

How much the participant reports thinking about the health problems caused by drinking sugar-sweetened beverages will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher amount of thinking about harms of drinking sugar-sweetened beverages.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Thinking About Harms of Drinking Sugar-sweetened Beverages1.90 score on a scaleStandard Deviation 1.25
Sugar-Sweetened Beverage Warning LabelMean Thinking About Harms of Drinking Sugar-sweetened Beverages4.21 score on a scaleStandard Deviation 0.95
p-value: <0.001Wilcoxon (Mann-Whitney)
Secondary

Mean Total Calories Purchased From Sugar-sweetened Beverages

Total calories purchased from sugar-sweetened beverages is defined as the total number of calories of sugar-sweetened beverages in the participant's basket when they complete the shopping task.

Time frame: At completion of ~10 minute shopping task, during 1-time study visit

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Total Calories Purchased From Sugar-sweetened Beverages82.1 caloriesStandard Deviation 97.22
Sugar-Sweetened Beverage Warning LabelMean Total Calories Purchased From Sugar-sweetened Beverages51.72 caloriesStandard Deviation 86.82
p-value: <0.01t-test, 2 sided
Secondary

Percentage of Participants Who Felt More in Control of Healthy Eating Decisions

Percent of participants indicating they felt more in control of healthy eating decisions will be measured at post-test by survey.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (NUMBER)
Neutral LabelPercentage of Participants Who Felt More in Control of Healthy Eating Decisions30 percentage of participants
Sugar-Sweetened Beverage Warning LabelPercentage of Participants Who Felt More in Control of Healthy Eating Decisions73 percentage of participants
p-value: <0.001Chi-squared
Secondary

Percentage of Participants Who Noticed Trial Label

Percent of participants who noticed the trial labels will be measured at post-test by survey.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (NUMBER)
Neutral LabelPercentage of Participants Who Noticed Trial Label47 percentage of participants
Sugar-Sweetened Beverage Warning LabelPercentage of Participants Who Noticed Trial Label52 percentage of participants
p-value: 0.37Chi-squared
Other Pre-specified

Mean Anticipated Avoidance of Label

Avoidance of the study labels will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher amount of avoidance of looking at the study labels.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Anticipated Avoidance of Label1.94 score on a scaleStandard Deviation 1.2
Sugar-Sweetened Beverage Warning LabelMean Anticipated Avoidance of Label3.43 score on a scaleStandard Deviation 1.3
Other Pre-specified

Mean Perceived Message Effectiveness

Perceived message effectiveness of the study labels will be measured at post-test by survey. Response options are on a 1 to 5 scale, with higher scores representing a higher perceived message effectiveness of the study labels.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for participants who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Perceived Message Effectiveness2.0 score on a scaleStandard Deviation 1.3
Sugar-Sweetened Beverage Warning LabelMean Perceived Message Effectiveness4.2 score on a scaleStandard Deviation 0.9
Other Pre-specified

Mean Policy Support

Support for sugar-sweetened beverage health warning labels will be measured at post-test by survey. Response options are on a 1 to 4 scale, with higher scores representing a higher amount of support for a sugar-sweetened beverage health warning label policy.

Time frame: Post-test computer survey within 30 minutes following completion of ~10 minute shopping task

Population: Assessed for people who provided response.

ArmMeasureValue (MEAN)Dispersion
Neutral LabelMean Policy Support3.00 score on a scaleStandard Deviation 0.9
Sugar-Sweetened Beverage Warning LabelMean Policy Support3.49 score on a scaleStandard Deviation 0.8

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026