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Front-of-package Marketing on Fruit Drinks: Online RCT

Testing the Impact of Front-of-package Claims, Imagery, Nutrition Disclosures, and Added Sugar Warning Labels on Fruit Drinks in an Online Store: A Randomized Controlled Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04811690
Enrollment
5028
Registered
2021-03-23
Start date
2021-05-19
Completion date
2021-07-21
Last updated
2021-07-28

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

Conditions

Consumer Behavior, Consumer Preference

Brief summary

This study will test the independent and combined effects of front-of-package claims, imagery, nutrition disclosures, and added sugar warning labels on parents' purchases and perceptions of beverages for their children.

Detailed description

Fruit drinks are widely consumed by 0-5-year-olds. Parents purchase these drinks for their children in part due to misperceptions that they are healthful, which may be driven by front-of-package (FOP) marketing. The FDA is considering changes to FOP marketing regulations but lacks data on how label elements influence consumer behavior. Our study will test the independent and combined effects of FOP claims, imagery, nutrition disclosures, and added sugar warning labels on parents' purchases and perceptions of beverages for their children. We will conduct an online randomized controlled trial with 5,000 racially/ethnically diverse primary caregivers of children aged 0-5 years. Participants will choose a beverage for their child in an online store and rate health perceptions of different fruit drinks. Participants will be randomized to see high-added-sugar beverages (\>20% DV added sugar/serving) with 1 of 7 FOP label conditions: 1) vitamin C claim and fruit imagery (control); 2) imagery only; 3) claim only; 4) no claim or imagery; 5) claim, imagery, and % juice disclosure; 6) claim, imagery, and added sugar warning; or 7) claim, imagery, and added sugar warning w/teaspoons of added sugar. Primary outcomes will include total calories and added sugar (grams) from chosen online store beverages. Secondary outcomes will include health perceptions and knowledge of added sugar and % juice content in low- and high-added-sugar fruit drinks. This research will inform federal regulation to correct health misperceptions of sugary drinks.

Interventions

BEHAVIORALfront-of-package modification

testing front-of-package changes to claims, imagery, disclosures, and added sugar warning labels on fruit-flavored drinks

Sponsors

Robert Wood Johnson Foundation
CollaboratorOTHER
Harvard School of Public Health (HSPH)
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)

Eligibility

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

Inclusion criteria

* Primary caregiver of a child 0-5 years old * \>= 18 years old * U.S. citizen

Exclusion criteria

* Participants who complete the survey in less than 1/3 of the median completion time * Observations from duplicate IP addresses (keep first observation that is unique) * Participants who answer data integrity check incorrectly

Design outcomes

Primary

MeasureTime frameDescription
Calories in beverage chosen in online store taskthrough study completion, an average of 15 minutesCalories in beverage chosen in online store task
Added sugar content (grams) of beverage chosen in online store taskthrough study completion, an average of 15 minutesAdded sugar content (grams) of beverage chosen in online store task

Secondary

MeasureTime frameDescription
Percentage of participants that chose a drink high in added sugars in online store taskthrough study completion, an average of 15 minutesPercentage of participants that chose a drink high in added sugars (\>=20%DV) in online store task
Percentage of participants that chose each drink category in online store taskthrough study completion, an average of 15 minutesPercentage of participants that chose each drink category (e.g., 100% juice, fruit drinks) in online store task
Fruit drink perceptions: likelihood to purchase for child, how healthy for child, how appealing to child, disease risk perceptions for childthrough study completion, an average of 15 minutesFruit drink perceptions: likelihood to purchase for child, how healthy for child, how appealing to child, disease risk perceptions for child
Knowledge of juice and added sugar content in beveragethrough study completion, an average of 15 minutesKnowledge of % juice and added sugar content (categorical and continuous in grams) in beverage

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026