Skip to content

Decoding the Interplay of Front-of-Pack Labels, Price, and Consumer Perceptions: Impact on Food Choices in Korea and Singapore

Decoding the Interplay of Front-of-Pack Labels, Price, and Consumer Perceptions: Impact on Food Choices in Korea and Singapore

Status
Not yet recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07186270
Enrollment
1000
Registered
2025-09-22
Start date
2025-10-31
Completion date
2025-12-31
Last updated
2025-09-23

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

Conditions

Consumer Behavior

Keywords

Front-of-pack labelling

Brief summary

The global epidemic of obesity and chronic diseases has led to widespread use of front-of-package (FOP) nutrition labels. While existing research has established a link between FOP labels and consumer choices, the interplay between product types, consumer perceptions, and label effectiveness is underexplored. This study examines: 1) whether consumers perceive healthier food item as more expensive when healthiness is less obvious; 2) how FOP labels mediate the relationship among product characteristics, price, and consumer's belief about food healthiness and price on choices; and 3) whether food choice changes given a price, with and without FOP labels, are more prominent for products where the perceived healthiness by consumers significantly differs from label indications. The investigators will conduct experiments with online panelists in Korea and Singapore in two settings: restaurant menus and grocery items. Results will inform more impactful nutritional information policies for healthier food choices and improved population health.

Detailed description

The investigators will conduct experiments in both Korea and Singapore, focusing on two settings with various food items: restaurant menu choices and grocery item selections. For each item, investigators will elicit consumers' prior belief about its healthiness. Our research builds upon the work of Haws et al. (2017), which demonstrated that US consumers tend to overgeneralize their belief about expensive=healthy to product categories where it is not true. This tendency potentially biases perceptions of healthy foods. The investigators aim to test this expensive=healthy intuition and its impact on food choice, with and without FOP labels, in Asian contexts. The investigators hypothesize that absent FOP labels, consumers will infer healthiness from price information (i.e., this product is expensive, so it must be healthy) and that providing FOP labels will reduce the reliance on this inference. The investigators also hypothesize that such effects of FOP labels are more prominent for products where the perceived healthiness by consumers significantly differs from the healthiness indicated by the labels. When the FOP labels show 'less healthy' for those expensive and perceived as 'healthy' products, consumers will update their prior belief about its healthiness and be more likely to drop the intuition 'expensive=healthiness' in decision-making and respond to a greater extent.

Interventions

BEHAVIORALPositively framed FOP labels (present versus absent) x Price (high versus low)

The intervention combines either a front-of-pack (FOP) label that frames high nutrition or no FOP label with price variation. Products are randomly assigned to either receive a positively-framed FOP label or no label, and to either a high or a low price. This yields four experimental arms: 1. Positively framed FOP label with high price 2. Positively framed FOP label with low price 3. No label with high price 4. No label with low price

BEHAVIORALGraded FOP labels (no label vs. high rating (grade A) vs. low rating (grade D)) x Price (average vs. premium)

The intervention combines either a graded front-of-pack (FOP) labelling or no FOP labelling with price variation. Products are randomly assigned to either receive a graded label or no label, and to either a premium or an average price. This yields six experimental arms: 1. High grade (A) with premium price 2. Low grade (D) with premium price 3. No label with premium price 4. High grade (A) with average price 5. Low grade (D) with average price 6. No label with average price

Sponsors

Korea University
CollaboratorOTHER
National University of Singapore
CollaboratorOTHER
Duke-NUS Graduate Medical School
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE

Intervention model description

At baseline, participants rate 8 menu items and 8 grocery items on a 5-point healthiness scale (1= least healthy, 5= healthiest) and their confidence. 6 menu items and 6 grocery items will be selected for experiment in study 1 and 2 respectively, prioritizing items with the largest perceived-actual healthiness gap, while ensuring varied confidence levels among items with similar gaps. Study 1: Participants read a hypothetical scenario about ordering meal for a co-worker. They will be randomized to 1 of the 4 conditions and asked to choose a menu item to order for their coworker. Study 2: Participants read a hypothetical cover story about a new brand Y of grocery item W and see pictures of different flavors with general health claim. They will be randomized to 1 of the 6 conditions. Participants indicate their likelihood of buying Brand Y in the hypothetical situation that they intend to purchase item W. Details of experiments in each study are discussed in the next section.

Eligibility

Sex/Gender
ALL
Age
No minimum to 65 Years
Healthy volunteers
No

Inclusion criteria

* Adults aged 18-65 years residing in Korea * Adults aged 21-65 years residing in Singapore

Design outcomes

Primary

MeasureTime frameDescription
Consumers behaviorParticipants are expected to complete the online experiment in one sitting (within 24 hours). If they are disconnected from the survey platform, they are allowed up to two attempts to resume, with access to the platform disabled after 48 hours.Study 1: Participants achieve a response by choosing between two menu food items they would purchase for their co-worker in online experimental platform. Study 2: Participants rate their intention to purchase grocery items on a 7-point scale (1 = least likely, 7 = most likely) in online experimental platform.

Contacts

Primary ContactSoye Shin
syshin@duke-nus.edu.sg+6566013319
Backup ContactLinh Nguyen
linhng@nus.edu.sg+6590786645

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026