ArticleAmerican journal of public health2012
A 2-phase labeling and choice architecture intervention to improve healthy food and beverage choices.
Article in American journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 118 papers, 12 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
118 citing papers in PubMed, 12 syntheses or guidelines pooled it, 411 citations in OpenAlex.
- Higher education institutions and the use of marketing-mix choice architecture strategies to encourage plant-rich menu options and sustainable dietary patterns: a scoping review.Frontiers in nutrition · 2026Pooled it
- Pooled it
- The effects of nudges on purchases, food choice, and energy intake or content of purchases in real-life food purchasing environments: a systematic review and evidence synthesis.Nutrition journal · 2020Pooled it
- Interventions to increase the consumption of water among children: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020Pooled it
- Improving Cardiovascular Health through Nudging Healthier Food Choices: A Systematic Review.Nutrients · 2019Pooled it
- Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health.The Cochrane database of systematic reviews · 2019Pooled it
- A Meta-Analysis of Food Labeling Effects on Consumer Diet Behaviors and Industry Practices.American journal of preventive medicine · 2019Pooled it
- Pooled it
- Use and effectiveness of behavioural economics in interventions for lifestyle risk factors of non-communicable diseases: a systematic review with policy implications.Perspectives in public health · 2018Pooled it
- A Scoping Review of Behavioral Economic Interventions for Prevention and Treatment of Type 2 Diabetes Mellitus.Current diabetes reports · 2017Pooled it
- A systematic review, and meta-analyses, of the impact of health-related claims on dietary choices.The international journal of behavioral nutrition and physical activity · 2017Pooled it
- Menu labelling is effective in reducing energy ordered and consumed: a systematic review and meta-analysis of recent studies.Public health nutrition · 2016Pooled it
- Network spillover effects associated with the ChooseWell 365 workplace randomized controlled trial to promote healthy food choices.Social science & medicine (1982) · 2024Trial
- Workplace food purchases, dietary intake, and gut microbial metabolites in a secondary analysis of the ChooseWell 365 study.The American journal of clinical nutrition · 2024Trial
- Employees' Baseline Food Choices and the Effect of a Workplace Intervention to Promote Healthy Eating: Secondary Analysis of the ChooseWell 365 Randomized Controlled Trial.Journal of the Academy of Nutrition and Dietetics · 2023Trial
- The association of impulsivity with effects of the ChooseWell 365 workplace nudge intervention on diet and weight.Translational behavioral medicine · 2023Trial
- The efficacy of a multi-strategy choice architecture intervention on improving the nutritional quality of high school students' lunch purchases from online canteens (Click & Crunch High Schools): a cluster randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2022Trial
- Health Literacy, Numeracy, and Health Promotion: A Secondary Analysis of the Choosewell 365 Workplace Trial.American journal of preventive medicine · 2022Trial
- Automated Behavioral Workplace Intervention to Prevent Weight Gain and Improve Diet: The ChooseWell 365 Randomized Clinical Trial.JAMA network open · 2021Trial
- Polygenic risk score for obesity and the quality, quantity, and timing of workplace food purchases: A secondary analysis from the ChooseWell 365 randomized trial.PLoS medicine · 2020Trial
58 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesWe assessed whether a 2-phase labeling and choice architecture intervention would increase sales of healthy food and beverages in a large hospital cafeteria.
methodsPhase 1 was a 3-month color-coded labeling intervention (red = unhealthy, yellow = less healthy, green = healthy). Phase 2 added a 3-month choice architecture intervention that increased the visibility and convenience of some green items. We compared relative changes in 3-month sales from baseline to phase 1 and from phase 1 to phase 2.
resultsAt baseline (977,793 items, including 199,513 beverages), 24.9% of sales were red and 42.2% were green. Sales of red items decreased in both phases (P < .001), and green items increased in phase 1 (P < .001). The largest changes occurred among beverages. Red beverages decreased 16.5% during phase 1 (P < .001) and further decreased 11.4% in phase 2 (P < .001). Green beverages increased 9.6% in phase 1 (P < .001) and further increased 4.0% in phase 2 (P < .001). Bottled water increased 25.8% during phase 2 (P < .001) but did not increase at 2 on-site comparison cafeterias (P < .001).
conclusionsA color-coded labeling intervention improved sales of healthy items and was enhanced by a choice architecture intervention.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.