Trial reportBMC public health2012
Healthy snacks at the checkout counter: a lab and field study on the impact of shelf arrangement and assortment structure on consumer choices.
Trial report in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02808910 (Nudging), which is not on this map. Cited by 58 papers, 5 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.
Nudging: How Small Changes in the Cafeteria of the Feiring Heart Clinic Can Result in a Healthier Food Choice.
Who cites it
58 citing papers in PubMed, 5 syntheses or guidelines pooled it, 180 citations in OpenAlex.
- Improving Cardiovascular Health through Nudging Healthier Food Choices: A Systematic Review.Nutrients · 2019Pooled it
- Altering the availability or proximity of food, alcohol, and tobacco products to change their selection and consumption.The Cochrane database of systematic reviews · 2019Pooled it
- Altering the availability or proximity of food, alcohol, and tobacco products to change their selection and consumption.The Cochrane database of systematic reviews · 2019Pooled it
- Pooled it
- Correlates of dietary behavior in adults: an umbrella review.Nutrition reviews · 2015Pooled it
- Cafeteria Online: Nudges for Healthier Food Choices in a University Cafeteria-A Randomized Online Experiment.International journal of environmental research and public health · 2021Trial
- Prompting consumers to make healthier food choices in hospitals: a cluster randomised controlled trial.The international journal of behavioral nutrition and physical activity · 2020Trial
- Socioeconomic position and the impact of increasing availability of lower energy meals vs. menu energy labelling on food choice: two randomized controlled trials in a virtual fast-food restaurant.The international journal of behavioral nutrition and physical activity · 2020Trial
- Using nudging and social marketing techniques to create healthy worksite cafeterias in the Netherlands: intervention development and study design.BMC public health · 2017Trial
- The effect of changes in visibility and price on fruit purchasing at a university cafeteria in Lima, Peru.Public health nutrition · 2015Trial
- Effects of a healthy checkout ordinance on the sale of soft drinks and confectionery in Berkeley, CA, USA: a quasi-experimental study.The Lancet. Public health · 2026Article
- The retail food environment following a mandatory healthy checkout policy: A natural experimental evaluation.PLoS medicine · 2026Article
- Article
- [Choice architecture in institutional food services: strategies to promote sustainable nutrition].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Review
- A Scoping Review of Choice Architecture to Promote Healthy Nutrition in Health and Care Settings.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Article
- Using salience and availability to promote sustainable and healthy food choices in hospital cafeterias.Scientific reports · 2024Article
- Development of a survey tool to assess the environmental determinants of health-enabling food retail practice in Aboriginal and Torres Strait Islander communities of remote Australia.BMC public health · 2024Article
- Evaluation of two social norms nudge interventions to promote healthier food choices in a Canadian grocery store.BMC public health · 2022Observational
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe essence of nudging is to adapt the environment in which consumers make decisions to help them make better choices, without forcing certain outcomes upon them. To determine how consumers can effectively be guided to select healthier snacks, we examine the effect of manipulating the assortment structure and shelf layout of an impulse display including both healthy and unhealthy snacks near the checkout counter of a canteen.
methodsBoth a lab and field study applied a two-factor experimental design manipulating snack offerings both in an on-screen choice environment and a natural environment (hospital staff restaurant). Shelf arrangement (i.e. accessibility) was altered by putting healthy snacks at higher shelves versus lower shelves. Assortment structure (i.e. availability) was altered by offering an assortment that either included 25% or 75% healthy snacks. Participants in the lab study (n = 158) made a choice from a shelf display. A brief survey following snack selection asked participants to evaluate the assortment and their choice. The field experiment took place in a hospital canteen. Daily sales data were collected for a period of four weeks. On completion of the field study, employees (n = 92) filled out a questionnaire about all four displays and rated their attractiveness, healthiness and perceived freedom of choice.
resultsThe lab study showed a higher probability of healthy snack choice when 75% of the assortment consisted of healthy snacks compared to conditions with 25% healthy snack assortments, even though choices were not rated less satisfying or more restrictive. Regarding shelf display location of healthy snacks, no significant differences were observed. There was also no significant shelf arrangement by assortment structure interactive effect. The field study replicated these findings, in that this assortment structure led to higher sales of healthy snacks. Sales of unhealthy and total snacks were not impacted by manipulations (no main or interaction effects). Employees preferred shelf displays including a larger healthy snack assortment located at top shelves. Employees also felt more freedom in choice when healthy snacks were displayed at top shelves compared to lower shelves.
conclusionsOverall, results suggest that increasing the prominence of healthy snacks by enlarging their availability, while permitting access to unhealthy snacks, is a promising strategy to promote sales. These results point to the importance of nudging strategies to encourage healthier snack patterns.
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.