SynthesisBMJ open2019
Choice architecture interventions to improve diet and/or dietary behaviour by healthcare staff in high-income countries: a systematic review.
Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 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
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Interventions in the workplace to reduce risk factors for noncommunicable diseases: an umbrella review of systematic reviews of effectiveness.Journal of occupational health · 2024Pooled it
- The impact of the consumer and neighbourhood food environment on dietary intake and obesity-related outcomes: A systematic review of causal impact studies.Social science & medicine (1982) · 2022Pooled it
- Improving Cardiovascular Health through Nudging Healthier Food Choices: A Systematic Review.Nutrients · 2019Pooled it
- Prompting consumers to make healthier food choices in hospitals: a cluster randomised controlled trial.The international journal of behavioral nutrition and physical activity · 2020Trial
- Nudge for governmental change in health policy.Frontiers in public health · 2026Article
- Review
- 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
- Changing the food environment in secondary school canteens to promote healthy dietary choices: a qualitative study with school caterers.BMC public health · 2024Article
- Creating healthy food environments in recreation and sport settings using choice architecture: a scoping review.Health promotion international · 2023Article
- Evaluation of efforts to reduce sodium and ensure access to healthier beverages in four healthcare settings in Massachusetts, US 2016-2018.Preventive medicine reports · 2022Article
- Workplace cafeteria and other multicomponent interventions to promote healthy eating among adults: A systematic review.Preventive medicine reports · 2021Review
- Experience of Using an Online Pre-Ordering System for A Workplace Canteen That Offers Lower-Energy Swaps: A Think-Aloud Study.Nutrients · 2020Article
- Nudging to move: a scoping review of the use of choice architecture interventions to promote physical activity in the general population.The international journal of behavioral nutrition and physical activity · 2019Article
- Hospital-Based Food Environment Interventions to Improve Workforce Dietary Behaviour: A Systematic Literature Review.American journal of lifestyle medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe were commissioned by the behavioural insights team at Public Health England to synthesise the evidence on choice architecture interventions to increase healthy purchasing and/or consumption of food and drink by National Health Service (NHS) staff. DATA SOURCES: MEDLINE, EMBASE, CINAHL, Cochrane Central register of Controlled Trials, PsycINFO, Applied Social Sciences Index and Abstracts and Web of Science were searched from inception until May 2017 and references were screened independently by two reviewers.
designA systematic review that included randomised experimental or intervention studies, interrupted time series and controlled before and after studies.
participantsHealthcare staff of high-income countries.
interventionChoice architecture interventions that aimed to improve dietary purchasing and/or consumption (outcomes) of staff. APPRAISAL AND SYNTHESIS: Eligibility assessment, quality appraisal, data abstraction and analysis were completed by two reviewers. Quality appraisal of randomised trials was informed by the
resultsEighteen studies met the inclusion criteria. Five studies included multiple workplaces (including healthcare settings), 13 were conducted in healthcare settings only. Interventions in 10 studies were choice architecture only and 8 studies involved a complex intervention with a choice architecture element. Interventions involving a proximity element (making behavioural options easier or harder to engage with) appear to be frequently effective at changing behaviour. One study presented an effective sizing intervention. Labelling alone was generally not effective at changing purchasing behaviour. Interventions including an availability element were generally reported to be successful at changing behaviour but no included study examined this element alone. There was no strong evidence for the effect of pricing on purchasing or dietary intake.
conclusionProximity, availability and sizing are choice architecture elements that are likely to be effective for NHS organisations. TRIAL REGISTRATION NUMBER: CRD42017064872.
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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.