Evidence map›Paper›PMID 32956376›Full record

Observational studyPloS one2020

The health benefits and cost-effectiveness of complete healthy vending.

Melda Lois Griffiths, Eryl Powell, Lucy Usher, Jacky Boivin, Lewis Bott

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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 · 2025
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Melda Lois GriffithsSchool of Psychology, Cardiff University, Cardiff, Wales, United Kingdom.ORCID 0000-0001-7489-3452
Eryl PowellAneurin Bevan Gwent Public Health Team, Public Health Wales, Newport, Wales, United Kingdom.
Lucy UsherAneurin Bevan Gwent Public Health Team, Public Health Wales, Newport, Wales, United Kingdom.
Jacky BoivinSchool of Psychology, Cardiff University, Cardiff, Wales, United Kingdom.
Lewis BottSchool of Psychology, Cardiff University, Cardiff, Wales, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vending machines contribute to growing levels of obesity. They typically contain energy dense, high fat snacks and attempts at persuading consumers to switch to healthier snacks sold within the same machine have had limited success. This study explored the health benefits and cost effectiveness of the complete replacement of regular snacks with healthy items. Two vending machines were manipulated in a 6-month trial, with a healthy and regular range of products alternated between the two machines every fortnight. Healthy vending resulted in a 61% drop in calories sold relative to regular vending, significant with time and product range as random factors. There was no evidence of compensatory behaviour from nearby shop sales nor in multi-item purchases from vending machines. The impact on profit was less clear. Sales dropped by 30% during healthy vending but variability across product range meant that the change was not significant. Overall our results demonstrate that complete healthy vending can be introduced in hospitals without a catastrophic loss in sales nor compensatory behaviours that offset the public health gains of consuming healthier products.

Indexed as

Diet, HealthyFood Dispensers, AutomaticSnacksCost-Benefit AnalysisEnergy IntakeFast FoodsHealth BehaviorHospitalsHospital ShopsHumansNutritive ValueWales

Identifiers

PMID32956376
PMCPMC7505467

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.