Evidence map›Paper›PMID 34391941›Full record

Trial reportJournal of the Academy of Nutrition and Dietetics2022

The Impact of Toddler Milk Claims on Beliefs and Misperceptions: A Randomized Experiment with Parents of Young Children.

Ana Paula C Richter, Emily W Duffy, Lindsey Smith Taillie, Jennifer L Harris, Jennifer L Pomeranz, Marissa G Hall

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the Academy of Nutrition and Dietetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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

6 authors.

Ana Paula C Richter
Emily W Duffy
Lindsey Smith Taillie
Jennifer L Harris
Jennifer L Pomeranz
Marissa G Hall

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SUSAN M. SMITH · 1999 to 2026
$31.6M
POPULATION STUDIEST32HD007168 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELIZABETH A FRANKENBERG · 1985 to 2026
$13.8M
Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Designing and Evaluating High-Impact Pictorial Health Warnings for Food ProductsK01HL147713 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HALL, MARISSA · 2019 to 2023
$738k
"Examining Marketing and Parents’ Perceptions of Toddler Milk”F31HD108962 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CARDOSO RICHTER, ANA PAULA · 2022 to 2024
$112k
NHLBI NIH HHS K01 HL147713NICHD NIH HHS F31 HD108962NICHD NIH HHS P2C HD050924NICHD NIH HHS R24 HD050924NICHD NIH HHS T32 HD007168NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

backgroundToddler milk (ie, a nutrient-fortified milk-based drink marketed for children aged 12 to 36 months) has been marketed increasingly in the United States with structure/function claims on product packaging that are potentially misleading.

objectiveThis study examined how structure/function claims impact parents' beliefs and perceptions about a toddler milk product.

designThis was a 3-arm between-subjects randomized experiment.

participantsA diverse sample of 2,190 US parents of children aged 1 to 5 years were chosen to take an online survey.

interventionParticipants were randomly assigned to view a toddler milk package with either an unrelated claim ("new and improved," ie, control condition), a "brain development" claim (ie, "brain" claim), or an "immunity-related" claim (ie, "immunity" claim).

main outcome measuresOutcomes included perceptions, intentions, and beliefs about the toddler milk product. STATISTICAL ANALYSES PERFORMED: Linear regression for continuous outcomes and logistic regression for dichotomous outcomes.

resultsParents who were exposed to the "brain" claim or the "immunity" claim were more likely to incorrectly believe that the toddler milk was as healthy or healthier than cow's milk compared with those who saw the control claim (89% for brain claim, 87% for immunity claim, and 79% for control; P < .001 for both comparisons). Parents exposed to either the brain or immunity claim had higher intentions to give the toddler milk to their child, higher perceived product healthfulness, and stronger beliefs that pediatricians would recommend the product compared with parents exposed to the control (all, P < .001).

conclusionsThese findings suggest that structure/function claims on toddler milk packaging may mislead parents and increase the appeal of toddler milk. Our findings support calls for public health policies to regulate marketing on toddler milk packaging.

Indexed as

AdultAnimalsChild, PreschoolChoice BehaviorConsumer BehaviorFemaleFood LabelingFood PreferencesHumansInfantMaleMiddle AgedMilkMilk SubstitutesParentsUnited StatesHealth haloMarketingNutritionStructure/function claimsToddler milk

Identifiers

PMID34391941
PMCPMC8840993

What OpenQuestion holds

Textmetadata
LicenceTDM
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.