Evidence map›Paper›PMID 36764835›Full record

Trial reportAmerican journal of preventive medicine2023

Effects of Sugary Beverage Text and Pictorial Warnings: A Randomized Trial.

Aviva A Musicus, Laura A Gibson, Scarlett L Bellamy, Jennifer A Orr, David Hammond, Karen Glanz, Kevin G Volpp, Marlene B Schwartz, Amy Bleakley, Andrew A Strasser and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03648138 (Testing the Influence of Different Sugary Drink Warning Label Designs), which is not on this 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.

NCT03648138 nacompletednot on this map

Testing the Influence of Different Sugary Drink Warning Label Designs

TypeinterventionalSponsorUniversity of PennsylvaniaRan2020 to 2020Enrolled1,016ConditionsObesity, Weight Gain, Diabetes Type 2ArmsSugary drink warning labels
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. 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

11 authors.

Aviva A MusicusDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. Electronic address: aam231@mail.harvard.edu.
Laura A GibsonDepartment of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Scarlett L BellamyDepartment of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jennifer A OrrDepartment of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
David HammondSchool of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Karen GlanzDepartment of Biostatistics, Epidemiology & Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Kevin G VolppDepartment of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Marlene B SchwartzRudd Center for Food Policy and Health, University of Connecticut, Storrs, Connecticut.
Amy BleakleyDepartment of Communication, College of Arts and Sciences, University of Delaware, Newark, Delaware.
Andrew A StrasserDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Christina A RobertoDepartment of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Funding

CVD Epidemiology Training Program in Behavior, the Environment and Global HealthT32HL098048 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Goodarz Danaei, ERIC B RIMM · 2009 to 2026
$6.9M
The Harvard Chan Education Program in Cancer Prevention and ControlT32CA057711 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Karen M. Emmons, ANNE LINDSAY FRAZIER · 2019 to 2026
$3.3M
Communicating the Health Risks of Sugar-Sweetened BeveragesR01DK111558 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI ROBERTO, CHRISTINA ANN · 2017 to 2021
$1.9M
NCI NIH HHS T32 CA057711NHLBI NIH HHS T32 HL098048NIDDK NIH HHS R01 DK111558
6 · The paper itself

Abstract

introductionMultiple U.S. localities have introduced legislation requiring sugar-sweetened beverage (SSB) warnings. This study effects of different warning designs on beverage selections and perceptions. STUDY

designThe study was an RCT. SETTING/

participantsAn online virtual convenience store and survey were used with a nationally representative sample of primary caregivers of 6-11-year-olds (n=961). Data were collected in January 2020 and analyzed in May-July 2020.

interventionParticipants were randomized to view SSBs with 1 of 4 front-of-package label designs: (1) no-warning control, (2) health-related text warning, (3) sugar pictorial warning (image of beverage sugar content in cubes/teaspoons/packets with health-related warning text), or (4) health pictorial warning (image of possible health consequences of overconsuming SSBs with health-related warning text).

main outcome measuresOutcomes included participants' beverage choice for their child and perceptions of beverages, their assigned labels, and warning policies.

resultsProportionally fewer participants chose a SSB in the sugar pictorial warning condition (-13.4 percentage points; 95% CI= -21.6 to -0.1 percentage points; p=0.007) and in the health pictorial warning condition (-14.7 percentage points; 95% CI= -22.8 to -0.1 percentage points; p=0.004) compared to the control. Sugar pictorial warnings led to more accurate added-sugar content estimates than all conditions and greater label trust and support for sugar-sweetened beverage warning policies than health pictorial warnings.

conclusionsSSB warning policies may be most effective if they mandate images of beverages' added sugar content accompanied by warning text.

trial registrationThis study is registered at www. CLINICALTRIALS: gov NCT03648138.

Indexed as

SugarsSugar-Sweetened BeveragesBeveragesChildFood LabelingHumansPolicySugars

Identifiers

PMID36764835
PMCPMC10121881

What OpenQuestion holds

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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.