ArticleAmerican journal of health promotion : AJHP2025
Behavioral Design Strategies Improve Healthy Food Sales in a Military Cafeteria.
Article in American journal of health promotion : AJHP, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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6 authors.
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Abstract
purposeThis study examined the use of behavioral design strategies to improve healthier food sales.
designA quasi-experimental, one-group, repeated measures design examined changes in food sales following behavioral design adjustments.
settingUnited States military base hospital dining facility. SUBJECTS: U.S. military service members, retirees, and civilian employees.
interventionBehavioral design changes included placement, layout, messaging, default healthy bundling, a stoplight rating system, strategic positioning of healthy items on menu boards, and an increase in healthier snacks. MEASURES: Food sales were assessed by point-of-sales data. ANALYSIS: T-tests examined total sales of each food adjusted weekly between baseline and intervention and intervention and post-intervention. 16 food items targeted by the intervention were examined. Weekly food sales were calculated for the 18-week baseline, 18-week intervention, and 9-week post-intervention. Further, analysis estimated negative binomial models for food item sales.
resultsThe hospital dining facility served 600 to 900 meals per day. Weekly foods sales decreased during the intervention for desserts, cooked starches, hummus, and yogurt (
conclusionThis study demonstrates that a mixture of behavioral design strategies can be operationalized with reasonable fidelity and can lead to increases in the sales of some healthy foods in military worksites.
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