Evidence map›Paper›PMID 39481684›Full record

ArticleAppetite2025

Evaluating text, icon, and graphic nutrition labels: An eye tracking experiment with Latino adults in the US.

Marissa G Hall, Anna H Grummon, Callie Whitesell, Cristina J Y Lee, Quinn Errico, Tiffiany Portacio, Mirian I Avendaño-Galdamez, M Justin Byron, Adam O Goldstein

Abstract read
In one paragraph

Article in Appetite, 2025. 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. 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

9 authors.

Marissa G HallDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States. Electronic address: mghall@unc.edu.
Anna H GrummonDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, United States; Department of Health Policy, Stanford University School of Medicine, Stanford, CA, United States.
Callie WhitesellDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Cristina J Y LeeDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, United States.
Quinn ErricoLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Tiffiany PortacioDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Mirian I Avendaño-GaldamezLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
M Justin ByronDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Family Medicine, University of North Carolina, Chapel Hill, NC, United States.
Adam O GoldsteinLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Family Medicine, University of North Carolina, Chapel Hill, NC, United States.

Funding

Designing and evaluating communication for dual users of e-cigarettes and combustible cigarettesK01CA253234 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BYRON, MICHAEL JUSTIN · 2020 to 2025
$1.1M
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
NCI NIH HHS K01 CA253234NHLBI NIH HHS K01 HL147713
6 · The paper itself

Abstract

The US Food and Drug Administration (FDA) is developing front-of-package nutrition labels for packaged foods. Identifying the most promising type of label among Latino adults could inform federal regulation, given high rates of diet-related disease in Latino populations. Additionally, exploring English-language label effects among populations with limited English proficiency could inform equitable label design. We examined whether text, icon, or graphic nutrition labels attract attention among Latino populations and whether label effects differed by English proficiency. In 2023, we recruited 63 adults in North Carolina identifying as Latino/a/é (hereinafter "Latino"); 48% had limited English proficiency. Participants viewed four labels on a can of soup in random order: a barcode label (control) and text, icon, and graphic labels reading, "WARNING: High in sodium." Eye trackers measured time spent viewing the label (dwell time), number of times viewing the label (fixation count), and time to first fixation on the label. A survey assessed secondary outcomes. Dwell time was highest for the graphic label (mean = 2.58 s (s)), followed by icon (mean = 2.34s), text (mean = 1.94s), and control labels (mean = .96s; p for each label vs. control <.001). The impact of label type on dwell time did not differ by English proficiency (p = .669). Fixation count was highest for the graphic label, followed by the icon, text, and control labels (p for each label vs. control <.001). Participants viewed the graphic and text labels more quickly than control (ps = .01). Self-reported attention, perceived message effectiveness, and understandability were higher for graphic, icon, and text labels than control (all p < .001 vs. control). This study suggests that front-of-package labels signaling that foods are high in nutrients of concern can attract consumers' attention, especially when the labels include images or icons.

Indexed as

Eye-Tracking TechnologyFood LabelingHispanic or LatinoAdultFemaleHumansLimited English ProficiencyMaleMiddle AgedNorth CarolinaUnited StatesUnited States Food and Drug AdministrationYoung AdultFood labelingFood policyHealth disparitiesHispanic populationsNutrition labeling

Identifiers

PMID39481684
PMCPMC11925146

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.