Evidence map›Paper›PMID 40797250›Full record

Trial reportBMC medicine2025

Testing the effect of a dynamic descriptive social norm message on meat-free food selection in worksite cafeterias: a randomized controlled trial.

Elif Naz Çoker, Rachel Pechey, Susan A Jebb

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Elif Naz ÇokerNuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG, UK. e.coker@ucl.ac.uk.
Rachel PecheyNuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG, UK.
Susan A JebbNuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG, UK.

Funding

Wellcome TrustWellcome Trust,United Kingdom 205212/Z/16/ZWellcome Trust,United Kingdom 222566/Z/21/Z
6 · The paper itself

Abstract

backgroundOverconsumption of meat is a threat to planetary health. Meat consumption is socially and culturally patterned, and interventions using social norms could be a promising strategy to encourage meat reduction.

methodsWe developed and tested the effectiveness of a dynamic descriptive social norm message displayed in worksite cafeterias (N = 25, intervention = 12, control = 13) to increase meat-free meal selection. The message was developed based on existing evidence and in collaboration with the catering company operating the cafeterias. The message communicated a specific change in target behavior, using a relevant and relatable referent group, grounding the desired behavior change in time and place, and included a clear call to action. The social norm messages were displayed in each intervention cafeteria for 8 weeks on free-standing banners, posters, and floor stickers. We compared the change in weekly percentage of meat-free meal sales (measured as number of meals sold) between intervention and control cafeterias through linear mixed-effects models. We conducted fidelity checks in intervention cafeterias and interviewed customers to assess perceptions of the intervention.

resultsThere was no evidence that the intervention led to an increase in sales of meat-free meals (- 2.22 percentage point change, 95% CIs [- 7.33, 2.90], p = 0.378). Pre-intervention baseline sales of meat-free meals varied by site, but there was no evidence the intervention was differentially effective for sites with higher vs. lower baselines. There was also no evidence that the intervention changed overall meal sales. The intervention was implemented with high fidelity, though out of 155 customers interviewed, 57% reported that they did not notice the messages, and only 2% correctly recalled the message.

conclusionsThere was no evidence that empirically informed and co-created dynamic descriptive social norm messages increased selection of meat-free meals in worksite cafeterias. This could be due to low salience of the intervention in a busy, fast-paced environment, or the strength of existing eating habits in a workplace cafeteria. The findings suggest that norm messaging interventions, when delivered as an isolated intervention, may not be effective to change a complex and socially grounded dietary behavior such as meat consumption.

trial registrationOSF Registries, Registered September 23, 2022, https://osf.io/h7zkf.

Indexed as

Food PreferencesFood ServicesHealth PromotionMeatSocial NormsWorkplaceAdultFemaleHumansMaleMiddle AgedBehavioral interventionBehavior changeMeat consumptionRandomized controlled trialSocial normsWorksite cafeterias

Identifiers

PMID40797250
PMCPMC12345364

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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.