Evidence map›Paper›PMID 40885981›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2025

Effectiveness of a multi-component intervention including pictorial warnings to reduce sugar-sweetened beverage consumption - a randomized controlled trial.

Kumar Guru Mishra, Aliya Afreen, Nabnita Patnaik

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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.

Kumar Guru MishraDepartment of Community Medicine, Apollo Institute of Medical Sciences and Research, Hyderabad, Telangana, India.ORCID http://orcid.org/0000-0003-1873-4363
Aliya AfreenDepartment of Community Medicine, Apollo Institute of Medical Sciences and Research, Hyderabad, Telangana, India.
Nabnita PatnaikDepartment of Obstetrics and Gynecology, AIIMS Bibinagar, Hyderabad, Telangana, India. nabnitapatnaik@gmail.com.ORCID http://orcid.org/0000-0002-7589-9124

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSugar-sweetened beverages (SSBs) are a significant source of added sugars in the Indian diet, contributing to adverse health outcomes such as obesity, type 2 diabetes, and dental caries. Multi-component interventions (MCIs) have shown promise in reducing the consumption of harmful products like tobacco. This study assessed the effectiveness of a multi-component intervention-comprising Pictorial Health Warnings (PHWs), educational pamphlets, and targeted counseling-in reducing parental purchases of SSBs for children.

methodsA randomized stepped-wedge controlled trial was conducted across three urban slum sectors in Hyderabad. A total of 60 parents were recruited, with data collected over ten weeks. MCIs were implemented on SSBs at general stores, and outcomes were measured by comparing SSB purchase frequency, risk perception, and parental attitudes before and after the intervention.

resultsThe implementation of MCIs led to a significant reduction in SSB purchases, with 25% of parents buying SSBs post-intervention compared to 55% pre-intervention (p = 0.002). Parents also purchased SSBs with fewer calories post-intervention (45 kcal vs. 92 kcal, p < 0.001). Additionally, MCIs increased awareness of SSB-related harms (d = 2.19, p < 0.001) and strengthened negative emotional responses (d = 2.08, p < 0.001). No significant differences were observed in the appeal or perceived tastiness of SSBs (p > 0.05).

conclusionMCIs on SSBs effectively reduced purchase frequency and calorie intake among parents in urban slum settings. The findings support the potential for MCIs to be a feasible public health intervention to reduce SSB consumption in similar socio-economic contexts.

trial registrationCTRI/2024/08/072220 dated 09/08/2024.

Indexed as

Food LabelingHealth PromotionParentsSugar-Sweetened BeveragesAdultChildConsumer BehaviorFemaleHealth Knowledge, Attitudes, PracticeHumansIndiaMaleConsumer behaviorHealth promotionPictorial health warningsSugar-sweetened beveragesUrban health

Identifiers

PMID40885981
PMCPMC12398057

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.