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Designing Impactful Warnings for Sugary Drinks

22 januari 2021 uppdaterad av: University of North Carolina, Chapel Hill

The goal of this online RCT study is to examine how sugar-sweetened beverage (SSB) health warnings influence US adults' perceptions and reactions. The investigators have the following predictions:

  1. SSB warnings will be perceived as more effective than the control (message topic)
  2. Icon and graphic warnings will be perceived as more effective than text-only warnings (message type)

The investigators will also examine the interaction of warning topic and warning type, but have no specific hypothesis about this interaction.

Finally, the investigators will test the following predictions about the secondary outcomes:

SSB warnings (vs. control), as well as icon and graphic warnings (vs text.warnings), will lead to lower perceived product healthfulness, lower purchase intentions, and higher cognitive elaboration.

Studieöversikt

Detaljerad beskrivning

Childhood obesity is a major public health problem in the US among racial and ethnic minorities, including among the US's growing Latino population. One promising but understudied policy for addressing childhood obesity is requiring warnings on the front of sugar-sweetened beverage containers. However, the topic and design of warnings that are most effective in communicating the harms of sugar-sweetened beverages remains unknown. This study assess which warning topics and which warning designs lead to the greatest perceived message effectiveness among US Latino and non-Latino parents of children ages 2-12. The investigators focus on parents as they are the primary decision-makers and purchasers of food products for children and exert strong influence over their children's dietary intake and food attitudes.

Setting: The trial will take place online on a survey developed using Qualtrics.

Recruitment: Participants will be recruited online by CloudResearch PrimePanels, a survey research platform with access to over 20 million participants. As such, participants will have to be PrimePanels members in order to participate.

Informed Consent: After determining eligibility, eligible participants will be directed to a page on Qualtrics with the consent form. Participants acknowledge their consent in the study by clicking the "next page" arrow and proceeding to the study.

Randomization: After consenting, the participant is randomly assigned to to view one of the 5 warning topics. "WARNING: High in added sugar" (added sugar), "WARNING: Excess consumption of drinks with added sugar contributes to weight gain" (weight gain), "WARNING: Excess consumption of drinks with added sugar contributes to type 2 diabetes" (Type 2 diabetes), "WARNING: Excess consumption of drinks with added sugar contributes to heart damage" (heart damage), and "Please refrain from littering" (control). Within each of the four experimental arms, participants see the message displayed on four different types of warning designs: a text warning on a square background, a text warning on a octagon background, and icon warning, and a graphic warning. Within the control arm, participants see the message displayed on three different types of warning designs: a text warning on a square background, an icon warning, and a graphic warning. Participants randomly see the different warning designs in a random order.

Survey: The participants complete a survey answering behavioral perceptions and intentions questions about the different warning labels.

Studietyp

Interventionell

Inskrivning (Faktisk)

1078

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • North Carolina
      • Chapel Hill, North Carolina, Förenta staterna, 27599
        • University of North Carolina Chapel Hill

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 99 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • at least 18 years old
  • Prime Panels member
  • have at least one child ages 2-12
  • Currently reside in the US

Exclusion Criteria:

  • less than 18 years old

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Added sugar warning message
Message displayed on warning labels is: "WARNING: High in added sugar."
The warning message is in white text on a black square background
The warning message is in white text on a black octagon background
The warning message in in white text on a black background, below an icon that conveys the topic the warning is about
The warning message in in white text on a black background, below a graphic that conveys the topic the warning is about
Experimentell: Weight gain warning message
Message displayed on warning labels is: "WARNING: Excess consumption of drinks with added sugar contributes to weight gain."
The warning message is in white text on a black square background
The warning message is in white text on a black octagon background
The warning message in in white text on a black background, below an icon that conveys the topic the warning is about
The warning message in in white text on a black background, below a graphic that conveys the topic the warning is about
Experimentell: Type 2 diabetes warning message
Message displayed on warning labels is: "WARNING: Excess consumption of drinks with added sugar contributes to type 2 diabetes."
The warning message is in white text on a black square background
The warning message is in white text on a black octagon background
The warning message in in white text on a black background, below an icon that conveys the topic the warning is about
The warning message in in white text on a black background, below a graphic that conveys the topic the warning is about
Experimentell: Heart damage warning message
Message displayed on warning labels is: "WARNING: Excess consumption of drinks with added sugar contributes to heart damage."
The warning message is in white text on a black square background
The warning message is in white text on a black octagon background
The warning message in in white text on a black background, below an icon that conveys the topic the warning is about
The warning message in in white text on a black background, below a graphic that conveys the topic the warning is about
Aktiv komparator: Neutral message
Message displayed on control label is: "Please refrain from littering."
The warning message is in white text on a black square background
The warning message in in white text on a black background, below an icon that conveys the topic the warning is about
The warning message in in white text on a black background, below a graphic that conveys the topic the warning is about

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Perceived message effectiveness
Tidsram: During survey, which lasts approximately 12-15 minutes.

Perceived message effectiveness as measured by average response to three statements:

This message makes me concerned about the health effects of drinking beverages with added sugar. Response options are on a scale (1=Strongly disagree...5=Strongly agree).

This message makes drinking beverages with added sugar seem unpleasant to me. Response options are on a scale (1=Strongly disagree...5=Strongly agree).

This message discourages me from wanting to drink beverages with added sugar. Response options are on a scale (1=Strongly disagree...5=Strongly agree).

During survey, which lasts approximately 12-15 minutes.

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Perceived product healthfulness of beverages with added sugar
Tidsram: During survey, which lasts approximately 12-15 minutes.
Measured with the question, "How healthy or unhealthy would it be for your child to drink beverages with added sugar every day?" Response options are on a scale (1= Very unhealthy...5=Very healthy).
During survey, which lasts approximately 12-15 minutes.
Intentions to purchase beverages with added sugar
Tidsram: During survey, which lasts approximately 12-15 minutes.
Measured with the question, "How likely are you to buy beverages with added sugar for your child in the next four weeks?" Response options are on a scale (1 = Not at all likely...5 = Extremely likely).
During survey, which lasts approximately 12-15 minutes.
Thinking about the health problems from beverages with added sugar
Tidsram: During survey, which lasts approximately 12-15 minutes.
Measured with the question, "How much does this message make you think about the health problems caused by drinking beverages with added sugar?" Response options are on a scale (1=Not at all...5=Very much).
During survey, which lasts approximately 12-15 minutes.

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Samarbetspartners

Utredare

  • Huvudutredare: Marissa G Hall, PhD, University of North Carolina

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

7 oktober 2019

Primärt slutförande (Faktisk)

4 november 2019

Avslutad studie (Faktisk)

4 november 2019

Studieregistreringsdatum

Först inskickad

6 maj 2020

Först inskickad som uppfyllde QC-kriterierna

6 maj 2020

Första postat (Faktisk)

11 maj 2020

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

25 januari 2021

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

22 januari 2021

Senast verifierad

1 januari 2021

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • 19-0277a

Plan för individuella deltagardata (IPD)

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NEJ

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

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