Condition category
Nutritional, Metabolic, Endocrine
Date applied
14/09/2012
Date assigned
02/11/2012
Last edited
08/08/2016
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Background and study aims
Previous studies have looked at the effects of television advertising on children’s food intake. However, we need to measure the effects of non-traditional forms of marketing on children’s behavior. An advergame is a video game that contains an advertisement for a product, service, or company. The aim of this study is to find out whether playing advergames promoting high-calorie snacks or fruit affect food intake among children.

Who can participate?
Children aged 8-10.

What does the study involve?
The children are randomly allocated to either play an advergame promoting high-calorie snacks, fruit, or toys, or to not play a game at all. The children’s intake of snacks and fruit is then measured. The children complete questionnaires and are weighed and measured.

What are the possible benefits and risks of participating?
There were no benefits or risks of participating.

Where is the study run from?
Amsterdam School of Communication Research (ASCoR), University of Amsterdam (Netherlands)

When is the study starting and how long is it expected to run for?
November 2011 to February 2012

Who is funding the study?
Amsterdam School of Communication Research (ASCoR), University of Amsterdam (Netherlands)

Who is the main contact?
Frans Folkvord
f.folkvord@uva.nl

Trial website

Contact information

Type

Scientific

Primary contact

Mr Frans Folkvord

ORCID ID

Contact details

Kloveniersburgwal 48
Amsterdam
1012 CX
Netherlands
-
f.folkvord@uva.nl

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

The effect of playing advergames that promote energy-dense snacks or fruit on actual food intake among children: a randomised study

Acronym

Study hypothesis

1. Children that play an advergame containing energy-dense snacks will eat more energy-dense snacks afterwards.
2. Children that play an advergame containing fruit will eat more fruit afterwards.

Ethics approval

Amsterdam School of Communication Research/ASCoR, 17/11/2011, ref: ASCoR-u-2011-03

Study design

Randomized between-subject design

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Other

Trial type

Other

Patient information sheet

Not available in web format, please use the contact details below to request a patient information sheet

Condition

Obesity

Intervention

The children were randomly assigned to 1 of 4 conditions, which involved playing
1.The energy-dense snacks advergame (i.e., promoting a popular candy brand and 8 different gummy and jelly sweets from this popular candy brand)
2. The fruit advergame (i.e., promoting a popular fruit brand and 8 different fruits, fruit drinks, or cups with fruit from this popular brand)
3. The nonfood advergame (i.e., promoting a popular Dutch toy brand and 8 individual toys from this popular toy brand); or
4. No game at all (control condition).

We randomized the conditions within schools and the conditions were counterbalanced to start with a different condition every day, so that none of the conditions were tested more in the morning or just before or after the break. The order of conditions was also counterbalanced to avoid any order effects. A professional game designer designed the advergames. All games were identical, except for the advertised brands and products. The game involved a memory game with 16 cards, whereby the brands appeared on the back of the cards, and the individual products (candy, fruit, or toys) appeared on the front of the cards. These products clearly displayed the brand logos. Furthermore, we showed the brand on the right side of the screen to enhance the awareness of the advertised brand. Similar to regular advergames, we integrated two specific features to immerse the children into the game. First, a digital timer appeared on the top-left of the screen, and a time bar appeared in the top center of the screen to exert time pressure on the children. Second, the game played an unpleasant sound when a child selected a false pair and a pleasant sound when a child selected a correct pair. All children were presented four bowls that contained four different food snacks. Two bowls contained energy-dense food snacks, (1) jelly candy (cola bottles) and (2) milk chocolate candy shells; and two bowls contained sliced fruit snacks, (3) bananas and (4) apples. Two bowls of test food, such as cola bottles and bananas, were identical to one of the food products shown in the advergame. In addition to these food snacks, we used other popular candy (milk chocolate candy shells) and fruit (apples) to test possible spill-over effects.

Intervention type

Behavioural

Phase

Drug names

Primary outcome measures

1. Kcal intake of fruit, energy dense snacks, and total. We preweighed the bowls that contained food and measured it again after the child left the room. We calculated kcal according to the amount they ate.

Secondary outcome measures

1. Hunger [Visual analogue scales (VAS scale)]: not hungry - very hungry
2. Age, gender

Overall trial start date

01/10/2011

Overall trial end date

02/02/2012

Reason abandoned

Eligibility

Participant inclusion criteria

Children (girls and boys) between 8-10 years

Participant type

Healthy volunteer

Age group

Child

Gender

Both

Target number of participants

270

Participant exclusion criteria

1. Children younger than 8 years or older than 10 years
2. Children allergic to one of the test foods

Recruitment start date

01/10/2011

Recruitment end date

02/02/2012

Locations

Countries of recruitment

Netherlands

Trial participating centre

Kloveniersburgwal 48
Amsterdam
1012 CX
Netherlands

Sponsor information

Organisation

Amsterdam School of Communication Research (ASCoR) (Netherlands)

Sponsor details

Kloveniersburgwal 48
Amsterdam
1012 CX
Netherlands
-
f.folkvord@uva.nl

Sponsor type

University/education

Website

Funders

Funder type

University/education

Funder name

Amsterdam School of Communication Research (ASCoR), University of Amsterdam (Netherlands)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

2013 results in: http://www.ncbi.nlm.nih.gov/pubmed/23269821
2016 results in: http://www.ncbi.nlm.nih.gov/pubmed/26861445

Publication citations

  1. Results

    Folkvord F, Anschütz DJ, Buijzen M, Valkenburg PM, The effect of playing advergames that promote energy-dense snacks or fruit on actual food intake among children., Am. J. Clin. Nutr., 2013, 97, 2, 239-245, doi: 10.3945/ajcn.112.047126.

Additional files

Editorial Notes

08/08/2016: Publication reference added.