Does replacing pints with 2/3 pints in pubs, bars and restaurants reduce beer and cider consumption?

ISRCTN ISRCTN18365249
DOI https://doi.org/10.1186/ISRCTN18365249
Secondary identifying numbers 206853/Z/17/Z
Submission date
20/01/2023
Registration date
31/01/2023
Last edited
18/09/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Removing the largest serving of wine by the glass from the range of available options in pubs, bars and restaurants can decrease wine consumption. This study will explore whether removing the largest serving size of draught beer or cider by the glass (1 pint), and replacing it with 2/3 of a pint has a similar effect on beer consumption.

Who can participate? 
Licensed premises that serve draught beer and cider and are willing to remove the offer of pints

What does the study involve? 
Licensed premises that agree to remove the offer of pints for all draught beer and cider and introduce 2/3 pints, if this size is not already included in their range, will do so for a period of 4 weeks. Premises will be asked to remove mention of pints from menus and signs as necessary. Sales data will be collected from premises for a period of 12 weeks, covering 4 weeks of baseline business as usual, 4 weeks of the intervention and 4 weeks of going back to business as usual.

What are the possible benefits and risks of participating? 
A possible benefit of participating is the opportunity to contribute to a better understanding of how the serving sizes of beer affect consumption. Licensed premises may benefit from publicity in taking part in this research once the results have been published, but can choose to stay anonymous if they wish. There is no change for the customers except to the serving size of draught beer, so there is no risk or benefit to visiting premises participating in the study.

Where is the study run from?
Behaviour and Health Research Unit, University of Cambridge (UK)

When is the study starting and how long is it expected to run for? 
September 2022 to September 2023

Who is funding the study? 
Wellcome Trust (UK)

Who is the main contact? 
Prof. Theresa Marteau, tm388@medschl.cam.ac.uk

Contact information

Prof Theresa Marteau
Principal Investigator

Behaviour and Health Research Unit
University of Cambridge
Cambridge Public Health
East Forvie Site
Cambridge
CB2 0SR
United Kingdom

ORCiD logoORCID ID 0000-0003-3025-1129
Phone +44 (0)1223 762567
Email tm388@medschl.cam.ac.uk

Study information

Study designCross-over study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Community
Study typePrevention
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleImpact on beer sales of removing pints from the range of options available in licensed premises
Study hypothesisRemoving the largest serving size of draught beer and cider by the glass (1 pint), so that the largest serving size available becomes 2/3 of a pint, reduces the volume of beer and cider sold.
Ethics approval(s)Approved 20/01/2023, Psychology Research Ethics Committee of the University of Cambridge (School of the Biological Sciences, 17 Mill Lane, Cambridge, CB2 1RX, UK; +44 (0)1223 766876; cheryl.torbett@admin.cam.ac.uk), ref: PRE.2022.103
ConditionAlcohol consumption
InterventionLicensed premises will remove the largest serving size of draught beer and cider (1 pint) from their existing range so that the largest serving size available is 2/3 of a pint. Where 2/3 pints are not usually served, the intervention will include introducing this serving size, with proportionate pricing as far as is possible i.e. with a price which is linear-by-volume between the pint and half-pint sizes. If half pints and pints are not proportionately priced then, premises will be requested to price 2/3 pints in proportion to pints. Premises will be provided with the necessary glassware by the research team. Menus and signs will be updated to reflect the changes.

Licensed premises that agree to remove the offer of pints for all draught beer and cider and introduce 2/3 pints, if this size is not already included in their range, will do so for a period of 4 weeks. Premises will be asked to remove mention of pints from menus and signs as necessary. Sales data will be collected from premises for a period of 12 weeks, covering 4 weeks of baseline business as usual, 4 weeks of the intervention and 4 weeks of going back to business as usual.
Intervention typeBehavioural
Primary outcome measureDaily volume (in millilitres [ml]) of all beer and cider sold (draught as well as bottled), extracted from electronic records of sales. Sales will be recorded for 12 weeks, including 4 weeks of business as usual before the intervention, 4 weeks of the intervention and 4 weeks going back to business as usual after the intervention.
Secondary outcome measuresThe following outcomes will be extracted from the electronic records of sales from each premise, recorded daily for 12 weeks: 4 weeks baseline, business as usual, 4 weeks intervention and 4 weeks back to business as usual:
1. Daily volume (in ml) of beer and cider available in each serving size, for example 1/3 pint (189 ml) draught, ½ pint (284 ml) draught, 330 ml bottle, 440 ml can, 500 ml bottle, pint (568 ml) draught, 600 ml bottle, 5 litre (5000 ml) keg/jug
2. Daily volume (in ml) of wine sold
3. Daily revenue from food, alcoholic and non-alcoholic drinks

Additional measures:
1. Max temperature will be measured daily using data from the National Observatory
2. Special events will be recorded using national calendars to check for bank holidays or major sporting events that coincide with any day of the 12-week study.
3. Total revenue will be recorded daily for each of the 12 weeks of the study, using electronic sales records
4. Day of the week, referring to each day (Monday-Sunday) of the 12-week study
5. Study day at the start of the period, corresponding to a number between 1-84 (equivalent to 12 weeks) representing each day in the study
6. Season at the start of the study, referring to whether it is Winter, Spring, Summer or Autumn when a venue begins the study
Overall study start date15/09/2022
Overall study end date07/05/2023

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
SexBoth
Target number of participantsMinimum of 10 and maximum of 13 licensed premises
Total final enrolment13
Participant inclusion criteriaPublic houses, bars and restaurants that meet the following criteria:
1. Sell a minimum of 150 pints of beer and cider on average per week
2. Be willing to remove the larger serving of draught beer and cider i.e. the pint and introduce 2/3 pints if this serving size is not already available
3. Have an electronic point of sale (EPOS) till system to record daily sales of all drinks and their served sizes
4. Be primarily indoor, permanent establishments in a fixed location; i.e. not purposefully temporary or time-limited (e.g. pop-up), or mobile venues (e.g. vans)
Participant exclusion criteriaDoes not meet the inclusion criteria
Recruitment start date01/02/2023
Recruitment end date06/02/2023

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of Cambridge
Behaviour and Health Research Unit
Cambridge Public Health
East Forvie Site
Cambridge
CB2 0SR
United Kingdom

Sponsor information

University of Cambridge
University/education

Cambridge Research Office
16 Mill Lane
Cambridge
CB2 1SB
England
United Kingdom

Phone +44 (0)1223 7766362
Email Jo.Dekkers@admin.cam.ac.uk
Website https://www.research-operations.admin.cam.ac.uk/about-us/contact-us
ROR logo "ROR" https://ror.org/013meh722

Funders

Funder type

Charity

Wellcome Trust
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
Wellcome, WT
Location
United Kingdom

Results and Publications

Intention to publish date31/12/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in publicly available repository
Publication and dissemination planThe findings from this study will be published in at least one scientific journal in 2023 and made available open access. They will also be presented at one or more scientific meetings. The data will be made available for sharing via the University of Cambridge Research Data Repository or Open Science Framework online data repository once the findings have been published.
IPD sharing planThe study will not use individual-level data: the unit of randomisation, data collection and analysis will be individual public houses and bars. The datasets generated and/or analysed during the current study will be stored in a publicly available repository. All study data will be anonymised using a unique numeric identifier. At the appropriate time, the anonymous study datasheet will be locked and deposited on the University of Cambridge Data Repository. If a publican decides that they do not want their data to be used after their participation they have the right to request that their data are withdrawn from the study. They can request this up to 2 weeks after study completion. Publicans are made aware of this prior to giving consent to their participation in the study and to the use of their anonymised study data.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol file version 2.0 09/01/2023 23/01/2023 No No
Dataset 18/09/2024 No No
Protocol (other) 18/09/2024 No No
Results article 17/09/2024 18/09/2024 Yes No
Statistical Analysis Plan 18/09/2024 No No

Additional files

43083_PROTOCOL_V2.0_09Jan23.pdf

Editorial Notes

18/09/2024: Publication reference, dataset, statistical analysis plan and protocol added.
27/02/2023: The following changes were made to the trial record:
1. The overall end date was changed from 30/09/2023 to 07/05/2023.
2. The total final enrolment was added.
23/01/2023: Trial's existence confirmed by the Psychology Research Ethics Committee of the University of Cambridge.