The use of food swaps to encourage healthier online food choices

ISRCTN ISRCTN80519674
DOI https://doi.org/10.1186/ISRCTN80519674
Submission date
02/09/2021
Registration date
02/09/2021
Last edited
09/09/2022
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 of protocol

Background and study aims
Nowadays, increasingly more people face health issues and the online store environment offers opportunities to decrease those health issues by promoting healthy food choices. This study assesses the effect of a swap offer, Nutri-Score labelling, and a descriptive norm message on the nutrient profiling (NP) score of food choices in an online food basket.

Who can participate?
Everyone older than 18 years and currently living in the Netherlands.

What does the study involve?
Completing one questionnaire on grocery choices and several background questions.

What are the possible benefits and risks of participating?
Benefits include enhanced knowledge and understanding of choosing healthy groceries in the online store environment. There are no foreseen risks of this study.

Where is the study run from?
Wageningen University (Netherlands)

When is the study starting and how long is it expected to run for?
April 2020 to May 2020

Who is funding the study?
Wageningen School of Social Sciences (WASS) from Wageningen University & Research and The Dutch 4TU Federation through the Pride and Prejudice project.

Who is the main contact?
Laura Jansen, laura1.jansen@wur.nl

Contact information

Miss Laura Jansen
Scientific

Hollandseweg 1
Wageningen
6707KN
Netherlands

ORCiD logoORCID ID 0000-0002-2058-3536
Phone +31 317 489 876
Email laura1.jansen@wur.nl

Study information

Study designSingle centre interventional double-blinded randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Internet/virtual
Study typeOther
Participant information sheet 40358 PIS.docx
Scientific titleThe use of food swaps, Nutri-Score labelling and a norm message to encourage healthier online food choices among grocery shoppers
Study acronymSWAP
Study objectivesProviding a swap offer, Nutri-Score label or a descriptive norm message will reduce the Nutrient Profiling (NP) score of food choices.
Moreover, the study explores whether the effect of the interventions on NP score is mediated by ease of identifying the healthy food option and situational motivation to choose healthy, as well as whether the effect is moderated by a person's health interest.
Ethics approval(s)Approved 21/04/2020, Social Sciences Ethics Committee (SEC, Hollandseweg 1, 6706KN Wageningen, The Netherlands; +31 (0)317 484 334; esther.roquas@wur.nl), ref: none
Health condition(s) or problem(s) studiedImprovement of healthiness score of groceries purchased
InterventionAn online questionnaire will be hosted via Qualtrics. A link will take participants to the survey where they can read the Participant Information Sheet, providing their agreement/consent to participate and answer the questions. The questionnaire is anonymous and will take approximately 5 to 10 minutes to complete.

The questionnaire includes basic background data (age, gender, country of living, education and household composition) and a series of questions where participants will be asked to choose their preferred grocery item. Respondents will be shown six products for four different categories (breakfast cereals, muesli bars, crackers and pizza) separately. Interventions are Nutri-Score labelling, a swap offer and a norm message. Nutri-Score label is shown by displaying the corresponding Nutri-Score label alongside each product. In the swap offer condition, participants receive an alternative, healthier product recommendation if they do not choose the healthiest option from the product assortment. In the norm message condition, a norm about grocery shopping habits of Dutch consumers will be shown.
Randomization will be on a 1:1:1:1:1:1:1:1 basis, using computerized random number generation. Intervention allocation will be concealed from researchers until after completion of the experiment, as participants are automatically randomized without human involvement.
Intervention typeBehavioural
Primary outcome measureCombined nutrient profiling score is measured using the summated NP score of the chosen products of each of the four categories. The summated NP score ranges from -6 to +58. The lower the score, the better the product healthfulness. Measured at a single time point.
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date01/04/2020
Completion date16/05/2020

Eligibility

Participant type(s)All
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants550
Total final enrolment550
Key inclusion criteriaParticipants are eligible if they live in the Netherlands, are older than 18 years, are able to read Dutch, and are willing to provide information.
Key exclusion criteriaIndividuals who are aged 18 years or younger and not able to read Dutch.
Date of first enrolment08/05/2020
Date of final enrolment16/05/2020

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Online study
-
Netherlands

Sponsor information

Wageningen University & Research
University/education

Droevendaalsesteeg 4
Wageningen
6708 PB
Netherlands

Phone +31 (0)317 480 100
Email Ellen.vanloo@wur.nl
Website https://www.wur.nl/
ROR logo "ROR" https://ror.org/04qw24q55

Funders

Funder type

University/education

Wageningen School of Social Sciences

No information available

The Dutch 4TU Federation

No information available

Results and Publications

Intention to publish date01/12/2021
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryStored in repository
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be stored in a publically available repository. Data will be available on Zenodo after publication; Laura Jansen, Ellen Van Loo, & Ellen van Kleef. (2020). The use of food swaps to encourage healthier online food choices [Data set]. Zenodo. https://doi.org/10.5281/zenodo.4309693
The raw dataset of the manuscript will be shared here and this data will become available after publication. Publication on Zenodo is without an end date so it will be published indefinitely. Consent from participants was obtained and the data is anonymous, so the data will be available without any restriction on data access. The data will be publicly available on Zenodo once the manuscript is published.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 02/09/2021 No Yes
Results article 04/12/2021 06/12/2021 Yes No
Protocol file 09/09/2022 09/09/2022 No No

Additional files

40358 PIS.docx
ISRCTN80519674_Protocol_09Sep2022.pdf

Editorial Notes

09/09/2022: Protocol file uploaded.
06/12/2021: Publication reference added.
03/09/2021: Internal review.
02/09/2021: Trial's existence confirmed by Social Sciences Ethics Committee.