Effects of a randomized intervention promoting healthy children's meals on children's ordering and dietary intake in a quick-service restaurant

Anzman‐Frasca, Stephanie; Braun, A.; Ehrenberg, Sarah; Epstein, Leonard H.; Gampp, April; Leone, Lucia A.; Singh, Anita; Tauriello, Sara

doi:10.1016/j.physbeh.2018.01.022

Cited by 23 publications

(28 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While we observed increases in orders of healthier items, the most popular items (such as burgers and pancakes) remained popular at both time points. The consistency in popular items observed here may reflect the habitual patterns of ordering behavior seen in other research in the restaurant setting [ 16 , 27 , 40 , 41 , 42 ]. Habit was cited as one of the most salient factors for ordering decisions at carryout restaurants among low-income African Americans in Baltimore [ 43 ] and as a barrier to using calorie labels on menus [ 44 ], suggesting that ordering behaviors are difficult to change [ 45 ].…”

Section: Discussionsupporting

confidence: 75%

Orders of Healthier Adult Menu Items in a Full-Service Restaurant Chain with a Healthier Children’s Menu

et al. 2020

Self Cite

View full text Add to dashboard Cite

This study evaluated orders of adult menu items designated as healthier at the Silver Diner, a regional full-service restaurant chain serving over 4 million customers annually. This restaurant implemented a healthier children’s menu in April 2012. Orders of adult menu items were abstracted from before (September 2011–March 2012; PRE; n = 1,801,647) and after (September 2012–March 2013; POST; n = 1,793,582) the healthier children’s menu was introduced. Entrées, appetizers, and sides listed as healthier options on the menu were coded as healthier. PRE to POST changes in the percentage of orders of healthier items, soda, and dessert were evaluated using McNemar tests of paired proportions. Orders of healthier entrées, appetizers, and sides on the adult menu increased PRE to POST (8.9% to 10.4%, 25.5% to 27.5%, and 7.3% to 9.3%, respectively), and soda and dessert orders decreased (23.2% to 21.7% and 29.0% to 28.3%, respectively). All shifts were statistically significant (p < 0.0001). Our findings demonstrate improvements in orders of healthier adult menu options during the same time frame as a healthy children’s menu change. Future research can help elucidate mechanisms to inform future health promotion efforts in restaurants in ways that have the potential to impact both adults and children.

show abstract

Section: Discussionsupporting

confidence: 75%

Orders of Healthier Adult Menu Items in a Full-Service Restaurant Chain with a Healthier Children’s Menu

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…The effects were mixed, but the studies also used multiple nudges. Prompting refers to labels, signage, or other elements such as placemats used in Anzman-Frasca et al, 2018 [26], but in this study it did not have any effect on dietary consumption. However, in the study by Kroese et al, 2015 [34], an additional sign did not seem to have any added benefit to healthy choice.…”

Section: Discussionmentioning

confidence: 59%

“…Anzman-Frasca et al, 2018 [26] investigated whether placemats affected children’s meal selection and intake in the US. Fifty-eight families with 4-to-8-year-old children were randomized to return to a quick-service restaurant during an intervention or control period ( n = 28 intervention, 30 control).…”

Section: Resultsmentioning

confidence: 99%

Improving Cardiovascular Health through Nudging Healthier Food Choices: A Systematic Review

Tørris

Mobekk

2019

Nutrients

View full text Add to dashboard Cite

Obesity and metabolic syndrome are considered major public health problems, and their negative impact on cardiovascular disease (CVD) and diabetes mellitus type 2 (DM2) is profound. Targeting modifiable risk factors such as dietary habits is therefore of great importance. Many of today’s health challenges with overweight and obesity may have behavioral roots, and traditional methods such as regulations and campaigns are often insufficient to improve dietary choices. Nudging or choice architecture might be a viable tool to influence people’s everyday choices and behaviors to better outcomes. This paper reviews the current state of the rapidly expanding number of experimental field studies that investigate the effects/associations of nudging on healthy food choices. A systematic literature search was conducted in PubMed, where 142 citations were identified. Based on selection criteria, six randomized controlled trials and 15 non-randomized controlled trials were ultimately included. The results of this systematic review show that many of the studies included traffic-light labeling, which may be a promising strategy. The reviewed findings, however, also highlight the challenges that confront experimental studies examining the impact of nudging on diet.

show abstract

“…When the cost of the intervention was reported, there was evidence that behaviour change could be cost‐effective. However, only eight of the interventions reported either implementation costs or a cost‐effectiveness analysis 6,50,52–56 . Examples of reported implementation costs include $2000 USD per school, 54 $12.50 (plus teacher labour costs) per child, 53 while another intervention cost only $0.03 USD per cafeteria tray 56 .…”

Section: Resultsmentioning

confidence: 99%

Interventions using behavioural insights to influence children's diet‐related outcomes: A systematic review

2021

View full text Add to dashboard Cite

The global prevalence of children with overweight and obesity continues to rise. Obesity in childhood has dire long-term consequences on health, social and economic outcomes. Promising interventions using behavioural insights to address obesity in childhood have emerged. This systematic review examines the effectiveness and health equity implications of interventions using behavioural insights to improve children's diet-related outcomes. The search strategy included searches on six electronic databases, reference lists of previous systematic reviews and backward searching of all included studies. One-hundred and eight papers describing 137 interventions were included. Interventions using behavioural insights were effective at modifying children's diet-related outcomes in 74% of all included interventions. The most promising approaches involved using incentives, changing defaults and modifying the physical environment. Information provision alone was the least effective approach. Health equity implications were rarely analysed or discussed. There was limited evidence of the sustainability of interventions-both in relation to their overall effectiveness and cost-effectiveness. The limited evidence on health equity, long-term effectiveness and the cost-effectiveness of these interventions limit what can be inferred for policymakers. This review synthesises the use of behavioural insights to improve children's diet-related outcomes, which can be used to inform future interventions.

show abstract

Effects of a randomized intervention promoting healthy children's meals on children's ordering and dietary intake in a quick-service restaurant

Cited by 23 publications

References 32 publications

Orders of Healthier Adult Menu Items in a Full-Service Restaurant Chain with a Healthier Children’s Menu

Orders of Healthier Adult Menu Items in a Full-Service Restaurant Chain with a Healthier Children’s Menu

Improving Cardiovascular Health through Nudging Healthier Food Choices: A Systematic Review

Interventions using behavioural insights to influence children's diet‐related outcomes: A systematic review

Contact Info

Product

Resources

About