Feeding Strategies Derived from Behavioral Economics and Psychology Can Increase Vegetable Intake in Children as Part of a Home-Based Intervention: Results of a Pilot Study

Cravener, T. L.; Schlechter, Haley; Loeb, Katharine L.; Radnitz, Cynthia L.; Schwartz, Marlene B.; Zucker, Nancy; Wang, Y. Claire; Rolls, Barbara J.; Keller, Kathleen L.

doi:10.1016/j.jand.2015.03.024

Cited by 39 publications

(23 citation statements)

References 76 publications

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“…For example, in health care settings, the use of defaults (one form of nudging), specifically for endof-life plans, changed choice behavior and may be used to improve important outcomes such as receipt of wanted and unwanted end-of-life care (Halpern et al, 2013). So too, nudges have been shown to increase childhood health food choices (Cravener et al, 2015; Anzman-Frasca et al, 2015; Radnitz et al, 2013), optimize physician medical orders (Olson et al, 2015), and increase organ donations (Ugur, 2015). Together, these diverse conceptual systems that build on dual systems with multi-axis models of behavior change may serve as the foundation for experimental designs and the development of behavior change interventions.…”

Section: Novel Conceptual Systemsmentioning

confidence: 99%

Some current dimensions of the behavioral economics of health-related behavior change

Bickel

Moody

Higgins

2016

Preventive Medicine

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Health-related behaviors such as tobacco, alcohol and other substance use, poor diet and physical inactivity, and risky sexual practices are important targets for research and intervention. Health-related behaviors are especially pertinent targets in the United States, which lags behind most other developed nations on common markers of population health. In this essay we examine the application of behavioral economics, a scientific discipline that represents the intersection of economics and psychology, to the study and promotion of health-related behavior change. More specifically, we review what we consider to be some core dimensions of this discipline when applied to the study health-related behavior change. Behavioral economics (1) provides novel conceptual systems to inform scientific understanding of health behaviors, (2) translates scientific understanding into practical and effective behavior-change interventions, (3) leverages varied aspects of behavior change beyond increases or decreases in frequency, (4) recognizes and exploits trans-disease processes and interventions, and (5) leverages technology in efforts to maximize efficacy, cost effectiveness, and reach. These dimensions are overviewed and their implications for the future of the field discussed.

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Section: Novel Conceptual Systemsmentioning

confidence: 99%

Some current dimensions of the behavioral economics of health-related behavior change

Bickel

Moody

Higgins

2016

Preventive Medicine

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“…Easing access in a high school cafeteria increased intake of healthier options and decreased consumption of less healthy options. 34 Incentives paired with healthy options can increase consumption in both preschoolers 35 and older children. 17 Healthy and unhealthy foods are not necessarily substitutes for one another, however.…”

Section: Current State Of the Basic Translational And Intervention mentioning

confidence: 99%

Behavioral Economic Factors Related to Pediatric Obesity

Jacques‐Tiura

Greenwald

2016

Pediatric Clinics of North America

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Summary The field of behavioral economics suggests that food and activity choices are governed by costs, available alternatives, and reinforcement. Here, we review basic and translational research using a behavioral economic (BE) framework with overweight or obese children up to age 18. We address BE concepts and methods, discuss developmental issues, the continuum of BE intervention approaches, findings of studies focused on increasing the cost of unwanted behaviors (i.e., energy-dense food intake and sedentary behavior) and decreasing the cost of desired behaviors (i.e., healthy food intake and PA), and our team's recent basic behavioral studies using BE approaches with minority adolescents.

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“…One technique to promote healthier meals to children is pairing food items with tangible rewards, such as toys. Although such incentives have traditionally promoted less-healthy foods in restaurants (e.g., a toy paired with a kids’ meal containing an entrée, French fries, and soda), studies in laboratories, homes, and schools show that incentives also offer the potential to promote healthy choices (5–7). A second approach is to target parents, given the role they play in children’s meal ordering (8,9).…”

Section: Introductionmentioning

confidence: 99%

Promoting healthier children's meals at quick-service and full-service restaurants: Results from a pilot and feasibility study

et al. 2017

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High-calorie restaurant foods contribute to childhood overweight. Increased consumer demand for healthier kids’ meals may motivate the restaurant industry to provide additional healthy options. This study pilot-tested a combination of four strategies (toy incentive, placemats, server prompts, signage) designed to increase demand for healthier kids’ meals, which were defined as those eligible for the National Restaurant Association’s Kids LiveWell program. Relative sales of healthier kids’ meals were examined before (n=3,473 total kids’ meal orders) and during Month 1 (n=3,546 total kids’ meal orders) and Month 2 of implementation (n=3,645 total kids’ meal orders) of an 8-week intervention in two locations each of a quick-service (QSR) and full-service (FSR) restaurant chain. Convenience samples of children (n=27) and their parents (n=28) were surveyed regarding parent and child perceptions of intervention components. Findings regarding the effectiveness and feasibility of the intervention were mixed. At the FSRs, the relative percentage of monthly sales from healthier kids’ meals increased from 5.0% of kids’ meal orders at baseline to 8.3% during Month 1, ending at 6.4% during Month 2. At the QSRs, the relative percentage of monthly sales from healthier kids’ entrees decreased from 27.5% at baseline to 25.2% during Month 1, ending at 25.9% during Month 2. Implementation quality tracking showed that consistent implementation of intervention components was a challenge; parent- and child-reported awareness of intervention components supported this finding. Future directions are discussed, aiming to build upon these findings and maximize the feasibility, effectiveness, and sustainability of efforts to promote healthier eating in restaurants.

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Feeding Strategies Derived from Behavioral Economics and Psychology Can Increase Vegetable Intake in Children as Part of a Home-Based Intervention: Results of a Pilot Study

Cited by 39 publications

References 76 publications

Some current dimensions of the behavioral economics of health-related behavior change

Some current dimensions of the behavioral economics of health-related behavior change

Behavioral Economic Factors Related to Pediatric Obesity

Promoting healthier children's meals at quick-service and full-service restaurants: Results from a pilot and feasibility study

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