Review: Nudge interventions to promote healthy diets and physical activity

Laiou, Elpiniki; Rapti, Iro; Schwarzer, Ralf; Fleig, Lena; Cianferotti, Luisella; Ngo, Joy; Rizos, Evangelos C.; Wetle, Terrie; Kahlmeier, Sonja; Vigilanza, Antonella; Tsilidis, Konstantinos K.; Trichopoulou, Antonia; Serra‐Majem, Lluís; Brandi, Maria Luisa; Ntzani, Evangelia

doi:10.1016/j.foodpol.2021.102103

Cited by 30 publications

(13 citation statements)

References 110 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other researchers considered the effect sizes of nudges promoting healthy eating to be small (Cohen’s d = 0.23) [ 11 ] or nudges to result in multi-directional effects [ 12 ]. Nudge effectiveness also depends on the type of nudge [ 13 , 14 ], suggesting that one-nudge-fits-all designs will fail to achieve population-broad objectives. For example, nudges applied in a cafeteria improved the eating behavior in employees but resulted in the opposite behavior in students.…”

Section: Introductionmentioning

confidence: 99%

Are You “Nudgeable”? Factors Affecting the Acceptance of Healthy Eating Nudges in a Cafeteria Setting

Kawa

Gijselaers

Nijhuis

et al. 2022

IJERPH

View full text Add to dashboard Cite

Research has identified nudging as a promising and effective tool to improve healthy eating behavior in a cafeteria setting. However, it remains unclear who is and who is not “nudgeable” (susceptible to nudges). An important influencing factor at the individual level is nudge acceptance. While some progress has been made in determining influences on the acceptance of healthy eating nudges, research on how personal characteristics (such as the perception of social norms) affect nudge acceptance remains scarce. We conducted a survey on 1032 university students to assess the acceptance of nine different types of healthy eating nudges in a cafeteria setting with four influential factors (social norms, health-promoting collaboration, responsibility to promote healthy eating, and procrastination). These factors are likely to play a role within a university and a cafeteria setting. The present study showed that key influential factors of nudge acceptance were the perceived responsibility to promote healthy eating and health-promoting collaboration. We also identified three different student clusters with respect to nudge acceptance, demonstrating that not all nudges were accepted equally. In particular, default, salience, and priming nudges were at least moderately accepted regardless of the degree of nudgeability. Our findings provide useful policy implications for nudge development by university, cafeteria, and public health officials. Recommendations are formulated for strengthening the theoretical background of nudge acceptance and the susceptibility to nudges.

show abstract

Section: Introductionmentioning

confidence: 99%

Are You “Nudgeable”? Factors Affecting the Acceptance of Healthy Eating Nudges in a Cafeteria Setting

Kawa

Gijselaers

Nijhuis

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Nudge policies aiming to modify health-related decisions, including dietary choices, are increasingly gaining popularity [ 79 , 80 ]. When nudge policies are delivered through CDSS platforms in particular, they can further improve the implementation of evidence [ 81 ].…”

Section: Discussionmentioning

confidence: 99%

Mediterranean Diet and Physical Activity Nudges versus Usual Care in Women with Rheumatoid Arthritis: Results from the MADEIRA Randomized Controlled Trial

Παπανδρέου

Gioxari

Daskalou³

et al. 2023

Nutrients

View full text Add to dashboard Cite

In rheumatoid arthritis (RA), diet quality and nutritional status have been shown to impact the disease activity and adherence to the Mediterranean diet (MD) has been suggested as an anti-inflammatory regime to improve disease status and reduce cardiovascular risk. The Mediterranean DiEt In Rheumatoid Arthritis (MADEIRA) was a single-blind (statistician), two-arm randomized clinical trial, investigating the effects of a 12-week lifestyle intervention, including a personalized isocaloric MD plan with the promotion of physical activity (PA), supported through a clinical decision support systems (CDSS) platform, versus usual care in women with RA. Forty adult women with RA on remission were randomly allocated (1:1 ratio) to either the intervention or the control arm. The intervention group received personalized MD plans and lifestyle consultation on improving PA levels, whereas the controls were given generic dietary and PA advice, based on the National Dietary Guidelines. The primary outcome was that the difference in the MD adherence and secondary outcomes included change in disease activity (DAS28), anthropometric indices (BodPod), dietary intake, PA, vitamin D concentrations, and blood lipid profiles after 12 weeks from the initiation of the trial. At 3 months post-baseline, participants in the MD arm exhibited greater adherence to the MD compared with the controls (p < 0.001), lower DAS28 (p < 0.001), favorable improvements in dietary intake (p = 0.001), PA (p = 0.002), body weight and body composition (p < 0.001), blood glucose (p = 0.005), and serum 1,25(OH)2D concentrations (p < 0.001). The delivery of the MD and PA promotion through CDSS nudges in women with RA in an intensive manner improves the MD adherence and is associated with beneficial results regarding disease activity and cardiometabolic-related outcomes, compared with the usual care.

show abstract

“…In contrast, informing farmers about the value of the ecosystem they produce might increase their demanded compensation. Indeed, ambiguous results of information provision, nudges and framing are also found in other contexts (such as healthy diets; e.g., Laiou et al, 2021). 41 Researchers might have still implicitly controlled in their analysis for several opportunity costs and behavioural factors at an aggregated level by using information about farming systems, as the farming system can comprise information about opportunity costs and behavioural factors.…”

Section: Summary and Policy Implicationsmentioning

confidence: 99%

The role of behavioural factors and opportunity costs in farmers' participation in voluntary agri‐environmental schemes: A systematic review

Schaub

Ghazoul

Huber

et al. 2023

J Agricultural Economics

View full text Add to dashboard Cite

Agri‐environmental schemes (AESs) are increasingly implemented to promote the adoption of environmentally friendly practices by farmers. We use a systematic review to explore the role of behavioural factors and opportunity costs in farmers' decisions to participate in AESs in Australia, Europe and North America. Behavioural factors influence how farmers value and perceive options, while opportunity costs relate to farmers' forgone utility when choosing to participate in schemes. We synthesise insights from 79 articles and over 700 factors explaining the participation in AESs. We find that a set of behavioural factors seem consistently connected to participation, including agricultural training, advice and having positive attitudes towards AESs. Moreover, several factors related to opportunity costs also have a rather consistent relationship with AES participation, including market conditions, implementation efforts, profitability, and management and contract flexibility. However, many relationships of behavioural factors and opportunity costs with AES participation are not as consistent and generalizable as sometimes portrayed and require context‐specific interpretation. Those factors with mixed results can still provide insights into farmers' participation decisions as several of them are either ‘positively and insignificantly’ or ‘negatively and insignificantly’ related to participation, such as environmental attitude, trust and farm size. These results suggest that their relationship with AES participation depends on other factors or the setting, highlighting interactions and raising important new research questions. Overall, our results provide several entry points for both researchers and policy‐makers, highlighting uncertainties in relationships between factors and participation that should be considered when designing policies.

show abstract

Review: Nudge interventions to promote healthy diets and physical activity

Cited by 30 publications

References 110 publications

Are You “Nudgeable”? Factors Affecting the Acceptance of Healthy Eating Nudges in a Cafeteria Setting

Are You “Nudgeable”? Factors Affecting the Acceptance of Healthy Eating Nudges in a Cafeteria Setting

Mediterranean Diet and Physical Activity Nudges versus Usual Care in Women with Rheumatoid Arthritis: Results from the MADEIRA Randomized Controlled Trial

The role of behavioural factors and opportunity costs in farmers' participation in voluntary agri‐environmental schemes: A systematic review

Contact Info

Product

Resources

About