A randomized trial of web-based behavioral economic interventions to promote healthy food choices among food pantry clients

一项基于网络的行为经济干预措施的随机试验，以促进食品储藏室客户的健康食品选择

• 批准号: 10158023
• 负责人: Christina Ann Roberto
• 金额: $ 58.72万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-07-01 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10158023
• 关键词: Address; Affect; Anxiety; Architecture; Banana; Behavior; Behavior Therapy; Biological Markers; Blood Pressure; Cardiovascular Diseases; Categories; Client; Computers; Control Groups; Data; Diabetes Mellitus; Diet Habits; Dietary intake; Environment; Evaluation; Food; Food Selections; Food Webs; Frequencies; Glycosylated hemoglobin A; Goals; Health; Health Benefit; Health Food; Healthy Eating; Hospitals; Household; Hyperlipidemia; Hypertension; Individual; Intake; Intervention; Label; Light; Link; Low Income Population; Low income; Malignant Neoplasms; Measures; Mental Depression; Mental Health; Non-Insulin-Dependent Diabetes Mellitus; Nutrient; Nutrition Labeling; Nutritional; Obesity; Online Systems; Organ Donor; Outcome; Patient Self-Report; Pharmaceutical Preparations; Poverty; Price; Principal Investigator; Public Health; Questionnaires; Randomized Controlled Trials; Research; Rice; Sales; System; Tablets; Testing; Transact; Unhealthy Diet; Water; Weight; Weights and Measures; Woman; Work; base; behavior test; behavioral economics; comparison intervention; cost; dietary; experience; food insecurity; food quality; fruits and vegetables; group intervention; high risk; improved; interest; intervention cost; nutrition; post intervention; primary outcome; programs; randomized trial; recruit; social norm; touchscreen; treatment as usual; usual care arm; web page; web site

PROJECT SUMMARY Obesity, unhealthy dietary habits, and food insecurity are major public health concerns, especially affecting individuals living in poverty. Food pantries, which provide free food to those in need, are increasingly interested in promoting healthy choices, but few rigorous studies have tested low-cost, behavioral interventions to encourage healthy food choices in food pantry settings. The overall objective of this proposal is to conduct a 1-year randomized-controlled trial among 500 regular food pantry clients to compare the influence of a behavioral economic intervention to promote healthier food choices delivered via a web-based ordering platform to usual care (control group). At this pantry, clients are assigned points to “buy” food and place their orders via a touchscreen-based computer ordering platform. We will implement an intervention that employs several behavioral economic strategies and compare this intervention to the food pantry’s current online ordering system (usual care control group). Our behavioral economic intervention uses the following four strategies to promote healthier choices: 1) default settings; 2) healthy placement choice architecture; 3) simple and salient nutrition messaging; and 4) social norms messaging. Food pantry clients assigned to the intervention group will log into the usual food ordering platform, but it will pre-populate their shopping basket with several healthy, preferred items as the default (clients can opt to remove them). In addition, as clients navigate the website, a healthy placement choice architecture intervention will place the healthiest options at the top of the webpage for each food category. The third intervention component will display simple and salient traffic light labels to indicate foods that are more and less healthy along with salient messaging to highlight price discounts on healthier foods (e.g., “save 1.5 points by switching from white to brown rice”). The fourth intervention will display social norms messaging indicating the most commonly selected healthy products (e.g., over half of all customers order bananas when shopping here). We will compare how these two interventions influence: 1) the nutritional quality of food selected from the pantry based on transaction data; 2) dietary intake measured by fruit and vegetable biomarkers and food frequency questionnaires; and 3) objectively measured weight, blood pressure, and HbA1c levels. !

项目摘要 肥胖，不健康的饮食习惯和粮食不安全是主要的公共卫生问题， 特别影响生活在贫困中的人。食品储藏室，为那些提供免费食物 有需要的是，在促进健康的选择方面越来越有趣，但是很少有严格的研究 测试了低成本的行为干预措施，以鼓励食品储藏室健康食品选择 设置。该提案的总体目的是进行一项为期1年的随机控制试验 在500个常规食品储藏室客户中，比较行为经济的影响 干预措施以促进通过基于网络的订购平台提供的更健康的食物选择 通常的护理（对照组）。在此食品储藏室，客户被分配了“购买”食物和地点的积分 他们通过基于触摸屏的计算机订购平台进行订单。我们将实施 干预措施使雇员多种行为经济战略并比较此干预措施 到食品储藏室当前的在线订购系统（通常的护理控制组）。我们的行为 经济干预使用以下四种策略来促进更健康的选择：1）默认 设置; 2）健康位置选择体系结构； 3）简单而显着的营养消息； 4）社会规范消息传递。分配给干预小组的食品储藏室客户将记录 进入通常的食品订购平台，但它将用几个 默认情况下，健康，首选的项目（客户可以选择删除它们）。另外，作为客户 在网站上浏览，健康的位置选择架构干预将使 每个食物类别的网页顶部最重要的选择。第三次干预 组件将显示简单明了的交通信号灯标签，以指示更多的食物 不太健康，以及显着的消息传递，以突出更健康食品的价格折扣（例如 “通过切换到白米来节省1.5点”）。第四次干预将显示 社会规范消息传递表明最常见的健康产品（例如，超过一半 在所有客户购物时订购香蕉）。我们将比较这两个 干预措施影响：1）根据食品储藏室选择食物的营养质量 交易数据； 2）通过水果和蔬菜生物标志物和食物测量的饮食摄入量 频率问卷； 3）客观地测量体重，血压和HBA1C 水平。 呢