Designing Impactful Warnings for Sugary Drinks

Health Behavior Clinical Trial

Official title:

Designing Impactful Warnings for Sugary Drinks

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04382599
• Other study ID #: 19-0277a
• Status: Completed
• Phase: N/A
• Start date: October 7, 2019
• Est. completion date: November 4, 2019

Study information

• Verified date: January 2021
• Source: University of North Carolina, Chapel Hill
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this online RCT study is to examine how sugar-sweetened beverage (SSB) health warnings influence US adults' perceptions and reactions. The investigators have the following predictions:

1. SSB warnings will be perceived as more effective than the control (message topic)

2. Icon and graphic warnings will be perceived as more effective than text-only warnings (message type)

The investigators will also examine the interaction of warning topic and warning type, but have no specific hypothesis about this interaction.

Finally, the investigators will test the following predictions about the secondary outcomes:

SSB warnings (vs. control), as well as icon and graphic warnings (vs text.warnings), will lead to lower perceived product healthfulness, lower purchase intentions, and higher cognitive elaboration.

Description:

Childhood obesity is a major public health problem in the US among racial and ethnic minorities, including among the US's growing Latino population. One promising but understudied policy for addressing childhood obesity is requiring warnings on the front of sugar-sweetened beverage containers. However, the topic and design of warnings that are most effective in communicating the harms of sugar-sweetened beverages remains unknown. This study assess which warning topics and which warning designs lead to the greatest perceived message effectiveness among US Latino and non-Latino parents of children ages 2-12. The investigators focus on parents as they are the primary decision-makers and purchasers of food products for children and exert strong influence over their children's dietary intake and food attitudes.

Setting: The trial will take place online on a survey developed using Qualtrics.

Recruitment: Participants will be recruited online by CloudResearch PrimePanels, a survey research platform with access to over 20 million participants. As such, participants will have to be PrimePanels members in order to participate.

Informed Consent: After determining eligibility, eligible participants will be directed to a page on Qualtrics with the consent form. Participants acknowledge their consent in the study by clicking the "next page" arrow and proceeding to the study.

Randomization: After consenting, the participant is randomly assigned to to view one of the 5 warning topics. "WARNING: High in added sugar" (added sugar), "WARNING: Excess consumption of drinks with added sugar contributes to weight gain" (weight gain), "WARNING: Excess consumption of drinks with added sugar contributes to type 2 diabetes" (Type 2 diabetes), "WARNING: Excess consumption of drinks with added sugar contributes to heart damage" (heart damage), and "Please refrain from littering" (control). Within each of the four experimental arms, participants see the message displayed on four different types of warning designs: a text warning on a square background, a text warning on a octagon background, and icon warning, and a graphic warning. Within the control arm, participants see the message displayed on three different types of warning designs: a text warning on a square background, an icon warning, and a graphic warning. Participants randomly see the different warning designs in a random order.

Survey: The participants complete a survey answering behavioral perceptions and intentions questions about the different warning labels.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1078
• Est. completion date: November 4, 2019
• Est. primary completion date: November 4, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 99 Years

Eligibility

Inclusion Criteria:

• at least 18 years old

• Prime Panels member

• have at least one child ages 2-12

• Currently reside in the US

Exclusion Criteria:

• less than 18 years old

Related Conditions & MeSH terms

• Health Behavior

Intervention

Behavioral:
• Text warning with square background
The warning message is in white text on a black square background
• Text warning with octagon background
The warning message is in white text on a black octagon background
• Icon warning
The warning message in in white text on a black background, below an icon that conveys the topic the warning is about
• Graphic warning
The warning message in in white text on a black background, below a graphic that conveys the topic the warning is about

Locations

Country	Name	City	State
United States	University of North Carolina Chapel Hill	Chapel Hill	North Carolina

Sponsors (2)

Lead Sponsor	Collaborator
University of North Carolina, Chapel Hill	Robert Wood Johnson Foundation

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Perceived message effectiveness	Perceived message effectiveness as measured by average response to three statements: This message makes me concerned about the health effects of drinking beverages with added sugar. Response options are on a scale (1=Strongly disagree...5=Strongly agree).; This message makes drinking beverages with added sugar seem unpleasant to me. Response options are on a scale (1=Strongly disagree...5=Strongly agree).; This message discourages me from wanting to drink beverages with added sugar. Response options are on a scale (1=Strongly disagree...5=Strongly agree).	During survey, which lasts approximately 12-15 minutes.
Secondary	Perceived product healthfulness of beverages with added sugar	Measured with the question, "How healthy or unhealthy would it be for your child to drink beverages with added sugar every day?" Response options are on a scale (1= Very unhealthy...5=Very healthy).	During survey, which lasts approximately 12-15 minutes.
Secondary	Intentions to purchase beverages with added sugar	Measured with the question, "How likely are you to buy beverages with added sugar for your child in the next four weeks?" Response options are on a scale (1 = Not at all likely...5 = Extremely likely).	During survey, which lasts approximately 12-15 minutes.
Secondary	Thinking about the health problems from beverages with added sugar	Measured with the question, "How much does this message make you think about the health problems caused by drinking beverages with added sugar?" Response options are on a scale (1=Not at all...5=Very much).	During survey, which lasts approximately 12-15 minutes.