Effects of Sugary Beverage Text and Pictorial Warnings : A Randomized Trial
Copyright © 2023 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved..
INTRODUCTION: Multiple U.S. localities have introduced legislation requiring sugar-sweetened beverage (SSB) warnings. This study effects of different warning designs on beverage selections and perceptions.
STUDY DESIGN: The study was an RCT.
SETTING/PARTICIPANTS: An online virtual convenience store and survey were used with a nationally representative sample of primary caregivers of 6-11-year-olds (n=961). Data were collected in January 2020 and analyzed in May-July 2020.
INTERVENTION: Participants were randomized to view SSBs with 1 of 4 front-of-package label designs: (1) no-warning control, (2) health-related text warning, (3) sugar pictorial warning (image of beverage sugar content in cubes/teaspoons/packets with health-related warning text), or (4) health pictorial warning (image of possible health consequences of overconsuming SSBs with health-related warning text).
MAIN OUTCOME MEASURES: Outcomes included participants' beverage choice for their child and perceptions of beverages, their assigned labels, and warning policies.
RESULTS: Proportionally fewer participants chose a SSB in the sugar pictorial warning condition (-13.4 percentage points; 95% CI= -21.6 to -0.1 percentage points; p=0.007) and in the health pictorial warning condition (-14.7 percentage points; 95% CI= -22.8 to -0.1 percentage points; p=0.004) compared to the control. Sugar pictorial warnings led to more accurate added-sugar content estimates than all conditions and greater label trust and support for sugar-sweetened beverage warning policies than health pictorial warnings.
CONCLUSIONS: SSB warning policies may be most effective if they mandate images of beverages' added sugar content accompanied by warning text.
TRIAL REGISTRATION: This study is registered at www.
CLINICALTRIALS: gov NCT03648138.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:64 |
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| Enthalten in: |
American journal of preventive medicine - 64(2023), 5 vom: 15. Mai, Seite 716-727 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Musicus, Aviva A [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 25.04.2023 Date Revised 25.04.2023 published: Print-Electronic ClinicalTrials.gov: NCT03648138, NCT03648138 Citation Status MEDLINE |
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| doi: |
10.1016/j.amepre.2023.01.018 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM352745924 |
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| 245 | 1 | 0 | |a Effects of Sugary Beverage Text and Pictorial Warnings |b A Randomized Trial |
| 264 | 1 | |c 2023 | |
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| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 25.04.2023 | ||
| 500 | |a Date Revised 25.04.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a ClinicalTrials.gov: NCT03648138, NCT03648138 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a INTRODUCTION: Multiple U.S. localities have introduced legislation requiring sugar-sweetened beverage (SSB) warnings. This study effects of different warning designs on beverage selections and perceptions | ||
| 520 | |a STUDY DESIGN: The study was an RCT | ||
| 520 | |a SETTING/PARTICIPANTS: An online virtual convenience store and survey were used with a nationally representative sample of primary caregivers of 6-11-year-olds (n=961). Data were collected in January 2020 and analyzed in May-July 2020 | ||
| 520 | |a INTERVENTION: Participants were randomized to view SSBs with 1 of 4 front-of-package label designs: (1) no-warning control, (2) health-related text warning, (3) sugar pictorial warning (image of beverage sugar content in cubes/teaspoons/packets with health-related warning text), or (4) health pictorial warning (image of possible health consequences of overconsuming SSBs with health-related warning text) | ||
| 520 | |a MAIN OUTCOME MEASURES: Outcomes included participants' beverage choice for their child and perceptions of beverages, their assigned labels, and warning policies | ||
| 520 | |a RESULTS: Proportionally fewer participants chose a SSB in the sugar pictorial warning condition (-13.4 percentage points; 95% CI= -21.6 to -0.1 percentage points; p=0.007) and in the health pictorial warning condition (-14.7 percentage points; 95% CI= -22.8 to -0.1 percentage points; p=0.004) compared to the control. Sugar pictorial warnings led to more accurate added-sugar content estimates than all conditions and greater label trust and support for sugar-sweetened beverage warning policies than health pictorial warnings | ||
| 520 | |a CONCLUSIONS: SSB warning policies may be most effective if they mandate images of beverages' added sugar content accompanied by warning text | ||
| 520 | |a TRIAL REGISTRATION: This study is registered at www | ||
| 520 | |a CLINICALTRIALS: gov NCT03648138 | ||
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
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| 700 | 1 | |a Gibson, Laura A |e verfasserin |4 aut | |
| 700 | 1 | |a Bellamy, Scarlett L |e verfasserin |4 aut | |
| 700 | 1 | |a Orr, Jennifer A |e verfasserin |4 aut | |
| 700 | 1 | |a Hammond, David |e verfasserin |4 aut | |
| 700 | 1 | |a Glanz, Karen |e verfasserin |4 aut | |
| 700 | 1 | |a Volpp, Kevin G |e verfasserin |4 aut | |
| 700 | 1 | |a Schwartz, Marlene B |e verfasserin |4 aut | |
| 700 | 1 | |a Bleakley, Amy |e verfasserin |4 aut | |
| 700 | 1 | |a Strasser, Andrew A |e verfasserin |4 aut | |
| 700 | 1 | |a Roberto, Christina A |e verfasserin |4 aut | |
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