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Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Research article

Cueing healthier alternatives for take-away: a field experiment on the effects of (disclosing) three nudges on food choices

Authors: Tracy T. L. Cheung, Marleen Gillebaart, Floor M. Kroese, David Marchiori, Bob M. Fennis, Denise T. D. De Ridder

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

The current field experiment demonstrates the effectiveness of nudging to promote healthy food choices.

Methods

Three types of nudges were implemented at a take-away food vendor: 1) an accessibility nudge that placed fruits at the front counter; 2) a salience nudge that presented healthy bread rolls to be more visually attractive; and 3) a social proof nudge that conveyed yoghurt as a popular choice. We additionally assessed whether nudging effects would remain robust when a disclosure message was included. The field experiment was conducted over a seven-week period. The measured outcome was the sales of the targeted healthy food products.

Results

The accessibility nudge significantly increased the sales of the fresh fruits. The impact of the salience nudge was limited presumably due to existing preferences or habits that typically facilitate bread purchases. As the sales of the yoghurt shakes remained consistently low over the seven-week period the impact of the social proof nudge remained unexamined. Critically, disclosing the purpose of the nudges did not interfere with effects.

Conclusions

Current findings suggest nudging as an effective strategy for healthy food promotion, and offer implications for topical debate regarding the ethics of nudges.
Literature
1.
go back to reference Muka T, Imo D, Jaspers L, Colpani V, Chaker L, van der Lee SJ, et al. The global impact of non-communicable diseases on healthcare spending and national income: a systematic review. Eur J Epidemiol. 2015;30(4):251–77.CrossRef Muka T, Imo D, Jaspers L, Colpani V, Chaker L, van der Lee SJ, et al. The global impact of non-communicable diseases on healthcare spending and national income: a systematic review. Eur J Epidemiol. 2015;30(4):251–77.CrossRef
3.
go back to reference Capacci S, Mazzocchi M, Shankar B, Macias JB, Verbeke W, Pérez-Cueto FJ, et al. Policies to promote healthy eating in Europe: a structured review of policies and their effectiveness. Nutr Rev. 2012;70(3):188–200.CrossRef Capacci S, Mazzocchi M, Shankar B, Macias JB, Verbeke W, Pérez-Cueto FJ, et al. Policies to promote healthy eating in Europe: a structured review of policies and their effectiveness. Nutr Rev. 2012;70(3):188–200.CrossRef
4.
go back to reference Marteau TM, Hollands GJ, Fletcher PC. Changing human behavior to prevent disease: the importance of targeting automatic processes. Science. 2012;337(6101):1492–5.CrossRef Marteau TM, Hollands GJ, Fletcher PC. Changing human behavior to prevent disease: the importance of targeting automatic processes. Science. 2012;337(6101):1492–5.CrossRef
5.
go back to reference Cohen DA, Babey SH. Contextual influences on eating behaviours: heuristic processing and dietary choices. Obes Rev. 2012;13(9):766–79.CrossRef Cohen DA, Babey SH. Contextual influences on eating behaviours: heuristic processing and dietary choices. Obes Rev. 2012;13(9):766–79.CrossRef
6.
go back to reference Dijksterhuis A, Smith PK, Van Baaren RB, Wigboldus DH. The unconscious consumer: effects of environment on consumer behavior. J Consum Psychol. 2005;15(3):193–202.CrossRef Dijksterhuis A, Smith PK, Van Baaren RB, Wigboldus DH. The unconscious consumer: effects of environment on consumer behavior. J Consum Psychol. 2005;15(3):193–202.CrossRef
7.
go back to reference Wansink B, Sobal J. Mindless eating the 200 daily food decisions we overlook. Environ Behav. 2007;39(1):106–23.CrossRef Wansink B, Sobal J. Mindless eating the 200 daily food decisions we overlook. Environ Behav. 2007;39(1):106–23.CrossRef
8.
go back to reference Sunstein C, Thaler R. Nudge: improving decisions about health, wealth, and happiness. New Haven: Yale University Press; 2008. Sunstein C, Thaler R. Nudge: improving decisions about health, wealth, and happiness. New Haven: Yale University Press; 2008.
9.
go back to reference Evans JSB. Dual-processing accounts of reasoning, judgment, and social cognition. Annu Rev Psychol. 2008;59:255–78.CrossRef Evans JSB. Dual-processing accounts of reasoning, judgment, and social cognition. Annu Rev Psychol. 2008;59:255–78.CrossRef
10.
go back to reference Kahneman D. Thinking, fast and slow. 1st ed. New York: Farrar, Straus and Giroux; 2011. Kahneman D. Thinking, fast and slow. 1st ed. New York: Farrar, Straus and Giroux; 2011.
11.
go back to reference Hofmann W, Friese M, Wiers RW. Impulsive versus reflective influences on health behavior: a theoretical framework and empirical review. Heal Psychol Rev. 2008;2(2):111–37.CrossRef Hofmann W, Friese M, Wiers RW. Impulsive versus reflective influences on health behavior: a theoretical framework and empirical review. Heal Psychol Rev. 2008;2(2):111–37.CrossRef
12.
go back to reference Strack F, Deutsch R. Reflective and impulsive determinants of social behavior. Personal Soc Psychol Rev. 2004;8(3):220–47.CrossRef Strack F, Deutsch R. Reflective and impulsive determinants of social behavior. Personal Soc Psychol Rev. 2004;8(3):220–47.CrossRef
13.
go back to reference De Ridder D, Adriaanse M, Evers C, Verhoeven A. Who diets? Most people and especially when they worry about food. Appetite. 2014;80:103–8.CrossRef De Ridder D, Adriaanse M, Evers C, Verhoeven A. Who diets? Most people and especially when they worry about food. Appetite. 2014;80:103–8.CrossRef
14.
go back to reference Wansink B. Environmental factors that increase the food intake and consumption volume of unknowing consumers. Annu Rev Nutr. 2004;24:455–79.CrossRef Wansink B. Environmental factors that increase the food intake and consumption volume of unknowing consumers. Annu Rev Nutr. 2004;24:455–79.CrossRef
15.
go back to reference Bargh JA, Morsella E. The unconscious mind. Perspect Psychol Sci. 2008;3(1):73–9.CrossRef Bargh JA, Morsella E. The unconscious mind. Perspect Psychol Sci. 2008;3(1):73–9.CrossRef
16.
go back to reference Cialdini RB. Influence: Science and Practice. 5th ed. Boston: Allyn and Bacon; 2008. p. 272. Cialdini RB. Influence: Science and Practice. 5th ed. Boston: Allyn and Bacon; 2008. p. 272.
17.
go back to reference Loewenstein G. Out of control: visceral influences on behavior. Organ Behav Hum Decis Process. 1996;65(3):272–92.CrossRef Loewenstein G. Out of control: visceral influences on behavior. Organ Behav Hum Decis Process. 1996;65(3):272–92.CrossRef
18.
go back to reference Shiv B, Fedorikhin A. Heart and mind in conflict: the interplay of affect and cognition in consumer decision making. J Consum Res. 1999;26(3):278–92.CrossRef Shiv B, Fedorikhin A. Heart and mind in conflict: the interplay of affect and cognition in consumer decision making. J Consum Res. 1999;26(3):278–92.CrossRef
19.
go back to reference Baumeister RF, Bratslavsky E, Muraven M, Tice DM. Ego depletion: is the active self a limited resource? J Pers Soc Psychol. 1998;74(5):1252.CrossRef Baumeister RF, Bratslavsky E, Muraven M, Tice DM. Ego depletion: is the active self a limited resource? J Pers Soc Psychol. 1998;74(5):1252.CrossRef
20.
go back to reference Hollands GJ, Marteau TM, Fletcher PC. Non-conscious processes in changing healthrelated behaviour: a conceptual analysis and framework. Heal Psychol Rev. 2016;10:1–14.CrossRef Hollands GJ, Marteau TM, Fletcher PC. Non-conscious processes in changing healthrelated behaviour: a conceptual analysis and framework. Heal Psychol Rev. 2016;10:1–14.CrossRef
21.
go back to reference Sheeran P, Gollwitzer PM, Bargh JA. Nonconscious processes and health. Health Psychol. 2013;32(5):460–73.CrossRef Sheeran P, Gollwitzer PM, Bargh JA. Nonconscious processes and health. Health Psychol. 2013;32(5):460–73.CrossRef
23.
go back to reference Sunstein CR. The Council of Psychological Advisers. Annu Rev Psychol. 2016;67(1):713–37.CrossRef Sunstein CR. The Council of Psychological Advisers. Annu Rev Psychol. 2016;67(1):713–37.CrossRef
24.
go back to reference Skov LR, Lourenco S, Hansen GL, Mikkelsen BE, Schofield C. Choice architecture as a means to change eating behaviour in self-service settings: a systematic review. Obes Rev. 2013;14(3):187–96.CrossRef Skov LR, Lourenco S, Hansen GL, Mikkelsen BE, Schofield C. Choice architecture as a means to change eating behaviour in self-service settings: a systematic review. Obes Rev. 2013;14(3):187–96.CrossRef
25.
go back to reference Rozin P, Scott S, Dingley M, Urbanek JK, Jiang H, Kaltenbach M. Nudge to nobesity I: minor changes in accessibility decrease food intake. Judgm Decis Mak. 2011;6(4):323. Rozin P, Scott S, Dingley M, Urbanek JK, Jiang H, Kaltenbach M. Nudge to nobesity I: minor changes in accessibility decrease food intake. Judgm Decis Mak. 2011;6(4):323.
26.
go back to reference Maas J, de Ridder DT, de Vet E, De Wit JB. Do distant foods decrease intake? The effect of food accessibility on consumption. Psychol Heal. 2012;27(sup2):59–73.CrossRef Maas J, de Ridder DT, de Vet E, De Wit JB. Do distant foods decrease intake? The effect of food accessibility on consumption. Psychol Heal. 2012;27(sup2):59–73.CrossRef
27.
go back to reference Junghans AF, Evers C, De Ridder DT. Eat me if you can: cognitive mechanisms underlying the distance effect. PLoS One. 2013;8(12):e84643.CrossRef Junghans AF, Evers C, De Ridder DT. Eat me if you can: cognitive mechanisms underlying the distance effect. PLoS One. 2013;8(12):e84643.CrossRef
28.
go back to reference Hanks AS, Just DR, Wansink B. Smarter lunchrooms can address new school lunchroom guidelines and childhood obesity. J Pediatr. 2013;162(4):867–9.CrossRef Hanks AS, Just DR, Wansink B. Smarter lunchrooms can address new school lunchroom guidelines and childhood obesity. J Pediatr. 2013;162(4):867–9.CrossRef
29.
go back to reference Kroese FM, Marchiori DR, de Ridder DT. Nudging healthy food choices: a field experiment at the train station. J Public Health. 2016;38(2):e133–7.CrossRef Kroese FM, Marchiori DR, de Ridder DT. Nudging healthy food choices: a field experiment at the train station. J Public Health. 2016;38(2):e133–7.CrossRef
30.
go back to reference Meiselman HL, Hedderley D, Staddon SL, Pierson BJ, Symonds CR. Effect of effort on meal selection and meal acceptability in a student cafeteria. Appetite. 1994;23(1):43–55.CrossRef Meiselman HL, Hedderley D, Staddon SL, Pierson BJ, Symonds CR. Effect of effort on meal selection and meal acceptability in a student cafeteria. Appetite. 1994;23(1):43–55.CrossRef
31.
go back to reference Krieglmeyer R, Deutsch R, De Houwer J, De Raedt R. Being moved valence activates approach-avoidance behavior independently of evaluation and approachavoidance intentions. Psychol Sci. 2010;21(4):607–13.CrossRef Krieglmeyer R, Deutsch R, De Houwer J, De Raedt R. Being moved valence activates approach-avoidance behavior independently of evaluation and approachavoidance intentions. Psychol Sci. 2010;21(4):607–13.CrossRef
32.
go back to reference Marcelino AS, Adam AS, Couronne T, Köster EP, Sieffermann JM. Internal and external determinants of eating initiation in humans. Appetite. 2001;36(1):9–14.CrossRef Marcelino AS, Adam AS, Couronne T, Köster EP, Sieffermann JM. Internal and external determinants of eating initiation in humans. Appetite. 2001;36(1):9–14.CrossRef
33.
go back to reference Cornell CE, Rodin J, Weingarten H. Stimulus-induced eating when satiated. Physiol Behav. 1989;45(4):695–704.CrossRef Cornell CE, Rodin J, Weingarten H. Stimulus-induced eating when satiated. Physiol Behav. 1989;45(4):695–704.CrossRef
34.
go back to reference Tuomisto T, Tuomisto MT, Hetherington M, Lappalainen R. Reasons for initiation and cessation of eating in obese men and women and the affective consequences of eating in everyday situations. Appetite. 1998;30(2):211–22.CrossRef Tuomisto T, Tuomisto MT, Hetherington M, Lappalainen R. Reasons for initiation and cessation of eating in obese men and women and the affective consequences of eating in everyday situations. Appetite. 1998;30(2):211–22.CrossRef
35.
go back to reference Van Kleef E, Otten K, van Trijp HC. Healthy snacks at the checkout counter: a lab and field study on the impact of shelf arrangement and assortment structure on consumer choices. BMC Public Health. 2012;12(1):1072.CrossRef Van Kleef E, Otten K, van Trijp HC. Healthy snacks at the checkout counter: a lab and field study on the impact of shelf arrangement and assortment structure on consumer choices. BMC Public Health. 2012;12(1):1072.CrossRef
36.
go back to reference Thorndike AN, Sonnenberg L, Riis J, Barraclough S, Levy DE. A 2-phase labeling and choice architecture intervention to improve healthy food and beverage choices. Am J Public Health. 2012;102(3):527–33.CrossRef Thorndike AN, Sonnenberg L, Riis J, Barraclough S, Levy DE. A 2-phase labeling and choice architecture intervention to improve healthy food and beverage choices. Am J Public Health. 2012;102(3):527–33.CrossRef
37.
go back to reference Higgs S. Social norms and their influence on eating behaviours. Appetite. 2015;86:38–44.CrossRef Higgs S. Social norms and their influence on eating behaviours. Appetite. 2015;86:38–44.CrossRef
38.
go back to reference Jacobson RP, Mortensen CR, Cialdini RB. Bodies obliged and unbound: differentiated response tendencies for injunctive and descriptive social norms. J Pers Soc Psychol. 2011;100(3):433.CrossRef Jacobson RP, Mortensen CR, Cialdini RB. Bodies obliged and unbound: differentiated response tendencies for injunctive and descriptive social norms. J Pers Soc Psychol. 2011;100(3):433.CrossRef
39.
go back to reference Salmon SJ, Fennis BM. D T, Adriaanse MA, de Vet E. health on impulse: when low self-control promotes healthy food choices. Health Psychol. 2014;33(2):103–9.CrossRef Salmon SJ, Fennis BM. D T, Adriaanse MA, de Vet E. health on impulse: when low self-control promotes healthy food choices. Health Psychol. 2014;33(2):103–9.CrossRef
40.
go back to reference Mollen S, Rimal RN, Ruiter RAC, Kok G. Healthy and unhealthy social norms and food selection. Findings from a field-experiment. Appetite. 2013;65:83–9.CrossRef Mollen S, Rimal RN, Ruiter RAC, Kok G. Healthy and unhealthy social norms and food selection. Findings from a field-experiment. Appetite. 2013;65:83–9.CrossRef
41.
go back to reference Payne CR, Niculescu M, Just DR, Kelly MP. Shopper marketing nutrition interventions: social norms on grocery carts increase produce spending without increasing shopper budgets. Prev Med Reports. 2015;2:287–91.CrossRef Payne CR, Niculescu M, Just DR, Kelly MP. Shopper marketing nutrition interventions: social norms on grocery carts increase produce spending without increasing shopper budgets. Prev Med Reports. 2015;2:287–91.CrossRef
42.
go back to reference Wansink B. Change their choice! Changing behavior using the CAN approach and activism research. Psychol Mark. 2015;32(5):486–500.CrossRef Wansink B. Change their choice! Changing behavior using the CAN approach and activism research. Psychol Mark. 2015;32(5):486–500.CrossRef
44.
go back to reference Wortman CB, Brehm JW. Responses to uncontrollable outcomes: an integration of reactance theory and the learned helplessness model. Adv Exp Soc Psychol. 1975;8:277–336. Wortman CB, Brehm JW. Responses to uncontrollable outcomes: an integration of reactance theory and the learned helplessness model. Adv Exp Soc Psychol. 1975;8:277–336.
46.
go back to reference Hansen PG, Jespersen AM. Nudge and the manipulation of choice: a framework for the responsible use of the nudge approach to behaviour change in public policy. Eur J Risk Reg. 2013;1:3–28.CrossRef Hansen PG, Jespersen AM. Nudge and the manipulation of choice: a framework for the responsible use of the nudge approach to behaviour change in public policy. Eur J Risk Reg. 2013;1:3–28.CrossRef
47.
go back to reference Wijk RA de, Maaskant AJ, Polet IA, Holthuysen NTE, Kleef E van, Vingerhoeds MH. An in-store experiment on the effect of accessibility on sales of wholegrain. PLoS One. 2016. Wijk RA de, Maaskant AJ, Polet IA, Holthuysen NTE, Kleef E van, Vingerhoeds MH. An in-store experiment on the effect of accessibility on sales of wholegrain. PLoS One. 2016.
Metadata
Title
Cueing healthier alternatives for take-away: a field experiment on the effects of (disclosing) three nudges on food choices
Authors
Tracy T. L. Cheung
Marleen Gillebaart
Floor M. Kroese
David Marchiori
Bob M. Fennis
Denise T. D. De Ridder
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7323-y

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