Effects of different types of front-of-pack labelling information on the healthiness of food purchases—a randomised controlled trial
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© 2017 by the authors. Licensee MDPI, Basel, Switzerland. Background: Front-of-pack nutrition labelling may support healthier packaged food purchases. Australia has adopted a novel Health Star Rating (HSR) system, but the legitimacy of this choice is unknown. Objective: To define the effects of different formats of front-of-pack labelling on the healthiness of food purchases and consumer perceptions. Design: Individuals were assigned at random to access one of four different formats of nutrition labelling—HSR, multiple traffic light labels (MTL), daily intake guides (DIG), recommendations/warnings (WARN)—or control (the nutrition information panel, NIP). Participants accessed nutrition information by using a smartphone application to scan the bar-codes of packaged foods, while shopping. The primary outcome was healthiness defined by the mean transformed nutrient profile score of packaged foods that were purchased over four weeks. Results: The 1578 participants, mean age 38 years, 84% female recorded purchases of 148,727 evaluable food items. The mean healthiness of the purchases in the HSR group was non-inferior to MTL, DIG, or WARN (all p < 0.001 at 2% non-inferiority margin). When compared to the NIP control, there was no difference in the mean healthiness of purchases for HSR, MTL, or DIG (all p > 0.07), but WARN resulted in healthier packaged food purchases (mean difference 0.87; 95% confidence interval 0.03 to 1.72; p = 0.04). HSR was perceived by participants as more useful than DIG, and easier to understand than MTL or DIG (all p < 0.05). Participants also reported the HSR to be easier to understand, and the HSR and MTL to be more useful, than NIP (all p < 0.03). Conclusions: These real-world data align with experimental findings and provide support for the policy choice of HSR. Recommendation/warning labels warrant further exploration, as they may be a stronger driver of healthy food purchases.
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Consumer testing of the acceptability and effectiveness of front-of-pack food labelling systems for the Australian grocery marketKelly, B.; Hughes, C.; Chapman, K.; Louie, J.; Dixon, H.; Crawford, J.; King, L.; Daube, Mike; Slevin, Terry (2009)The placement of nutrition information on the front of food packages has been proposed as a method of providing simplified and visible nutrition information. This study aimed to determine the most acceptable and effective ...
Talati, Zenobia; Norman, Richard; Pettigrew, S.; Neal, B.; Kelly, B.; Dixon, H.; Ball, K.; Miller, C.; Shilton, Trevor (2017)© 2017 The Author(s). Background: This study examined how front-of-pack labels and product healthfulness affect choice and willingness to pay across a range of foods. It was hypothesized that: (i) product choice and (ii) ...
Talati, Zenobia; Norman, Richard; Pettigrew, Simone; Neal, B.; Kelly, B.; Dixon, H.; Ball, K.; Miller, C.; Shilton, Trevor (2017)© 2017 The Author(s). Background: This study examined how front-of-pack labels and product healthfulness affect choice and willingness to pay across a range of foods. It was hypothesized that: (i) product choice and (ii) ...