NCT01626729

Brief Summary

The U.S. food and beverage industry recently released a new front-of-package nutrition labeling system called Facts Up Front that will be used on thousands of food products. The purpose of this study was to test consumer understanding of the Facts Up Front nutrition labeling system compared to the Multiple Traffic Light system (Traffic Light). Facts Up Front displays grams/milligrams and % daily value information for various nutrients; Traffic Light uses an interpretive color-coded scheme to alert consumers to low, medium or high levels of certain nutrients. Participants in an Internet-based study were randomized to one of five front-of-package label conditions: 1) No Label; 2) Traffic Light; 3) Traffic Light plus information about protein and fiber (Traffic Light+); 4) Facts Up Front; or 5) Facts Up Front plus information about "nutrients to encourage" (Facts Up Front+). Total percentage correct quiz scores were generated reflecting participants' ability to compare two foods on nutrient levels, based on their labels, and to estimate amounts of saturated fat, sugar, sodium, fiber and protein in foods. 703 adult participants recruited through an online database in May 2011 participated in this Internet-based study and data were analyzed in June 2011. The investigators hypothesized that the Traffic Light label groups would perform better than the Facts Up Front groups on all outcomes.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
703

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started May 2011

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2011

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2011

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

June 14, 2012

Completed
11 days until next milestone

First Posted

Study publicly available on registry

June 25, 2012

Completed
Last Updated

June 25, 2012

Status Verified

June 1, 2012

Enrollment Period

Same day

First QC Date

June 14, 2012

Last Update Submit

June 20, 2012

Conditions

Keywords

Food Labeling

Outcome Measures

Primary Outcomes (2)

  • Nutrient Comparison and Nutrient Level Estimation Accuracy

    Participants took a nutrient level comparison quiz asking them to identify which of two products presented side-by-side in the same food category were higher or lower in different nutrients. Participants also viewed 8 individual products and estimated whether the product had low, medium or high amounts of saturated fat, sugar, sodium, fiber, and protein. The primary outcomes were total percentage correct on these quizzes.

    Baseline

  • Perceptions of Health, Taste and Purchase Intent

    Participants rated how healthy they thought each individual product was, how good it would taste and their likelihood to buy the product for themselves and their children (answered only by those who reported having children) using a 9-point Likert scale. Each set of ratings was averaged across eight products.

    Baseline

Secondary Outcomes (1)

  • Consumer Label Preferences

    Baseline

Study Arms (5)

Traffic Light

EXPERIMENTAL
Behavioral: Traffic Light

Traffic Light+

EXPERIMENTAL
Behavioral: Traffic Light+

Facts Up Front

EXPERIMENTAL
Behavioral: Facts Up Front

Facts Up Front+

EXPERIMENTAL
Behavioral: Facts Up Front+

No front of package label

PLACEBO COMPARATOR
Behavioral: No label control group

Interventions

Traffic Light+BEHAVIORAL

A calories per serving label and a Traffic Light symbol with High/Med/Low text indicating amounts of saturated fat, total sugars, sodium, fiber and protein per serving.

Traffic Light+
Facts Up Front+BEHAVIORAL

A label displaying calories, saturated fat, sodium, and total sugars per serving. The label also showed two (out of the possible eight) nutrients to encourage with the highest %DV. Nutrient amounts were listed in grams/milligrams and %DVs were included. This symbol was based directly on the Facts Up Front symbol description provided by the Grocery Manufacturers Association and Food Marketing Institute.

Facts Up Front+

No label control group

No front of package label

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants in Survey Sampling International Panels

You may not qualify if:

  • Younger than 18 years old

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Survey Sampling International & Yale University

New Haven, Connecticut, 06520, United States

Location

Related Publications (1)

  • Roberto CA, Bragg MA, Schwartz MB, Seamans MJ, Musicus A, Novak N, Brownell KD. Facts up front versus traffic light food labels: a randomized controlled trial. Am J Prev Med. 2012 Aug;43(2):134-41. doi: 10.1016/j.amepre.2012.04.022.

Study Officials

  • Christina A Roberto, PhD

    Yale University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

June 14, 2012

First Posted

June 25, 2012

Study Start

May 1, 2011

Primary Completion

May 1, 2011

Study Completion

May 1, 2011

Last Updated

June 25, 2012

Record last verified: 2012-06

Locations