NCT02546505

Brief Summary

Introducing Front-Of-Pack (FOP) nutrition labelling, providing simplified information on nutritional content at a glance, in order to help consumer make informed choices, has been identified as of major interest by public health specialists. In France, a recent report to the Minister of Health has proposed the introduction of a Front-of-Pack nutrition label, the 5-Colour nutrition label. Existing studies on FOP labels mainly focused on assessment of consumers' acceptability/liking and understanding. If most of the studies on purchasing behavior, conducted in real supermarkets, suggested a positive effect of FOP labels on consumers' food choices, the impact of the 5-CNL has not been evaluated. The main objective is to evaluate the impact of a Front-of-pack nutrition label, the 5-Colour Nutrition Label on consumer purchases in a controlled environment close to real-world settings. Nutritional quality of the items purchased will be compared using the Food Standards Agency nutrient profiling system (FSA score). The study relies on a comparison across three independent samples :

  • Control group: The current situation with current way brands show or not nutritional information on Front of Pack (FoP) - without consumer information
  • Intervention n°1: Introduction of a Front-of-pack nutrition label (5-CNL) on selected categories of foods. No additional consumer information
  • Intervention n°3: Introduction of a Front-of-pack nutrition label (5-CNL) on selected categories of foods. Additional consumer information specifically targeting nutritional information and explaining the 5-CNL will be performed (this information will consist in a concept shown to respondents before the shopping session). Participants are recruited in the street through quota sampling, based on criteria of gender, age and purchasing habits on the products categories selected for the introduction of the FOP nutrition label. The study relies on LabStores®, i.e. shopper laboratory stores, which are controlled study spaces in which a store is recreated in reality.The real lab store mimics a store environment with real shelves, product, and cash register, and presents several product categories in a realistic shopping environment. At the end of the shopping session, the respondents proceed to the cashier but don't actually pay for their purchases. The selected foodstuffs come from actual retailers' brand products available on the French market. Three categories of products were selected, based on expected variability in nutritional quality of the products and logistic criteria (exclusion of fresh products):
  • Breakfast cereals
  • Sweet biscuits
  • Salty snacks The impact of the different labels on nutritional quality (FSA score, calories, lipids, saturated fatty acids, sugars, proteins, fibre, sodium) of the shopping cart is investigated using one way ANOVA. Pairwise comparisons among FOP labels are assessed by using Tukey's multiple comparisons tests. All tests of significance are two-sided, and a P value \<0.05 is considered significant. Statistical analyses are performed using SAS software (version 9.3; SAS Institute Inc.).

Trial Health

100
On Track

Trial Health Score

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

Enrollment
900

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2015

Shorter than P25 for not_applicable

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

First Submitted

Initial submission to the registry

August 28, 2015

Completed
14 days until next milestone

First Posted

Study publicly available on registry

September 11, 2015

Completed
20 days until next milestone

Study Start

First participant enrolled

October 1, 2015

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2015

Completed
Last Updated

December 2, 2015

Status Verified

December 1, 2015

Enrollment Period

1 month

First QC Date

August 28, 2015

Last Update Submit

December 1, 2015

Conditions

Keywords

Consumer behaviorNutrition Labeling

Outcome Measures

Primary Outcomes (1)

  • FSA score to evaluate nutritional quality of the items purchased

    Mean Food Standards Agency nutrient profiling system (FSA score) of the items purchased

    Estimated time frame 6 weeks

Secondary Outcomes (7)

  • Energy content of the items purchased

    Estimated time frame 6 weeks

  • Saturated fatty acid content of the items purchased

    Estimated time frame 6 weeks

  • Sodium content of the items purchased

    Estimated time frame 6 weeks

  • Sugar content of the items purchased

    Estimated time frame 6 weeks

  • Protein content of the items purchased

    Estimated time frame 6 weeks

  • +2 more secondary outcomes

Study Arms (3)

Control

NO INTERVENTION

The current situation with current way brands show or not nutritional information on Front of Pack (FoP) - without consumer information

Intervention n°1

EXPERIMENTAL

Introduction of a Front-of-pack nutrition label (5-CNL) on selected categories of foods. No additional consumer information

Other: Front-of-pack nutrition labeling

Intervention n°2

EXPERIMENTAL

Introduction of a Front-of-pack nutrition label (5-CNL) on selected categories of foods. Additional consumer information specifically targeting nutritional information and explaining the 5-CNL will be performed (this information will consist in a concept shown to respondents before the shopping session).

Other: Front-of-pack nutrition labelingOther: Consumer information

Interventions

Introduction of a Front-of-pack nutrition label (5-CNL) on selected categories of foods.

Intervention n°1Intervention n°2

Information specifically targeting nutritional information and explaining the 5-CNL is presented to the subject (this information will consist in a concept shown to respondents before the shopping session).

Intervention n°2

Eligibility Criteria

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

You may qualify if:

  • Adults \>18 years old
  • Usually purchasing the selected categories of foods (Breakfast cereals, appetizers, biscuits)

You may not qualify if:

  • Not used to purchasing the selected categories of foods

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Julia C, Blanchet O, Mejean C, Peneau S, Ducrot P, Alles B, Fezeu LK, Touvier M, Kesse-Guyot E, Singler E, Hercberg S. Impact of the front-of-pack 5-colour nutrition label (5-CNL) on the nutritional quality of purchases: an experimental study. Int J Behav Nutr Phys Act. 2016 Sep 20;13(1):101. doi: 10.1186/s12966-016-0416-4.

MeSH Terms

Conditions

Consumer Behavior

Interventions

Consumer Health Information

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Health EducationPreventive Health ServicesHealth ServicesHealth Care Facilities Workforce and Services

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

August 28, 2015

First Posted

September 11, 2015

Study Start

October 1, 2015

Primary Completion

November 1, 2015

Study Completion

November 1, 2015

Last Updated

December 2, 2015

Record last verified: 2015-12