NCT05565859

Brief Summary

The objective of this research was to determine if adding a plate graphic depicting the components of the Eat Lancet Planetary Health diet (Figure 1) to food labels in Stanford University dining halls would lead to dining hall patrons making dietary decisions that better resemble the Planetary Health diet in comparison to a no signage control group. The study hypothesis was that presenting students with a plate graphic featuring the healthy reference diet would decrease objective measures of the amount of meat taken and therefore the environmental impact of student meals.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
957

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2020

Typical duration for not_applicable

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

January 2, 2020

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2020

Completed
1.8 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 9, 2022

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

July 21, 2022

Completed
3 months until next milestone

First Posted

Study publicly available on registry

October 4, 2022

Completed
Last Updated

October 4, 2022

Status Verified

September 1, 2022

Enrollment Period

5 months

First QC Date

July 21, 2022

Last Update Submit

September 29, 2022

Conditions

Keywords

Planetary healthEducational signageBehavior changeEnvironmentSustainabilityFood choicesFood insecurityDietary behavior

Outcome Measures

Primary Outcomes (1)

  • Meat-dish weight

    Meat-dish weight adjusted for the number of people entering the dining hall.

    Control: 4 days (during dinner meals Mon -Thurs) during week 2 of the academic quarter. Intervention: 4 days (during dinner meals Mon -Thurs) during week 6.

Secondary Outcomes (2)

  • Meat-dish servings

    Control: 4 days (during dinner meals Mon -Thurs) during week 2 of the academic quarter. Intervention: 4 days (during dinner meals Mon -Thurs) during week 6.

  • Meat-dish serving weight

    Control: 4 days (during dinner meals Mon -Thurs) during week 2 of the academic quarter. Intervention: 4 days (during dinner meals Mon -Thurs) during week 6.

Study Arms (2)

Planetary Health Plate Signage

EXPERIMENTAL

A Planetary Health Plate intervention phase where signage was posted in the dining hall promoting the planetary health diet

Behavioral: Planetary Health Plate signage

Control

NO INTERVENTION

Control phase with dining hall signage as usual.

Interventions

A Planetary Health Plate graphic was developed based on the healthy reference diet proposed by the Eat Lancet Commission. The graphic was designed to capture the food groups and proportions of food groups promoted by the Planetary Health diet.

Planetary Health Plate Signage

Eligibility Criteria

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

You may qualify if:

  • Patrons of Florence Moore Dining Hall at Stanford.

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Florence Moore Dining Hall, Stanford University

Stanford, California, 94305, United States

Location

Related Publications (2)

  • Willett W, Rockstrom J, Loken B, Springmann M, Lang T, Vermeulen S, Garnett T, Tilman D, DeClerck F, Wood A, Jonell M, Clark M, Gordon LJ, Fanzo J, Hawkes C, Zurayk R, Rivera JA, De Vries W, Majele Sibanda L, Afshin A, Chaudhary A, Herrero M, Agustina R, Branca F, Lartey A, Fan S, Crona B, Fox E, Bignet V, Troell M, Lindahl T, Singh S, Cornell SE, Srinath Reddy K, Narain S, Nishtar S, Murray CJL. Food in the Anthropocene: the EAT-Lancet Commission on healthy diets from sustainable food systems. Lancet. 2019 Feb 2;393(10170):447-492. doi: 10.1016/S0140-6736(18)31788-4. Epub 2019 Jan 16. No abstract available.

    PMID: 30660336BACKGROUND
  • Marcone AL, Darmstadt GL, Challamel GA, Mathur MB, Gardner CD. Effects of an educational planetary plate graphic on meat consumption in a Stanford University dining hall: a randomized controlled trial. BMC Nutr. 2023 Sep 25;9(1):106. doi: 10.1186/s40795-023-00764-3.

Study Officials

  • Christopher D Gardner, MD

    Stanford University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
CROSSOVER
Model Details: Crossover randomized control trial with two phases: a Planetary Health Plate intervention phase where signage promoting the planetary health diet was posted and a control phase with signage as usual.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor-Research of Medicine

Study Record Dates

First Submitted

July 21, 2022

First Posted

October 4, 2022

Study Start

January 2, 2020

Primary Completion

June 1, 2020

Study Completion

March 9, 2022

Last Updated

October 4, 2022

Record last verified: 2022-09

Locations