NCT06651060

Brief Summary

The aim of this study is to compare responses to 6 different types of labels for restaurant menus: 1) a QR code on all items (control); 2) High Climate Impact label; 3) High Climate Impact Warning label; 4) Climate Grade label; 5) Climate Grade label also displaying full range of possible grades; 6) Estimated Environmental Cost label. Participants will be randomized to 1 of these 6 labeling arms. Each participant will view a menu based on a real-world restaurant with one of the 6 labels shown on applicable menu items, select the menu item they would like, and then respond to survey questions about each label.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
16,181

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2024

Shorter than P25 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

First Submitted

Initial submission to the registry

October 18, 2024

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 21, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

December 23, 2024

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 13, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 13, 2025

Completed
Last Updated

March 21, 2025

Status Verified

March 1, 2025

Enrollment Period

2 months

First QC Date

October 18, 2024

Last Update Submit

March 19, 2025

Conditions

Keywords

SustainabilityClimate changeDietFood choicesFood labeling

Outcome Measures

Primary Outcomes (2)

  • High climate impact menu item selected - dichotomous variable

    Measured as a dichotomous variable (yes/no) indicating whether participants' hypothetical meal orders include a high climate impact menu item.

    Up to approx. 1 minutes

  • Total greenhouse gas emissions - continuous variable

    Cumulative total kilograms of carbon equivalent (kgCO2e) per kilogram of food for all meal items.

    Up to approx. 1 minute

Secondary Outcomes (4)

  • Modified Nutrient Profile Index (NPI) score - continuous variable

    Up to approx. 1 minute

  • Total energy (kcal) selected - continuous variable

    Up to approx. 1 minute

  • Total saturated fat (g) selected - continuous variable

    Up to approx. 1 minute

  • Total sodium (mg) selected - continuous variable

    Up to approx. 1 minute

Other Outcomes (3)

  • Noticeability - dichotomous variable

    Up to approx. 1 minute

  • Support - categorical variable

    Up to approx. 1 minute

  • Effectiveness - categorical variable

    Up to approx. 1 minute

Study Arms (6)

Control (QR) labels

PLACEBO COMPARATOR

Labels placed beneath all menu items will contain QR codes with the text, "scan here", without any mention of sustainability

Behavioral: Menu label

High Climate Impact labels

EXPERIMENTAL

Labels will be placed beneath menu items with a high climate impact using a predetermined threshold of estimated greenhouse gas emissions set at \>=9.2 kgCO2e. Labels will contain white text, "High Climate Impact", on a red background with a globe icon

Behavioral: Menu label

High Climate Impact Warning labels

EXPERIMENTAL

Labels will be placed beneath menu items with a high climate impact using a predetermined threshold of estimated greenhouse gas emissions set at \>=9.2 kgCO2e. Labels will contain white text, "Warning: High Climate Impact", on a red background with a globe icon

Behavioral: Menu label

Climate Grade labels

EXPERIMENTAL

Labels will be placed beneath all menu items, using predetermined estimated greenhouse gas emission thresholds to assign one of five icon-plus-text labels which indicate a specific climate impact grade (A, B, C, D, and F). Thresholds are set in kgCO2e as follows: \[A\] \<1.7, \[B\] \>=1.7 \& \<2.6, \[C\] \>=2.6 \& \<9.2, \[D\] \>=9.2 \& \<28, \[F\] \>=28. Labels shown will contain white text, "Climate Grade", on a black background with a globe icon. The labels will include a white letter in a colored box on the left side, A (dark green), B (light green), C (yellow), D (orange), or F (red)

Behavioral: Menu label

Climate Grade label also displaying full range of possible grades

EXPERIMENTAL

Labels will be placed beneath all menu items, using predetermined estimated greenhouse gas emission thresholds to assign one of five icon-plus-text labels which indicate a specific climate impact grade (A, B, C, D, and F). Thresholds are set in kgCO2e as follows: \[A\] \<1.7, \[B\] \>=1.7 \& \<2.6, \[C\] \>=2.6 \& \<9.2, \[D\] \>=9.2 \& \<28, \[F\] \>=28. Labels shown will contain white text, "Climate Grade", on a black background with a globe icon. The labels will include a white letter in a colored box on the left side, A (dark green), B (light green), C (yellow), D (orange), or F (red). This label will also include a small scale of each white letter and colored box option beneath the main white letter and colored box

Behavioral: Menu label

Estimated Environmental Cost labels

EXPERIMENTAL

Labels will be placed beneath all menu items, displaying the estimated dollar value associated with greenhouse gas emissions. Labels shown will contain white text, "Environmental Cost," with a dollar value (i.e., +$10.90) on a black background with a globe icon

Behavioral: Menu label

Interventions

Menu labelBEHAVIORAL

Participants will view a sample of items from a restaurant menu, displayed with labels

Climate Grade label also displaying full range of possible gradesClimate Grade labelsControl (QR) labelsEstimated Environmental Cost labelsHigh Climate Impact Warning labelsHigh Climate Impact labels

Eligibility Criteria

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

You may qualify if:

  • years and older
  • English-speaking
  • U.S. residents
  • Have eaten restaurant food at least once in the last month
  • Participants will reflect the U.S. Census Bureau's American Community Survey estimates for sex, race/ethnicity, educational attainment, and age

You may not qualify if:

  • Non-US resident
  • Younger than 18 years old
  • Failing the attention check question
  • Completing the survey in less than 33% of the median completion time

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of California, Davis

Davis, California, 95616, United States

Location

MeSH Terms

Conditions

Food Preferences

Condition Hierarchy (Ancestors)

Feeding BehaviorBehavior

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Participants will be randomized to view a menu based on a real-world restaurant with one of six labeling schemes applied: 1) a QR code on all items (control); 2) High Climate Impact label; 3) High Climate Impact Warning label; 4) Climate Grade label; 5) Climate Grade label also displaying full range of possible grades; 6) Estimated Environmental Cost label. Menus will include main items only. Labels will only appear alongside main menu items and will be assigned using thresholds for greenhouse gas emissions set a priori in kilograms of CO2 equivalent per kilogram of food. Each participant will view a menu based on a real-world restaurant with one of the 6 labels shown on applicable menu items, select the menu item(s) they would like, then respond to survey questions about each label.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

October 18, 2024

First Posted

October 21, 2024

Study Start

December 23, 2024

Primary Completion

February 13, 2025

Study Completion

February 13, 2025

Last Updated

March 21, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will not share

Locations