ObesityNCT05783726
Testing Product Messages in Colombia
A study testing Nutriscore Label, Adapted Peruvian Nutrient Label and Guideline Daily Amount Label in people with Obesity, run by University of North Carolina, Chapel Hill at 1 site in United States.
Trial summary
Purpose: To better understand the impact of different front-of-package labels (FOPLs) on consumer purchasing intentions and ability to identify unhealthy foods. Participants: ~8,000 Colombians, recruited from Offerwise, that are 18 years or older. Read more about this study
- Who is it for?
- Ages 18 to 64 yearsHealthy volunteers can take part
- Conditions the study is for
- Obesity
- What is being tested?
- Nutriscore Label, Adapted Peruvian Nutrient Label and Guideline Daily Amount Label
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 8,086 participants
- Where
- 1 siteUnited States
- Study dates
- 12 May 2023to 22 Jun 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 64 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- 18-64 years old
- Resident of Colombia
- Offerwise panel member (recruitment platform)
Who cannot join
- <18 years old or >64 years old
- Not a resident of Colombia
Trial locations and contacts
1 site in 1 country.
United States1 site
UNC Carolina Population Center
Chapel Hill, North Carolina, 27599
About this study
Purpose: To better understand the impact of different front-of-package labels (FOPLs) on consumer purchasing intentions and ability to identify unhealthy foods.
Participants: ~8,000 Colombians, recruited from Offerwise, that are 18 years or older.
Procedures (methods): Participants will be randomly assigned to view images of food and drink products with either a nutrient warning label, Guideline Daily Amount label, Nutriscore label, or no-label control. They will be asked a series of questions about the products and the labels (excluding control group) on them. Questions will also include standard demographic and health related variables.
Read the detailed description
Participants will be recruited from Offerwise (an online panel research company). Following online consent, participants will be randomly assigned to view different labels (explained below) on food and drink packaging. Participants will answer self-reported responses to the content (e.g., elaboration, beliefs, perceived healthfulness). After being randomized to one of the four groups and answering questions (e.g. which product is healthier, which product would you buy), the participant will see all three labels and select which is most dissuading from consuming a product high in a nutrient. At the end, the participant will answer demographic questions.
Participants will be randomized to see either a no-label control or 1 of 3 nutrient labels. The participants will see 5 types of products with the labels (fruit drinks, yogurt, sliced bread, cookies, and breakfast cereal).
Nutrient labels:
- Guideline Daily Amount label
- Nutriscore label
- Adapted Peruvian nutrient warning label (high in sugar, high in saturated fat, high in salt/sodium)
- Conditions
- Obesity
- Being tested
- Control, Nutriscore Label, Adapted Peruvian Nutrient Label, Guideline Daily Amount Label
- Medical subject headings
- Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ControlOther
Participants will be shown images of juice, bread, yogurt, cookies, and cereal without any added front-of-package labels.
Nutriscore LabelBehavioural
A front-of-package Nutriscore label will be applied to images of juice, bread, yogurt, cookies, and cereal. This label applies a score of A, B, C, D, or E based on the product's nutrition profile.
Adapted Peruvian Nutrient LabelBehavioural
A front-of-package octagonal nutrient label will be applied to images of juice, bread, yogurt, cookies, and cereal. The label text informs consumers if a product is high in sugar, saturated fat, or salt/sodium. These labels were developed by the Peruvian government and adapted by investigators.
Guideline Daily Amount LabelBehavioural
A front-of-package Guideline Daily Amount label will be applied to images of juice, bread, yogurt, cookies, and cereal. The label shows the amount and percent of daily value of calories, total fat, saturated fat, sugar, and sodium in one serving of a product.
| Study group | Role | What they receive |
|---|---|---|
| Control | Other | The control arm will show the products with no label. Receives: Other: Control |
| Experimental: Nutriscore Label | Experimental | The Nutriscore label applies a letter grade (A, B, C, D or E) to a product based on certain nutrient criteria. Receives: Behavioral: Nutriscore Label |
| Experimental: Adapted Peruvian Nutrient Label | Experimental | The adapted label is a black octagon with the words in Spanish saying "Excess of sugar,"Excess of saturated fat," or "Excess of salt/sodium" depending on the nutrition contents of the product. Below the octagon is a box with words in Spanish saying "Avoid high consumption" Receives: Behavioral: Adapted Peruvian Nutrient Label |
| Experimental: Guideline Daily Amount Label | Experimental | The Guideline Daily Amount label highlights the nutrient contents of the product by serving. It lists the calories, total fat, saturated fat, sugar, and sodium, as well are their % of the daily value. Receives: Behavioral: Guideline Daily Amount Label |
What is being measured
The primary outcome is the main question the study is designed to answer.
Selection of Product Higher in Sugar
Percentage of participants who select the less healthy product in a set of two products as the product the consumer most wants to buy.
Measured: During ~15 minute online survey
Correct Identification of the Product Higher in Sugar
Percentage of participants who correctly select the product higher in sugar (between two products)
Measured: During ~15 minute online survey
Secondary outcomes (5)
Perceived Message Effectiveness
Perceived message effectiveness of the study labels. Response options are on a 1 to 5 scale, with lower scores representing a higher amount of the construct.
Perceived message effectiveness is measured using 3 items adapted from Baig et al. (2018): concern, unpleasantness, and discouragement. Responses to the 3 items will be averaged to create a perceived message effectiveness score.
Question: How much does this message...
make you concerned about the health effect of consuming an unhealthy product? discourage you from wanting to eat an unhealthy product? make eating an unhealthy product seem unpleasant to you? Only asked of the label arms, not control.
Measured: During ~15 minute online survey
Purchase Likelihood
Likelihood that participants would purchase this product in the next week if it were available. Response options are on a 1 to 5 scale, with lower scores representing a higher amount of the construct
Measured: During ~15 minute online survey
Identify Less Healthy Product
Percentage of participants that correctly identify the less healthy product when selecting between two products.
Measured: During ~15 minute online survey
Ability to Identify Product as Having Excess of Sugar/Saturated Fat/Sodium
Percentage of participants who correctly identify that the product contains excess sugar, saturated fat, or sodium.
Measured: During ~15 minute online survey
Most Discouraging Label
Percentage of participants selecting each nutrient label as most discouraging them from consuming the product.
Measured: During ~15 minute online survey
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Mar 2023
- Study start12 May 2023
- Primary completion22 Jun 2023
- Study completion22 Jun 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 8,086 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of North Carolina, Chapel Hill
- Sponsor type
- University, hospital or other
- Collaborators
- Universidad Nacional de Colombia, The Bloomberg Family Foundation, Inc.
- Responsible party
- Sponsor
- Investigators
- Lindsey S Taillie, PhD, Principal investigator, University of North Carolina, Chapel Hill
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05783726
- Sponsor's protocol ID
- 20-0401b
- Status last verified
- May 2023
- First submitted
- 13 Mar 2023
- Last updated
- 27 Jun 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Mora-Plazas M, Higgins ICA, Gomez LF, Hall MG, Parra MF, Bercholz M, Murukutla N, Taillie LS. Impact of nutrient warning labels on Colombian consumers' selection and identification of food and drinks high in sugar, sodium, and saturated fat: A randomized controlled trial. PLoS One. 2024 Jun 10;19(6):e0303514. doi: 10.1371/journal.pone.0303514. eCollection 2024.
PubMed 38857209
Study at a glance
From the registry record, last updated by the sponsor on 27 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Testing Product Messages in Colombia
- ClinicalTrials.gov ID
- NCT05783726
- Acronym / sponsor ID
- 20-0401b
- Conditions
- Obesity
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 8,086 participants (actual)
- Lead sponsor
- University of North Carolina, Chapel HillUniversity, hospital or other
- Collaborators
- Universidad Nacional de Colombia, The Bloomberg Family Foundation, Inc.
- Study start
- 12 May 2023 (actual)
- Primary completion
- 22 Jun 2023 (actual)
- Study completion
- 22 Jun 2023 (actual)
- First posted
- 24 Mar 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Purpose: To better understand the impact of different front-of-package labels (FOPLs) on consumer purchasing intentions and ability to identify unhealthy foods.
Participants: ~8,000 Colombians, recruited from Offerwise, that are 18 years or older.
Procedures (methods): Participants will be randomly assigned to view images of food and drink products with either a nutrient warning label, Guideline Daily Amount label, Nutriscore label, or no-label control. They will be asked a series of questions about the products and the labels (excluding control group) on them. Questions will also include standard demographic and health related variables.
Detailed description
Participants will be recruited from Offerwise (an online panel research company). Following online consent, participants will be randomly assigned to view different labels (explained below) on food and drink packaging. Participants will answer self-reported responses to the content (e.g., elaboration, beliefs, perceived healthfulness). After being randomized to one of the four groups and answering questions (e.g. which product is healthier, which product would you buy), the participant will see all three labels and select which is most dissuading from consuming a product high in a nutrient. At the end, the participant will answer demographic questions.
Participants will be randomized to see either a no-label control or 1 of 3 nutrient labels. The participants will see 5 types of products with the labels (fruit drinks, yogurt, sliced bread, cookies, and breakfast cereal).
Nutrient labels:
- Guideline Daily Amount label
- Nutriscore label
- Adapted Peruvian nutrient warning label (high in sugar, high in saturated fat, high in salt/sodium)
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Control | Other | Other: ControlThe control arm will show the products with no label. |
| Experimental: Nutriscore Label | Experimental | Behavioral: Nutriscore LabelThe Nutriscore label applies a letter grade (A, B, C, D or E) to a product based on certain nutrient criteria. |
| Experimental: Adapted Peruvian Nutrient Label | Experimental | Behavioral: Adapted Peruvian Nutrient LabelThe adapted label is a black octagon with the words in Spanish saying "Excess of sugar,"Excess of saturated fat," or "Excess of salt/sodium" depending on the nutrition contents of the product. Below the octagon is a box with words in Spanish saying "Avoid high consumption" |
| Experimental: Guideline Daily Amount Label | Experimental | Behavioral: Guideline Daily Amount LabelThe Guideline Daily Amount label highlights the nutrient contents of the product by serving. It lists the calories, total fat, saturated fat, sugar, and sodium, as well are their % of the daily value. |
Who may qualify
- Ages
- 18 to 64 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- 18-64 years old
- Resident of Colombia
- Offerwise panel member (recruitment platform)
Key exclusion criteria (2 listed)
- <18 years old or >64 years old
- Not a resident of Colombia
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ControlParticipants will be shown images of juice, bread, yogurt, cookies, and cereal without any added front-of-package labels. | Other | Control |
| Nutriscore LabelA front-of-package Nutriscore label will be applied to images of juice, bread, yogurt, cookies, and cereal. This label applies a score of A, B, C, D, or E based on the product's nutrition profile. | Behavioural | Experimental: Nutriscore Label |
| Adapted Peruvian Nutrient LabelA front-of-package octagonal nutrient label will be applied to images of juice, bread, yogurt, cookies, and cereal. The label text informs consumers if a product is high in sugar, saturated fat, or salt/sodium. These labels were developed by the Peruvian government and adapted by investigators. | Behavioural | Experimental: Adapted Peruvian Nutrient Label |
| Guideline Daily Amount LabelA front-of-package Guideline Daily Amount label will be applied to images of juice, bread, yogurt, cookies, and cereal. The label shows the amount and percent of daily value of calories, total fat, saturated fat, sugar, and sodium in one serving of a product. | Behavioural | Experimental: Guideline Daily Amount Label |
Primary outcome
Selection of Product Higher in Sugar
Time frame: During ~15 minute online survey
Percentage of participants who select the less healthy product in a set of two products as the product the consumer most wants to buy.
Correct Identification of the Product Higher in Sugar
Time frame: During ~15 minute online survey
Percentage of participants who correctly select the product higher in sugar (between two products)
5 secondary outcomes
Perceived Message Effectiveness
Time frame: During ~15 minute online survey
Purchase Likelihood
Time frame: During ~15 minute online survey
Identify Less Healthy Product
Time frame: During ~15 minute online survey
Ability to Identify Product as Having Excess of Sugar/Saturated Fat/Sodium
Time frame: During ~15 minute online survey
Most Discouraging Label
Time frame: During ~15 minute online survey
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jun 2023.
- Derived from this study: PubMed 38857209Mora-Plazas M, Higgins ICA, Gomez LF, Hall MG, Parra MF, Bercholz M, Murukutla N, Taillie LS. Impact of nutrient warning labels on Colombian consumers' selection and identification of food and drinks high in sugar, sodium, and saturated fat: A randomized controlled trial. PLoS One. 2024 Jun 10;19(6):e0303514. doi: 10.1371/journal.pone.0303514. eCollection 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Lindsey S Taillie, PhD principal investigator
University of North Carolina, Chapel Hill
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Nutriscore Label, Adapted Peruvian Nutrient Label and Guideline Daily Amount Label in people with Obesity, run by University of North Carolina, Chapel Hill at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Selection of Product Higher in Sugar (time frame: During ~15 minute online survey). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05783726, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jun 2023.