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Noticing Nutrition InformationNCT06204913

Menu Label Noticeability

A study testing Menu label in people with Noticing Nutrition Information and Recalling Nutrition Information, run by University of California, Davis at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To assess the relative noticeability of the following added-sugar menu label elements using a factorial experiment: label type (icon-only vs. icon-plus-text label vs. boxed icon), color (black vs. red), size (100% vs. 150% of the height of the menu item text), and placement (left vs. right side of item). Read more about this study

Who is it for?
Ages 18 to 99 yearsHealthy volunteers can take part
What is being tested?
Menu label
Could I receive a placebo?
No, everyone receives an active treatment
How many people
4,581 participants
Where
1 siteUnited States
Study dates
15 Feb 2024to 15 Mar 2024
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 99 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Equal or greater than 18 years of age-
  • Less than 100 years of age
  • English-speaking
  • U.S. residents
  • Participants will reflect the U.S. Census Bureau's 2021 American Community Survey 5-year estimates for gender, race/ethnicity, educational attainment, and age

Who cannot join

  • Failing the attention check question
  • Completing the survey in less than 33% of the median completion time

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of California, Davis

    Davis, California, 95616

Other trials in United States

About this study

Official title: Restaurant Menu Study: Label Noticeability

To assess the relative noticeability of the following added-sugar menu label elements using a factorial experiment: label type (icon-only vs. icon-plus-text label vs. boxed icon), color (black vs. red), size (100% vs. 150% of the height of the menu item text), and placement (left vs. right side of item).

Read the detailed description

The objective of this aim is to assess the relative noticeability of legally-viable added-sugar menu label characteristics. The investigators will use a between-subject experiment with a factorial design. Participants will be randomized to label type (icon-only vs. icon-plus-text label vs. boxed icon), color (black vs. red), size (100% vs. 150% of the height of the menu item text), and placement (left vs. right side of item). This results in 24 arms of the experiment.

The primary outcomes are noticing a nutrition label and recognition of the label. Secondary outcomes are knowledge of items that are high in added sugar and perceived message effectiveness (PME) of labels.

For dichotomous outcomes (e.g., noticing the label, recalling label meaning), the investigators will directly estimate the probability ratio using Poisson regression with a robust error variance, regressing the outcome on an indicator for the level of the factor. For continuous outcomes (e.g., knowledge, PME scale), the investigators will use linear regression models regressing the outcome on an indicator for experimental condition.

A critical alpha 0.05 will be used, and statistical tests will be two-tailed. Exploratory outcomes include selection of ≥1 item high in added sugar and grams of sugar ordered from each menu, analyzed using the methods described above. The investigators will also explore proportions or means for the following process measures about reactions to the warning labels: Perception that the labels grabbed attention and support for an added sugars warning label policy. Additionally, the investigators will explore differences in the primary outcomes between each of the 24 unique conditions. If there is evidence of interactions between label elements, investigators will modify the modeling approach to account for those interactions (e.g., using interaction terms and stratified models).The investigators will use multiple testing corrections for families of outcomes (primary and secondary).

Being tested
Menu label

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Menu labelOther

    Participants will select food items from two restaurant menus, displayed with labels as specified by their assigned group

Study groups in NCT06204913
Study groupRoleWhat they receive
Left, black, icon only, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored black, icon only design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Left, black, icon plus text, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored black, icon plus text design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Left, black, boxed icon, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored black, boxed icon design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Right, black, icon only, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored black, icon only design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Right, black, icon plus text, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored black, icon plus text design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Right, black, boxed icon, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored black, boxed icon design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Left, red, icon only, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored red, icon only design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Left, red, icon plus text, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored red, icon plus text design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Left, red, boxed icon, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored red, boxed icon design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Right, red, icon only, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored red, icon only design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Right, red, icon plus text, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored red, icon plus text design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Right, red, boxed icon, 100% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored red, boxed icon design, and height that is 100% of size of the menu text height.
Receives: Other: Menu label
Left, black, icon only, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored black, icon only design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label
Left, black, icon plus text, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored black, icon plus text design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label
Right, black, icon only, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored black, icon only design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label
Right, black, icon plus text, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored black, icon plus text design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label
Left, red, icon only, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored red, icon only design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label
Left, red, icon plus text, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored red, icon plus text design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label
Right, red, icon only, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored red, icon only design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label
Right, red, icon plus text, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored red, icon plus text design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label
Left, red, boxed icon, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored red, boxed icon design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label
Left, black, boxed icon, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the left of the item, colored black, boxed icon design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label
Right, red, boxed icon, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored red, boxed icon design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label
Right, black, boxed icon, 150% heightExperimentalParticipant will order meals from two menus containing labels next to items high in added sugars (exceeding half the daily value). The label will be on the right of the item, colored black, boxed icon design, and height that is 150% of size of the menu text height.
Receives: Other: Menu label

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Noticing and recall of added-sugar nutrient label - dichotomous variable "Correct" (Answered "Yes" to noticing, answered "Added sugars" to recall, and answered "high" for high low recall question) or "Incorrect" (otherwise)

    Noticing a nutrition label - Measured with "Think back to the beginning of this survey when you imagined you were ordering dinner from restaurant menus. Did you notice any nutrition labels (other than the calories) next to any of the menu items?" Response options are "Yes", "No", and "Don't know".

    Recalling the label's meaning - [If answered "Yes"] Measured with "What did the nutrition label tell you about?" Response options are (displayed in survey in a random order) "Sodium", "Added sugars", "Trans fats", "Fiber", "Calcium", "Healthy items", "Unhealthy items", "Vegetarian", "Organic", "Gluten-free", "Sustainable", "None of these", "Not sure".

    High/low - [If answered "Added sugars"] "What did the label tell you about added sugars?" Response options are "High in added sugars", "Low in added sugars", "Something else", "I don't know".

    There is no formal name for this measure/scale.

    Measured: up to approximately 1 minute

  2. Recognition of label - dichotomous variable "Correct" (selected the label they were assigned to" or "Incorrect" (any other option).

    Measured with "Please look at the following labels and select which label (if any) you saw on the menus while selecting your food and beverage items." Response options will include images of 7 labels with the designs based on the participant's assigned color (black vs red) and label type (icon-only vs. boxed-icon vs, boxed icon-plus-text label) and the options, "Not sure" and "None of these".

    There is no formal name for this measure/scale. It was developed for this study.

    Measured: up to approximately 1 minute

Secondary outcomes (2)
  1. Knowledge of menu items high in added sugar - continuous variable using the percent of 8 items correctly classified

    Measured with "(While viewing menu excerpt) Click on the menu items that you think have more than half the daily limit for added sugars." Higher percents of items correctly classified represent more knowledge.

    Measured: up to approximately 2 minutes

  2. Perceived Message Effectiveness of label - continuous variable based on a 3-item scale in which each item uses a 1-5 response scale

    Measured with 3-item University of North Carolina Perceived Message Effectiveness Scale: "How much does this label make you concerned about the health effects of consuming menu items high in added sugars?", "How much does this label makes consuming menu items high in added sugars seem unpleasant?", and "How much does this label discourage you from wanting to consume menu items high in added sugars?". Response options include a 1-5 scale where higher values represent higher amounts of the construct.

    Measured: up to approximately 2 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jan 2024
  2. Study start15 Feb 2024
  3. Primary completion15 Mar 2024
  4. Study completion15 Mar 2024

Resources

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
Factorial
Masking
Single blind
Who is masked
Investigator
Enrolment
4,581 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06204913
Sponsor's protocol ID
1641776-1
Status last verified
Oct 2023
First submitted
27 Nov 2023
Last updated
10 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Menu label in people with Noticing Nutrition Information and Recalling Nutrition Information, run by University of California, Davis 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 5 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 10 Feb 2025. 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?

Noticing and recall of added-sugar nutrient label - dichotomous variable "Correct" (Answered "Yes" to noticing, answered "Added sugars" to recall, and answered "high" for high low recall question) or "Incorrect" (otherwise) (time frame: up to approximately 1 minute). 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?
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 10 Feb 2025.

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