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Food ChoicesNCT07214792

Perceptions of and Reactions to Sustainability Menu Label Designs

A study testing Low Sustainability Labels, Unsustainable Labels and Environmental Harm Labels in people with Food Choices, run by Johns Hopkins Bloomberg School of Public Health 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

The primary objective of this study is to explore perceptions and understanding of different menu label designs related to sustainability and environmental harm. Participants will be randomized to view a fast-food menu featuring one of seven labeling conditions and then will answer questions about the participant's… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Food Choices
What is being tested?
Low Sustainability Labels, Unsustainable Labels and Environmental Harm Labels
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
14,720 participants
Where
1 siteUnited States
Study dates
9 Oct 2025to 2 Nov 2025
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • 18 years of age or older
  • Member of the CloudResearch panel
  • Residing in the United States

Who cannot join

  • - <18 years of age
  • Not residing in the United States
  • Completed the survey implausibly quickly based on the distribution of the time to complete the survey among all participants
  • Failed the built-in Qualtrics survey fraud detection measures
  • Failed the attention check question included in the survey

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Johns Hopkins Bloomberg School of Public Health

    Baltimore, Maryland, 21205

Other trials in United States

About this study

Official title: Understanding Perceptions of and Reactions to Different Food Label Designs

The primary objective of this study is to explore perceptions and understanding of different menu label designs related to sustainability and environmental harm. Participants will be randomized to view a fast-food menu featuring one of seven labeling conditions and then will answer questions about the participant's reactions to and interpretations of the label, perceived label effectiveness, intention to purchase a menu item with the label, as well as perceptions of two fast-food menu items.

Read the detailed description

This survey will explore the perceptions and understanding of different hypothetical menu label designs related to sustainability and environmental harm compared to a control label The survey research firm CloudResearch will recruit a sample of ~12,400 adults aged 18 years and older who reside in the United States.

Participants will be randomized to view a fast-food online ordering menu with one of seven labeling schemes applied: (1) a QR code on all items (control); (2) Low Sustainability labels; (3) Unsustainable labels; (4) Environmental Harm labels; (5) High Environmental Harm labels; (6) High Environmental Cost labels; and (7) numeric Environmental Cost labels on all items. All fast-food menus will include a selection of main entrée items. The control QR code and numeric environmental cost labels will display labels on all menu items. All other label conditions will apply labels only to items with higher environmental impact as defined by ingredient-level environmental impact estimates based on the Cool Food Pledge Calculator.

Participants will be shown the menu and the label in isolation and will then be asked about interpretations of the label, reactions to the label, perceived message effectiveness (PME) of the label, how helpful the participants find the label to be, and the intention to purchase a menu item with the label. The participants will also be shown two different individual fast-food items with the label to which the participants were randomized (if applicable) in random order and asked about the perceived appeal, healthfulness, and environmental impact of the menu items.

The primary outcome in this exploratory study will be intention to purchase a hypothetical menu item with the label shown. Secondary outcomes include label interpretation, perceived label understandability, perceived label believability, perception that the label grabbed attention, perceived message effectiveness (PME) of the label, perceived helpfulness of the label, perceived level of appeal of menu items, perceived level of healthfulness of menu items, and perceived environmental impact of menu items.

Conditions
Food Choices
Being tested
Control (QR) Labels, Low Sustainability Labels, Unsustainable Labels, Environmental Harm Labels, High Environmental Harm Labels
Keywords
Food labeling, Sustainability, Fast Food

What participants receive

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

  • Control (QR) LabelsBehavioural

    Participants will view a fast-food restaurant menu with main entrée items. Each menu item will be displayed with an image of the item, name, price, and total calories. Control (QR) labels will be displayed beneath each item. Participants will view the menu and then the label in isolation and then be asked about a hypothetical intention to purchase a menu item with the label.

  • Low Sustainability LabelsBehavioural

    Participants will view a fast-food restaurant menu with main entrée items. Each menu item will be displayed with an image of the item, name, price, and total calories. Low Sustainability labels will be displayed beneath select items. Participants will view the menu and then the label in isolation and then be asked about a hypothetical intention to purchase a menu item with the label.

  • Unsustainable LabelsBehavioural

    Participants will view a fast-food restaurant menu with main entrée items. Each menu item will be displayed with an image of the item, name, price, and total calories. Unsustainable labels will be displayed beneath select items. Participants will view the menu and then the label in isolation and then be asked about a hypothetical intention to purchase a menu item with the label.

  • Environmental Harm LabelsBehavioural

    Participants will view a fast-food restaurant menu with main entrée items. Each menu item will be displayed with an image of the item, name, price, and total calories. Environmental Harm labels will be displayed beneath select items. Participants will view the menu and then the label in isolation and then be asked about a hypothetical intention to purchase a menu item with the label.

  • High Environmental Harm LabelsBehavioural

    Participants will view a fast-food restaurant menu with main entrée items. Each menu item will be displayed with an image of the item, name, price, and total calories. High Environmental Harm labels will be displayed beneath select items. Participants will view the menu and then the label in isolation and then be asked about a hypothetical intention to purchase a menu item with the label.

  • High Environmental Cost LabelsBehavioural

    Participants will view a fast-food restaurant menu with main entrée items. Each menu item will be displayed with an image of the item, name, price, and total calories. High Environmental Cost labels will be displayed beneath select items. Participants will view the menu and then the label in isolation and then be asked about a hypothetical intention to purchase a menu item with the label.

  • Numeric Environmental Cost LabelsBehavioural

    Participants will view a fast-food restaurant menu with main entrée items. Each menu item will be displayed with an image of the item, name, price, and total calories. Numeric environmental cost labels will be displayed beneath each item. Participants will view the menu and then the label in isolation and then be asked about a hypothetical intention to purchase a menu item with the label.

Study groups in NCT07214792
Study groupRoleWhat they receive
Control (QR) labelsPlacebo comparatorA black label featuring a QR code and white text that reads "SCAN HERE" will be placed beneath all main menu items.
Receives: Behavioral: Control (QR) Labels
Low Sustainability LabelsExperimentalA red icon-plus-text label that reads "LOW SUSTAINABILITY" in white text will be placed beneath menu items with a high environmental impact, defined by ingredient-level environmental impact estimates from the Cool Food Pledge Calculator. Labels will include a white globe icon directly preceding the label text.
Receives: Behavioral: Low Sustainability Labels
Unsustainable LabelsExperimentalA red icon-plus-text label that reads "UNSUSTAINABLE" in white text will be placed beneath menu items with a high environmental impact, defined by ingredient-level environmental impact estimates from the Cool Food Pledge Calculator. Labels will include a white globe icon directly preceding the label text.
Receives: Behavioral: Unsustainable Labels
Environmental Harm LabelsExperimentalA red icon-plus-text label that reads "ENVIRONMENTAL HARM" in white text will be placed beneath menu items with a high environmental impact, defined by ingredient-level environmental impact estimates from the Cool Food Pledge Calculator. Labels will include a white globe icon directly preceding the label text.
Receives: Behavioral: Environmental Harm Labels
High Environmental Harm LabelsExperimentalA red icon-plus-text label that reads "HIGH ENVIRONMENTAL HARM" in white text will be placed beneath menu items with a high environmental impact, defined by ingredient-level environmental impact estimates from the Cool Food Pledge Calculator. Labels will include a white globe icon directly preceding the label text.
Receives: Behavioral: High Environmental Harm Labels
High Environmental Cost LabelsExperimentalA red icon-plus-text label that reads "HIGH ENVIRONMENTAL COST" in white text will be placed beneath menu items with a high environmental impact, defined by ingredient-level environmental impact estimates from the Cool Food Pledge Calculator. Labels will include a white triangle icon with a dollar sign directly preceding the label text.
Receives: Behavioral: High Environmental Cost Labels
Numeric Environmental Cost LabelsExperimentalNumeric Environmental Cost labels will be placed beneath all menu items and display the estimated dollar value associated with the item's True Cost Accounting which calculates the additional cost of a commodity by accounting for environmental and social costs. The label will read "ENVIRONMENTAL COST" in white text followed by a dollar value (i.e., +$6.01). All labels have a solid red background and an icon-plus-text design. A white globe icon will precede the text.
Receives: Behavioral: Numeric Environmental Cost Labels

What is being measured

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

  1. Intention to purchase

    Intention to purchase is measured with the survey question: "How likely would you be to purchase a menu item with this label?" Response options are a 7-point Likert scale: 1=Very unlikely, 2=Unlikely, 3=Somewhat unlikely, 4=Neither likely nor unlikely, 5=Somewhat likely, 6=Likely, 7=Very likely. A higher rating is better.

    Measured: Immediately after viewing the menu excerpt and label image

Secondary outcomes (6)
  1. Label interpretation

    Label interpretation is assessed with a survey question: "Imagine that you are in a fast-food restaurant (such as Burger King) to order lunch. Next are questions about the label, as displayed on the menu example below. If you saw this label next to an item on the menu, what would you think the label indicates about the item? [check all that apply]". Response options provided are a range of statements about the menu item: 1="This menu item is unhealthy", 2="This menu item is healthy" 3="This menu item is good for the environment", 4="This menu item used a lot of natural resources (e.g. land, water) to produce", 5="This menu item will keep you full for a long time", 6="This menu item is bad for the environment", and 7="This menu item will cost consumers more to purchase". Also included are 8="I don't know" and 9="Other" option with open-text entry.

    Measured: Immediately after viewing the menu excerpt

  2. Perceived label understandability

    After viewing the label, participants will be asked how much the participant agrees or disagrees with the following statement: "This label is easy to understand". Response options are a unipolar 5-point Likert scale: 1=Not at all, 2=A little bit, 3=Somewhat, 4=Quite a bit, 5=A great deal. A higher ranking is better.

    Measured: Immediately after viewing the menu excerpt and label image

  3. Perceived label believability

    After viewing the label, participants will be asked how much the participant agrees or disagrees with the following statement: "This label is believable to me". Response options are a unipolar 5-point Likert scale: 1=Not at all, 2=A little bit, 3=Somewhat, 4=Quite a bit, 5=A great deal. A higher ranking is better.

    Measured: Immediately after viewing the menu excerpt and label image

  4. Perception that label grabbed attention

    After viewing the label, participants will be asked how much the participant agrees or disagrees with the following statement: "This label grabs my attention". Response options are a unipolar 5-point Likert scale: 1=Not at all, 2=A little bit, 3=Somewhat, 4=Quite a bit, 5=A great deal. A higher ranking is better.

    Measured: Immediately after viewing the menu excerpt and label image

  5. Perceived message effectiveness (PME) as assessed by the University of North Carolina (UNC)-PME scale

    Perceived message effectiveness (PME) is measured using the unipolar 3-item University of North Carolina (UNC)-PME scale. Participants will be asked how much each label discourages consumption of or evokes concern of unpleasantness about consumption of foods with the label. After viewing the label, participants will be asked how much the participant agrees or disagrees with the following statements: "This label discourages me from wanting to eat foods with this label", "This label makes foods with this label seem unpleasant", and "This label makes me concerned about the health effects of eating menu items with this label". Response options are a 5-point Likert scale: 1=Not at all, 2=A little bit, 3=Somewhat, 4=Quite a bit, 5=A great deal. A higher ranking is better.

    Measured: Immediately after viewing the menu excerpt and label image

  6. Perceived label helpfulness

    Perceived label helpfulness is measured with the survey question: "How helpful would you find this label when deciding what to order at a fast-food restaurant?" Response options are a 7-point Likert scale: 1=Very unhelpful, 2=Unhelpful, 3=Somewhat unhelpful, 4=Neither helpful nor unhelpful, 5=Somewhat helpful, 6=Helpful, 7=Very helpful. A higher ranking is better.

    Measured: Immediately after viewing the menu excerpt and label image

Timeline

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

  1. First posted9 Oct 2025
  2. Study start9 Oct 2025
  3. Primary completion2 Nov 2025
  4. Study completion2 Nov 2025

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
Parallel groups
Model description
Participants will be randomized to view a fast-food online ordering menu with one of seven labeling schemes applied: (1) a QR code on all items (control); (2) Low Sustainability labels; (3) Unsustainable labels; (4) Environmental Harm labels; (5) High Environmental Harm labels; (6) High Environmental Cost labels; and (7) numeric environmental cost labels on all items. All fast-food menus will include a selection of main entrée items. The control QR code and numeric environmental cost labels will display labels on all menu items. All other label conditions will apply labels only to items with higher environmental impact as defined by ingredient-level environmental impact estimates based on the Cool Food Pledge Calculator. Participants will be asked about a hypothetical intention to purchase an unspecified menu item with the label to which the participant was randomized.
Masking
None (open label)
Enrolment
14,720 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07214792
Sponsor's protocol ID
IRB00034378
Other IDs
5R01DK139327-02
Status last verified
Jan 2026
First submitted
6 Oct 2025
Last updated
7 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The investigators will share anonymous individual level data with members of the research team and with other interested researchers upon request. After results have been published the investigators will make study data available on Open Science Framework consistent with the Data Sharing and Management Plan.

Questions about this trial

What is this clinical trial studying?

A study testing Low Sustainability Labels, Unsustainable Labels and Environmental Harm Labels in people with Food Choices, run by Johns Hopkins Bloomberg School of Public Health 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 5 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 7 Jan 2026. 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. Some participants in this study may receive a placebo. 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?

Intention to purchase (time frame: Immediately after viewing the menu excerpt and label image). 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 7 Jan 2026.

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