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Behavior, EatingNCT07329452

Menu to Meal (M2M) Menu Labeling Intervention Study

A study testing Paper menu and Digital menu condition in people with Behavior, Eating, run by Texas A&M University 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

This study evaluates the impact of culturally tailored menu labeling interventions on psychosocial factors and ordering behavior among customers in two independently owned Hispanic restaurants in East-Central Texas. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Behavior, Eating
What is being tested?
Paper menu and Digital menu condition
Could I receive a placebo?
No, everyone receives an active treatment
How many people
242 participants
Where
1 siteUnited States
Study dates
17 Nov 2025to 18 May 2026
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

  • Adults aged 18 years or older
  • Patrons dining at participating Hispanic restaurants during designated study hours
  • Able to read and speak English or Spanish
  • Willing and able to provide informed consent
  • Pregnant women are eligible to participate, as the study procedures pose minimal risk

Who cannot join

  • Minors under 18 years of age
  • Individuals with visual or cognitive impairments that prevent interaction with the menu formats or AR/AI technology
  • Individuals who have participated in a prior phase of the study
  • Restaurant staff involved in study implementation

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Local Restaurant Site

    Bryan, Texas, 77802

Other trials in United States

About this study

Official title: Menu to Meal (M2M): Evaluating the Effectiveness of a Digital Nutritional Labeling Intervention in Hispanic Restaurant Settings

This study evaluates the impact of culturally tailored menu labeling interventions on psychosocial factors and ordering behavior among customers in two independently owned Hispanic restaurants in East-Central Texas. Participants will be exposed to one of three sequential menu conditions at each restaurant: (1) a standard menu without nutrition information, (2) a paper menu with bilingual nutrition labels, or (3) a digital menu app enhanced with Augmented Reality (AR) and Artificial Intelligence (AI) providing interactive nutrition guidance. The study will assess whether menu formats influence nutrition literacy, decision-making confidence, self-efficacy, attitudes, behavioral intentions, and actual ordering behavior. Data will be collected through surveys, purchase receipts, and app interaction logs.

Read the detailed description

Detailed Description:

This study aims to design and evaluate a culturally tailored, bilingual menu labeling intervention incorporating AR and AI features in small, independently owned Hispanic restaurants. The intervention seeks to promote informed food ordering by targeting psychosocial constructs known to influence food choice. Three sequential conditions will be implemented: (1) baseline with standard menus and no nutrition labels, (2) paper menus with visible bilingual nutrition labels, and (3) a digital AR/AI-enhanced menu.

Guided by the Theory of Planned Behavior and Social Cognitive Theory, the study focuses on constructs such as decision-making confidence, self-efficacy, subjective norms, and perceived behavioral control. The two primary objectives are to (1) develop a culturally informed digital menu labeling tool and (2) evaluate its effectiveness compared with standard and paper menu formats in shaping psychosocial factors and actual ordering behavior.

Participants will be recruited during restaurant visits and exposed to the menu condition corresponding to their visit timing. Surveys will be administered before ordering to assess psychosocial factors, label awareness, and behavioral intentions. A formative needs assessment conducted prior to implementation will ensure cultural and linguistic appropriateness. Findings will provide evidence on the effectiveness of innovative, theory-informed digital interventions in promoting informed food choices in culturally specific restaurant settings not subject to federal nutrition labeling requirements.

Being tested
Paper menu, Digital menu condition
Keywords
nutrition labeling, menu labeling, Augmented reality (AR), Artificial intelligence (AI), Dietary behavior, Hispanic population, Chronic disease prevention, Obesity, Type 2 diabetes, Cardiovascular disease, Calorie intake, Sodium intake, Saturated fat, Food choice, Health disparities, Behavioral intervention, Digital health intervention, Restaurant nutrition, Health literacy, Theory of Planned Behavior (TPB)
Medical subject headings
Feeding Behavior, Obesity, Diabetes Mellitus, Type 2, Cardiovascular Diseases

What participants receive

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

  • Paper menuBehavioural

    Paper menu with bilingual nutrition labels

  • Digital menu conditionBehavioural

    AR/AI-enhanced digital menu giving interactive nutrition guidance

Study groups in NCT07329452
Study groupRoleWhat they receive
Baseline conditionNo interventionStandard menu with no nutrition information.
Paper menu conditionActive comparatorBilingual paper menus display numeric and icon-based nutrition information, including calories, saturated fat, and sodium.
Receives: Behavioral: Paper menu
AR/AI digital menu conditionExperimentalMobile app providing interactive nutrition information and personalized guidance based on dietary preferences.
Receives: Behavioral: Digital menu condition

What is being measured

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

  1. Attitudes Toward Healthy Menu Choices

    Attitudes toward selecting healthier menu items, assessed using a study-developed questionnaire informed by the Theory of Planned Behavior. The questionnaire consists of agreement-scale items evaluating whether choosing healthier foods is important, beneficial, and enjoyable.

    Measurement Tool:

    Study-developed Attitudes Toward Healthy Menu Choices Questionnaire (5-point agreement Likert scale)

    Scale Description and Coding:

    1. = Strongly disagree
    2. = Disagree
    3. = Neither agree nor disagree
    4. = Agree
    5. = Strongly agree

    Unit of Measure:

    Mean attitude score (range: 1 to 5)

    Scale Range and Direction:

    Scores range from 1 to 5. Higher scores indicate more positive attitudes toward choosing healthier menu items.

    Measured: Immediately after the intervention (menu exposure)

  2. Intention to Make Healthier Food Choices

    Intention to choose healthier menu items, assessed using a study-developed questionnaire informed by the Theory of Planned Behavior.

    Measurement Tool:

    Study-developed Healthy Eating Intention Questionnaire (5-point agreement Likert scale)

    Scale Description and Coding:

    1. = Strongly disagree
    2. = Disagree
    3. = Neither agree nor disagree
    4. = Agree
    5. = Strongly agree

    Unit of Measure:

    Intention score (range: 1 to 5)

    Scale Range and Direction:

    Scores range from 1 to 5. Higher scores indicate stronger intention to choose healthier menu items.

    Measured: Immediately after the intervention (menu exposure)

  3. Perceived Behavioral Control Over Healthy Menu Choices

    Perceived behavioral control over choosing healthier menu items, assessed using a study-developed questionnaire informed by the Theory of Planned Behavior.

    Measurement Tool:

    Study-developed Perceived Behavioral Control Questionnaire (5-point agreement Likert scale)

    Scale Description and Coding:

    1. = Strongly disagree
    2. = Disagree
    3. = Neither agree nor disagree
    4. = Agree
    5. = Strongly agree

    Unit of Measure:

    Perceived behavioral control score (range: 1 to 5)

    Scale Range and Direction:

    Scores range from 1 to 5. Higher scores indicate greater perceived control over choosing healthier menu items.

    Measured: Immediately after the intervention (menu exposure)

  4. Self-Efficacy for Using Nutrition Information When Ordering

    Self-efficacy for using nutrition information to guide food choices, assessed using a study-developed questionnaire informed by Social Cognitive Theory.

    Measurement Tool:

    Study-developed Nutrition Information Self-Efficacy Questionnaire (5-point agreement Likert scale)

    Scale Description and Coding:

    1. = Strongly disagree
    2. = Disagree
    3. = Neither agree nor disagree
    4. = Agree
    5. = Strongly agree

    Unit of Measure:

    Mean self-efficacy score (range: 1 to 5)

    Scale Range and Direction:

    Scores range from 1 to 5. Higher scores indicate greater confidence in using nutrition information to make food choices.

    Measured: Immediately after the intervention (menu exposure)

  5. Awareness of Nutrition Information on the Menu

    Awareness of nutrition information on the menu, assessed using a study-developed self-report item asking whether the participant noticed or looked at nutrition information while viewing the menu.

    Measurement Tool:

    Study-developed Awareness of Nutrition Information Item (binary response)

    Scale Description and Coding:

    0 = No, did not notice or look at nutrition information

    1 = Yes, noticed or looked at nutrition information

    Unit of Measure:

    Percentage of participants reporting awareness (response = 1)

    Scale Range and Direction:

    Values range from 0 to 1. A value of 1 indicates awareness of nutrition information.

    How the Percentage Is Derived:

    The percentage is calculated as the proportion of participants with a response of 1 (Yes) among all participants who completed the questionnaire.

    Measured: Immediately after the intervention (menu exposure)

  6. Use of Nutrition Information to Inform Menu Selection

    Use of nutrition information to inform menu selection, assessed using a study-developed self-report item asking the extent to which nutrition information influenced the participant's food choice.

    Measurement Tool:

    Study-developed Nutrition Information Influence Item (5-point Likert scale)

    Scale Description and Coding:

    1. = Not at all
    2. = A little
    3. = Somewhat
    4. = Mostly
    5. = Completely

    Unit of Measure:

    Percentage of participants reporting use of nutrition information, defined as responses of 4 or 5

    Scale Range and Direction:

    Scores range from 1 to 5. Higher values indicate greater influence of nutrition information on choice.

    How the Percentage Is Derived:

    The percentage is calculated as the proportion of participants with responses of 4 or 5 among all participants who completed the questionnaire.

    Measured: Immediately after the intervention (menu exposure)

Secondary outcomes (5)
  1. Total Energy Ordered per Customer Order

    Total energy content of menu items ordered by each participant, calculated using receipt-based ordering data linked to laboratory-tested and standardized recipe-based nutrient analysis conducted as part of the Menu2Meal (M2M) intervention.

    Measurement Tool:

    Receipt-based nutrient calculation using laboratory-tested and standardized nutrient databases

    Unit of Measure:

    Mean kilocalories (kcal) per customer order

    Measured: Immediately after the intervention (menu exposure)

  2. Saturated Fat Content of Menu Items Ordered

    Total saturated fat content of menu items ordered by each participant, calculated by summing grams of saturated fat from all items ordered, using laboratory-tested and standardized recipe-based nutrient values.

    Measurement Tool:

    Receipt-based nutrient calculation using laboratory-tested and standardized nutrient databases

    Unit of Measure:

    Mean grams (g) of saturated fat per customer order

    Measured: Immediately after the intervention (menu exposure)

  3. Sodium Content of Menu Items Ordered

    Total sodium content of menu items ordered by each participant, calculated by summing milligrams of sodium from all items ordered, using laboratory-tested and standardized recipe-based nutrient values.

    Measurement Tool:

    Receipt-based nutrient calculation using laboratory-tested and standardized nutrient databases

    Unit of Measure:

    Mean milligrams (mg) of sodium per customer order

    Measured: Immediately after the intervention (menu exposure)

  4. Dietary Fiber Content of Menu Items Ordered

    Total dietary fiber content of menu items ordered by each participant, calculated by summing grams of dietary fiber from all items ordered, using laboratory-tested and standardized recipe-based nutrient values.

    Measurement Tool:

    Receipt-based nutrient calculation using laboratory-tested and standardized nutrient databases

    Unit of Measure:

    Mean grams (g) of dietary fiber per customer order

    Measured: Immediately after the intervention (menu exposure)

  5. Added Sugar Content of Menu Items Ordered

    Total added sugar content of menu items ordered by each participant, calculated by summing grams of added sugars from all items ordered, using laboratory-tested and standardized recipe-based nutrient values.

    Measurement Tool:

    Receipt-based nutrient calculation using laboratory-tested and standardized nutrient databases

    Unit of Measure:

    Mean grams (g) of added sugars per customer order

    Measured: Immediately after the intervention (menu exposure)

Timeline

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

  1. First posted9 Jan 2026
  2. Study start17 Nov 2025
  3. Primary completion18 May 2026
  4. Study completion18 May 2026

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
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
This study uses a within-site, quasi-experimental design at two independently owned Hispanic restaurants. The intervention consists of three sequential conditions: (1) a baseline phase with the standard menu, (2) a paper menu phase featuring bilingual nutrition labels, and (3) a digital menu phase using a mobile app enhanced with augmented reality (AR) and artificial intelligence (AI) technologies. Each condition enrolls distinct participants to compare the effects of different menu labeling formats on ordering behavior and psychosocial outcomes. The restaurants serve as their own controls, allowing for direct comparison of menu formats within the same real-world setting.
Masking
None (open label)
Enrolment
242 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07329452
Sponsor's protocol ID
STUDY2025-1204
Status last verified
Jan 2026
First submitted
24 Nov 2025
Last updated
9 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data (IPD) underlying the results reported in the publication will be shared, including baseline characteristics, outcome measures, and adverse event data. Data will be available beginning 6 months after publication for researchers who provide a methodologically sound proposal. Requests should be submitted to the corresponding author and will require a data use agreement in accordance with institutional and regulatory policies.

Questions about this trial

What is this clinical trial studying?

A study testing Paper menu and Digital menu condition in people with Behavior, Eating, run by Texas A&M University 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 4 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 9 Jul 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. 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?

Attitudes Toward Healthy Menu Choices (time frame: Immediately after the intervention (menu exposure)). The study lists 6 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 9 Jul 2026; AzTrials last refreshed its copy on 27 Oct 2026.

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