Behavioral Economics to Implement a Traffic Light Nutrition Ranking System: Study 2

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-90
SponsorMassachusetts General Hospital

About this trial

This is a cluster randomized controlled trial of 30 food pantries affiliated with the Greater Boston Food Bank to test the use of behavioral economics (BE) tools to encourage food pantries to implement the Supporting Wellness at Pantries (SWAP) program, with the goal of fostering accurate use of SWAP traffic light labels on pantry shelves and increasing the healthfulness of foods chosen by pantry clients. Primary outcomes will be assessed at 6 and 12 months to compare the implementation and effectiveness of the SWAP program in the intervention vs. control pantries.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Food pantries enrolled in the study will be partner agencies of the Greater Boston Food Bank that are maximum client choice, are located within approximately 1 hour driving time of Boston (for logistical feasibility), and are not actively using traffic-light nutrition ranking.

Food pantry clients that complete assessments must be 18 years or older and speak English or Spanish.

Disqualifiers

Food pantries that are not affiliated with the Greater Boston Food Bank and are not maximum client choice.

Food pantry clients that do not speak English or Spanish.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Behavioral economics-enhanced SWAP implementation

    Behavioral

    Intervention will include behavioral nudges at baseline and over 12 months to promote use of the SWAP nutrition program for pantries.

  • Basic SWAP implementation

    Behavioral

    Intervention will include basic information about the SWAP program and encouragement to obtain SWAP toolkits.

Treatment groups

3,750 Participants
are divided into 2 treatment groups
Group A: Behavioral economics-enhanced SWAP implementation strategyExperimental treatment 1 intervention
Group B: Basic SWAP implementation strategyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Pantry SWAP implementation

Proportion of pantries in the intervention vs. control group that implement SWAP (e.g., traffic-light labels on shelves)

Time frame
6 months and 12 months
2

Percent items (by weight) ordered by pantry that are labeled green or red

Using data collected from the food bank ordering platform, this outcome will be the proportions (by weight) of the overall orders from GBFB that are green-labeled and red-labeled according to SWAP ranking categories

Time frame
6 months and 12 months
3

Percent of pantry clients' selected food that is green or red

Using pantry client basket assessments, the total proportion (by weight) of food selected by the client that is labeled green (or red) will be calculated for each participant

Time frame
6 months and 12 months
4

Client dietary quality score

Rapid Prime Dietary Quality Score (range 0 to 52, higher is healthier) collected at the time clients are leaving the pantry

Time frame
6 months and 12 months

Secondary outcomes

1

Skin carotenoid level

Measured using the Veggie Meter scale at the time clients leave the pantry; range is 0 to 800 units, with higher scores indicating higher carotenoid levels (and therefore higher fruit and vegetable intake)

Time frame
6 months and 12 months

Other outcomes

Sponsors and contacts

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