Facts-Up-Front Versus Traffic-Light Food Labels

This study has been completed.
Sponsor:
Collaborator:
Robert Wood Johnson Foundation
Information provided by (Responsible Party):
Christina Roberto, Yale University
ClinicalTrials.gov Identifier:
NCT01626729
First received: June 14, 2012
Last updated: June 20, 2012
Last verified: June 2012
  Purpose

The U.S. food and beverage industry recently released a new front-of-package nutrition labeling system called Facts Up Front that will be used on thousands of food products. The purpose of this study was to test consumer understanding of the Facts Up Front nutrition labeling system compared to the Multiple Traffic Light system (Traffic Light). Facts Up Front displays grams/milligrams and % daily value information for various nutrients; Traffic Light uses an interpretive color-coded scheme to alert consumers to low, medium or high levels of certain nutrients. Participants in an Internet-based study were randomized to one of five front-of-package label conditions: 1) No Label; 2) Traffic Light; 3) Traffic Light plus information about protein and fiber (Traffic Light+); 4) Facts Up Front; or 5) Facts Up Front plus information about "nutrients to encourage" (Facts Up Front+). Total percentage correct quiz scores were generated reflecting participants' ability to compare two foods on nutrient levels, based on their labels, and to estimate amounts of saturated fat, sugar, sodium, fiber and protein in foods. 703 adult participants recruited through an online database in May 2011 participated in this Internet-based study and data were analyzed in June 2011. The investigators hypothesized that the Traffic Light label groups would perform better than the Facts Up Front groups on all outcomes.


Condition Intervention
Food Labeling
Behavioral: Traffic Light
Behavioral: Traffic Light+
Behavioral: Facts Up Front
Behavioral: Facts Up Front+
Behavioral: No label control group

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Facts-Up-Front Versus Traffic-Light Food Labels: A Randomized Controlled Trial

Resource links provided by NLM:


Further study details as provided by Yale University:

Primary Outcome Measures:
  • Nutrient Comparison and Nutrient Level Estimation Accuracy [ Time Frame: Baseline ] [ Designated as safety issue: No ]
    Participants took a nutrient level comparison quiz asking them to identify which of two products presented side-by-side in the same food category were higher or lower in different nutrients. Participants also viewed 8 individual products and estimated whether the product had low, medium or high amounts of saturated fat, sugar, sodium, fiber, and protein. The primary outcomes were total percentage correct on these quizzes.

  • Perceptions of Health, Taste and Purchase Intent [ Time Frame: Baseline ] [ Designated as safety issue: No ]
    Participants rated how healthy they thought each individual product was, how good it would taste and their likelihood to buy the product for themselves and their children (answered only by those who reported having children) using a 9-point Likert scale. Each set of ratings was averaged across eight products.


Secondary Outcome Measures:
  • Consumer Label Preferences [ Time Frame: Baseline ] [ Designated as safety issue: No ]
    Composite scores were created based on several items assessing ease of label interpretation and understanding, label complexity, and degree of label confusion.


Enrollment: 703
Study Start Date: May 2011
Study Completion Date: May 2011
Primary Completion Date: May 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Traffic Light Behavioral: Traffic Light
A kilocalories (calories) per serving label and a Traffic Light symbol with High/Med/Low text indicating amounts of saturated fat, total sugars, and sodium per serving.
Experimental: Traffic Light+ Behavioral: Traffic Light+
A calories per serving label and a Traffic Light symbol with High/Med/Low text indicating amounts of saturated fat, total sugars, sodium, fiber and protein per serving.
Experimental: Facts Up Front Behavioral: Facts Up Front
A label displaying calories, saturated fat, sodium, and total sugars per serving. Nutrient amounts were listed in grams/milligrams and % Daily Values (%DVs), which indicate whether a serving of food is high or low in a nutrient based on daily value recommendations for a 2,000 calorie diet, were included. This symbol was created based on the Facts Up Front symbol description provided by the Grocery Manufacturers Association and Food Marketing Institute, without the inclusion of nutrients to encourage.
Experimental: Facts Up Front+ Behavioral: Facts Up Front+
A label displaying calories, saturated fat, sodium, and total sugars per serving. The label also showed two (out of the possible eight) nutrients to encourage with the highest %DV. Nutrient amounts were listed in grams/milligrams and %DVs were included. This symbol was based directly on the Facts Up Front symbol description provided by the Grocery Manufacturers Association and Food Marketing Institute.
Placebo Comparator: No front of package label Behavioral: No label control group
No label control group

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Participants in Survey Sampling International Panels

Exclusion Criteria:

  • Younger than 18 years old
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01626729

Locations
United States, Connecticut
Survey Sampling International & Yale University
New Haven, Connecticut, United States, 06520
Sponsors and Collaborators
Yale University
Robert Wood Johnson Foundation
Investigators
Principal Investigator: Christina A Roberto, PhD Yale University
  More Information

No publications provided by Yale University

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Christina Roberto, Principal Investigator, Yale University
ClinicalTrials.gov Identifier: NCT01626729     History of Changes
Other Study ID Numbers: 1101007870
Study First Received: June 14, 2012
Last Updated: June 20, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by Yale University:
Food Labeling

ClinicalTrials.gov processed this record on August 28, 2014