Emolabeling increases healthy food choices among grade school children in a structured grocery aisle setting

Privitera, Gregory J.; Phillips, Taylor; Zuraikat, Faris M.; Paque, Robert

doi:10.1016/j.appet.2015.05.024

Cited by 16 publications

(18 citation statements)

References 31 publications

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“…After removing the duplicates, 513 studies remained. The 12 studies reviewed in the analysis present different domains of health literacy pertaining to children [ 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ], which deal with different areas of health literacy among children under eight years old ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Despite the fact that in recent years, examining the effects of interventions during early childhood has become a priority for researchers [ 40 , 41 ], only a few studies deal with the HL level of children under the age of eight [ 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ]. However, studying this field is essential because the establishment of a preventive health attitude and the formation of health-related good habits occur in early childhood [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Health Literacy in Early Childhood: A Systematic Review of Empirical Studies

et al. 2022

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Early childhood plays a key role in the formation of healthy habits and the establishment of health literacy. Nonetheless, there are only a few research studies focusing on the health literacy level of children under the age of eight. The aim of our systematic review is to explore empirical research on health literacy related to early childhood. The research was conducted in accordance with the PRISMA protocol. This systematic review examines 12 studies published between 2013–2022. Results show that research focuses on different domains of health literacy for children. In relation to children’s food literacy, children understand the relationship between health and nutrition and they realize the health impact of obesity. The habits connected to oral health are strongly associated with parents’ knowledge of and behaviours around oral health. Results related to health care situations show that children are able to be actively involved in decision-making processes in connection with their health. Exploring young children’s health literacy is essential in order to be able to plan health promotion interventions, embedded into early childhood education. Picture-based messages or story-based messages supported by illustrations can help measure health literacy in early childhood and can support the formation of health literacy.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health Literacy in Early Childhood: A Systematic Review of Empirical Studies

et al. 2022

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“…While many studies have demonstrated pricing effects by income level (Cummins et al, 2014; Darmon et al, 2014), it is noteworthy that the contrast between low- and high-income is not standardised across studies, and in some cases, income and basic population demographics for an area sampled is not fully reported. It is unlikely that pricing effects are continuous as income increases and may vary by the affluence of the area sampled (Privitera, 2016; Privitera et al, 2015); this can and should be addressed in future studies.…”

Section: Discussionmentioning

confidence: 99%

Impact of price elasticity on the healthfulness of food choices by gender

Privitera

Gillespie

Zuraikat

2018

Health Education Journal

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Objective: To extend findings from experimental price elasticity studies by examining these effects in a field setting and identifying gender differences in purchasing behaviour in response to variations in the cost of lower energy-dense (ED) and higher ED foods. Setting: Data were collected from low- and median-income male and female grocery shoppers at a supermarket in the Western New York region. Design: Using a procedure adapted from experimental economics, participants were given a debit card in a grocery store setting and allowed to purchase any foods from two pricing conditions. Conditions were identical, except one had lower ED foods low priced, and the other had lower ED foods higher priced. The design was fully counterbalanced. Results: Overall, when lower ED foods were more expensive, fewer lower ED foods were purchased (95% confidence interval [CI]: −1.0, −.40). Gender differences revealed that men spent more money (in dollars) when higher ED foods were higher priced (95% CI: US$0.51, US$1.73) and women spent more money when lower ED foods were higher priced (95% CI: − US$2.21, − US$0.11). Furthermore, women, but not men, increased spending when lower ED foods were higher priced (95% CI: − US$2.85, − US$0.73). Conclusion: Higher costs for fruits and vegetables among consumers can adversely affect the purchase volume of these foods, with men being most susceptible to pricing manipulations. Results contribute to an understanding of how perceptions of price impact consumer choice and suggest that efforts aimed to increase the perceived value of health over cost should be tailored towards men.

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“…Emoticons and small prizes have been used successfully to improve food choice in elementary school-aged children (Privitera et al 2015;List and Samek 2015). We recently described a pilot program in which green, smiley-faced emoticons were placed independently and then combined with small prizes for selecting a PP, which consisted of a fruit, a vegetable, PLFM, and an entrée with whole grains (Siegel et al 2015a(Siegel et al , 2015b.…”

Section: Introductionmentioning

confidence: 99%

Small prizes increased healthful school lunch selection in a Midwestern school district

Siegel

Lockhart

Barnes

et al. 2016

Appl. Physiol. Nutr. Metab.

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As obesity has become a pressing health issue for American children, greater attention has been focused on how schools can be used to improve how students eat. Previously, we piloted the use of small prizes in an elementary school cafeteria to improve healthful food selection. We hoped to increase healthful food selection in all the elementary schools of a small school district participating in the United States Department of Agriculture Lunch Program by offering prizes to children who selected a Power Plate (PP), which consisted of an entrée with whole grains, a fruit, a vegetable, and plain low-fat milk. In this study, the PP program was introduced to 3 schools sequentially over an academic year. During the kickoff week, green, smiley-faced emoticons were placed by preferred foods, and children were given a prize daily if they chose a PP on that day. After the first week, students were given a sticker or temporary tattoo 2 days a week if they selected a PP. Combining data from the 3 schools in the program, students increased PP selection from 4.5% at baseline to 49.4% (p < 0.0001) during an intervention period of 2.5 school weeks. The school with the longest intervention period, 6 months, showed a PP selection increase of from 3.9% to 26.4% (p < 0.0001). In conclusion, giving small prizes as rewards dramatically improves short-term healthful food selection in elementary school children.

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Emolabeling increases healthy food choices among grade school children in a structured grocery aisle setting

Cited by 16 publications

References 31 publications

Health Literacy in Early Childhood: A Systematic Review of Empirical Studies

Health Literacy in Early Childhood: A Systematic Review of Empirical Studies

Impact of price elasticity on the healthfulness of food choices by gender

Small prizes increased healthful school lunch selection in a Midwestern school district

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