Healthy Checkout Lines: A Study in Urban Supermarkets

Adjoian, Tamar; Dannefer, Rachel; Willingham, Craig; Brathwaite, Chantelle; Franklin, Sharraine

doi:10.1016/j.jneb.2017.02.004

Cited by 31 publications

(76 citation statements)

References 16 publications

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“…Out of the 34 multi-component interventions, 13 interventions included two Ps [ 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ], 20 interventions included three Ps [ 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 ], and one intervention included all four Ps [ 79 ]. All of the multi-component interventions included promotion.…”

Section: Resultsmentioning

confidence: 99%

“…All of the multi-component interventions included promotion. Overall, 8 had positive effects [ 57 , 58 , 65 , 66 , 71 , 73 , 75 , 76 ], 2 studies had mixed effects (positive + negative) [ 68 , 78 ], 13 had mixed effects (positive + null) [ 46 , 47 , 49 , 51 , 52 , 53 , 56 , 59 , 60 , 61 , 62 , 64 , 72 ], 4 had mixed effects, (positive + null + negative) [ 50 , 55 , 63 , 77 ], and 7 had null effects [ 48 , 54 , 67 , 69 , 70 , 74 , 79 ] (see Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…Fifteen studies implemented interventions with promotion, product, and placement strategies [ 59 , 60 , 61 , 62 , 63 , 65 , 67 , 68 , 69 , 71 , 73 , 74 , 76 , 77 , 78 ]. Out of the 15, 2 had mixed effects (positive + negative) [ 68 , 78 ], 4 had mixed effects (positive + null) [ 59 , 60 , 61 , 62 ], 2 had mixed effects (positive + negative + null) [ 63 , 77 ], 3 had null effects [ 67 , 69 , 74 ], and 4 had positive effects [ 65 , 71 , 73 , 76 ].…”

Section: Resultsmentioning

confidence: 99%

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Improving Consumption and Purchases of Healthier Foods in Retail Environments: A Systematic Review

Karpyn

McCallops

Wolgast

et al. 2020

IJERPH

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This review examines current research on manipulations of U.S. food retail environments to promote healthier food purchasing and consumption. Studies reviewed use marketing strategies defined as the 4Ps (product, price, placement, promotion) to examine results based on single- and multi-component interventions by study design, outcome, and which of the “Ps” was targeted. Nine electronic databases were searched for publications from 2010 to 2019, followed by forward and backward searches. Studies were included if the intervention was initiated by a researcher or retailer, conducted in-store, and manipulated the retail environment. Of the unique 596 studies initially identified, 64 studies met inclusion criteria. Findings show that 56 studies had at least one positive effect related to healthier food consumption or purchasing. Thirty studies used single-component interventions, while 34 were multi-component. Promotion was the most commonly utilized marketing strategy, while manipulating promotion, placement, and product was the most common for multi-component interventions. Only 14 of the 64 studies were experimental and included objective outcome data. Future research should emphasize rigorous designs and objective outcomes. Research is also needed to understand individual and additive effects of multi-component interventions on sales outcomes, substitution effects of healthy food purchases, and sustainability of impacts.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Improving Consumption and Purchases of Healthier Foods in Retail Environments: A Systematic Review

Karpyn

McCallops

Wolgast

et al. 2020

IJERPH

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show abstract

“…Previous studies have indicated that the substitution of healthier alternatives for some unhealthy snacks is a promising strategy for promoting healthier food purchases at supermarket checkouts (24)(25)(26).…”

mentioning

confidence: 99%

Can healthy checkout counters in supermarkets promote healthier food choices? Two real-life experiments in supermarkets in a disadvantaged urban area in the Netherlands

Huitink¹,

Poelman²,

Seidell³

et al. 2020

Preprint

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Background Most foods displayed at supermarket checkouts are unhealthy and do not support healthy purchases. This study investigates the sales effects of introducing healthier alternatives at supermarket checkouts. Methods We performed two real-life quasi-experimental studies in supermarkets located in a disadvantaged urban area in the Netherlands. In Study 1, we examined the impact of substituting healthier options for all the unhealthy snacks at checkouts (n = 1 supermarket). In Study 2, we investigated the impact of placing healthier snacks at checkouts (placement intervention), as well as the impact of offering a discount on healthier checkout snacks (placement + price intervention), while continuing to display unhealthy snacks for sale (n = 2 supermarkets). Supermarket sales data were used to measure purchases. Results In Study 1, median weekly sales/1000 customers of checkout snacks were 2.3 times lower (SE: 1.1, 95% CI: 1.9–2.7) during the intervention period – when healthier options were substituted for the entire unhealthy snack assortment – (median: 10, IQR: 2.8), as compared to the control period (median: 24, IQR: 2.8). In Study 2, median daily sales/1000 customers of healthier snacks were 2.1 times higher (SE: 1.3, 95% CI: 1.3–3.3) during the placement-intervention period (median: 7.8, IQR: 4.6), as compared to the control period (median: 4.2, IQR: 4.6). Similarly, median daily sales/1000 customers of healthier snacks were 2.7 times higher (SE: 1.2, 95%CI: 2.0–3.6) during the placement + price-intervention period (median: 5.8, IQR: 2.2), as compared to the control period (median: 2.2, IQR: 4.7). There was no difference between the effect of the placement intervention and that of the placement + price intervention (ratio: 1.1, SE: 1.3, 95% CI: 1.7–1.9). Neither did we observe a decline in purchases of unhealthy snacks (ratio: 1.3, SE: 1.1, 95% CI: 1.1–1.5). Conclusions This study showed that if we want to promote healthier food purchases at supermarket checkouts the substitution of the unhealthy snacks with healthier alternatives is an effective intervention, which is not the case if the unhealthy snacks remain in place at the checkouts, even with discounts on the healthier snacks. Future research should assess the feasibility and willingness of eliminating unhealthy checkout snacks in supermarkets.

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“…The results reported here suggest that policies and interventions may need to turn their focus to these outlet-types in specifically targeting childhood obesity and healthy attitudes to food. Interventions and policies akin to the "Healthier checkout lanes" that have been implemented in supermarkets [380][381][382] could be explored in smaller stores where children frequent on their way to and from school.…”

Section: Discussionmentioning

confidence: 99%

Investigating the impact of GIS modelled daily exposures to the retail food environment on routinely linked child health data

Mizen¹

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Healthy Checkout Lines: A Study in Urban Supermarkets

Cited by 31 publications

References 16 publications

Improving Consumption and Purchases of Healthier Foods in Retail Environments: A Systematic Review

Improving Consumption and Purchases of Healthier Foods in Retail Environments: A Systematic Review

Can healthy checkout counters in supermarkets promote healthier food choices? Two real-life experiments in supermarkets in a disadvantaged urban area in the Netherlands

Investigating the impact of GIS modelled daily exposures to the retail food environment on routinely linked child health data

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