“…[57][58][59] Whereas consumers are familiar with dietary guidance messages and other nutrition tools, the majority do not use them to make healthier food choices, which may explain the consistent reports of poor efficacy of menu labels in support of such choices. 50 Many factors likely contribute to an individual's motivation and competence to access, understand, and use nutrition information to shape eating habits and manage dietary concerns. 60 The ability to correctly understand, evaluate, and use the nutrition information and to contextualize food choices within the total diet requires a high level of health and functional literacy (eg, numeracy).…”