Social marketing including financial incentive programs at worksite cafeterias for preventing obesity: a systematic review

Abstract

Background As with food-taxation strategies, such interventions as discounted healthy menus, point-of-purchase advertisements, and sugar-free beverages for employees at worksites could help prevent obesity. This study assessed the effectiveness of food environment interventions incorporating financial incentive or social marketing strategies at workplace cafeterias, vending machines, and kiosks toward preventing obesity and improving dietary habits. Methods We conducted searches on CENTRAL, MEDLINE, EMBASE, CINAHL, and PsycINFO databases. The study designs included were randomized control trials (RCTs) and cluster RCTs. We evaluated the effectiveness of financial incentive or social marketing strategies interventions (such as discounts) on health outcomes or food intake behavior. Two reviewers independently screened the studies for inclusion. We assessed the risk of bias using the Cochrane Collaboration’s tool. This protocol was published in 2014. Results We included three trials, with a combined total of 3013 participants. There were limited available data from RCTs on changes in body weight. No eligible social marketing studies were retrieved. In some cases, a meta-analysis could not be conducted owing to differences in the analytic methods for the outcomes. Conclusions Lack of evidence made it difficult to draw any conclusions. In future surveys, it will be necessary to conduct interventions focusing only on financial incentive intervention versus no intervention in order to determine whether the incentive strategy has a clear impact. Systematic review registration PROSPERO CRD4201401056 Electronic supplementary material The online version of this article (10.1186/s13643-019-0965-0) contains supplementary material, which is available to authorized users.

Influence of Nutrition, Food and Diet-Related Interventions in the Workplace: A Meta-Analysis with Meta-Regression

“…The strategies that included financial incentives (generally discounts for healthy items on the menu for the company cafeteria) when choosing the healthiest menu items were shown to be effective in preventing obesity and improving eating habits. However, the study by Sawada et al [77] expressed the need to carry out interventions that focus exclusively on financial incentives versus no intervention to determine if this strategy has a clear impact. Combined actions could mask these results.…”

Enfermedades no transmisibles, mercadotecnia social en salud e impacto en el estilo de vida, una revisión de la literatura

“…Según (Nosi et al, 2021) en su estudio donde evaluaron una campaña de MS aplicando los elementos del marketing mix, denominaron las 4 Ps de la siguiente manera: el producto se definió como la intervención diseñada, el lugar donde se estaría implementando la intervención, la promoción como los medios para comunicar y aplicar la intervención y el precio que se definió como las horas que se dedicarían por parte de los participantes en la intervención, concluyendo que las intervenciones de MS pueden ser efectivas para modificar EVS. En la revisión sistemática de (Sawada et al, 2019) indagaron sobre el uso del factor precio en las intervenciones de MS, caracterizando este factor como el precio de los recursos que destina una persona, pudiendo ser dinero, tiempo y esfuerzo, comparando esta intervención con la campaña de impuestos sobre alimentos no saludables y bebidas azucaradas en México, sin embargo, esta revisión no es concluyente ya que es difícil asociar esta variable con la modificación de conductas en las personas.…”

Potential for Impact of Workforce Nutrition Programmes on Nutrition, Health and Business Outcomes: a Review of the Global Evidence and Future Research Agenda

“…The two records discussing access to healthy food interventions alone focused on HICs only. One of them is an RCT targeting urban, low-wage workers [9], and the other is a systematic review of three RCTs targeting overweight/obese office workers [10]. All interventions offered free, discounted or otherwise-incentivized nutritious foods and found positive effects on dietary outcomes but not on body weight [9], [10].…”