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Trial registered on ANZCTR
Registration number
ACTRN12612001036808
Ethics application status
Approved
Date submitted
26/09/2012
Date registered
27/09/2012
Date last updated
27/09/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
The impact of energy or traffic light labelling on parent and
child fast food selection
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Scientific title
An investigation into the impact of energy or traffic light labelling on parent and child fast food selection as measured by intentional energy purchases from hypothetical fast food menus
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Secondary ID [1]
281303
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Child and adult intended energy consumption
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Condition category
Condition code
Diet and Nutrition
287838
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0
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Obesity
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Public Health
287845
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The study protocol required participants to complete two scripted telephone surveys conducted by a trained research assistant. A baseline survey conducted during June and July 2011 collected demographic and health behaviour data from parents and a child aged three to 12 years in their household. Where parents had more than one child from age three to 12, the child with the most recent birthday was selected. Following completion of the baseline survey, participants were randomly allocated to one of three groups using a random number function embedded in the computer assisted telephone interviewing software in a 1:1:1 ratio without stratification. Based on group allocation, participants in this study were posted one of three hypothetical fast food menus. Menus were comprised of items selected from a variety of common fast food outlets in Australia. Generic descriptive names were provided for each food item to reduce any pre-conceived beliefs about existing branded fast food products. Groups were as follows
Group 1. Standard fast food menu (control). All items in this menu were included in subsequent menus. The standard menu contained 36 food and beverage items, including healthier options.
Group 2. Standard menu with energy labelling. This menu was identical to that provided to Group 1, with the addition of energy content information being displayed next to each menu item. Energy content was displayed in kilojoules (kJ).
Group 3. Standard menu with traffic light (sign-post) labelling. The menu items were identical to that provided to Groups 1 and 2, with the addition of a single coloured symbol (traffic light) placed next to each menu item. The single coloured symbol of red, amber, or green reflected the saturated fat, sugar, salt and energy content of each menu product adapted from criteria developed for school canteens in Australia
Energy content, volume measures and pricing were sourced from the Australian websites of fast food outlets from which the menu items had been sourced.
Participants answered a series of questions about these menus in the follow up survey, which was conducted on average 17 days after the completion of the baseline survey. The follow up interview contained questions about purchase intentions, awareness of labelling information and attitudes towards fast foods.
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Intervention code [1]
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Behaviour
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Comparator / control treatment
The control group recieved a standard fast food menu. All items in this menu were included in menus for other groups. The standard menu contained 36 food and beverage items, including healthier options. All menu items were grouped into three categories: beverages, main menu items and dessert items. Menu items as well as a description of the item’s ingredients were presented in a standard order on each menu.
The menu included volume measures for beverages (millilitres) and unit price sourced from existing fast food chain websites. This menu did not contain information regarding energy content, or any other indication of the nutritional value of each product.
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Control group
Active
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Outcomes
Primary outcome [1]
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Total energy of intended purchase
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Assessment method [1]
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Timepoint [1]
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Calculated based on responses to follow-up telephone interview
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Secondary outcome [1]
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Awareness and use of labelling information. This was assessed by asking participants whether they noticed any nutritional information on the menu, and if so, whether this information influenced their purchase for themselves, or for their children.
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Assessment method [1]
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Timepoint [1]
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Calculated based on responses to follow-up telephone interview
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Eligibility
Key inclusion criteria
English speaking parents of children aged between three and 12 years residing in the Hunter New England region of New South Wales, Australia, were eligible for participation in the current study
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Nil
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants were recruited from an existing research cohort of parents established as part of a random household child health telephone survey. A research assistant telephoned randomly selected parents from the research cohort, assessed eligibility and invited study participation. They subsequently completed the baseline survey.
Following completion of the baseline survey, participants were randomly allocated to one of three groups. Participants were unaware of their group allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Participants were randomly allocated to one of three groups using a random number function embedded in the computer assisted telephone interviewing software in a 1:1:1 ratio without stratification
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
294
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Newcastle
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Address [1]
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University of Newcastle
University Drive
Callaghan NSW 2308
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Pennie Gibbins
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Address
c/o HNEPH
Locked Bag 10
WALLSEND NSW 2287
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Country
Australia
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Secondary sponsor category [1]
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Government body
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Name [1]
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Hunter New England Population Health
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Address [1]
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Locked Bag 10
WALLSEND NSW 2287
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Country [1]
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Luke Wolfenden
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Address [1]
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c/o HNEPH
Locked Bag 10
WALLSEND NSW 2287
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Country [1]
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Australia
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Other collaborator category [2]
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Individual
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Name [2]
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Kathy Chapman
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Address [2]
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PO Box 572
Kings Cross NSW 1340
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Country [2]
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Australia
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Other collaborator category [3]
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Individual
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Name [3]
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Clare Hughes
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Address [3]
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PO Box 572
Kings Cross NSW 1340
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Country [3]
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Australia
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Other collaborator category [4]
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Individual
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Name [4]
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Lyndal Wellard
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Address [4]
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PO Box 572
Kings Cross NSW 1340
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Country [4]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Hunter New England Human Research Ethics Committee
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Ethics committee address [1]
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Locked Bag No. 1 New Lambton NSW 2305
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
288113
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Approval date [1]
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27/09/2006
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Ethics approval number [1]
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06/07/26/4.04
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Summary
Brief summary
Labelling of food from fast food restaurants has been suggested as one strategy to reduce energy consumption and contribute to reductions in population obesity prevalence. The aim of this study was to examine the effects of two different types of menu labelling techniques (energy and traffic light labelling) on the intended food purchases of children and adults. We are unaware of any past research that directly compares these menu labelling techniques, so our purpose was to determine whether people ordered foods with less total energy content when given a menu with either energy or traffic light labels.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Pennie Dodds
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Address
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c/o Hunter New England Population Health
Locked Bag 10
WALLSEND NSW 2287
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Country
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Australia
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Phone
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+612 49246235
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Pennie Dodds
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Address
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c/o Hunter New England Population Health
Locked Bag 10
WALLSEND NSW 2287
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Country
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Australia
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Phone
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+612 49246235
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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