Food Swaps to Improve the Healthfulness and Reduce the Carbon Footprint of Grocery Purchases

NACompletedINTERVENTIONAL
Enrollment

1,201

Participants

Timeline

Start Date

May 7, 2025

Primary Completion Date

June 25, 2025

Study Completion Date

June 25, 2025

Conditions
Food SelectionNutritionFood PreferencesDietary HabitsSustainabilityHealthy Diet
Interventions
BEHAVIORAL

Health swaps

"Participants will view health grade labels on all products in the online grocery store indicating their healthfulness as estimated by United Kingdom Ofcom Nutrient Profiling Model scores. The health score labels will mimic Nutri-Score labels, a labeling system used in some European countries, showing a color-coded grade of A (green) through F (red) on each product. Products with A and B labels will meet the United Kingdom's cutoff for products that can be marketed to children and C, D and F labels products are less healthy than this cutoff (based on tertiles of Ofcom scores within each food group). When participants attempt to add a less healthy product to their cart (e.g., C, D or F health label), the store will automatically suggest a healthier product from the same category (e.g., with a A or B health label)."

BEHAVIORAL

Climate swaps

"Participants will view climate grade labels on all products indicating their climate impact. The climate impact is calculated as the greenhouse gas emissions associated with producing the product in carbon dioxide equivalents (CO2-eq) per 100g (i.e., carbon footprint). Labels will be applied based on quintiles of carbon footprints in each food group. When participants attempt to add a high-climate-impact product to their cart (e.g., with a C, D, or F climate label), the store will automatically offer them swaps to more climate-friendly products (e.g., with a A or B climate label)."

BEHAVIORAL

Combined health and climate swaps

"Participants will view both the health and climate grade labels on all products in the online grocery store. When participants attempt to select a product with a C, D, or F label on either dimension to their cart, the store will automatically offer them swaps to products that offer improvement over the original food on at least 1 dimension (health or climate-friendliness) and were at least as good or better on the other dimension, with the additional guardrail that the store never suggests products with a C, D or F label on either dimension."

BEHAVIORAL

Control

Participants will not view any extra labels or be offered any swaps in the online grocery store.

Trial Locations (1)

94304

Stanford School of Medicine, Palo Alto

All Listed Sponsors
collaborator

National Heart, Lung, and Blood Institute (NHLBI)

NIH

lead

Stanford University

OTHER

NCT06648226 - Food Swaps to Improve the Healthfulness and Reduce the Carbon Footprint of Grocery Purchases | Biotech Hunter | Biotech Hunter