The impact of interventions to promote healthier ready‐to‐eat meals (to eat in, to take away or to be delivered) sold by specific food outlets open to the general public: a systematic review

Summary Introduction Ready‐to‐eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We conducted a systematic review to assess the impact of such interventions. Methods Studies of any design and duration that included any con...

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Published inObesity reviews Vol. 18; no. 2; pp. 227 - 246
Main Authors Hillier‐Brown, F. C., Summerbell, C. D., Moore, H. J., Routen, A., Lake, A. A., Adams, J., White, M., Araujo‐Soares, V., Abraham, C., Adamson, A. J., Brown, T. J.
Format Journal Article
LanguageEnglish
Published England Wiley Subscription Services, Inc 01.02.2017
John Wiley and Sons Inc
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Abstract Summary Introduction Ready‐to‐eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We conducted a systematic review to assess the impact of such interventions. Methods Studies of any design and duration that included any consumer‐level or food‐outlet‐level before‐and‐after data were included. Results Thirty studies describing 34 interventions were categorized by type and coded against the Nuffield intervention ladder: restrict choice = trans fat law (n = 1), changing pre‐packed children's meal content (n = 1) and food outlet award schemes (n = 2); guide choice = price increases for unhealthier choices (n = 1), incentive (contingent reward) (n = 1) and price decreases for healthier choices (n = 2); enable choice = signposting (highlighting healthier/unhealthier options) (n = 10) and telemarketing (offering support for the provision of healthier options to businesses via telephone) (n = 2); and provide information = calorie labelling law (n = 12), voluntary nutrient labelling (n = 1) and personalized receipts (n = 1). Most interventions were aimed at adults in US fast food chains and assessed customer‐level outcomes. More ‘intrusive’ interventions that restricted or guided choice generally showed a positive impact on food‐outlet‐level and customer‐level outcomes. However, interventions that simply provided information or enabled choice had a negligible impact. Conclusion Interventions to promote healthier ready‐to‐eat meals sold by food outlets should restrict choice or guide choice through incentives/disincentives. Public health policies and practice that simply involve providing information are unlikely to be effective.
AbstractList Ready-to-eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We conducted a systematic review to assess the impact of such interventions. Studies of any design and duration that included any consumer-level or food-outlet-level before-and-after data were included. Thirty studies describing 34 interventions were categorized by type and coded against the Nuffield intervention ladder: restrict choice = trans fat law (n = 1), changing pre-packed children's meal content (n = 1) and food outlet award schemes (n = 2); guide choice = price increases for unhealthier choices (n = 1), incentive (contingent reward) (n = 1) and price decreases for healthier choices (n = 2); enable choice = signposting (highlighting healthier/unhealthier options) (n = 10) and telemarketing (offering support for the provision of healthier options to businesses via telephone) (n = 2); and provide information = calorie labelling law (n = 12), voluntary nutrient labelling (n = 1) and personalized receipts (n = 1). Most interventions were aimed at adults in US fast food chains and assessed customer-level outcomes. More 'intrusive' interventions that restricted or guided choice generally showed a positive impact on food-outlet-level and customer-level outcomes. However, interventions that simply provided information or enabled choice had a negligible impact. Interventions to promote healthier ready-to-eat meals sold by food outlets should restrict choice or guide choice through incentives/disincentives. Public health policies and practice that simply involve providing information are unlikely to be effective.
Introduction Ready-to-eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We conducted a systematic review to assess the impact of such interventions. Methods Studies of any design and duration that included any consumer-level or food-outlet-level before-and-after data were included. Results Thirty studies describing 34 interventions were categorized by type and coded against the Nuffield intervention ladder: restrict choice=trans fat law (n=1), changing pre-packed children's meal content (n=1) and food outlet award schemes (n=2); guide choice=price increases for unhealthier choices (n=1), incentive (contingent reward) (n=1) and price decreases for healthier choices (n=2); enable choice=signposting (highlighting healthier/unhealthier options) (n=10) and telemarketing (offering support for the provision of healthier options to businesses via telephone) (n=2); and provide information=calorie labelling law (n=12), voluntary nutrient labelling (n=1) and personalized receipts (n=1). Most interventions were aimed at adults in US fast food chains and assessed customer-level outcomes. More 'intrusive' interventions that restricted or guided choice generally showed a positive impact on food-outlet-level and customer-level outcomes. However, interventions that simply provided information or enabled choice had a negligible impact. Conclusion Interventions to promote healthier ready-to-eat meals sold by food outlets should restrict choice or guide choice through incentives/disincentives. Public health policies and practice that simply involve providing information are unlikely to be effective.
Summary Introduction Ready-to-eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We conducted a systematic review to assess the impact of such interventions. Methods Studies of any design and duration that included any consumer-level or food-outlet-level before-and-after data were included. Results Thirty studies describing 34 interventions were categorized by type and coded against the Nuffield intervention ladder: restrict choice=trans fat law (n=1), changing pre-packed children's meal content (n=1) and food outlet award schemes (n=2); guide choice=price increases for unhealthier choices (n=1), incentive (contingent reward) (n=1) and price decreases for healthier choices (n=2); enable choice=signposting (highlighting healthier/unhealthier options) (n=10) and telemarketing (offering support for the provision of healthier options to businesses via telephone) (n=2); and provide information=calorie labelling law (n=12), voluntary nutrient labelling (n=1) and personalized receipts (n=1). Most interventions were aimed at adults in US fast food chains and assessed customer-level outcomes. More 'intrusive' interventions that restricted or guided choice generally showed a positive impact on food-outlet-level and customer-level outcomes. However, interventions that simply provided information or enabled choice had a negligible impact. Conclusion Interventions to promote healthier ready-to-eat meals sold by food outlets should restrict choice or guide choice through incentives/disincentives. Public health policies and practice that simply involve providing information are unlikely to be effective.
Ready-to-eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We conducted a systematic review to assess the impact of such interventions.INTRODUCTIONReady-to-eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We conducted a systematic review to assess the impact of such interventions.Studies of any design and duration that included any consumer-level or food-outlet-level before-and-after data were included.METHODSStudies of any design and duration that included any consumer-level or food-outlet-level before-and-after data were included.Thirty studies describing 34 interventions were categorized by type and coded against the Nuffield intervention ladder: restrict choice = trans fat law (n = 1), changing pre-packed children's meal content (n = 1) and food outlet award schemes (n = 2); guide choice = price increases for unhealthier choices (n = 1), incentive (contingent reward) (n = 1) and price decreases for healthier choices (n = 2); enable choice = signposting (highlighting healthier/unhealthier options) (n = 10) and telemarketing (offering support for the provision of healthier options to businesses via telephone) (n = 2); and provide information = calorie labelling law (n = 12), voluntary nutrient labelling (n = 1) and personalized receipts (n = 1). Most interventions were aimed at adults in US fast food chains and assessed customer-level outcomes. More 'intrusive' interventions that restricted or guided choice generally showed a positive impact on food-outlet-level and customer-level outcomes. However, interventions that simply provided information or enabled choice had a negligible impact.RESULTSThirty studies describing 34 interventions were categorized by type and coded against the Nuffield intervention ladder: restrict choice = trans fat law (n = 1), changing pre-packed children's meal content (n = 1) and food outlet award schemes (n = 2); guide choice = price increases for unhealthier choices (n = 1), incentive (contingent reward) (n = 1) and price decreases for healthier choices (n = 2); enable choice = signposting (highlighting healthier/unhealthier options) (n = 10) and telemarketing (offering support for the provision of healthier options to businesses via telephone) (n = 2); and provide information = calorie labelling law (n = 12), voluntary nutrient labelling (n = 1) and personalized receipts (n = 1). Most interventions were aimed at adults in US fast food chains and assessed customer-level outcomes. More 'intrusive' interventions that restricted or guided choice generally showed a positive impact on food-outlet-level and customer-level outcomes. However, interventions that simply provided information or enabled choice had a negligible impact.Interventions to promote healthier ready-to-eat meals sold by food outlets should restrict choice or guide choice through incentives/disincentives. Public health policies and practice that simply involve providing information are unlikely to be effective.CONCLUSIONInterventions to promote healthier ready-to-eat meals sold by food outlets should restrict choice or guide choice through incentives/disincentives. Public health policies and practice that simply involve providing information are unlikely to be effective.
Summary Introduction Ready‐to‐eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We conducted a systematic review to assess the impact of such interventions. Methods Studies of any design and duration that included any consumer‐level or food‐outlet‐level before‐and‐after data were included. Results Thirty studies describing 34 interventions were categorized by type and coded against the Nuffield intervention ladder: restrict choice = trans fat law (n = 1), changing pre‐packed children's meal content (n = 1) and food outlet award schemes (n = 2); guide choice = price increases for unhealthier choices (n = 1), incentive (contingent reward) (n = 1) and price decreases for healthier choices (n = 2); enable choice = signposting (highlighting healthier/unhealthier options) (n = 10) and telemarketing (offering support for the provision of healthier options to businesses via telephone) (n = 2); and provide information = calorie labelling law (n = 12), voluntary nutrient labelling (n = 1) and personalized receipts (n = 1). Most interventions were aimed at adults in US fast food chains and assessed customer‐level outcomes. More ‘intrusive’ interventions that restricted or guided choice generally showed a positive impact on food‐outlet‐level and customer‐level outcomes. However, interventions that simply provided information or enabled choice had a negligible impact. Conclusion Interventions to promote healthier ready‐to‐eat meals sold by food outlets should restrict choice or guide choice through incentives/disincentives. Public health policies and practice that simply involve providing information are unlikely to be effective.
Author Adamson, A. J.
Moore, H. J.
Summerbell, C. D.
Araujo‐Soares, V.
Adams, J.
Hillier‐Brown, F. C.
Routen, A.
Lake, A. A.
White, M.
Abraham, C.
Brown, T. J.
AuthorAffiliation 1 Obesity Related Behaviours Research Group, School of Medicine, Pharmacy and Health Durham University Stockton‐on‐Tees UK
5 UKCRC Centre for Diet and Activity Research (CEDAR), MRC Epidemiology Unit University of Cambridge Cambridge UK
3 School of Sport Exercise and Health Sciences Loughborough University Loughborough UK
8 Human Nutrition Research Centre Newcastle University Newcastle Upon Tyne UK
4 Centre for Public Policy & Health, School of Medicine, Pharmacy & Health Durham University Stockton‐on‐Tees UK
7 Psychology Applied to Heath University of Exeter Medical School, University of Exeter Exeter UK
6 Institute of Health & Society Newcastle University Newcastle Upon Tyne UK
2 Fuse – UKCRC Centre for Translational Research in Public Health Newcastle Upon Tyne UK
AuthorAffiliation_xml – name: 3 School of Sport Exercise and Health Sciences Loughborough University Loughborough UK
– name: 6 Institute of Health & Society Newcastle University Newcastle Upon Tyne UK
– name: 7 Psychology Applied to Heath University of Exeter Medical School, University of Exeter Exeter UK
– name: 8 Human Nutrition Research Centre Newcastle University Newcastle Upon Tyne UK
– name: 1 Obesity Related Behaviours Research Group, School of Medicine, Pharmacy and Health Durham University Stockton‐on‐Tees UK
– name: 4 Centre for Public Policy & Health, School of Medicine, Pharmacy & Health Durham University Stockton‐on‐Tees UK
– name: 2 Fuse – UKCRC Centre for Translational Research in Public Health Newcastle Upon Tyne UK
– name: 5 UKCRC Centre for Diet and Activity Research (CEDAR), MRC Epidemiology Unit University of Cambridge Cambridge UK
Author_xml – sequence: 1
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  surname: Hillier‐Brown
  fullname: Hillier‐Brown, F. C.
  email: frances.hillier@durham.ac.uk
  organization: Fuse – UKCRC Centre for Translational Research in Public Health
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  surname: Summerbell
  fullname: Summerbell, C. D.
  organization: Fuse – UKCRC Centre for Translational Research in Public Health
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  surname: Moore
  fullname: Moore, H. J.
  organization: Fuse – UKCRC Centre for Translational Research in Public Health
– sequence: 4
  givenname: A.
  surname: Routen
  fullname: Routen, A.
  organization: Loughborough University
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  surname: Lake
  fullname: Lake, A. A.
  organization: Durham University
– sequence: 6
  givenname: J.
  surname: Adams
  fullname: Adams, J.
  organization: University of Cambridge
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  givenname: M.
  surname: White
  fullname: White, M.
  organization: Newcastle University
– sequence: 8
  givenname: V.
  surname: Araujo‐Soares
  fullname: Araujo‐Soares, V.
  organization: Newcastle University
– sequence: 9
  givenname: C.
  surname: Abraham
  fullname: Abraham, C.
  organization: University of Exeter Medical School, University of Exeter
– sequence: 10
  givenname: A. J.
  surname: Adamson
  fullname: Adamson, A. J.
  organization: Newcastle University
– sequence: 11
  givenname: T. J.
  surname: Brown
  fullname: Brown, T. J.
  organization: Fuse – UKCRC Centre for Translational Research in Public Health
BackLink https://www.ncbi.nlm.nih.gov/pubmed/27899007$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright 2016 The Authors. published by John Wiley & Sons Ltd on behalf of World Obesity Federation
2016 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.
2017 World Obesity
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Issue 2
Keywords restaurants
takeaways
ready-to-eat meals
food environments
Diet
systematic review
Language English
License Attribution
2016 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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Snippet Summary Introduction Ready‐to‐eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention....
Ready-to-eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We conducted a...
Summary Introduction Ready-to-eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention....
Introduction Ready-to-eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We...
INTRODUCTION: Ready‐to‐eat meals sold by food outlets that are accessible to the general public are an important target for public health intervention. We...
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StartPage 227
SubjectTerms adults
business enterprises
children
Choice Behavior
Cost-Benefit Analysis
Diet
Diet, Healthy
Fast food
Fast Foods
food chain
food environments
Food Preferences
Health policy
Health Promotion
Humans
Non-Randomized Controlled Trials as Topic
prices
Public Health
Randomized Controlled Trials as Topic
ready-to-eat foods
ready‐to‐eat meals
Restaurants
systematic review
takeaways
telephones
trans fatty acids
United States
Title The impact of interventions to promote healthier ready‐to‐eat meals (to eat in, to take away or to be delivered) sold by specific food outlets open to the general public: a systematic review
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fobr.12479
https://www.ncbi.nlm.nih.gov/pubmed/27899007
https://www.proquest.com/docview/1856478098
https://www.proquest.com/docview/1845251437
https://www.proquest.com/docview/1859483230
https://www.proquest.com/docview/2053884247
https://pubmed.ncbi.nlm.nih.gov/PMC5244662
Volume 18
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