Behavioural economics intervention to implement a nutrition ranking system in food pantries: Be Well cluster randomised controlled trial protocol.
Pamela D Perez, Katherine C Faulkner, Yingfei Wu...
https://pubmed.ncbi.nlm.nih.gov/41496767/Actively Recruiting
Led by Massachusetts General Hospital · Updated on 2025-04-30
3750
Participants Needed
1
Research Sites
52 weeks
Total Duration
Researchers are evaluating the use of behavioral economics tools to encourage food pantries affiliated with the Greater Boston Food Bank to implement the Supporting Wellness at Pantries SWAP program. This program uses traffic light labels on pantry shelves to help clients make healthier food choices. The study is a 12-month cluster randomized controlled trial involving 30 pantries to compare a basic SWAP implementation strategy with a behavioral economics-enhanced strategy. The trial divides pantries into two groups one receives behavioral nudges like invoice labeling, free SWAP toolkits, learning communities, purchase incentives, and recognition to support SWAP implementation. The other group receives email information and encouragement to obtain SWAP toolkits independently. After 12 months, the enhanced strategy will be offered to the control pantries, while the intervention pantries continue without further support. Participants, including pantry clients aged 18 and older who speak English or Spanish, will be assessed at 6 and 12 months. Researchers will measure how well pantries implement SWAP, the proportion of green or red labeled items ordered and selected by clients, and client dietary quality scores. Skin carotenoid levels will also be assessed as a secondary outcome. The study aims to understand how to improve pantry food choices and program uptake over one year.
CONDITIONS
Behavioral Economics to Implement a Traffic Light Nutrition Ranking System: Study 2
A
Anne N Thorndike, MD, MPH
D
Douglas Levy, PhD
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Massachusetts General Hospital
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Behavioral Economics-Enhanced SWAP Implementation | Basic SWAP Implementation |
|---|---|---|
| What it is | Implements the SWAP (Supporting Wellness at Pantries) traffic light nutrition system in food pantries using behavioral economics strategies, including nudges at the start and ongoing support for 12 months. | Implements the SWAP traffic light nutrition ranking system using only the basic information and encouragement to use SWAP toolkits, without additional behavioral economics nudges or follow-up. |
| Primary use | To test whether adding behavioral economics-based strategies to the SWAP system helps food pantries increase selection and implementation of healthier food options. | To test basic SWAP implementation as a comparison for evaluating the added effect of behavioral economics strategies on food pantry nutrition choices. |
| How it is given or performed | Pantries receive baseline behavioral nudges, targeted feedback, and ongoing technical support to help promote and maintain the SWAP nutrition ranking system for 12 months. | Pantries receive introductory SWAP information and are encouraged to use the available toolkits, without additional behavioral economics interventions. |
| Evidence status | The effectiveness of combining behavioral economics strategies with SWAP is under active clinical investigation in this trial; no published outcomes are available yet for this specific approach. | The impact of basic SWAP implementation alone is also under investigation in this trial; no outcome data yet exist for this comparator in this particular setting. |
| Important limitations | The behavioral economics strategies and toolkit implementation have not been assessed for long-term sustainability or generalizability beyond pantries in the Boston area, and outcome evidence is pending. | Basic SWAP implementation alone may be less effective without additional support, and its impact in this population has not been fully established; evidence for long-term changes is still lacking. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 12 months
Participants receive either behavioral economics-enhanced or basic implementation strategies to support the SWAP nutrition program at food pantries.
Duration - Up to 12 months after treatment
Participants in the control group receive the adapted BE-enhanced SWAP implementation strategy, while intervention group participants are followed without further intervention.
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Pamela D Perez, Katherine C Faulkner, Yingfei Wu...
https://pubmed.ncbi.nlm.nih.gov/41496767/Massachusetts General Hospital
Lead Sponsor