B'More Healthy: Retail Rewards--design of a multi-level communications and pricing intervention to improve the food environment in Baltimore City.

B'More Healthy: Retail Rewards--design of a multi-level communications and pricing intervention to improve the food environment in Baltimore City.
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DOI:
10.1186/s12889-015-1616-6
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发表时间:
2015-03-24
期刊:
影响因子:
4.5
通讯作者:
Gittelsohn J
Gittelsohn J
中科院分区:
医学2区
文献类型:
--
作者:
Budd N;Cuccia A;Jeffries JK;Prasad D;Frick KD;Powell L;Katz FA;Gittelsohn J

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巴尔的摩市的低收入黑人居民的肥胖率和慢性病发病率比其他马里兰州居民高得多。增加健康食品的可获得性和可负担性是改善食品环境的关键战略,可以导致更健康的饮食。本文介绍了B 'More Healthy:Retail Rewards(BHRR),这是一项干预措施,旨在测试基于绩效的定价折扣和健康沟通对低收入小商店客户健康食品购买和消费的有效性。BHRR为2 × 2析因设计随机对照试验。从巴尔的摩市24家参与的街角商店中招募了15名常客。食品店被随机分为1)定价干预,2)沟通干预,3)联合干预,或4)对照。在为期6个月的试验期间,定价商店在从两家食品批发商店购买时,对选定的健康食品(如新鲜水果、冷冻蔬菜和烘焙薯片)给予10-30%的价格折扣。店主们同意将折扣转嫁给消费者,以增加对健康食品的需求。通信商店收到了视觉和互动材料,以促进健康的项目,包括标志,口味测试和冰箱。主要结果指标包括消费者食品购买和相关的心理社会变量。次要结果指标包括消费者食物消费量、商店销售额和相关店主心理社会因素。在整个试验过程中,在批发商、小商店和消费者层面监测工艺评价。这是第一项测试基于绩效的定价和沟通激励措施在小型食品商店中的影响的研究,这是一项创新战略,旨在鼓励当地批发商和店主通过储存,促进和降低商店中健康食品的成本来分担创造更健康食品供应的责任。当地食品批发商参与了一个自上而下的参与式方法,以制定和实施一个有效和可持续的计划。这项研究将提供证据证明价格激励和健康沟通的有效性,单独和组合,在低收入的美国城市人口。ClinicalTrials.gov:NCT 02279849(2014年2月18日)。
Low-income black residents of Baltimore City have disproportionately higher rates of obesity and chronic disease than other Maryland residents. Increasing the availability and affordability of healthy food are key strategies to improve the food environment and can lead to healthier diets. This paper describes B’More Healthy: Retail Rewards (BHRR), an intervention that tests the effectiveness of performance-based pricing discounts and health communications, separately and combined, on healthy food purchasing and consumption among low-income small store customers. BHRR is 2x2 factorial design randomized controlled trial. Fifteen regular customers recruited from each of 24 participating corner stores in Baltimore City were enrolled. Food stores were randomized to 1) pricing intervention, 2) communications intervention, 3) combined intervention, or 4) control. Pricing stores were given a 10-30% price discount on selected healthier food items, such as fresh fruits, frozen vegetables, and baked chips, at the point of purchase from two food wholesale stores during the 6-month trial. Storeowners agreed to pass on the discount to the consumer to increase demand for healthy food. Communications stores received visual and interactive materials to promote healthy items, including signage, taste tests, and refrigerators. Primary outcome measures include consumer food purchasing and associated psychosocial variables. Secondary outcome measures include consumer food consumption, store sales, and associated storeowner psychosocial factors. Process evaluation was monitored throughout the trial at wholesaler, small store, and consumer levels. This is the first study to test the impact of performance-based pricing and communications incentives in small food stores, an innovative strategy to encourage local wholesalers and storeowners to share responsibility in creating a healthier food supply by stocking, promoting, and reducing costs of healthier foods in their stores. Local food wholesalers were involved in a top-down, participatory approach to develop and implement an effective and sustainable program. This study will provide evidence on the effectiveness of price incentives and health communications, separately and combined, among a low-income urban U.S. population. ClinicalTrials.gov: NCT02279849 (2/18/2014).
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