Improving cardiometabolic health through nudging dietary behaviours and physical activity in low SES adults: Design of the Supreme Nudge project

Jeroen Lakerveld, Joreintje D. Mackenbach, Femke De Boer, Boris Brandhorst, Jacqueline E.W. Broerse, Gert Jan De Bruijn, Gerda Feunekes, Marleen Gillebaart, Marjolein Harbers, Jody Hoenink, Michel Klein, Frederike Mensink, Cédric Middel, Denise T.D. De Ridder, Femke Rutters, Ivonne Sluijs, Yvonne T. Van Der Schouw, Tjerk Jan Schuitmaker, Saskia J. Te Velde, Elizabeth Velema & 3 others Wilma Waterlander, Johannes Brug, Joline W.J. Beulens

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: Initiating and maintaining a healthy lifestyle -including healthy eating and sufficient physical activity- is key for cardiometabolic health. A health-promoting environment can facilitate a healthy lifestyle, and may be especially helpful to reach individuals with a lower socio-economic status (SES). In the Supreme Nudge project, we will study the effects of pricing and nudging strategies in the supermarket - one of the most important point-of-choice settings for food choices - and of a context-specific mobile physical activity promotion app. This paper describes the stepwise and theory-based design of Supreme Nudge, which aims to develop, implement and evaluate environmental changes for a sustained impact on lifestyle behaviours and cardiometabolic health in low SES adults. Methods: Supreme Nudge uses a multi-disciplinary and mixed methods approach, integrating participatory action research, qualitative interviews, experimental pilot studies, and a randomized controlled trial in a real-life (supermarket) setting. First, we will identify the needs, characteristics and preferences of the target group as well as of the participating supermarket chain. Second, we will conduct a series of pilot studies to test novel, promising and feasible intervention components. Third, a final selection of intervention components will be implemented in a full-scale randomised controlled supermarket trial. Approximately 1000 low SES adults will be recruited across 8-12 supermarkets and randomised at supermarket level to receive 1) no intervention (control); 2) environmental nudges such as food product placement or promotion; 3) nudges and a tailored physical activity app that provides time- and context specific feedback; 4) pricing interventions, nudges, and the physical activity app. The effects on dietary behaviours and physical activity will be evaluated at 3, 6 and 12 months, and on cardiometabolic health at 6 and 12 months. Finally, we will evaluate the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) of the intervention, and we will use insights from System Innovation and Transition Management theories to define the best strategies for implementation and upscaling beyond the study period. Discussion: The Supreme Nudge project is likely to generate thorough evidence relevant for policy and practice on the effects of a mixed method and multi-disciplinary intervention targeting dietary behaviours and physical activity. Trial registration: The real-life trial has been registered on 30 May 2018, NTR7302.

LanguageEnglish
Article number899
JournalBMC Public Health
Volume18
Issue number1
DOIs
StatePublished - 20 Jul 2018

Fingerprint

Economics
Health
Randomized Controlled Trials
Costs and Cost Analysis
Food
Health Services Research
Life Style
Maintenance
Interviews
Healthy Lifestyle

Keywords

  • Cardiometabolic health
  • Dietary behaviour
  • Food environment
  • Low socio-economic status
  • M-health
  • Nudging
  • Physical activity
  • Pricing
  • Supermarket

Cite this

Lakerveld, Jeroen ; Mackenbach, Joreintje D. ; De Boer, Femke ; Brandhorst, Boris ; Broerse, Jacqueline E.W. ; De Bruijn, Gert Jan ; Feunekes, Gerda ; Gillebaart, Marleen ; Harbers, Marjolein ; Hoenink, Jody ; Klein, Michel ; Mensink, Frederike ; Middel, Cédric ; De Ridder, Denise T.D. ; Rutters, Femke ; Sluijs, Ivonne ; Van Der Schouw, Yvonne T. ; Schuitmaker, Tjerk Jan ; Te Velde, Saskia J. ; Velema, Elizabeth ; Waterlander, Wilma ; Brug, Johannes ; Beulens, Joline W.J./ Improving cardiometabolic health through nudging dietary behaviours and physical activity in low SES adults : Design of the Supreme Nudge project. In: BMC Public Health. 2018 ; Vol. 18, No. 1.
@article{96a58414c0ab40b2a21b493b789a18a8,
title = "Improving cardiometabolic health through nudging dietary behaviours and physical activity in low SES adults: Design of the Supreme Nudge project",
abstract = "Background: Initiating and maintaining a healthy lifestyle -including healthy eating and sufficient physical activity- is key for cardiometabolic health. A health-promoting environment can facilitate a healthy lifestyle, and may be especially helpful to reach individuals with a lower socio-economic status (SES). In the Supreme Nudge project, we will study the effects of pricing and nudging strategies in the supermarket - one of the most important point-of-choice settings for food choices - and of a context-specific mobile physical activity promotion app. This paper describes the stepwise and theory-based design of Supreme Nudge, which aims to develop, implement and evaluate environmental changes for a sustained impact on lifestyle behaviours and cardiometabolic health in low SES adults. Methods: Supreme Nudge uses a multi-disciplinary and mixed methods approach, integrating participatory action research, qualitative interviews, experimental pilot studies, and a randomized controlled trial in a real-life (supermarket) setting. First, we will identify the needs, characteristics and preferences of the target group as well as of the participating supermarket chain. Second, we will conduct a series of pilot studies to test novel, promising and feasible intervention components. Third, a final selection of intervention components will be implemented in a full-scale randomised controlled supermarket trial. Approximately 1000 low SES adults will be recruited across 8-12 supermarkets and randomised at supermarket level to receive 1) no intervention (control); 2) environmental nudges such as food product placement or promotion; 3) nudges and a tailored physical activity app that provides time- and context specific feedback; 4) pricing interventions, nudges, and the physical activity app. The effects on dietary behaviours and physical activity will be evaluated at 3, 6 and 12 months, and on cardiometabolic health at 6 and 12 months. Finally, we will evaluate the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) of the intervention, and we will use insights from System Innovation and Transition Management theories to define the best strategies for implementation and upscaling beyond the study period. Discussion: The Supreme Nudge project is likely to generate thorough evidence relevant for policy and practice on the effects of a mixed method and multi-disciplinary intervention targeting dietary behaviours and physical activity. Trial registration: The real-life trial has been registered on 30 May 2018, NTR7302.",
keywords = "Cardiometabolic health, Dietary behaviour, Food environment, Low socio-economic status, M-health, Nudging, Physical activity, Pricing, Supermarket",
author = "Jeroen Lakerveld and Mackenbach, {Joreintje D.} and {De Boer}, Femke and Boris Brandhorst and Broerse, {Jacqueline E.W.} and {De Bruijn}, {Gert Jan} and Gerda Feunekes and Marleen Gillebaart and Marjolein Harbers and Jody Hoenink and Michel Klein and Frederike Mensink and C{\'e}dric Middel and {De Ridder}, {Denise T.D.} and Femke Rutters and Ivonne Sluijs and {Van Der Schouw}, {Yvonne T.} and Schuitmaker, {Tjerk Jan} and {Te Velde}, {Saskia J.} and Elizabeth Velema and Wilma Waterlander and Johannes Brug and Beulens, {Joline W.J.}",
year = "2018",
month = "7",
day = "20",
doi = "10.1186/s12889-018-5839-1",
language = "English",
volume = "18",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",

}

Lakerveld, J, Mackenbach, JD, De Boer, F, Brandhorst, B, Broerse, JEW, De Bruijn, GJ, Feunekes, G, Gillebaart, M, Harbers, M, Hoenink, J, Klein, M, Mensink, F, Middel, C, De Ridder, DTD, Rutters, F, Sluijs, I, Van Der Schouw, YT, Schuitmaker, TJ, Te Velde, SJ, Velema, E, Waterlander, W, Brug, J & Beulens, JWJ 2018, 'Improving cardiometabolic health through nudging dietary behaviours and physical activity in low SES adults: Design of the Supreme Nudge project' BMC Public Health, vol. 18, no. 1, 899. DOI: 10.1186/s12889-018-5839-1

Improving cardiometabolic health through nudging dietary behaviours and physical activity in low SES adults : Design of the Supreme Nudge project. / Lakerveld, Jeroen; Mackenbach, Joreintje D.; De Boer, Femke; Brandhorst, Boris; Broerse, Jacqueline E.W.; De Bruijn, Gert Jan; Feunekes, Gerda; Gillebaart, Marleen; Harbers, Marjolein; Hoenink, Jody; Klein, Michel; Mensink, Frederike; Middel, Cédric; De Ridder, Denise T.D.; Rutters, Femke; Sluijs, Ivonne; Van Der Schouw, Yvonne T.; Schuitmaker, Tjerk Jan; Te Velde, Saskia J.; Velema, Elizabeth; Waterlander, Wilma; Brug, Johannes; Beulens, Joline W.J.

In: BMC Public Health, Vol. 18, No. 1, 899, 20.07.2018.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Improving cardiometabolic health through nudging dietary behaviours and physical activity in low SES adults

T2 - BMC Public Health

AU - Lakerveld,Jeroen

AU - Mackenbach,Joreintje D.

AU - De Boer,Femke

AU - Brandhorst,Boris

AU - Broerse,Jacqueline E.W.

AU - De Bruijn,Gert Jan

AU - Feunekes,Gerda

AU - Gillebaart,Marleen

AU - Harbers,Marjolein

AU - Hoenink,Jody

AU - Klein,Michel

AU - Mensink,Frederike

AU - Middel,Cédric

AU - De Ridder,Denise T.D.

AU - Rutters,Femke

AU - Sluijs,Ivonne

AU - Van Der Schouw,Yvonne T.

AU - Schuitmaker,Tjerk Jan

AU - Te Velde,Saskia J.

AU - Velema,Elizabeth

AU - Waterlander,Wilma

AU - Brug,Johannes

AU - Beulens,Joline W.J.

PY - 2018/7/20

Y1 - 2018/7/20

N2 - Background: Initiating and maintaining a healthy lifestyle -including healthy eating and sufficient physical activity- is key for cardiometabolic health. A health-promoting environment can facilitate a healthy lifestyle, and may be especially helpful to reach individuals with a lower socio-economic status (SES). In the Supreme Nudge project, we will study the effects of pricing and nudging strategies in the supermarket - one of the most important point-of-choice settings for food choices - and of a context-specific mobile physical activity promotion app. This paper describes the stepwise and theory-based design of Supreme Nudge, which aims to develop, implement and evaluate environmental changes for a sustained impact on lifestyle behaviours and cardiometabolic health in low SES adults. Methods: Supreme Nudge uses a multi-disciplinary and mixed methods approach, integrating participatory action research, qualitative interviews, experimental pilot studies, and a randomized controlled trial in a real-life (supermarket) setting. First, we will identify the needs, characteristics and preferences of the target group as well as of the participating supermarket chain. Second, we will conduct a series of pilot studies to test novel, promising and feasible intervention components. Third, a final selection of intervention components will be implemented in a full-scale randomised controlled supermarket trial. Approximately 1000 low SES adults will be recruited across 8-12 supermarkets and randomised at supermarket level to receive 1) no intervention (control); 2) environmental nudges such as food product placement or promotion; 3) nudges and a tailored physical activity app that provides time- and context specific feedback; 4) pricing interventions, nudges, and the physical activity app. The effects on dietary behaviours and physical activity will be evaluated at 3, 6 and 12 months, and on cardiometabolic health at 6 and 12 months. Finally, we will evaluate the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) of the intervention, and we will use insights from System Innovation and Transition Management theories to define the best strategies for implementation and upscaling beyond the study period. Discussion: The Supreme Nudge project is likely to generate thorough evidence relevant for policy and practice on the effects of a mixed method and multi-disciplinary intervention targeting dietary behaviours and physical activity. Trial registration: The real-life trial has been registered on 30 May 2018, NTR7302.

AB - Background: Initiating and maintaining a healthy lifestyle -including healthy eating and sufficient physical activity- is key for cardiometabolic health. A health-promoting environment can facilitate a healthy lifestyle, and may be especially helpful to reach individuals with a lower socio-economic status (SES). In the Supreme Nudge project, we will study the effects of pricing and nudging strategies in the supermarket - one of the most important point-of-choice settings for food choices - and of a context-specific mobile physical activity promotion app. This paper describes the stepwise and theory-based design of Supreme Nudge, which aims to develop, implement and evaluate environmental changes for a sustained impact on lifestyle behaviours and cardiometabolic health in low SES adults. Methods: Supreme Nudge uses a multi-disciplinary and mixed methods approach, integrating participatory action research, qualitative interviews, experimental pilot studies, and a randomized controlled trial in a real-life (supermarket) setting. First, we will identify the needs, characteristics and preferences of the target group as well as of the participating supermarket chain. Second, we will conduct a series of pilot studies to test novel, promising and feasible intervention components. Third, a final selection of intervention components will be implemented in a full-scale randomised controlled supermarket trial. Approximately 1000 low SES adults will be recruited across 8-12 supermarkets and randomised at supermarket level to receive 1) no intervention (control); 2) environmental nudges such as food product placement or promotion; 3) nudges and a tailored physical activity app that provides time- and context specific feedback; 4) pricing interventions, nudges, and the physical activity app. The effects on dietary behaviours and physical activity will be evaluated at 3, 6 and 12 months, and on cardiometabolic health at 6 and 12 months. Finally, we will evaluate the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) of the intervention, and we will use insights from System Innovation and Transition Management theories to define the best strategies for implementation and upscaling beyond the study period. Discussion: The Supreme Nudge project is likely to generate thorough evidence relevant for policy and practice on the effects of a mixed method and multi-disciplinary intervention targeting dietary behaviours and physical activity. Trial registration: The real-life trial has been registered on 30 May 2018, NTR7302.

KW - Cardiometabolic health

KW - Dietary behaviour

KW - Food environment

KW - Low socio-economic status

KW - M-health

KW - Nudging

KW - Physical activity

KW - Pricing

KW - Supermarket

UR - http://www.scopus.com/inward/record.url?scp=85050293011&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050293011&partnerID=8YFLogxK

U2 - 10.1186/s12889-018-5839-1

DO - 10.1186/s12889-018-5839-1

M3 - Article

VL - 18

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 899

ER -