TY - JOUR
T1 - Improving cardiometabolic health through nudging dietary behaviours and physical activity in low SES adults: Design of the Supreme Nudge project
T2 - design of the Supreme Nudge project
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, C. dric
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.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85050293011&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/30029600
U2 - https://doi.org/10.1186/s12889-018-5839-1
DO - https://doi.org/10.1186/s12889-018-5839-1
M3 - Article
C2 - 30029600
SN - 1471-2458
VL - 18
SP - 899
JO - BMC public health
JF - BMC public health
IS - 1
M1 - 899
ER -