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Obesity Reviews | 2013

Choice architecture as a means to change eating behaviour in self-service settings: a systematic review

Laurits Rohden Skov; Sofia Lourenço; Gitte Laub Hansen; Bent Egberg Mikkelsen; Claire Schofield

The primary objective of this review was to investigate the current evidence base for the use of choice architecture as a means to change eating behaviour in self‐service eating settings, hence potentially reduce calorie intake. Twelve databases were searched systematically for experimental studies with predefined choice architecture interventions in the period of June 2011–March 2012. The 12 included studies were grouped according to type of interventions and underwent a narrative synthesis. The evidence indicates that (i) health labelling at point of purchase is associated with healthier food choice, while (ii) manipulating the plate and cutlery size has an inconclusive effect on consumption volume. Finally, (iii) assortment manipulation and (iv) payment option manipulation was associated with healthier food choices. The majority of studies were of very weak quality and future research should emphasize a real‐life setting and compare their results with the effect of other more well‐established interventions on food behaviour in self‐service eating settings.


Perspectives in Public Health | 2016

Choice architecture interventions for increased vegetable intake and behaviour change in a school setting: A systematic review

Trine Riebeling Nørnberg; Louise Houlby; Laurits Rohden Skov; Federico J.A. Perez-Cueto

Aims: The primary objective of this review is to assess the prevalence and quality of published studies on the effect of choice architectural nudge interventions promoting vegetable consumption among adolescents. Additionally, this review aims to identify studies estimating adolescents’ attitude towards choice architectural nudge interventions. Methods: Web of Science, Scopus and PubMed were searched systematically for experimental studies with a predefined search strategy in the period November–December 2013. Publications were included following predetermined inclusion criteria. Studies were evaluated as of high, moderate or weak quality. Finally, studies were grouped by the type of intervention and underwent a narrative synthesis. Results: The search showed that only very few studies investigated the effects of choice architectural nudging interventions on vegetable consumption, and none of them had attitude towards behavioural interventions as an outcome measure. Twelve studies met the inclusion criteria. The results of the 12 studies were inconclusive, and the majority of studies were of weak or moderate quality. Conclusion: This review uncovers a gap in knowledge on the effect of choice architectural nudge interventions aiming to promote the intake of vegetables among adolescents in a school context. It also highlights that no previous studies have considered the attitudes towards choice architectural nudge interventions as a potential factor for their success – or lack thereof – in achieving the desired goal of increased vegetable consumption.


PLOS ONE | 2017

Comparison of three nudge interventions (priming, default option, and perceived variety) to promote vegetable consumption in a self-service buffet setting

Rasmus Friis; Laurits Rohden Skov; Annemarie Olsen; Katherine M. Appleton; Laure Saulais; Caterina Dinnella; Heather Hartwell; Laurence Depezay; Erminio Monteleone; Agnès Giboreau; Federico J.A. Perez-Cueto

Background Dietary choices in out-of-home eating are key for individual as well as for public health. These dietary choices are caused by a wide array of determinants, one of which is automatic decision-making. Nudging is attracting considerable interest due to its understanding and application of heuristic biases among consumers. The aim of this study is to test and compare three nudges in promoting vegetable consumption among test persons in a food lab-based experiment. Methods The initial sample consisted of 88 participants recruited in Copenhagen, Denmark. Each study participant was randomly assigned to one of the three experiments: priming, default and perceived variety. The priming arm of the experiment consisted of creating a leafy environment with green plants and an odour of herbs. In the default arm of the experiment, the salad was pre-portioned into a bowl containing 200g of vegetables. The third experiment divided the pre-mixed salad into each of its components, to increase the visual variety of vegetables, yet not providing an actual increase in items. Each individual was partaking twice thus serving as her/his own control, randomly assigned to start with control or experimental setting. Results The default experiment successfully increased the energy intake from vegetables among the study participants (124 kcal vs. 90 kcal in control, p<0.01). Both the priming condition and perceived variety reduced the total energy intake among the study participants (169 kcal, p<0.01 and 124 kcal, p<0.01, respectively), mainly through a decrease in the meat-based meal component. Conclusions Considerable progress has been made with regard to understanding the use of nudging in promoting a healthier meal composition, including increasing vegetable intake. This study suggests that the nature of a nudge-based intervention can have different effects, whether it is increasing intake of healthy components, or limiting intake of unhealthy meal components. This work has demonstrated that consumer behaviour can be influenced without restricting or providing incentives for behaviour change. The present findings have promising application to the foodservice sector.


Journal of Foodservice Business Research | 2016

Apples versus brownies: A field experiment in rearranging conference snacking buffets to reduce short-term energy intake

Pelle Guldborg Hansen; Laurits Rohden Skov; Andreas Maaløe Jespersen; Katrine Lund Skov; Karsten Schmidt

ABSTRACT More and more people eat out and, therefore, foodservice business has an increasing influence on people’s dietary intake. Foodservice business should, first and foremost, deliver a nice tasting meal of high quality—but health should not be neglected. Nudging and choice architecture is a field of foodservice business research that is gaining interest and this article offers original research in this field.


Obesity Reviews | 2013

Choice architecture as a means to change eating behaviour in self-service settings: a systematic review: Choice architecture in self-service eating settings

Laurits Rohden Skov; Sofia Lourenço; Gitte Laub Hansen; Bent Egberg Mikkelsen; Claire Schofield

The primary objective of this review was to investigate the current evidence base for the use of choice architecture as a means to change eating behaviour in self‐service eating settings, hence potentially reduce calorie intake. Twelve databases were searched systematically for experimental studies with predefined choice architecture interventions in the period of June 2011–March 2012. The 12 included studies were grouped according to type of interventions and underwent a narrative synthesis. The evidence indicates that (i) health labelling at point of purchase is associated with healthier food choice, while (ii) manipulating the plate and cutlery size has an inconclusive effect on consumption volume. Finally, (iii) assortment manipulation and (iv) payment option manipulation was associated with healthier food choices. The majority of studies were of very weak quality and future research should emphasize a real‐life setting and compare their results with the effect of other more well‐established interventions on food behaviour in self‐service eating settings.


Obesity Reviews | 2013

Choice architecture as a means to change eating behaviour in self-service settings

Laurits Rohden Skov; Sofia Lourenço; Gitte Laub Hansen; Bent Egberg Mikkelsen; Claire Schofield

The primary objective of this review was to investigate the current evidence base for the use of choice architecture as a means to change eating behaviour in self‐service eating settings, hence potentially reduce calorie intake. Twelve databases were searched systematically for experimental studies with predefined choice architecture interventions in the period of June 2011–March 2012. The 12 included studies were grouped according to type of interventions and underwent a narrative synthesis. The evidence indicates that (i) health labelling at point of purchase is associated with healthier food choice, while (ii) manipulating the plate and cutlery size has an inconclusive effect on consumption volume. Finally, (iii) assortment manipulation and (iv) payment option manipulation was associated with healthier food choices. The majority of studies were of very weak quality and future research should emphasize a real‐life setting and compare their results with the effect of other more well‐established interventions on food behaviour in self‐service eating settings.


Obesity Reviews | 2010

Barriers to Implementation of Breakfast Clubs in Danish Schools: From the Perspective of School Staff and Parents

Laurits Rohden Skov; Gitte Laub Hansen; Sofie Husby

Introduction: Physical inactivity is regarded as one of the main factors that have contributed to the rapid increase in prevalence of childhood obesity in recent decades. The aim of this study was ...


Nutrition Journal | 2014

A systematic review of types of healthy eating interventions in preschools.

Mette Vang Mikkelsen; Sofie Husby; Laurits Rohden Skov; Federico J.A. Perez-Cueto


Annual Review of Public Health | 2016

Making Healthy Choices Easier: Regulation versus Nudging

Pelle Guldborg Hansen; Laurits Rohden Skov; Katrine Lund Skov


Food Quality and Preference | 2016

Increasing fruit and vegetable intake among male university students in an ad libitum buffet setting: A choice architectural nudge intervention

Ida Kongsbak; Laurits Rohden Skov; Brit Køpke Nielsen; Fie Kathrine Ahlmann; Hanna Schaldemose; Louise Atkinson; Maria Wichmann; Federico J.A. Perez-Cueto

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