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CompletedNCT03518151WRAPPED1Updated May 8, 2018

Women's Responses to Adjusted Product Placement and Its Effects on Diet - 1 (WRAPPED1)

An interventional study of Product placement intervention and Sham comparator in Diet Modification, sponsored by University Hospital Southampton NHS Foundation Trust. Completed. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-05-08.

Sponsored by University Hospital Southampton NHS Foundation Trust · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 9 months after the study started (first participant enrolled Jul 2016, registered Apr 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Non-randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

This research project aims to help address a gap in understanding about the micro-environmental determinants of diet by exploring whether improving the placement of fresh and frozen fruit and vegetables and removing temptations of confectionary at checkouts in discount supermarkets influences the dietary behaviours of women aged 18-45 years and whether it is cost effective.

Read the detailed description

This study is a natural experiment with a prospective cluster controlled design. The intervention includes creating a new fresh fruit and vegetable section at the store entrance, placing frozen fruit and vegetable in the first aisle and removing confectionery from checkouts; it will be implemented continuously for 6 months in discount supermarkets.

The control condition is provision of a limited range of fresh fruit and vegetables, all placed at the back of the store, frozen vegetables in a middle aisle and confectionery sold at checkouts. Control and intervention stores will be located across England to improve generalizability of the sample. Each control store will be matched to an intervention store on i) sales profile, ii) customer profile and iii) neighbourhood deprivation (IMD deciles). Control stores will be located at least 50 miles from an intervention store to avoid contamination.

Women customers aged 18-45 years with a store loyalty card, who regularly shop at one of 3 intervention or 3 matched-control stores in England will be invited to participate. Women will be recruited via email, letter, SMS, shopping receipt note, Facebook advertisement, and in-store approach. Participants will contact the research team via text, email or Freephone and will be consented by phone after eligibility is assessed. Participants will be asked to complete four telephone surveys (baseline and 1, 3 and 6 months post intervention commencement) and will be offered 3x £10 Love2Shop vouchers that will be sent after completion of the baseline, 3 and 6 month surveys. A secure system to transfer store and participant loyalty card sales data has been established and confidentiality upheld through the use of study identification numbers.

Economic evaluation will be conducted from individual and retailer perspectives. Participant surveys will collect data about food expenditure, and travel costs to and from supermarkets that will be supplemented by loyalty card data. Refurbishment and ongoing costs, plus impact on sales will be estimated.

A process evaluation will be conducted to monitor intervention implementation (in-store surveys), mechanisms of impact (interviews with a sub-sample of supermarket staff and participants) and context (analysis of grocery shopping habits - location and frequency of different stores).

02

Conditions studied

  • Diet Modification

Keywords

  • public health
  • dietary inequalities
  • environment design
03

In context

Lead sponsor

University Hospital Southampton NHS Foundation Trust is the lead sponsor of 147 studies on the registry; 36 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Women aged 18-45 years
  • Hold an store loyalty card
  • Shop regularly in the 12-weeks before recruitment according to loyalty card data
  • Shoppers who choose items in-store but opt for home delivery will be eligible

Exclusion criteria

Exclusion Criteria:

  • Women under the age of 18 or over 45 years
  • Shopped less than once in 12-weeks prior to recruitment
  • Online-only shopper
  • No store loyalty card
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (actual)

Study arms

  • Experimental
    Intervention

    The intervention includes 3 components: i) creation of a new fresh fruit and vegetable section at store entrance; ii) placing frozen fruit and vegetables in the first aisle and iii) removal of all cakes, confectionary and sugar sweetened beverages from checkouts (replaced with non-food items, fruit and bottled water).

    Other: Product placement intervention

  • Sham comparator
    Control

    The control condition is provision of a limited range of fresh fruit and vegetables, all placed at the back of the store, frozen vegetables in a middle aisle and confectionery sold at checkouts.

    Other: Sham comparator

Interventions

  • OtherProduct placement intervention

    The intervention includes 3 components: i) creation of a new fresh fruit and vegetable section and island in the first aisle; ii) placing frozen fruit and vegetables in the first aisle and iii) removal of all cakes, confectionary and sugar sweetened beverages from checkouts (replaced with non-food items, fruit and bottled water).

  • OtherSham comparator

    The control condition is provision of a limited range of fresh fruit and vegetables, all placed at the back of the store, frozen vegetables in a middle aisle and confectionery sold at checkouts.

06

What researchers measure

Primary outcomes

  1. Dietary quality score

    The primary outcome is women's dietary quality measured using a 20-item food frequency questionnaire (FFQ) to create a standardised dietary quality score (validated against 100-item FFQ and red cell folate).

    Time frame: 3 month follow-up post intervention commencement

Secondary outcomes

  1. Child's dietary quality score

    Child's dietary quality will be collected using a validated FFQ for use with parents of children aged 2-6 years.

    Time frame: 3 month follow-up post intervention commencement

  2. Women's daily fruit and vegetable portions

    Women's daily fruit and vegetable portions will be collected using a 2-item tool that has been validated against urinary potassium and plasma ascorbic acid to describe high (≥5 portions/day) and low (≤2.5 portions/day) intake.

    Time frame: 3 month follow-up post intervention commencement

  3. Women's weekly confectionery intake

    Frequency per week that women consume sweets and chocolates

    Time frame: 3 month follow-up post intervention commencement

  4. Weekly sales of fresh fruit and vegetables

    Total weekly sales of fresh fruit and vegetables collected via electronic sales data

    Time frame: 12 week period following intervention commencement

  5. Weekly sales of confectionery

    Total weekly sales of confectionery collected via electronic sales data

    Time frame: 12 week period following intervention commencement

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Vogel C, Crozier S, Penn-Newman D, Ball K, Moon G, Lord J, Cooper C, Baird J. Altering product placement to create a healthier layout in supermarkets: Outcomes on store sales, customer purchasing, and diet in a prospective matched controlled cluster study. PLoS Med. 2021 Sep 7;18(9):e1003729. doi: 10.1371/journal.pmed.1003729. eCollection 2021 Sep. PubMed 34491999 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03518151
Lead sponsor
University Hospital Southampton NHS Foundation Trust
Collaborators
University of Southampton, Medical Research Council
Responsible party
Sponsor
First posted
May 8, 2018
Start date
Jul 6, 2016
Primary completion
Apr 30, 2017
Completion
Nov 30, 2017
Last update
May 8, 2018

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.

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