A comparative assessment of two different front-of-package nutrition label designs: A randomized experiment in Brazil

PLoS One. 2022 Apr 6;17(4):e0265990. doi: 10.1371/journal.pone.0265990. eCollection 2022.

Abstract

This study compares the effectiveness of different front-of-package label designs in a Brazilian sample (n = 1384). Eligible adults were randomized to one of two study arms and viewed images of snacks with either a triangular warning label (TL) or a rectangular 'high in' label with a magnifying glass (ML). They responded to a series of questions that captured label usefulness, understanding, and purchase intentions. Compared to participants in the ML arm, those in the TL arm agreed that the TL communicated important information [Mean (SD) - 5.47 (0.07) vs 4.49 (0.08), p-value <0.001], was a useful tool [Mean (SD) - 6.12 (0.06) vs 5.75 (0.07), p-value <0.001], and was easier to understand as measured subjectively [Mean (SD) - 4.96 (0.07) vs 4.44 (0.08), p-value <0.001]. However, both the TL and the ML performed similarly in communicating nutrient information as measured by the objective understanding of nutrient content [57.09% vs 54.65%, p-value 0.259]. The ML performed marginally better at improving purchase intentions [Mean (SD) - 2.57 (0.07) vs 2.79 (0.08), p-value <0.049]. The current study adds to the growing evidence base on the pathways through which FoP labels, particularly 'high in' labels, might influence consumer perceptions and behavior. It is also one of the first studies to provide evidence on the utility of the ML design for Brazil.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brazil
  • Choice Behavior
  • Consumer Behavior
  • Food Labeling / methods
  • Food Preferences*
  • Health Behavior*
  • Humans
  • Nutritive Value

Grants and funding

Dr. Khandpur was supported by FAPESP fellowship 2019/22278-7. Data collection was supported by the Global Health Advocacy Incubator (GHAI) and Bloomberg Philanthropies, project ID: BRAZIL-IO-05. The funding agency had no role to play in the study design, data collection, analysis, or interpretation.