FOP Nutrition Label in Campus Cafeteria

Study Overview
=================
Brief Summary
-----------------
This study evaluates the impact of the introduction of a front-of-pack nutrition label on foods and beverages sold in a campus cafeteria in France on the nutritional quality of purchases.

Detailed Description
-----------------
The introduction of front-of-package nutrition labelling is thought to help consumers making healthier food choices at the point-of-purchase. Recently, the French government has selected the Nutri-Score as single front-of-pack nutrition label. Evaluations of the Nutri-Score suggest it is in helping consumers making healthier choices. However, its impact in vulnerable populations has not yet been tested. Students are thought to be a vulnerable population due to their limited resources and to their unhealthy food choices. The objective of the present study is to investigate the impact of the introduction of the Nutri-Score in campus cafeterias on the nutritional quality of food purchases. The intervention is conducted during several months, with a control period without front-of-pack nutrition labelling at the beginning of the university year. Data on purchases is collected regularly through receipts, and the nutritional quality of purchases is evaluated over time between the intervention situation and the control situation.

Official Title
-----------------
Impact of a Front-of-pack Nutrition Label on the Nutritional Quality of Purchases in Campus Cafeteria

Conditions
-----------------
Food Labelling

Intervention / Treatment
-----------------
* Behavioral: Front-of-pack labelling Nutri-Score


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: All subjects purchasing foods or beverages in the selected campus cafeteria Exclusion Criteria: None No individual data is collected. Only purchases data is collected (cash register sales data)
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Interventional Model Description: After a control period with no specific front-of-pack labeling, the intervention consists in the apposition of a front-of-pack labeling (Nutri-Score) to individual foods in a campus cafeteria. All foods are individually labeled.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Front-of-pack labelling Nutri-Score<br>Introduction of the Nutri-Score front-of-pack nutrition label on every food and beverage in the campus cafeteria after a control period without food labelling. The implementation of the label is accompanied by a communication campaign towards students in the form of posters and leaflets. | Behavioral: Front-of-pack labelling Nutri-Score<br>* Introduction of the Nutri-Score front-of-pack nutrition label on shelf display tags for every food and beverage sold in the cafeteria<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Overall nutritional quality of purchases | Overall nutritional quality of purchases evaluated using the Food Standard Agency nutrient profiling system | Every 15 days, up to 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Energy content of purchases | Energy content of the purchases (kcal/100g) | Every 15 days, up to 6 months | 
| Saturated fat content of purchases | Saturated fat content of the purchases (g/100g) | Every 15 days, up to 6 months | 
| Sugar content of purchases | Sugar content of the purchases (g/100g) | Every 15 days, up to 6 months | 
| Sodium content of purchases | Sodium content of the purchases (g/100g) | Every 15 days, up to 6 months | 
| Fiber content of purchases | Fiber content of the purchases (g/100g) | Every 15 days, up to 6 months | 
| Protein content of purchases | Protein content of the purchases (g/100g) | Every 15 days, up to 6 months |