Repository logo
 

Physical micro-environment interventions for healthier eating in the workplace: protocol for a stepped wedge randomised controlled pilot trial.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Cartwright, Emma 
Hollands, Gareth J 
Couturier, Dominique-Laurent 

Abstract

BACKGROUND: An estimated one third of energy is consumed in the workplace. The workplace is therefore an important context in which to reduce energy consumption to tackle the high rates of overweight and obesity in the general population. Altering environmental cues for food selection and consumption-physical micro-environment or 'choice architecture' interventions-has the potential to reduce energy intake. The first aim of this pilot trial is to estimate the potential impact upon energy purchased of three such environmental cues (size of portions, packages and tableware; availability of healthier vs. less healthy options; and energy labelling) in workplace cafeterias. A second aim of this pilot trial is to examine the feasibility of recruiting eligible worksites, and identify barriers to the feasibility and acceptability of implementing the interventions in preparation for a larger trial. METHODS: Eighteen worksite cafeterias in England will be assigned to one of three intervention groups to assess the impact on energy purchased of altering (a) portion, package and tableware size (n = 6); (b) availability of healthier options (n = 6); and (c) energy (calorie) labelling (n = 6). Using a stepped wedge design, sites will implement allocated interventions at different time periods, as randomised. DISCUSSION: This pilot trial will examine the feasibility of recruiting eligible worksites, and the feasibility and acceptability of implementing the interventions in preparation for a larger trial. In addition, a series of linear mixed models will be used to estimate the impact of each intervention on total energy (calories) purchased per time frame of analysis (daily or weekly) controlling for the total sales/transactions adjusted for calendar time and with random effects for worksite. These analyses will allow an estimate of an effect size of each of the three proposed interventions, which will form the basis of the sample size calculations necessary for a larger trial. TRIAL REGISTRATION: ISRCTN52923504.

Description

Keywords

Availability, Choice architecture, Healthier eating, Labelling, Nudging, Physical micro-environment interventions, Randomised controlled trial, Size, Stepped wedge trial, Workplace interventions

Journal Title

Pilot Feasibility Stud

Conference Name

Journal ISSN

2055-5784
2055-5784

Volume Title

Publisher

Springer Science and Business Media LLC
Sponsorship
Department of Health (PRP number 107001)
Wellcome Trust (106679/Z/14/Z)
Institute of Grocery Distribution (IGD) (03HP)
The study is funded by the Department of Health Policy Research Programme (Policy Research Unit in Behaviour and Health [PR-UN-0409- 10109] and the Institute for Grocery Distribution [RG83425]). RP is supported by a Wellcome Trust Research Fellowship in Society and Ethics [106679/Z/ 14/Z].