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dc.contributor.authorPetrescu, Dragos Cen
dc.contributor.authorHollands, Garethen
dc.contributor.authorCouturier, Dominiqueen
dc.contributor.authorNg, Yin-Lamen
dc.contributor.authorMarteau, Theresaen
dc.date.accessioned2016-06-13T09:30:50Z
dc.date.available2016-06-13T09:30:50Z
dc.date.issued2016-06-08en
dc.identifier.issn1932-6203
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/256269
dc.description.abstract${\bf Background}$ “Nudging”—modifying environments to change people’s behavior, often without their conscious awareness—can improve health, but public acceptability of nudging is largely unknown. ${\bf Methods}$ We compared acceptability, in the United Kingdom (UK) and the United States of America (USA), of government interventions to reduce consumption of sugar-sweetened beverages. Three nudge interventions were assessed: i. reducing portion Size, ii. changing the Shape of the drink containers, iii. changing their shelf Location; alongside two traditional interventions: iv. Taxation and v. Education. We also tested the hypothesis that describing interventions as working through non-conscious processes decreases their acceptability. Predictors of acceptability, including perceived intervention effectiveness, were also assessed. Participants (n = 1093 UK and n = 1082 USA) received a description of each of the five interventions which varied, by randomisation, in how the interventions were said to affect behaviour: (a) via conscious processes; (b) via non-conscious processes; or (c) no process stated. Acceptability was derived from responses to three items. ${\bf Results}$ Levels of acceptability for four of the five interventions did not differ significantly between the UK and US samples; reducing portion size was less accepted by the US sample. Within each country, Education was rated as most acceptable and Taxation the least, with the three nudge-type interventions rated between these. There was no evidence to support the study hypothesis: i.e. stating that interventions worked via non-conscious processes did not decrease their acceptability in either the UK or US samples. Perceived effectiveness was the strongest predictor of acceptability for all interventions across the two samples. ${\bf Conclusion}$ In conclusion, nudge interventions to reduce consumption of sugar-sweetened beverages seem similarly acceptable in the UK and USA, being more acceptable than taxation, but less acceptable than education. Contrary to prediction, we found no evidence that highlighting the non-conscious processes by which nudge interventions may work decreases their acceptability. However, highlighting the effectiveness of all interventions has the potential to increase their acceptability.
dc.description.sponsorshipThe study was funded by the UK Department of Health Policy Research Programme (Policy Research Unit in Behaviour and Health) (Grant ID: PRUN-0409-10109)
dc.languageEnglishen
dc.language.isoenen
dc.publisherPublic Library of Science
dc.rightsAttribution 4.0 International*
dc.rightsAttribution 4.0 Internationalen
dc.rightsAttribution 4.0 Internationalen
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.titlePublic Acceptability in the UK and USA of Nudging to Reduce Obesity: The Example of Reducing Sugar-Sweetened Beverages Consumptionen
dc.typeArticle
dc.description.versionThis is the final version of the article. It first appeared from the Public Library of Science via http://dx.doi.org/10.1371/journal.pone.0155995en
prism.numbere0155995en
prism.publicationDate2016en
prism.publicationNamePLOS ONEen
prism.volume11en
dc.identifier.doi10.17863/CAM.210
dcterms.dateAccepted2016-05-06en
rioxxterms.versionofrecord10.1371/journal.pone.0155995en
rioxxterms.versionVoRen
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/en
rioxxterms.licenseref.startdate2016-06-08en
dc.contributor.orcidHollands, Gareth [0000-0002-0492-3924]
dc.contributor.orcidCouturier, Dominique [0000-0001-5774-5036]
dc.contributor.orcidMarteau, Theresa [0000-0003-3025-1129]
dc.identifier.eissn1932-6203
rioxxterms.typeJournal Article/Reviewen
datacite.issupplementedby.doi10.1371/journal.pone.0155995.s001,10.1371/journal.pone.0155995.s002,10.1371/journal.pone.0155995.s003en
cam.orpheus.successThu Jan 30 12:57:45 GMT 2020 - The item has an open VoR version.*
rioxxterms.freetoread.startdate2100-01-01


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International