Efficiency of In-Store Interventions to Impact Customers to Purchase Healthier Food and Beverage Products in Real-Life Grocery Stores: A Systematic Review and Meta-Analysis

Grocery stores are important settings to promote healthier food and beverage choices. The present paper aims at reviewing the effectiveness of different types of in-store interventions and how they impact sales of different product category in real grocery stores. Systematic search was conducted in...

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Main Authors: Helena Slapø, Alexander Schjøll, Børge Strømgren, Ingunn Sandaker, Samira Lekhal
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Foods
Subjects:
Online Access:https://www.mdpi.com/2304-8158/10/5/922
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author Helena Slapø
Alexander Schjøll
Børge Strømgren
Ingunn Sandaker
Samira Lekhal
author_facet Helena Slapø
Alexander Schjøll
Børge Strømgren
Ingunn Sandaker
Samira Lekhal
author_sort Helena Slapø
collection DOAJ
description Grocery stores are important settings to promote healthier food and beverage choices. The present paper aims at reviewing the effectiveness of different types of in-store interventions and how they impact sales of different product category in real grocery stores. Systematic search was conducted in six databases. In-store interventions were categorized according to the framework by Kraak et al. (2017) into one or more of eight interventions (e.g., place, profile, portion, pricing, promotion, healthy default picks, prompting and proximity). This systematic theme-based review follows the preferred reporting items for systematic reviews and meta-analyses (PRISMA) data screening and selection. Thirty-six studies were included in the qualitative synthesis and 30 studies were included in the meta-analysis, representing 72 combinations of in-store interventions. The analysis demonstrates that interventions overall had small significant effect size (ES) using Cohen’s <i>d</i> on food purchase behavior (<i>d</i> = 0.17, 95% CI [0.04, 0.09]), with largest ES for pricing (<i>d</i> = 0.21) and targeting fruits and vegetables (<i>d</i> = 0.28). Analysis of ES of in-store interventions show that pricing, and pricing combined with promotion and prompting, effectively impacted purchase behavior. Interventions significantly impacted both sales of healthy and unhealthy products and significantly increased sales of fruits and vegetables, healthy beverage and total volume of healthy products. Results should however be interpreted with some caution, given the relatively low quality of overall evidence and low number of studies and observations for some types of intervention. Further research exploring impact on different in-store interventions and targeting especially unhealthy products are needed.
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spelling doaj.art-d7dce6be74864c009b5eb78e73b41d0d2023-11-21T16:41:24ZengMDPI AGFoods2304-81582021-04-0110592210.3390/foods10050922Efficiency of In-Store Interventions to Impact Customers to Purchase Healthier Food and Beverage Products in Real-Life Grocery Stores: A Systematic Review and Meta-AnalysisHelena Slapø0Alexander Schjøll1Børge Strømgren2Ingunn Sandaker3Samira Lekhal4Department of Behavioral Sciences, Oslo Metropolitan University, P.O. BOX 4 St., Olavs plass, N-0130 Oslo, NorwayConsumption Research Norway, Oslo Metropolitan University, P.O. BOX 4 St., Olavs plass, N-0130 Oslo, NorwayDepartment of Behavioral Sciences, Oslo Metropolitan University, P.O. BOX 4 St., Olavs plass, N-0130 Oslo, NorwayDepartment of Behavioral Sciences, Oslo Metropolitan University, P.O. BOX 4 St., Olavs plass, N-0130 Oslo, NorwayGreeNudge, Tordenskioldsgate 2, N-0160 Oslo, NorwayGrocery stores are important settings to promote healthier food and beverage choices. The present paper aims at reviewing the effectiveness of different types of in-store interventions and how they impact sales of different product category in real grocery stores. Systematic search was conducted in six databases. In-store interventions were categorized according to the framework by Kraak et al. (2017) into one or more of eight interventions (e.g., place, profile, portion, pricing, promotion, healthy default picks, prompting and proximity). This systematic theme-based review follows the preferred reporting items for systematic reviews and meta-analyses (PRISMA) data screening and selection. Thirty-six studies were included in the qualitative synthesis and 30 studies were included in the meta-analysis, representing 72 combinations of in-store interventions. The analysis demonstrates that interventions overall had small significant effect size (ES) using Cohen’s <i>d</i> on food purchase behavior (<i>d</i> = 0.17, 95% CI [0.04, 0.09]), with largest ES for pricing (<i>d</i> = 0.21) and targeting fruits and vegetables (<i>d</i> = 0.28). Analysis of ES of in-store interventions show that pricing, and pricing combined with promotion and prompting, effectively impacted purchase behavior. Interventions significantly impacted both sales of healthy and unhealthy products and significantly increased sales of fruits and vegetables, healthy beverage and total volume of healthy products. Results should however be interpreted with some caution, given the relatively low quality of overall evidence and low number of studies and observations for some types of intervention. Further research exploring impact on different in-store interventions and targeting especially unhealthy products are needed.https://www.mdpi.com/2304-8158/10/5/922consumer behaviorhealthy and nutritional food choicesfood choice motivationschoice architecturenudgingfood environment
spellingShingle Helena Slapø
Alexander Schjøll
Børge Strømgren
Ingunn Sandaker
Samira Lekhal
Efficiency of In-Store Interventions to Impact Customers to Purchase Healthier Food and Beverage Products in Real-Life Grocery Stores: A Systematic Review and Meta-Analysis
Foods
consumer behavior
healthy and nutritional food choices
food choice motivations
choice architecture
nudging
food environment
title Efficiency of In-Store Interventions to Impact Customers to Purchase Healthier Food and Beverage Products in Real-Life Grocery Stores: A Systematic Review and Meta-Analysis
title_full Efficiency of In-Store Interventions to Impact Customers to Purchase Healthier Food and Beverage Products in Real-Life Grocery Stores: A Systematic Review and Meta-Analysis
title_fullStr Efficiency of In-Store Interventions to Impact Customers to Purchase Healthier Food and Beverage Products in Real-Life Grocery Stores: A Systematic Review and Meta-Analysis
title_full_unstemmed Efficiency of In-Store Interventions to Impact Customers to Purchase Healthier Food and Beverage Products in Real-Life Grocery Stores: A Systematic Review and Meta-Analysis
title_short Efficiency of In-Store Interventions to Impact Customers to Purchase Healthier Food and Beverage Products in Real-Life Grocery Stores: A Systematic Review and Meta-Analysis
title_sort efficiency of in store interventions to impact customers to purchase healthier food and beverage products in real life grocery stores a systematic review and meta analysis
topic consumer behavior
healthy and nutritional food choices
food choice motivations
choice architecture
nudging
food environment
url https://www.mdpi.com/2304-8158/10/5/922
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