Ozturk, Orgul and Frongillo, Edward and Blake, Christine and Turner-McGrievy, Gabrielle (2019): Before the Lunch Line: Effectiveness of Behavioral Economic Interventions for Pre-Commitment on Elementary School Children’s Food Choices.
Preview |
PDF
MPRA_paper_98633.pdf Download (2MB) | Preview |
Abstract
In this study, we intervened in elementary schools on lunch entrée selection using some of the behavioral economic methods shown to be effective in earlier food choice studies. Unlike many earlier behavioral interventions, which were mostly done in controlled environments and smaller café type settings for one-off interactions, we conducted our interventions in a real-world environment in twelve elementary schools in one school district in South Carolina over nine school weeks. By increasing salience and prominence of the healthy entrée of the day through visual and verbal tools, we nudged students towards selecting healthier options in treatment schools. We estimated the treatment effects using a difference-in-differences setup, comparing changes in the share of students selecting nudged entrées during the treatment period relative to the shares before the treatment period in treatment and comparison schools. Our estimates show that the nudges are effective when present. They increase selection of the healthy option by thirteen to thirty-five percent on the days the entrée is treated. Effects disappear when the nudge is removed, however, and there is evidence for reduced effectiveness of nudges in repeat instances. There is no evidence of habit formation.
Item Type: | MPRA Paper |
---|---|
Original Title: | Before the Lunch Line: Effectiveness of Behavioral Economic Interventions for Pre-Commitment on Elementary School Children’s Food Choices |
Language: | English |
Keywords: | Nudge, behavioral economics, healthy eating, school lunch, salience, prominence, difference-in-differences |
Subjects: | C - Mathematical and Quantitative Methods > C9 - Design of Experiments > C91 - Laboratory, Individual Behavior C - Mathematical and Quantitative Methods > C9 - Design of Experiments > C93 - Field Experiments I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior |
Item ID: | 98633 |
Depositing User: | Orgul D. Ozturk |
Date Deposited: | 17 Feb 2020 05:06 |
Last Modified: | 17 Feb 2020 05:06 |
References: | Birch LL. 1999. “Development of food preferences.” Annual Review of Nutrition. Vol. 19 pp.41–62. Belot, Michele, Jonathan James, Patrick Nolan. 2016. "Incentives and Dietary Choices – A Field Experiment in Primary Schools" Journal of Health Economics 50, 213-29 Cameron, A. C., Gelbach, J. B., Miller, D. L. 2008. Bootstrap-based improvements for inference with clustered errors. Review of Economics and Statistics 90: 414–427. Choi, J.J., D. Laibson, B.C. Madrian and A. Metrick. 2003. “Optimal Defaults.” American Economic Review Vol. 93(2) pp.180-185. Cioffi, Catherine, E.David, A.Levitsky, Carly R.Pacanowski and Fredrik Bertz. 2015. “A nudge in a healthy direction. The effect of nutrition labels on food purchasing behaviors in university dining facilities”. Appetite. Vol. 92. pp 7-14 Conley, T. G., Taber, C. R. 2011. “Inference with “difference in differences” with a small number of policy changes”. Review of Economics and Statistics 93: 113–125. Cooke, L. (2007), The importance of exposure for healthy eating in childhood: a review. Journal of Human Nutrition and Dietetics. Vol. 20. pp. 294-301. Daniel, Caitlin. 2015. “Economic constraints on taste formation and the true cost of healthy eating.” Social Science & Medicine V. 148 pp.34-41. doi:10.1016/j.socscimed.2015.11.025 Elsbernd, S.L., M.M. Reicks, T.L. Mann, J.P. Redden, E. Mykerezi, Z.M. Vickers. 2016. “Serving vegetables first: A strategy to increase vegetable consumption in elementary school cafeterias.” Appetite. Vol.96. pp. 111-115. Ferro, G., S. Gupta, and J. Kropp. 2013. “The Effect of Pre-Selection and Visual Cues on Food Item Selection by Middle School Children”, Annual Meeting, Washington, D.C., Agricultural and Applied Economics Association, August. FNS, USDA. 2012. “Nutrition Standards in the National School Lunch and School Breakfast Programs.” Federal Register 77(17). pp.4088-167. French, S.A., Rydell, S.A., Mitchell, N.R. et al. Financial incentives and purchase restrictions in a food benefit program affect the types of foods and beverages purchased: results from a randomized trial. Int J Behav Nutr Phys Act 14, 127 (2017). https://doi.org/10.1186/s12966-017-0585-9 Haisley E, K.G. Volpp, T. Pellathy , G. Loewenstein. 2012. “The impact of alternative incentive schemes on completion of health risk assessments”. Am J Health Promot. Jan-Feb;26(3):184-8. doi: 10.4278/ajhp.100729-ARB-257. Hanoch, Y, A. J. Barnes, & T. Rice (Eds.), Behavioral economics and healthy behaviors: Key concepts and current research (p. 109–126). Routledge/Taylor & Francis Group. Johnson, Eric J. and Daniel G. Goldstein. 2003. “Do Defaults Save Lives?” Science. Vol. 302. pp. 1338-1339. Just, D. and Price, J. 2013. “Default options, incentives and food choices: evidence from elementary-school children”. Public Health Nutrition Vol.16(12). pp.2281-8. Gine X, D Karlan, J Zinman. 2010. “Put Your Money Where Your Butt Is: A Commitment Contract for Smoking Cessation”, American Economic Journal: Applied Economics, 2(4):213-235. Hanks AS, Just DR, Smith LE, et al. Healthy convenience: nudging students toward healthier choices in the lunchroom. J Public Health. 2012;34:370–376. Kessler, Holly. 2016. “Simple interventions to improve healthy eating behaviors in the school cafeteria.” Nutrition Review. Vol. 74(3). pp. 198–209. Laureati, Monica, Valentina Bergamaschi, Ella Pagliarini. 2014. “School-based intervention with children. Peer-modeling, reward and repeated exposure reduce food neophobia and increase liking of fruits and vegetables.” Appetite. Vol. 83. pp. 26-32. List, J.A. and S. Samek. 2015. “The behavioralist as nutritionist: leveraging behavioral economics to improve child food choice and consumption” Journal of Health Economics, 39, pp. 135-146 Levitt, Steven D., John A. List, Susanne Neckermann and Sally Sadoff. 2016. “The Behavioralist Goes to School: Leveraging Behavioral Economics to Improve Educational Performance” American Economic Journal: Economic Policy Vol. 8, No. 4, pp. 183-219 Loewenstein, G., J. Price and K. Volpp. 2016. “Habit formation in children: evidence from incentives for healthy eating” Journal of Health Economics, 45, pp. 47-54 MacKinnon, J. G., Webb, M. D. 2018. “The wild bootstrap for few (treated) clusters.” Econometrics Journal 21: 114–135. MacKinnon, J. G., Webb, M. D. 2017a. “Pitfalls when estimating treatment effects using clustered data.” Political Methodologist 24: 20–31. Marteau, Theresa M; Ogilvie, David; Roland, Martin; Suhrcke, Marc; Kelly, Michael P. 2011. “Judging nudging: can nudging improve population health?” BMJ : British Medical Journal (Online); London Vol. 342. Miller, GF. S. Gupta, JD Kropp, KA Grogan, A Mathews. 2016. “The effects of pre-ordering and behavioral nudges on National School Lunch Program participants’ food item selection” Journal of Economic Psychology. Vol.55 pp 4-16 Ozturk, Orgul, Melayne M. McInnes, Christine Blake, Edward A. Frongillo and Sonya Jones. 2016. “Development of a structured observational method for the systematic assessment of school food choice architecture” Ecology of Food and Nutrition. Vol.55 No.2 pp 119-140. Perry C.L., Bishop D.B., Taylor G.L., Davis M., Story M., Gray C., Bishop S.C., Mays R.A., Lytle L.A., Harnack L. 2004. “A randomized school trial of environmental strategies to encourage fruit and vegetable consumption among children.” Health Education and Behavior. Vol.31(1). pp.65-76. Reicks M., Redden J.P., Mann T, Mykerezi E., Vickers Z. 2012. “Photographs in lunch tray compartments and vegetable consumption among children in elementary school cafeterias.” JAMA. Vol.307(8). pp. 784-5. Roodman, D., Nielsen, M. Ø., MacKinnon, J. G., & Webb, M. D. (2019). Fast and wild: Bootstrap inference in Stata using boottest. The Stata Journal, 19(1), 4–60. Roodman, David. 2015. "BOOTTEST: Stata module to provide fast execution of the wild bootstrap with null imposed," Statistical Software Components S458121, Boston College Department of Economics, revised 05 Sep 2019. Schwartz, M. B. 2007. "The influence of a verbal prompt on school lunch fruit consumption: a pilot study." International Journal of Behavioral Nutrition and Physical Activity Vol.4: 6 Skinner, Jean D., Betty Ruth Carruth, Wendy Bounds, and Paula J. Ziegler. 2002. “Children's Food Preferences: A Longitudinal Analysis.” Journal of the American Dietetic Association. Vol. 102(11). pp. 1638-1647. Smith, Tosha. 2012. “Taste Texting: A Pre-Order System for Fresh and Healthy High School Lunch.” Dissertation. Dept. of Nutrition, University of North Carolina –Chapel Hill Thaler, Richard H. and Sunstein, Cass R. 2008. Nudge: Improving decisions about health, wealth and happiness. Yale University Press. Thomas, Manoj, Kalpesh Kaushik Desai, and Satheeshkumar Seenivasan. "How Credit Card Payments Increase Unhealthy Food Purchases: Visceral Regulation of Vices." Journal of Consumer Research 38, no. 1 (2011): 126-39. Thomson, Cynthia A. and Jennifer Ravia. 2011 “A Systematic Review of Behavioral Interventions to Promote Intake of Fruit and Vegetables” Journal of American Dietary Association. 111. pp.1523-1535 Viswanathan M, Golin CE, Jones CD, et al. 2012. Interventions to Improve Adherence to Self-administered Medications for Chronic Diseases in the United States: A Systematic Review. Ann Intern Med. 157:785–795. doi: https://doi.org/10.7326/0003-4819-157-11-201212040-00538 Volpp KG, D.A. Asch, R. Galvin R, G. Loewenstein. 2011. “Redesigning employee health incentives – lessons from behavioral economics”. N Engl J Med. 4;365(5):388-90. doi: 10.1056/NEJMp1105966. Wardle, J., M. L. Herrera, L. Cooke, and E.L. Gibson. 2003. “Modifying children’s food preferences: the effects of exposure and reward on acceptance of an unfamiliar vegetable.” European Journal of Clinical Nutrition. Vol.57:341. Wisdom J., J.S. Downs, G. Loewenstein. 2010. “Promoting healthy choices: information versus convenience” American Economic Journal: Applied Economics. Vol.2. pp. 164-178 |
URI: | https://mpra.ub.uni-muenchen.de/id/eprint/98633 |