Table 3.
Selected consumer nutrition environment indicators and total NEMS-R scores by restaurant and study period.
| R1: New HMI & Menu Redesign | R2: Social media promotion of HMI | |||||
|---|---|---|---|---|---|---|
| Pre-Pilot | Pilot test | Post-Pilot | Pre-Pilot | Pilot test | Post-Pilot | |
| NEMS-R Score | 4 | 7 | 5 | 11 | 11 | 8 |
| Food availability | ||||||
| Whole grains | No | ~ | ~ | No | ~ | ~ |
| Fruit without added sugar | No | ~ | ~ | No | ~ | ~ |
| Nonfried, nonstarchy vegetable side | Yes | ~ | ~ | Yes | ~ | ~ |
| Main dish salad | No | ~ | ~ | Yes | ~ | ~ |
| Healthier menu items, n (%) | 14 (15%) | 73 (52.7%) | 55 (47.8%) | 7 (29.2%) | ~ | ~ |
| 100% fruit juice | No | ~ | ~ | Yes | ~ | ~ |
| Facilitators to healthy eating | ||||||
| Reduced/half portions of main dishes offered | No | ~ | ~ | Yes | ~ | ~ |
| Healthier options highlighted on site / menu | No | ~ | ~ | No | ~ | ~ |
| Healthier options promoted in social media (% of Instagram posts)* | 2% | 10% | 15% | 22% | 48% | 11% |
| Smaller portions cost less than regular ones | NA | ~ | ~ | Yes | ~ | ~ |
| Barriers to healthy eating | ||||||
| Large portions encouraged | Yes | ~ | ~ | No | ~ | ~ |
| Unhealthy options highlighted on site / menu | Yes | ~ | ~ | No | ~ | ~ |
| Unhealthy food options promoted in social media (% of Instagram posts)* | 56% | 57% | 48% | 0% | ~ | ~ |
| Healthier items cost more than comparable, regular items | No | ~ | ~ | No | ~ | ~ |
*
Not part of NEMS-R Scoring; ~ denotes indicator was unchanged across periods.