Table 1.
Authors, year, reference & country | Objective of the study or intervention | Population | Study design & quality rating* | Baseline characteristics of sample | Type of intervention & theory used | Techniques used† | Behavioural measure & type of SSB included | Main results on SSB consumption |
---|---|---|---|---|---|---|---|---|
Bae et al. (2012)( 106 ) Korea | Evaluate the impact of governmental nutrition policies on SSB | Healthy adolescents | Design: one-group pre–post Global rating: moderate | n 65 000 % ♂: NR M age: NR Middle & high schools | Educational/behavioural & legislative/environmental Theory: N/A | Exp.: 5, 16 Cont.: N/A | Self-administered web-based survey SSB: carbonated beverages | Significant reduction in annual prevalence of SSB consumption (P<0·05) |
Bauhoff (2014)( 73 ) USA | Evaluate the impact of a nutrition policy on SSB | Healthy adolescents | Design: one-group pre–post Global rating: moderate | n 32 897 % ♂: 55·0 Age (range): 12–15 years Grades: 7 & 9 | Legislative/environmental Theory: N/A | Exp.: 5 Cont.: N/A | Self-administered 24 h recall SSB: soda | Only significant reduction in % of male adolescents consuming SSB (P<0·01) |
Blum et al. (2008)( 74 ) USA | Intervention aimed at reducing the availability of SSB in schools | Healthy adolescents | Design: quasi-experimental Global rating: weak | n 456 % ♂: 40·1 M age: 15·8 (sd 0·8) years Grades: 9–11 | Legislative/environmental Theory: N/A | Exp.: 5 Cont.: none | Validated self-administered FFQ SSB: soda, fruit drinks & iced tea | Significant time effect in SSB consumption for male & female adolescents (P=0·001) |
Bogart et al. (2001)( 75 ) USA | Healthy eating intervention | Healthy adolescents | Design: quasi-experimental Global rating: weak | n 425 % ♂: 50·0 M age: 13·0 (sd 0·5) years Grade: 7 | Educational/behavioural & legislative/environmental Theory: SCT, TPB, EM, DIT | Exp.: 5, 16, 54, 77, 86 Cont.: none | Self-administered survey SSB: soda, fruit drinks & sports drinks | Significant time effect in % of students consuming sports/fruit drinks in peer advocates only (P<0·05) |
Cassaza (2006)( 76 ) USA | Healthy eating & physical activity intervention | Healthy adolescents | Design: RCT Global rating: weak | n 254 % ♂: 34·2 M age: 15·8 years Grades: 9–12 | Educational/behavioural Theory: SCT, TPB, TTM, PM, SM, ET | Exp.: 16, 20, 33, 46, 50, 51, 59, 66, 68, 80 Cont.: none | Interviewer-administered 24 h recall SSB: soda | Significant group × time effect for soda consumption (P<0·01) |
Collins et al. (2014)( 99 ) Australia | Healthy eating intervention | Low-SES adolescent girls | Design: cluster RCT Global rating: moderate | n 357 % ♂: 0 M age: 13·2 years Secondary schools | Educational/behavioural Theory: SCT | Exp.: 16, 51, 68 Cont.: none | Validated FFQ SSB: soda, fruit drinks & cordial concentrates | Significant time effect for cordial concentrate & total SSB consumption (P<0·05) |
Contento et al. (2010)( 77 ) USA | Healthy eating & physical activity intervention | Low-SES adolescents | Design: cluster RCT Global rating: moderate | n 1136 % ♂: 51·0 M age: 12·0 years Grade: 7 | Educational/behavioural Theory: SCT, SDT | Exp.: 2, 16, 33, 46, 48, 51, 59, 80 Cont.: none | Validated self-administered FFQ SSB: soft drinks, fruit drinks, sports drinks, iced tea & drink mixes | Significant reduction in frequency & quantity of SSB consumption at meals & with snacks (P<0·01) |
Cordeira (2012)( 78 ) USA | Healthy eating, physical activity & tobacco intervention | Healthy adolescents | Design: one-group pre–post Global rating: weak | n 38 % ♂: 32·0 Age (range): 13–18 years Grades: 9–12 | Educational/behavioural Theory: SCT | Exp.: 2, 16, 33, 46, 68, 77 Cont.: N/A | Self-administered survey SSB: soft drinks & fruit drinks | No significant reduction in SSB consumption |
Cradock et al. (2011)( 79 ) USA | Evaluate the impact of a school district policy on SSB | Healthy adolescents | Design: quasi-experimental Global rating: moderate | n 2091 % ♂: 50·7 Age (range): 15–19 years Grades: 9–12 | Legislative/environmental Theory: N/A | Exp.: 5 Cont.: none | Interviewer-administered 24 h recall & 7 d recall SSB: soda & fruit drinks | Significant reduction in total SSB consumption (P<0·001) |
Cullen et al. (2008)( 80 ) USA | Evaluate the impact of a school nutrition policy on SBB | Healthy adolescents | Design: one-group pre–post Global rating: strong | n 2671 % ♂: NR Age: NR Grades: 6–8 | Legislative/environmental Theory: N/A | Exp.: 5 Cont.: N/A | Validated food records SSB: soft drinks & sweet beverages | Significant reduction in SSB consumption (P<0·005) |
da Silva Vargas et al. (2011)( 103 ) Brazil | Healthy eating & physical activity intervention | Normal & overweight adolescents | Design: quasi-experimental Global rating: weak | n 331 % ♂: NR M age: 13·1 years Grades: 5 & 6 | Educational/behavioural Theory: none | Exp.: 16, 33, 49, 57, 59, 65 Cont.: none | Self-administered questionnaire SSB: soda | No significant reduction in soda consumption in both groups |
Davis et al. (2007)( 81 ) USA | Healthy eating intervention | Overweight Latina adolescent girls | Design: RCT Global rating: moderate | n 30 % ♂: 0 M age: 14·7 years Grade: NR | Educational/behavioural Theory: none | Exp.: 2, 41, 46, 51, 54, 57, 59 Cont.: 46 | 3 d food record & validated interviewer-administered 24 h recalls SSB: soda, fruit drinks, sports drinks, sweetened tea or coffee | Significant reduction in SSB consumption in both groups (P<0·01) |
Dubuy et al. (2014)( 101 ) Belgium | Healthy eating & physical activity intervention | Low-SES adolescent boys | Design: quasi-experimental Global rating: weak | n 414 % ♂: 100 M age: 12·3 years Elementary & secondary schools | Educational/behavioural Theory: ELM | Exp.: 16, 43, 63, 81 Cont.: none | Validated self-administered FFQ SSB: soft drinks | No significant reduction in soft drinks consumption |
Greece (2011)( 82 ) USA | Healthy eating intervention | Mainly low-SES adolescents | Design: quasi-experimental Global rating: moderate | n 294 % ♂: 45·6 M age: 12·7 (sd 0·9) years Grades: 6–8 | Legislative/environmental Theory: N/A | Exp.: 5, 16, 23 Cont.: none | Validated self-administered FFQ SSB: soft drinks & fruit drinks | Significant group × time effect on SSB consumption (P=0·03) |
Haerens et al. (2006)( 102 ) Belgium | Healthy eating & physical activity intervention | Healthy adolescents | Design: RCT Global rating: strong | n 2840 % ♂: 63·4 M age: 13·1 (sd 0·8) years Grades: 7 & 8 | Educational/behavioural & legislative/environmental Theory: TPB, TTM | Exp.: 5, 16, 68 Cont.: none | Validated self-administered FFQ SSB: soft drinks | No significant reduction in soft drinks consumption |
Jones et al. (2014)( 38 ) USA | Healthy eating & physical activity intervention | Normal & overweight adolescents | Design: one-group pre–post Global rating: weak | n 336 % ♂: 40·5 M age: 14·3 years Grade: 9 | Educational/behavioural Theory: none | Exp.: 2, 16, 33, 41, 46 49, 51, 52, 54, 59, 66, 68 Cont.: N/A | Self-administered survey SSB: soda | Significant increase in soda consumption among adolescents in the healthy habits track (P=0·001) Significant decrease in soda consumption among adolescents in the weight management track (P=0·002) |
Lao (2011)( 83 ) USA | Healthy eating & physical activity intervention | Low-SES adolescents | Design: RCT Global rating: weak | n 192 % ♂: 55·7 M age: 14·9 years Grades: 9 & 10 | Educational/behavioural Theory: TTM | Exp.: 16, 33, 46, 54, 59, 65, 66, 68, 72 Cont.: none | Self-administered survey SSB: soda, fruit, sports & energy drinks | No significant reduction in SSB consumption |
Lo et al. (2008)( 96 ) Canada | Intervention aimed at reducing SSB consumption | Healthy adolescents | Design: quasi-experimental Global rating: weak | n 101 % ♂: 61·4 M age: 14 years Grade: 9 | Educational/behavioural Theory: CTL | Exp.: 15, 16, 17, 59, 63 Cont.: 15, 16, 17, 59 | Self-administered questionnaire SSB: soft drinks, fruit drinks, sports drinks, iced tea, sweetened tea & coffee | Significant reduction in SSB consumption at the 3-month follow-up in the experimental group (P<0·02) |
Malbon (2012)( 97 ) Canada | Healthy eating & physical activity intervention | Healthy adolescents | Design: one-group pre–post Global rating: weak | n 44 % ♂: 48·0 Age: NR Grade: 10 | Educational/behavioural Theory: SDT | Exp.: 16, 21, 46, 51, 54, 66, 73, 80 Cont.: N/A | Self-administered questionnaire SSB: soft drinks, fruit drinks, energy drinks, iced tea & slush | No significant reduction in SSB consumption |
McGoldrick (2006)( 98 ) Canada | Evaluate the impact of governmental nutrition policies on SSB | Healthy adolescents | Design: one-group pre–post Global rating: moderate | n 703 % ♂: 43·5 Age (range): 10–14 years Grades: 6–8 | Legislative/environmental Theory: N/A | Exp.: 5 Cont.: N/A | Validated web 24 h recall & self-administered FFQ SSB: soft drinks, fruit drinks, sports drinks & iced tea | Significant increase in volume of SSB consumed, significant reduction in frequency of cola consumption & significant increase in % of adolescents who consume SSB (P<0·001) |
Nanney et al. (2014)( 84 ) USA | Evaluate the impact of school policies on SSB | Healthy adolescents | Design: one-group pre–post Global rating: moderate | n 18 881 % ♂: NR Age: NR Grades: 9 & 12 | Legislative/environmental Theory: N/A | Exp.: 5 Cont.: N/A | Self-administered questionnaire SSB: soda & sports drinks | Significant reduction in SSB consumption (P=0·04) |
Nanney et al. (2016)( 95 ) USA | Evaluate the impact of school policies on SSB | Healthy adolescents | Design: one-group pre–post Global rating: moderate | n 7237 % ♂: NR Age: NR Grade: 9 | Legislative/environmental Theory: N/A | Exp.: 5 Cont.: N/A | Self-administered questionnaire SSB: soda & sports drinks | Significant reduction in soda consumption (P<0·05) |
Neumark-Sztainer et al. (2010)( 85 ) USA | Healthy eating & physical activity intervention | Low-SES normal & overweight/obese adolescent girls | Design: RCT Global rating: weak | n 356 % ♂: 0 M age: 15·8 years High schools | Educational/behavioural Theory: SCT, TTM | Exp.: 2, 16, 41, 46, 57, 59, 68 Cont.: none | Interviewer-administered 24 h recall SSB: soda, fruit drinks, sports drinks, sweetened tea & sweetened coffee | No significant reduction in SSB consumption at follow-up |
Patel et al. (2011)( 86 ) USA | Intervention aimed at increasing water & reducing SSB consumption | Low-SES adolescents | Design: quasi-experimental Global rating: weak | n 876 % ♂: 45·0 M age: 12·9 years Grade: 7 | Educational/behavioural & legislative/environmental Theory: none | Exp.: 5, 15, 16, 23, 65 Cont.: none | Self-administered questionnaire SSB: soda & sports drinks | No significant reduction in SSB consumption |
Pbert et al. (2013)( 87 ) USA | Healthy eating & physical activity intervention | Overweight & obese adolescents | Design: cluster RCT Global rating: moderate | n 82 % ♂: 30·5 M age: 15·8 years Grades: 9–11 | Educational/behavioural Theory: SCT | Exp.: 2, 16, 46, 47, 51, 66, 72 Cont.: 16 | Validated telephone-administered 24 h recall SSB: soda & sugary drinks | No significant reduction in SSB consumption |
Singhal et al. (2010)( 105 ) India | Healthy eating & physical activity intervention | Healthy adolescents | Design: RCT Global rating: moderate | n 209 % ♂: 59·8 M age: 16·0 years Grade: 11 | Educational/behavioural Theory: none | Exp.: 2, 5, 16, 33, 48, 59 Cont.: none | Self-administered questionnaire SSB: soft drinks | Significant reduction in % of adolescents consuming soft drinks at least 3 times/week in the experimental group (P=0·001) |
Smith et al. (2014)( 100 ) Australia | Healthy eating & physical activity intervention | Low-SES adolescent boys at risk for obesity | Design: cluster RCT Global rating: weak | n 361 % ♂: 100 M age: 12·7 (sd 0·5) years Secondary schools | Educational/behavioural Theory: SCT, SDT | Exp.: 2, 16, 33, 46, 51, 59, 63, 66, 68, 72, 77 Cont.: none | Self-administered questionnaire SSB: NR | Significant group × time effect on SSB consumption (P=0·01) |
Smith & Holloman (2014)( 88 ) USA | Intervention aimed at reducing SSB consumption | Mainly low-SES adolescents | Design: one-group pre–post Global rating: weak | n 186 % ♂: 39·2 M age: 15·9 (sd 1·8) years Grades: 9–12 | Educational/behavioural Theory: none | Exp.: 16, 33, 65 Cont.: N/A | Self-administered questionnaire & food record SSB: soft drinks, fruit drinks, sports drinks, energy drinks, sweetened tea & coffee | Significant reduction in frequency & quantity of SSB consumed at 30 d follow-up (P<0·05) |
Teufel & Ritenbaugh (1998)( 89 ) USA | Healthy eating & physical activity intervention | Native American adolescents | Design: one-group pre–post Global rating: weak | n 119 % ♂: 44·5 M age: 17·2 (sd 4·0) years Grades: 9–12 | Educational/behavioural & legislative/environmental Theory: none | Exp.: 5, 16, 33, 68 Cont.: N/A | 24 h recall SSB: soft drinks & fruit drinks | Significant reduction in % of SSB consumed (P<0·05) |
Thiele & Boushey (1989)( 90 ) USA | Intervention aimed at reducing SSB consumption | Eskimo adolescents | Design: quasi-experimental Global rating: weak | n 374 % ♂: NR Age: NR Grades: 7–12 | Educational/behavioural Theory: none | Exp.: 16 Cont.: none | Interviewer-administered 24 h recall SSB: soft drinks & fruit drinks | Significant reduction in SSB consumption in one of the two experimental groups (P=0·001) |
Whittemore et al. (2013)( 91 ) USA | Healthy eating & physical activity intervention | Healthy adolescents | Design: RCT Global rating: weak | n 384 % ♂: 38·0 M age: 15·3 (sd 0·7) years High schools | Educational/behavioural Theory: SLT, TIT | Exp.: 2, 16, 41, 46, 51, 54, 57, 63, 66, 68, 72, 82 Cont.: 16, 46, 51, 54, 57, 63, 66, 68, 72, 82 | Self-administered questionnaire SSB: soda & fruit drinks | Significant reduction in SSB consumption in both groups (P<0·01) |
Winett et al. (1999)( 92 ) USA | Healthy eating & physical activity intervention | Adolescent girls from medically underserved areas | Design: quasi-experimental Global rating: weak | n 180 % ♂: 0 M age: 15·4 years Grades: 9 & 10 | Educational/behavioural Theory: SCT | Exp.: 16, 46, 47, 51, 54, 66, 71 Cont.: none | Self-administered 24 h recall & FFQ SSB: soda | Significant group × time effect on soda consumption (P<0·05) |
Wing et al. (2015)( 104 ) China | Intervention aimed at promoting sleep | Healthy adolescents | Design: cluster RCT Global rating: weak | n 5219 % ♂: 39·0 M age: 14·7 years Grades: 7–11 | Educational/behavioural Theory: none | Exp.: 16, 33, 41, 50, 51 Cont.: none | Self-administered questionnaire SSB: energy drinks | Significant difference in incidence of energy drinks consumption in experimental v. control group (P<0·05) |
Woodward-Lopez et al. (2010)( 93 ) USA | Evaluate the impact of school policies on SSB | Low-SES adolescents | Design: one-group pre–post Global rating: weak | n 3527 % ♂: NR Age: NR Grades: 7 & 9 | Legislative/environmental Theory: N/A | Exp.: 5 Cont.: N/A | Self-administered questionnaire SSB: soda & sports drinks | Significant reduction in % of adolescents consuming sodas at school (P<0·01) |
Wordell et al. (2012)( 94 ) USA | Evaluate the impact of changes in the school food environment | Low-SES adolescents | Design: quasi-experimental Global rating: weak | n 2292 % ♂: 51·0 Age: NR Grades: 7 & 8 | Legislative/environmental Theory: N/A | Exp.: 5 Cont.: none | Self-administered FFQ SSB: energy drinks & sweet drinks | No significant reduction in SSB consumption |
Yildirim et al. (2013)( 107 ) The Netherlands | Healthy eating & physical activity intervention | Low-educational-level adolescents | Design: RCT Global rating: weak | n 1108 % ♂: 46·7 M age: 12·8 years Grade: NR | Educational/behavioural & legislative/environmental Theory: SRT, EnRG framework (DPT, ANGELO model, TPB, Habit theory) | Exp.: 2, 5, 16, 46, 48, 51, 54, 57, 63, 66, 68, 73 Cont.: none | Self-administered questionnaire SSB: soft drinks, lemonade, energy drinks & iced tea | Significant reduction in SSB consumption (P<0·001) |
SSB, sugar-sweetened beverage; SES, socio-economic status; RCT, randomised controlled trial; n, number of participants; ♂, male students; NR, not reported; M, mean; N/A, not applicable; SCT, Social Cognitive Theory; TPB, Theory of Planned Behaviour; EM, Ecological Model; DIT, Diffusion Innovation Theory; TTM, Transtheoretical Model; PM, Proactive Model; SM, Solution Model; ET, Empowerment Theory; SDT, Self-Determination Theory; ELM, Elaboration Likelihood Model; CTL, Constructivist Theory of Learning; SLT, Social Learning Theory; TIT, Theory of Interactive Technology; SRT, Self-Regulation Theory; EnRG, Environmental Research framework for weight Gain prevention; DPT, Dual-Process Theory; ANGELO, ANalysis Grid for Environments Linked to Obesity; Exp., experimental group; Cont., control group.
Global rating of the quality of studies was performed using the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool for Quantitative Studies( 71 ).
The numbers refer to those used in the Behaviour Change Technique Taxonomy of Cane et al.( 53 ) (listed in online supplementary material, Supplemental File 2) and in cases where there is an active control group, differencing techniques are presented in bold font.