Table 2.
Summary of behaviour change findings from thirty-four studies reporting the use of social marketing to address healthy eating
| Study | Authors | Behaviour change | Comment |
|---|---|---|---|
| Energize Your Life! | Shive et al. ( 35 ) | ✓ | Significant change in two of two measures of fruit intake |
| Eat Smart Move Smart | Neiger et al. ( 21 , 48 ) | ✓ | Significant change in four of seven dietary measures |
| 5-a-day | Thackeray et al. ( 49 , 48 , 50 ) | ✓ | Significant change in student consumption of fruit at lunch; student knowledge of recommended servings; parent and faculty member behaviour |
| Boston Middle School Corner Store Initiative | Hoffman et al. ( 24 ) | ✓ | Minimal change reported |
| Project LEAN School Board Campaign | McDermott et al. ( 20 ) | ✓ | Significant change in support for four of ten policy areas; increased frequency of nutrition issues on agendas; increased number of schools enacting and enforcing policy |
| Food n Fun | Cork( 37 ) | ✓ | Increase in healthy food consumption |
| Snack Right | Richards et al. ( 25 ) | ✓ | Significant change in fifteen of twenty-four key foods (eleven positive changes, four negative changes); increased spending on fruit |
| TrEAT Yourself Well | Acharya et al. ( 36 , 51 ) | ✓ | Significant change in purchase of healthy menu items |
| Team Nutrition | Levine et al. ( 52 , 53 ) | ✓ | Significant change in three of three measures of nutrition behaviour |
| The Food Friends (Head Start) | Johnson et al. ( 54 , 55 ) | ✓ | Significant change in preference for one of two indicator foods; significant decline in refusals |
| Chef Charles Club | Russell et al. ( 56 ) | ✓ | Increases in knowledge; recipe trialling; fruit and vegetable consumption |
| Nutrition Education with Seniors Study | Francis et al. ( 57 , 58 ) | ✓ | Improved overall nutrition assessment for both groups. Significant positive change in fibre intake for intervention; significant negative change in energy, cholesterol and fibre intakes in control group |
| Marshall Islands Healthy Stores | Gittelsohn et al. ( 59 – 61 ) | ✓ | Significant change in sixteen of twenty key foods (thirteen positive, three negative); changes in knowledge and self-efficacy |
| EPODE | Romon et al. ( 32 , 62 – 64 ) | – | Not reported. Significant decrease in BMI and prevalence of overweight |
| PESO | Rivera et al. ( 65 ) | ✓ | Significant changes to four twelve dietary behaviours |
| Incentives, pledges and competitions | Raju et al. ( 66 ) | ✓ | All three conditions (incentives, pledges and competitions) significantly increased fruit and vegetable consumption |
| SNPI | Foster et al. ( 39 ) | × | No significant differences between intervention and control for dietary measures. Significant reduction in incidence and prevalence of overweight in intervention group |
| Cherokee Choices | Bacher et al. ( 38 ) | ✓ | Reported increase in healthy eating behaviour in worksite participants |
| It's Your Move! | Mathews et al. ( 67 , 27 , 43 ) | × | No significant change in any of seven dietary measures. Significant decrease in weight and standardized BMI |
| Ma'alahi Youth Project | Fotu et al. ( 26 , 43 , 68 , 69 ) | ✓ | Significant change in seven of ten dietary measures (three positive, four negative). Significant change in body fat percentage |
| Be Active, Eat Well | Sanigorski et al. ( 70 , 69 , 71 ) | – | Not reported. Significantly lower body weight increases, waist, waist-to-height ratio and standardized BMI in intervention group |
| Rock on Cafe | Johnston et al. ( 72 ) | – | Not reported. Cafeteria purchases of fruit and vegetables increased; fat content of menus decreased |
| Project FIT | Eisenmann et al. ( 73 ) | – | Not reported |
| Let's go Local | Kaufer et al. ( 74 – 76 ) | ✓ | Significant changes in sixteen of thirty-three key foods (thirteen positive and three) and dietary variety. Significant decreases in energy, carbohydrate and fat |
| HEALTHY study | Siega-Riz et al. ( 22 , 77 – 79 ) | ✓ | Significant difference between intervention and control for two of sixteen dietary measures (fruit and water intake). No significant difference between groups for combined prevalence of overweight and obesity |
| Healthy Hawaii | Buchthal et al. ( 80 – 82 ) | ✓ | Increase in fruit and vegetable consumption for adults, decrease for students. Significant changes in subjective norms |
| Go for 2 & 5 | Pollard et al. ( 83 – 85 ) | ✓ | Significant change in three of five and vegetable intake measures. Change in knowledge |
| 5-4-3-2-1 Go! | Evans et al. ( 86 , 87 ) | × | No significant changes in child behaviour. Significant increase in parental fruit, vegetable and water consumption |
| Colour your life: eat fruits and vegetables | Landers( 88 ) | – | Not reported |
| Pacman advergame | Pempek et al. ( 89 ) | ✓ | Significant influence of marketing within the game on children's snack selection |
| The Right Stuff | Peterson et al. ( 90 ) | ✓ | Significant changes in seven of ten eating habits and two of eight targeted foods |
| Children's media campaign | Tanner et al. ( 91 , 92 ) | × | No significant change in children's behaviour; self-efficacy; motivation; perceived parental support. Significant change in home nutrition environment |
| DIVAS | Tettey( 93 ) | – | Not reported. Measured response rate to the advertising campaign |
| 5+ a day | Ashfield-Watt( 94 ) | – | Not reported. Measured awareness, knowledge and attitudes in response to campaign |
✓, behaviour change achieved; –, behaviour change not reported; ×, behaviour change not achieved.