Table 4. Effects of sugary drink warnings versus control: Mean weighted effect sizes (d with Hedges’s correction) and heterogeneity statistics (k = 23 studies), primary analyses.
Outcome | N | k | d (95% CI) | Q | p | I2 |
---|---|---|---|---|---|---|
Behavior | ||||||
Purchases of sugary drinks (primary outcome) | 1,407 | 4 | −0.17 (−0.30, −0.04) | 4.30 | 0.231 | 16.61 |
Calories purchased from beverages | 2,338 | 3 | −0.16 (−0.24, −0.07) | 1.23 | 0.540 | 0.01 |
Grams of sugar purchased from beverages | 1,938 | 2 | −0.11 (−0.21, −0.01) | 0.00 | 0.949 | 0.00 |
Attention and noticing | ||||||
Noticed nutrition or trial labels | 1,840 | 2 | 0.83 (0.54, 1.12) | 6.36 | 0.012 | 84.29 |
Warning reactions | ||||||
Negative emotional reactions | 3,594 | 4 | 0.69 (0.25, 1.13) | 137.52 | <0.001 | 97.39 |
Thinking about the health effects of sugary drinks | 2,543 | 4 | 0.65 (0.29, 1.01) | 41.54 | <0.001 | 93.69 |
Attitudes and beliefs about sugary drinks | ||||||
Healthfulness perceptions | 6,947 | 9 | −0.22 (−0.27, −0.17) | 8.15 | 0.419 | 1.68 |
Positive outcome expectancies | 4,583 | 2 | −0.26 (−0.34, −0.17) | 3.93 | 0.047 | 74.55 |
Positive product attitudes | 5,969 | 6 | −0.54 (−1.43, 0.35) | 223.34 | <0.001 | 99.74 |
Perceived disease likelihood | 7,072 | 6 | 0.15 (0.06, 0.24) | 39.46 | <0.001 | 83.02 |
Perceptions of amount of added sugar | 4,983 | 3 | 0.25 (−0.05, 0.55) | 38.55 | <0.001 | 95.37 |
Policy support | 2,132 | 2 | 0.19 (−0.14, 0.51) | 13.86 | <0.001 | 92.79 |
Intentions and hypothetical choices | ||||||
Hypothetical purchases of sugary drinks | 7,681 | 6 | −0.32 (−0.44, −0.21) | 14.70 | 0.012 | 78.69 |
Purchase or consumption intentions | 7,118 | 8 | −0.30 (−0.44, −0.15) | 40.85 | <0.001 | 89.36 |
Hypothetical coupon selection—sugary drinks | 4,583 | 2 | −0.31 (−0.37, −0.25) | 0.00 | 0.972 | 0.04 |
Hypothetical coupon selection—non-sugary drinks | 4,583 | 2 | −0.02 (−0.21, 0.17) | 9.57 | 0.002 | 89.55 |
Hypothetical total expenditure on beverages | 1,189 | 2 | −0.08 (−0.21, 0.06) | 0.46 | 0.495 | 0.00 |
N, number of participants; k, number of studies/effect sizes; d, corrected standardized mean difference (pooled effect size). Effect sizes in bold are statistically significant at p < 0.05.