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临床试验/NCT07329452
NCT07329452已完成不适用

Menu to Meal (M2M): Evaluating the Effectiveness of a Digital Nutritional Labeling Intervention in Hispanic Restaurant Settings

Texas A&M University1 个研究点 分布在 1 个国家目标入组 242 人开始时间: 2025年11月17日最近更新:
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
242
试验地点
1
主要终点
Attitudes Toward Healthy Menu Choices

研究概览

简要总结

This study evaluates the impact of culturally tailored menu labeling interventions on psychosocial factors and ordering behavior among customers in two independently owned Hispanic restaurants in East-Central Texas. Participants will be exposed to one of three sequential menu conditions at each restaurant: (1) a standard menu without nutrition information, (2) a paper menu with bilingual nutrition labels, or (3) a digital menu app enhanced with Augmented Reality (AR) and Artificial Intelligence (AI) providing interactive nutrition guidance. The study will assess whether menu formats influence nutrition literacy, decision-making confidence, self-efficacy, attitudes, behavioral intentions, and actual ordering behavior. Data will be collected through surveys, purchase receipts, and app interaction logs.

详细描述

Detailed Description:

This study aims to design and evaluate a culturally tailored, bilingual menu labeling intervention incorporating AR and AI features in small, independently owned Hispanic restaurants. The intervention seeks to promote informed food ordering by targeting psychosocial constructs known to influence food choice. Three sequential conditions will be implemented: (1) baseline with standard menus and no nutrition labels, (2) paper menus with visible bilingual nutrition labels, and (3) a digital AR/AI-enhanced menu.

Guided by the Theory of Planned Behavior and Social Cognitive Theory, the study focuses on constructs such as decision-making confidence, self-efficacy, subjective norms, and perceived behavioral control. The two primary objectives are to (1) develop a culturally informed digital menu labeling tool and (2) evaluate its effectiveness compared with standard and paper menu formats in shaping psychosocial factors and actual ordering behavior.

Participants will be recruited during restaurant visits and exposed to the menu condition corresponding to their visit timing. Surveys will be administered before ordering to assess psychosocial factors, label awareness, and behavioral intentions. A formative needs assessment conducted prior to implementation will ensure cultural and linguistic appropriateness. Findings will provide evidence on the effectiveness of innovative, theory-informed digital interventions in promoting informed food choices in culturally specific restaurant settings not subject to federal nutrition labeling requirements.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Other
盲法
None

盲法说明

Participants in this study will be partially blinded to the specific aims of the intervention to minimize bias. While they will be aware they are participating in a study about menu use and food choices, they will not be informed of the detailed differences or hypotheses related to the nutrition labeling formats to reduce influence on their ordering behavior. Research staff collecting data will also be trained to maintain neutrality, but full masking is not possible due to the visible differences in menu formats across study phases.

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Adults aged 18 years or older
  • Patrons dining at participating Hispanic restaurants during designated study hours
  • Able to read and speak English or Spanish
  • Willing and able to provide informed consent
  • Pregnant women are eligible to participate, as the study procedures pose minimal risk

排除标准

  • Minors under 18 years of age
  • Individuals with visual or cognitive impairments that prevent interaction with the menu formats or AR/AI technology
  • Individuals who have participated in a prior phase of the study
  • Restaurant staff involved in study implementation

研究组 & 干预措施

Baseline condition

No Intervention

Standard menu with no nutrition information.

Paper menu condition

Active Comparator

Bilingual paper menus display numeric and icon-based nutrition information, including calories, saturated fat, and sodium.

干预措施: Paper menu (Behavioral)

AR/AI digital menu condition

Experimental

Mobile app providing interactive nutrition information and personalized guidance based on dietary preferences.

干预措施: Digital menu condition (Behavioral)

结局指标

主要结局

Attitudes Toward Healthy Menu Choices

时间窗: Immediately after the intervention (menu exposure)

Attitudes toward selecting healthier menu items, assessed using a study-developed questionnaire informed by the Theory of Planned Behavior. The questionnaire consists of agreement-scale items evaluating whether choosing healthier foods is important, beneficial, and enjoyable. Measurement Tool: Study-developed Attitudes Toward Healthy Menu Choices Questionnaire (5-point agreement Likert scale) Scale Description and Coding: 1. = Strongly disagree 2. = Disagree 3. = Neither agree nor disagree 4. = Agree 5. = Strongly agree Unit of Measure: Mean attitude score (range: 1 to 5) Scale Range and Direction: Scores range from 1 to 5. Higher scores indicate more positive attitudes toward choosing healthier menu items.

Intention to Make Healthier Food Choices

时间窗: Immediately after the intervention (menu exposure)

Intention to choose healthier menu items, assessed using a study-developed questionnaire informed by the Theory of Planned Behavior. Measurement Tool: Study-developed Healthy Eating Intention Questionnaire (5-point agreement Likert scale) Scale Description and Coding: 1. = Strongly disagree 2. = Disagree 3. = Neither agree nor disagree 4. = Agree 5. = Strongly agree Unit of Measure: Intention score (range: 1 to 5) Scale Range and Direction: Scores range from 1 to 5. Higher scores indicate stronger intention to choose healthier menu items.

Perceived Behavioral Control Over Healthy Menu Choices

时间窗: Immediately after the intervention (menu exposure)

Perceived behavioral control over choosing healthier menu items, assessed using a study-developed questionnaire informed by the Theory of Planned Behavior. Measurement Tool: Study-developed Perceived Behavioral Control Questionnaire (5-point agreement Likert scale) Scale Description and Coding: 1. = Strongly disagree 2. = Disagree 3. = Neither agree nor disagree 4. = Agree 5. = Strongly agree Unit of Measure: Perceived behavioral control score (range: 1 to 5) Scale Range and Direction: Scores range from 1 to 5. Higher scores indicate greater perceived control over choosing healthier menu items.

Self-Efficacy for Using Nutrition Information When Ordering

时间窗: Immediately after the intervention (menu exposure)

Self-efficacy for using nutrition information to guide food choices, assessed using a study-developed questionnaire informed by Social Cognitive Theory. Measurement Tool: Study-developed Nutrition Information Self-Efficacy Questionnaire (5-point agreement Likert scale) Scale Description and Coding: 1. = Strongly disagree 2. = Disagree 3. = Neither agree nor disagree 4. = Agree 5. = Strongly agree Unit of Measure: Mean self-efficacy score (range: 1 to 5) Scale Range and Direction: Scores range from 1 to 5. Higher scores indicate greater confidence in using nutrition information to make food choices.

Awareness of Nutrition Information on the Menu

时间窗: Immediately after the intervention (menu exposure)

Awareness of nutrition information on the menu, assessed using a study-developed self-report item asking whether the participant noticed or looked at nutrition information while viewing the menu. Measurement Tool: Study-developed Awareness of Nutrition Information Item (binary response) Scale Description and Coding: 0 = No, did not notice or look at nutrition information 1 = Yes, noticed or looked at nutrition information Unit of Measure: Percentage of participants reporting awareness (response = 1) Scale Range and Direction: Values range from 0 to 1. A value of 1 indicates awareness of nutrition information. How the Percentage Is Derived: The percentage is calculated as the proportion of participants with a response of 1 (Yes) among all participants who completed the questionnaire.

Use of Nutrition Information to Inform Menu Selection

时间窗: Immediately after the intervention (menu exposure)

Use of nutrition information to inform menu selection, assessed using a study-developed self-report item asking the extent to which nutrition information influenced the participant's food choice. Measurement Tool: Study-developed Nutrition Information Influence Item (5-point Likert scale) Scale Description and Coding: 1. = Not at all 2. = A little 3. = Somewhat 4. = Mostly 5. = Completely Unit of Measure: Percentage of participants reporting use of nutrition information, defined as responses of 4 or 5 Scale Range and Direction: Scores range from 1 to 5. Higher values indicate greater influence of nutrition information on choice. How the Percentage Is Derived: The percentage is calculated as the proportion of participants with responses of 4 or 5 among all participants who completed the questionnaire.

次要结局

  • Total Energy Ordered per Customer Order(Immediately after the intervention (menu exposure))
  • Saturated Fat Content of Menu Items Ordered(Immediately after the intervention (menu exposure))
  • Sodium Content of Menu Items Ordered(Immediately after the intervention (menu exposure))
  • Dietary Fiber Content of Menu Items Ordered(Immediately after the intervention (menu exposure))
  • Added Sugar Content of Menu Items Ordered(Immediately after the intervention (menu exposure))

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Hyunjung Lee

Assistant Professor

Texas A&M University

研究点 (1)

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