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Table 1 Overview of implemented supermarket interventions in the Supreme Nudge trial

From: Real-world nudging, pricing, and mobile physical activity coaching was insufficient to improve lifestyle behaviours and cardiometabolic health: the Supreme Nudge parallel cluster-randomised controlled supermarket trial

Intervention strategies

Components

Explanation of intervention

Targeted product groups

Static or dynamic

Placement nudges

Healthy shelf layout

Healthy products placed at eye level

Shelves including pasta and rice products, bread substitutes, and breakfast cereals

Static

Healthy checkout

One check-out till presenting only healthy products

Sugar-free beverages, nuts, snack vegetables, dried fruits, whole-grain crackers, instead of confectionery products

Static

Healthy end of aisle

Promoting only healthy products on a prominent end of aisle; monthly product switch

Whole-grain products, oils, canned fish/legumes/ tomatoes, nuts, natural peanut butter, sugar-free beverages

Dynamic

Healthy aisle baskets

Three to four aisle baskets filled with healthy products; monthly product switch

Nuts, canned fish/legumes/tomatoes, whole-grain products

Dynamic

Property nudges

Shelf-labels

Symbols which highlighted the product’s tastiness (smiley symbol), convenience (stopwatch symbol indicating ease of preparation) or popularity (thumbs-up symbol)

All healthy products across a range of food groups (i.e. vegetables, fruits, all whole-grain products, fish, milk and yogurt, cheese, legumes, butters and oils, nuts, sugar-free bottled beverages, and tea)

Static

Shelf feedback strips

Positive feedback strip with popularity symbol

Underneath whole-grain bread, fresh fish and snack vegetables

Static

Shelf-stoppers

Shelf cards highlight one healthy product per product group; monthly product switch

At each shelf including the shelf-labels

Dynamic

Healthy suggestions shelf-banners

Seasonal shelf-banners suggesting different healthy product combinations using the convenience symbol

Whole-grains, legumes and bread substitutes

Static

Explanation of nudging symbols

The symbols are introduced on the shopping cart handles, and also shown on shopping cart/baskets boards and the checkout divider bars

N/A

Static

Pricing strategies

Price reductions

Price reductions were − 25% or − 10% when combined with price increases in the same food group; three-weekly product switch

Healthy product groups: vegetables, fruit, whole-grain products, fresh fish, low and medium-fat dairy, low-salt legumes, butters and oils with unsaturated fats, unsalted nuts, sugar-free beverages

Dynamic

Price increases

Price increases were + 15%; three-weekly product switch

Unhealthy product groups: non-whole-grain products, processed/salted fish, high fat and sugary dairy, high-salt legumes, butters and oils with saturated fats, salted nuts, sugary beverages

Dynamic

  1. Static Intervention targeting the same food group(s) for the complete trial period, Dynamic Interventions altered over targeted products or food group(s) during the trial period. N/A Not applicable