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Using visual stimuli to promote healthy snack choices among children

Author

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  • Benito-Ostolaza, Juan Miguel
  • Echavarri, Rebeca
  • Garcia-Prado, Ariadna
  • Oses-Eraso, Nuria

Abstract

Most interventions against obesity use information to persuade people to change their behavior, with moderate results. Because eating involves automatic routines, new approaches have emerged appealing to non-reflective cognitive processes. Through a randomized controlled trial, we evaluated the impact of visual stimuli (positive and negative) on children's snack-choices at school. Results showed that the negative stimulus had no effect, while the positive stimulus increased the probability among girls of choosing a healthy snack. We also found that children with excess weight had a larger baseline probability of choosing the healthy snack than those without. We conclude that happy emojis, used to nudge non-reflective processes, can steer children towards healthy choices.

Suggested Citation

  • Benito-Ostolaza, Juan Miguel & Echavarri, Rebeca & Garcia-Prado, Ariadna & Oses-Eraso, Nuria, 2021. "Using visual stimuli to promote healthy snack choices among children," Social Science & Medicine, Elsevier, vol. 270(C).
    • Handle: RePEc:eee:socmed:v:270:y:2021:i:c:s0277953620308066
    DOI: 10.1016/j.socscimed.2020.113587
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    References listed on IDEAS

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    1. Belot, Michèle & James, Jonathan & Nolen, Patrick, 2016. "Incentives and children's dietary choices: A field experiment in primary schools," Journal of Health Economics, Elsevier, vol. 50(C), pages 213-229.
    2. John A. List & Azeem M. Shaikh & Yang Xu, 2019. "Multiple hypothesis testing in experimental economics," Experimental Economics, Springer;Economic Science Association, vol. 22(4), pages 773-793, December.
    3. Dolan, P. & Hallsworth, M. & Halpern, D. & King, D. & Metcalfe, R. & Vlaev, I., 2012. "Influencing behaviour: The mindspace way," Journal of Economic Psychology, Elsevier, vol. 33(1), pages 264-277.
    4. Vincenzo Carrieri & Ansgar Wuebker, 2016. "Quasi-Experimental Evidence on the Effects of Health Information on Preventive Behaviour in Europe," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 78(6), pages 765-791, December.
    5. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    6. David R. Just & Joseph Price, 2013. "Using Incentives to Encourage Healthy Eating in Children," Journal of Human Resources, University of Wisconsin Press, vol. 48(4), pages 855-872.
    7. Mollborn, Stefanie & Lawrence, Elizabeth M. & Hummer, Robert A., 2020. "A gender framework for understanding health lifestyles," Social Science & Medicine, Elsevier, vol. 265(C).
    8. Dixon, Helen G. & Scully, Maree L. & Wakefield, Melanie A. & White, Victoria M. & Crawford, David A., 2007. "The effects of television advertisements for junk food versus nutritious food on children's food attitudes and preferences," Social Science & Medicine, Elsevier, vol. 65(7), pages 1311-1323, October.
    9. Daniela Weible, 2013. "Gender-Driven Food Choice: Explaining School Milk Consumption of Boys and Girls," Journal of Consumer Policy, Springer, vol. 36(4), pages 403-423, December.
    10. Loewenstein, George & Price, Joseph & Volpp, Kevin, 2016. "Habit formation in children: Evidence from incentives for healthy eating," Journal of Health Economics, Elsevier, vol. 45(C), pages 47-54.
    11. Daniel Kahneman, 2003. "Maps of Bounded Rationality: Psychology for Behavioral Economics," American Economic Review, American Economic Association, vol. 93(5), pages 1449-1475, December.
    12. Toni Mora & Beatriz G. Lopez‐Valcarcel, 2018. "Breakfast choice: An experiment combining a nutritional training workshop targeting adolescents and the promotion of unhealthy products," Health Economics, John Wiley & Sons, Ltd., vol. 27(2), pages 306-319, February.
    13. Andrew S. Hanks & David R. Just & Brian Wansink, 2012. "Healthy Convenience: Nudging Students Toward Healthier Choices in Lunchroom," Working Papers 03, Cornell Center for Behavioral Economics in Child Nutrition Programs.
    14. Daniel Zizzo, 2010. "Experimenter demand effects in economic experiments," Experimental Economics, Springer;Economic Science Association, vol. 13(1), pages 75-98, March.
    15. Andrew S. Hanks & David R. Just & Brian Wansink, "undated". "Healthy Convenience: Nudging Students Toward Healthier Choices in Lunchroom," Working Papers 2012-03, Cornell Center for Behavioral Economics in Child Nutrition Programs.
    16. List, John A. & Samek, Anya Savikhin, 2015. "The behavioralist as nutritionist: Leveraging behavioral economics to improve child food choice and consumption," Journal of Health Economics, Elsevier, vol. 39(C), pages 135-146.
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    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I20 - Health, Education, and Welfare - - Education - - - General

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