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Nudging healthy food choices through e‐messages in a supermarket

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  • Ana Balsa
  • Cecilia Noboa
  • Patricia Triunfo

Abstract

This paper analyses the impact of a healthy food nudge intervention on purchases of 1590 customers of a supermarket chain's loyalty program in Uruguay through a randomized controlled trial. Nudges were presented in the form of messages sent through WhatsApp to customers three times a week for 8 weeks (between July and September 2020). Messages highlighted the benefits of cooking at home and eating mindfully and healthy (vegetables, fruits, healthy snacks, legumes, and fish), and included easy to implement tips. Results show that, on average, customers assigned to the treatment group increased their purchases of healthy food by 8% and substituted sugar‐sweetened for sugar‐free beverages. We find an unintended increase in purchases of unhealthy food of 7%, with no correlative increase in calories, suggesting that customers substituted higher calorie products for lower calorie ones. We find that households with lower educational attainment, lower income, and with children under the age of 12 are more likely to increase purchases of fruits and vegetables, while other households are more likely to improve the diet quality without increasing expenditure. Effects do not persist after the intervention is over, suggesting that salience, rather than information is the main channel triggering the effects.

Suggested Citation

  • Ana Balsa & Cecilia Noboa & Patricia Triunfo, 2024. "Nudging healthy food choices through e‐messages in a supermarket," Health Economics, John Wiley & Sons, Ltd., vol. 33(8), pages 1705-1725, August.
  • Handle: RePEc:wly:hlthec:v:33:y:2024:i:8:p:1705-1725
    DOI: 10.1002/hec.4831
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    1. Bart H.H. Golsteyn & Hans Grönqvist & Lena Lindahl, 2014. "Adolescent Time Preferences Predict Lifetime Outcomes," Economic Journal, Royal Economic Society, vol. 124(580), pages 739-761, November.
    2. Stefano DellaVigna & Elizabeth Linos, 2022. "RCTs to Scale: Comprehensive Evidence From Two Nudge Units," Econometrica, Econometric Society, vol. 90(1), pages 81-116, January.
    3. Belot, Michèle & Berlin, Noemi & James, Jonathan & Skafida, Valeria, 2018. "The Formation and Malleability of Dietary Habits: A Field Experiment with Low Income Families," IZA Discussion Papers 11317, Institute of Labor Economics (IZA).
    4. Mecheva, Margarita de Vries & Rieger, Matthias & Sparrow, Robert & Prafiantini, Erfi & Agustina, Rina, 2021. "Snacks, nudges and asymmetric peer influence: Evidence from food choice experiments with children in Indonesia," Journal of Health Economics, Elsevier, vol. 79(C).
    5. Bahety, Girija & Bauhoff, Sebastian & Patel, Dev & Potter, James, 2021. "Texts don’t nudge: An adaptive trial to prevent the spread of COVID-19 in India," Journal of Development Economics, Elsevier, vol. 153(C).
    6. Maris Vainre & Laura Aaben & Alari Paulus & Helleka Koppel & Helelyn Tammsaar & Keiu Telve & Katre Koppel & Kaia Beilmann & Andero Uusberg, 2020. "Nudging towards tax compliance: A fieldwork-informed randomised controlled trial," Journal of Behavioral Public Administration, Center for Experimental and Behavioral Public Administration, vol. 3(1).
    7. Kiesel, Kristin & Villas-Boas, Sofia B., 2013. "Can information costs affect consumer choice? Nutritional labels in a supermarket experiment," International Journal of Industrial Organization, Elsevier, vol. 31(2), pages 153-163.
    8. John A. List & Anya Samek & Terri Zhu, 2022. "Incentives to Eat Healthily: Evidence from a Grocery Store Field Experiment," Economica, London School of Economics and Political Science, vol. 89(354), pages 489-509, April.
    9. Stephen L. Cheung & Agnieszka Tymula & Xueting Wang, 2022. "Present bias for monetary and dietary rewards," Experimental Economics, Springer;Economic Science Association, vol. 25(4), pages 1202-1233, September.
    10. Joseph P. Romano & Michael Wolf, 2005. "Exact and Approximate Stepdown Methods for Multiple Hypothesis Testing," Journal of the American Statistical Association, American Statistical Association, vol. 100, pages 94-108, March.
    11. Christopher Avery & Thomas J. Kane, 2004. "Student Perceptions of College Opportunities. The Boston COACH Program," NBER Chapters, in: College Choices: The Economics of Where to Go, When to Go, and How to Pay For It, pages 355-394, National Bureau of Economic Research, Inc.
    12. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    13. Dean Karlan & Margaret McConnell & Sendhil Mullainathan & Jonathan Zinman, 2016. "Getting to the Top of Mind: How Reminders Increase Saving," Management Science, INFORMS, vol. 62(12), pages 3393-3411, December.
    14. Christopher Doss & Erin M. Fahle & Susanna Loeb & Benjamin N. York, 2019. "More Than Just a Nudge: Supporting Kindergarten Parents with Differentiated and Personalized Text Messages," Journal of Human Resources, University of Wisconsin Press, vol. 54(3), pages 567-603.
    15. Romain Cadario & Pierre Chandon, 2020. "Which Healthy Eating Nudges Work Best? A Meta-Analysis of Field Experiments," Marketing Science, INFORMS, vol. 39(3), pages 465-486, May.
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