Stores Healthy Options Project in Remote Indigenous Communities (SHOP@RIC)

a protocol of a randomised trial promoting healthy food and beverage purchases through price discounts and in-store nutrition education

Julie Brimblecombe, Megan Ferguson, Selma Liberato, Kylie Ball, Marjory Moodie, Anne Magnus, Edward Miles, Amanda Leach, Mark Chatfield, Cliona Ni Mhurchu, Kerin O'Dea, Ross Stewart Bailie

Research output: Contribution to journalComment/debateResearch

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Abstract

Background: Indigenous Australians suffer a disproportionate burden of preventable chronic disease compared to their non-Indigenous counterparts – much of it diet-related. Increasing fruit and vegetable intakes and reducing sugar-sweetened soft-drink consumption can reduce the risk of preventable chronic disease. There is evidence from some general population studies that subsidising healthier foods can modify dietary behaviour. There is little such evidence relating specifically to socio-economically disadvantaged populations, even though dietary behaviour in such populations is arguably more likely to be susceptible to such interventions.


This study aims to assess the impact and cost-effectiveness of a price discount intervention with or without an in-store nutrition education intervention on purchases of fruit, vegetables, water and diet soft-drinks among remote Indigenous communities.


Methods/Design: We will utilise a randomised multiple baseline (stepped wedge) design involving 20 communities in remote Indigenous Australia. The study will be conducted in partnership with two store associations and twenty Indigenous store boards. Communities will be randomised to either i) a 20% price discount on fruit, vegetables, water and diet soft-drinks; or ii) a combined price discount and in-store nutrition education strategy. These interventions will be initiated, at one of five possible time-points, spaced two-months apart. Weekly point-of-sale data will be collected from each community store before, during, and for six months after the six-month intervention period to measure impact on purchasing of discounted food and drinks. Data on physical, social and economic factors influencing weekly store sales will be collected in order to identify important covariates. Intervention fidelity and mediators of behaviour change will also be assessed.


Discussion: This study will provide original evidence on the effectiveness and cost-effectiveness of price discounts with or without an in-store nutrition education intervention on food and drink purchasing among a socio-economically disadvantaged population in a real-life setting.

Original languageEnglish
Article number744
Pages (from-to)1-11
Number of pages11
JournalBMC Public Health
Volume13
DOIs
Publication statusPublished - 12 Aug 2013

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Food and Beverages
Education
Vegetables
Carbonated Beverages
Fruit
Vulnerable Populations
Food
Population
Diet
Water
Cost-Benefit Analysis
Chronic Disease
Economics
Costs and Cost Analysis

Cite this

Brimblecombe, Julie ; Ferguson, Megan ; Liberato, Selma ; Ball, Kylie ; Moodie, Marjory ; Magnus, Anne ; Miles, Edward ; Leach, Amanda ; Chatfield, Mark ; Ni Mhurchu, Cliona ; O'Dea, Kerin ; Bailie, Ross Stewart. / Stores Healthy Options Project in Remote Indigenous Communities (SHOP@RIC) : a protocol of a randomised trial promoting healthy food and beverage purchases through price discounts and in-store nutrition education. In: BMC Public Health. 2013 ; Vol. 13. pp. 1-11.
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title = "Stores Healthy Options Project in Remote Indigenous Communities (SHOP@RIC): a protocol of a randomised trial promoting healthy food and beverage purchases through price discounts and in-store nutrition education",
abstract = "Background: Indigenous Australians suffer a disproportionate burden of preventable chronic disease compared to their non-Indigenous counterparts – much of it diet-related. Increasing fruit and vegetable intakes and reducing sugar-sweetened soft-drink consumption can reduce the risk of preventable chronic disease. There is evidence from some general population studies that subsidising healthier foods can modify dietary behaviour. There is little such evidence relating specifically to socio-economically disadvantaged populations, even though dietary behaviour in such populations is arguably more likely to be susceptible to such interventions. This study aims to assess the impact and cost-effectiveness of a price discount intervention with or without an in-store nutrition education intervention on purchases of fruit, vegetables, water and diet soft-drinks among remote Indigenous communities. Methods/Design: We will utilise a randomised multiple baseline (stepped wedge) design involving 20 communities in remote Indigenous Australia. The study will be conducted in partnership with two store associations and twenty Indigenous store boards. Communities will be randomised to either i) a 20{\%} price discount on fruit, vegetables, water and diet soft-drinks; or ii) a combined price discount and in-store nutrition education strategy. These interventions will be initiated, at one of five possible time-points, spaced two-months apart. Weekly point-of-sale data will be collected from each community store before, during, and for six months after the six-month intervention period to measure impact on purchasing of discounted food and drinks. Data on physical, social and economic factors influencing weekly store sales will be collected in order to identify important covariates. Intervention fidelity and mediators of behaviour change will also be assessed. Discussion: This study will provide original evidence on the effectiveness and cost-effectiveness of price discounts with or without an in-store nutrition education intervention on food and drink purchasing among a socio-economically disadvantaged population in a real-life setting.",
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author = "Julie Brimblecombe and Megan Ferguson and Selma Liberato and Kylie Ball and Marjory Moodie and Anne Magnus and Edward Miles and Amanda Leach and Mark Chatfield and {Ni Mhurchu}, Cliona and Kerin O'Dea and Bailie, {Ross Stewart}",
note = "Source of funding: This study is funded by the Australian National Health and Medical Research Council (NHMRC; ID 1024285). Julie Brimblecombe was supported by a NHMRC Public Health Fellowship ID 545253. Megan Ferguson is supported by a NHMRC Scholarship ID 1039074. Selma Liberato is supported by a NHMRC Program Grant ID 631947. Ross Bailie is supported by an ARC Future Fellowship (#FT100100087). Amanda leach is supported by a NHMRC Elizabeth Blackburn Fellowship ID 1020561.",
year = "2013",
month = "8",
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doi = "10.1186/1471-2458-13-744",
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Stores Healthy Options Project in Remote Indigenous Communities (SHOP@RIC) : a protocol of a randomised trial promoting healthy food and beverage purchases through price discounts and in-store nutrition education. / Brimblecombe, Julie; Ferguson, Megan; Liberato, Selma; Ball, Kylie; Moodie, Marjory; Magnus, Anne; Miles, Edward; Leach, Amanda; Chatfield, Mark; Ni Mhurchu, Cliona; O'Dea, Kerin; Bailie, Ross Stewart.

In: BMC Public Health, Vol. 13, 744, 12.08.2013, p. 1-11.

Research output: Contribution to journalComment/debateResearch

TY - JOUR

T1 - Stores Healthy Options Project in Remote Indigenous Communities (SHOP@RIC)

T2 - a protocol of a randomised trial promoting healthy food and beverage purchases through price discounts and in-store nutrition education

AU - Brimblecombe, Julie

AU - Ferguson, Megan

AU - Liberato, Selma

AU - Ball, Kylie

AU - Moodie, Marjory

AU - Magnus, Anne

AU - Miles, Edward

AU - Leach, Amanda

AU - Chatfield, Mark

AU - Ni Mhurchu, Cliona

AU - O'Dea, Kerin

AU - Bailie, Ross Stewart

N1 - Source of funding: This study is funded by the Australian National Health and Medical Research Council (NHMRC; ID 1024285). Julie Brimblecombe was supported by a NHMRC Public Health Fellowship ID 545253. Megan Ferguson is supported by a NHMRC Scholarship ID 1039074. Selma Liberato is supported by a NHMRC Program Grant ID 631947. Ross Bailie is supported by an ARC Future Fellowship (#FT100100087). Amanda leach is supported by a NHMRC Elizabeth Blackburn Fellowship ID 1020561.

PY - 2013/8/12

Y1 - 2013/8/12

N2 - Background: Indigenous Australians suffer a disproportionate burden of preventable chronic disease compared to their non-Indigenous counterparts – much of it diet-related. Increasing fruit and vegetable intakes and reducing sugar-sweetened soft-drink consumption can reduce the risk of preventable chronic disease. There is evidence from some general population studies that subsidising healthier foods can modify dietary behaviour. There is little such evidence relating specifically to socio-economically disadvantaged populations, even though dietary behaviour in such populations is arguably more likely to be susceptible to such interventions. This study aims to assess the impact and cost-effectiveness of a price discount intervention with or without an in-store nutrition education intervention on purchases of fruit, vegetables, water and diet soft-drinks among remote Indigenous communities. Methods/Design: We will utilise a randomised multiple baseline (stepped wedge) design involving 20 communities in remote Indigenous Australia. The study will be conducted in partnership with two store associations and twenty Indigenous store boards. Communities will be randomised to either i) a 20% price discount on fruit, vegetables, water and diet soft-drinks; or ii) a combined price discount and in-store nutrition education strategy. These interventions will be initiated, at one of five possible time-points, spaced two-months apart. Weekly point-of-sale data will be collected from each community store before, during, and for six months after the six-month intervention period to measure impact on purchasing of discounted food and drinks. Data on physical, social and economic factors influencing weekly store sales will be collected in order to identify important covariates. Intervention fidelity and mediators of behaviour change will also be assessed. Discussion: This study will provide original evidence on the effectiveness and cost-effectiveness of price discounts with or without an in-store nutrition education intervention on food and drink purchasing among a socio-economically disadvantaged population in a real-life setting.

AB - Background: Indigenous Australians suffer a disproportionate burden of preventable chronic disease compared to their non-Indigenous counterparts – much of it diet-related. Increasing fruit and vegetable intakes and reducing sugar-sweetened soft-drink consumption can reduce the risk of preventable chronic disease. There is evidence from some general population studies that subsidising healthier foods can modify dietary behaviour. There is little such evidence relating specifically to socio-economically disadvantaged populations, even though dietary behaviour in such populations is arguably more likely to be susceptible to such interventions. This study aims to assess the impact and cost-effectiveness of a price discount intervention with or without an in-store nutrition education intervention on purchases of fruit, vegetables, water and diet soft-drinks among remote Indigenous communities. Methods/Design: We will utilise a randomised multiple baseline (stepped wedge) design involving 20 communities in remote Indigenous Australia. The study will be conducted in partnership with two store associations and twenty Indigenous store boards. Communities will be randomised to either i) a 20% price discount on fruit, vegetables, water and diet soft-drinks; or ii) a combined price discount and in-store nutrition education strategy. These interventions will be initiated, at one of five possible time-points, spaced two-months apart. Weekly point-of-sale data will be collected from each community store before, during, and for six months after the six-month intervention period to measure impact on purchasing of discounted food and drinks. Data on physical, social and economic factors influencing weekly store sales will be collected in order to identify important covariates. Intervention fidelity and mediators of behaviour change will also be assessed. Discussion: This study will provide original evidence on the effectiveness and cost-effectiveness of price discounts with or without an in-store nutrition education intervention on food and drink purchasing among a socio-economically disadvantaged population in a real-life setting.

KW - article

KW - Australia

KW - beverage

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KW - health care policy

KW - health promotion

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KW - nutritional science

KW - Oceanic ancestry group

KW - pilot study

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KW - treatment outcome

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KW - Commerce

KW - Cost-Benefit Analysis

KW - Food

KW - Food Preferences

KW - Health Promotion

KW - Humans

KW - Nutrition Policy

KW - Nutritional Sciences

KW - Oceanic Ancestry Group

KW - Pilot Projects

KW - Quality-Adjusted Life Years

KW - Rural Population

KW - Socioeconomic Factors

KW - Time Factors

KW - Treatment Outcome

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DO - 10.1186/1471-2458-13-744

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JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

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