Service Delivery

Altering shoppers' supermarket purchases to fit nutritional guidelines: an interactive information system.

Winett et al. (1991) · Journal of applied behavior analysis 1991
★ The Verdict

A grocery-store computer that shows a quick video, circles bad buys in red, and sets weekly goals steers adults toward healthier food.

✓ Read this if BCBAs helping neurotypical teens or adults change food or shopping habits.
✗ Skip if Clinicians working solely with young children or non-food goals.

01Research in Context

01

What this study did

Researchers built a kiosk inside a supermarket. Adults watched a short video about low-fat, high-fiber foods.

The kiosk printed each shopper’s receipt with red circles around high-fat items and green checks around high-fiber ones.

Each week the system set a new goal: buy fewer red circles, more green checks. A control group shopped as usual.

02

What they found

Shoppers who used the kiosk bought less fatty food and more fiber-rich food than the control group.

Some of the healthy choices stuck even after the kiosk was removed.

03

How this fits with other research

Davison et al. (1995) ran a similar test with college students learning AIDS facts. They also found that people remember more when the computer makes them type answers instead of just clicking “next.” Both studies show that interactive video beats passive watching.

Matthews et al. (1987) showed that preschoolers kept picking healthy snacks when teachers switched from every-time rewards to only occasional praise. The supermarket study used weekly goals and receipt feedback as its own kind of intermittent boost, pointing to the same rule: lighten the rewards, but keep them coming, and good choices last.

Lee et al. (2022) tried a self-help ACT book plus weekly emails for overweight adults. The book cut self-stigma, but weight barely moved. The 1991 kiosk, in contrast, changed actual shopping baskets. The difference: the kiosk gave real-time feedback at the moment of choice, while the book stayed at home.

04

Why it matters

You can borrow the kiosk’s three tricks anywhere. Use a 30-second video to teach the skill, give instant visual feedback, and set a tiny weekly goal. Try it with cafeteria choices, staff-room snacks, or group-home grocery lists. One laminated “stop-light” card taped to a cart can do the same job as the fancy 1991 computer.

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→ Action — try this Monday

Make a red/green checklist of target foods; have clients snap a phone photo of every receipt and circle items together before the next session.

02At a glance

Intervention
other
Design
randomized controlled trial
Population
neurotypical
Finding
positive
Magnitude
medium

03Original abstract

This study reports the results of one effort to help supermarket shoppers alter food purchases to make purchases (and meals) that are lower in fat and higher in fiber. A prototype interactive information system using instructional video programs, feedback on purchases with specific goals for change, weekly programs, and the ability to track user interactions and intended purchases was evaluated. The major dependent measure was users' actual food purchases as derived from participants' highly detailed supermarket receipts. After a 5- to 7-week baseline phase, participants were randomly assigned to an experimental or control condition for the 7- to 8-week intervention phase. A follow-up phase began 5 to 8 weeks after participants completed the intervention and discontinued use of the system. The results indicated that experimental participants, when compared to control participants, decreased high fat purchases and increased high fiber purchases during intervention, with evidence for some maintenance of effect in follow-up. Plans for increasing the use and impact of the system are discussed.

Journal of applied behavior analysis, 1991 · doi:10.1901/jaba.1991.24-95