Service Delivery

Prompting one low-fat, high-fiber selection in a fast-food restaurant.

Wagner et al. (1988) · Journal of applied behavior analysis 1988
★ The Verdict

A simple sign or flier can reliably steer people toward healthier food choices in fast-food restaurants.

✓ Read this if BCBAs working on healthy eating or community behavior change
✗ Skip if Clinicians focused only on severe problem behavior in clinic rooms

01Research in Context

01

What this study did

The team placed small signs and fliers inside fast-food stores. The signs said "Try our salad."

They used an A-B-A-B design. Signs went up, came down, went up again. Sales were counted each week.

02

What they found

When the signs were up, more people bought salads. When signs came down, sales dropped.

The change was quick and clear across the whole restaurant chain.

03

How this fits with other research

Johnson et al. (2024) later showed the same idea works by email. They sent preschool teachers weekly prompts instead of paper signs. Both studies prove a simple reminder can shift behavior without extra training.

Glover et al. (1976) found similar results with phone calls. A 30-second reminder cut mental-health no-shows by half. Phone or paper, the prompt is the key.

Ferreri et al. (2011) used hand signals at crosswalks. Like the salad signs, a small visual cue changed driver behavior right away.

04

Why it matters

You can nudge healthy choices with almost no cost. Print a sign, send a text, or point to a picture. One prompt can replace long training sessions. Try posting a picture cue next time you want a client to pick a new food, use a new word, or follow a new step.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Post one clear picture cue near the choice area and count the picks.

02At a glance

Intervention
prompting and fading
Design
reversal abab
Population
not specified
Finding
positive

03Original abstract

Evidence increasingly links a high-fat, low-fiber diet to coronary heart disease and certain site cancers, indicating a need for large-scale dietary change. Studies showing the effectiveness of particular procedures in specific settings are important at this point. The present study, using an A-B-A-B design and sales data from computerized cash registers, replicated and extended previous work by showing that inexpensive prompts (i.e., signs and fliers) in a national fast-food restaurant could increase the sales of salads, a low-fat, high-fiber menu selection. Suggestions also are made pertinent to more widespread use of the procedures.

Journal of applied behavior analysis, 1988 · doi:10.1901/jaba.1988.21-179