Prompting one low-fat, high-fiber selection in a fast-food restaurant.
A simple sign or flier can reliably steer people toward healthier food choices in fast-food restaurants.
01Research in Context
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.
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.
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.
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.
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02At a glance
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