An Interventional Study to Reduce Social Disparities in Diet Quality in the Northern Districts of Marseille

NCT ID: NCT02383875

Last Updated: 2015-03-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

189 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2014-08-31

Brief Summary

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The Opticourses project aims to improve the nutritional quality/price (NQP) ratio of the food purchases of people claiming to be facing financial problems. Following one of the main principles of the French National Nutrition and Health Program (PNNS), the project starts from the principle that to modify food consumption favourably and durably, one must act on both the demand and the supply (see figure). The "demand" part of the project is based on participatory workshops, and the "supply" part relies on intervention of social marketing in shops.

Detailed Description

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The demand part of the project is based on intervention sessions consisting in five two-hour workshops with about ten participants. The workshops were based on the people's actual purchases and notably on their till receipts. During the five sessions, the receipts were used as intervention tools: participants and research staff discussed the receipts brought in by them all, and exchanged ideas and experiences around food purchasing behaviors.

* First workshop: Opticourses intervention presentation, discussion about grocery shopping strategies, explanation of protocol for receipt collection and annotation, two quiz on nutritional knowledge, food shopping exercise on a catalog;
* Second workshop: discussion about the receipt collection and help to participants encountering difficulties, food groups teaching;
* Third workshop: till receipts delivery by each participant, food with a high nutritional quality for their price teaching;
* Fourth workshop: individual return on the nutritional quality of food purchase on the basis of till receipts analysis, individual objectives to improve the nutritional quality of food purchase at no additional cost, discussion about discount food representations, two quiz on nutritional knowledge, food shopping exercise on a catalog;
* Fifth workshop: assessment of the Opticourses intervention with the participants, discussion about their behavioral modification regarding grocery shopping.

The supply part of the project aims at influencing the supply by means of social marketing. The research team intervenes in two "discount" shops (DIA retailer) in the northern districts in order to influence the food supply. In collaboration with the agency Link Up, a specialist in social marketing, a campaign to promote foods with a good NQP ratio has been launched (from January until June 2014). This public health campaign has the aim of making good NQP foods visible, available and attractive. For 6 months, all the foods with a good NQP ratio in the shop (identified by the research team) are put at the front of the shelves. Consumers can spot them thanks to a logo, "EAT TOP", accompanied by the claim "Nutritious and inexpensive; that's TOP". Good NQP foods are presented with the support of flyers and recipes, simple and accessible to everyone. Also, placing at the head of the gondola and in-store exhibitions are planned around star foods of the month. During the first two months, fish and canned foods will be given the most prominence. Consumers will find in the flyers made available: nutritional information, tips and tricks for cooking them, simple cheap recipes (less than 1€ per person) combining these good NQP foods (sardine rillettes, tuna pâté, etc.) and a TOP selection of good NQP foods available in the store.

Conditions

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Nutritional Quality of Food Purchases

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Opticourses education intervention

People living in the northern districts of Marseille with in very deprived social situation: very low incomes, heavy financial dependence on social benefits, over-representation of people covered by arrangements for controlling poverty and people covered by free social security

Group Type EXPERIMENTAL

Opticourses

Intervention Type BEHAVIORAL

An intervention session consisted of five two-hour educative workshops which aimed to help people to improve the nutritional quality of food purchases under budgetary constraints.

Interventions

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Opticourses

An intervention session consisted of five two-hour educative workshops which aimed to help people to improve the nutritional quality of food purchases under budgetary constraints.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* living in the northern districts of Marseille
* willingness to be involved in an intervention session aimed at improving the nutritional quality of food purchases under budgetary constraints

Exclusion Criteria

* none
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Cancer Institute, France

OTHER_GOV

Sponsor Role collaborator

Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement

OTHER

Sponsor Role lead

Responsible Party

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Nicole Darmon

PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Tharrey M, Dubois C, Maillot M, Vieux F, Mejean C, Perignon M, Darmon N. Development of the Healthy Purchase Index (HPI): a scoring system to assess the nutritional quality of household food purchases. Public Health Nutr. 2019 Apr;22(5):765-775. doi: 10.1017/S1368980018003154. Epub 2018 Nov 26.

Reference Type DERIVED
PMID: 30472975 (View on PubMed)

Perignon M, Dubois C, Gazan R, Maillot M, Muller L, Ruffieux B, Gaigi H, Darmon N. Co-construction and Evaluation of a Prevention Program for Improving the Nutritional Quality of Food Purchases at No Additional Cost in a Socioeconomically Disadvantaged Population. Curr Dev Nutr. 2017 Sep 13;1(10):e001107. doi: 10.3945/cdn.117.001107. eCollection 2017 Oct.

Reference Type DERIVED
PMID: 29955680 (View on PubMed)

Marty L, Dubois C, Gaubard MS, Maidon A, Lesturgeon A, Gaigi H, Darmon N. Higher nutritional quality at no additional cost among low-income households: insights from food purchases of "positive deviants". Am J Clin Nutr. 2015 Jul;102(1):190-8. doi: 10.3945/ajcn.114.104380. Epub 2015 May 27.

Reference Type DERIVED
PMID: 26016868 (View on PubMed)

Related Links

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http://www.opticourses.fr/

Opticourses project website

Other Identifiers

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Opticourses

Identifier Type: -

Identifier Source: org_study_id

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