Impact of Alcohol Labels in a Real-World Setting

NCT ID: NCT06915298

Last Updated: 2025-08-06

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

1410 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-23

Study Completion Date

2025-07-25

Brief Summary

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The goal of this randomized controlled trial is to evaluate the impact of health information labeling on alcohol-related knowledge and behaviors in adults purchasing alcohol in Barcelona, Spain. The main questions it aims to answer are:

* Does a label containing a cancer message have a larger impact on knowledge, behavior, intentions, risk perception, emotional response, product appeal and policy support compared to a responsibility label?
* Does the positioning of the label (front vs. back) on the alcohol container affect these outcomes?

Researchers will compare the impact of cancer message labels vs. responsibility labels and front vs. back positioning to see if there are differences in the primary outcome (knowledge of alcohol causing cancer) and secondary outcomes (behavior, intentions, risk perception, emotional response, and policy support).

Additionally, the study will provide insight in whether there is a testing effect of primary outcome pre-measurement by exposing only half of the sample to baseline question on knowledge of alcohol related harms.

Participants will:

* Be recruited in front of selected supermarkets in Barcelona after purchasing alcohol for their own consumption.
* Complete a baseline questionnaire.
* Receive a sticker containing a randomly assigned health message that will be applied to every alcohol beverage they have purchased.
* Receive an invitation to complete two follow-up surveys, one a week and one a month after the intervention.

Detailed Description

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Conditions

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Knowledge Behaviour Change Risk Perception Intention Support for Alcohol Policies Emotional Response Product Appeal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Responsibility message - front of the container / no pre-test

A sticker with a message to drink responsibly is applied to the front of the container.

There is no question on knowledge of alcohol related harms at baseline.

Group Type ACTIVE_COMPARATOR

Responsibility message on alcohol label

Intervention Type BEHAVIORAL

A sticker with a message to drink responsibly will be applied to alcoholic beverage containers purchased by the participants.

Front label

Intervention Type BEHAVIORAL

A sticker will be applied to the front of the alcoholic beverage containers purchased by the participants.

No outcome pre-testing

Intervention Type OTHER

Primary outcome (knowledge of alcohol related harms) is not tested at baseline.

Responsibility message - back of the container / no pre-test

A sticker with a message to drink responsibly is applied to the back of the container.

There is no question on knowledge of alcohol related harms at baseline.

Group Type ACTIVE_COMPARATOR

Responsibility message on alcohol label

Intervention Type BEHAVIORAL

A sticker with a message to drink responsibly will be applied to alcoholic beverage containers purchased by the participants.

Back label

Intervention Type BEHAVIORAL

A sticker will be applied to the back of the alcoholic beverage containers purchased by the participants.

No outcome pre-testing

Intervention Type OTHER

Primary outcome (knowledge of alcohol related harms) is not tested at baseline.

Cancer message - front of the container / no pre-test

A sticker with a message on alcohol causing cancer is applied to the front of the container.

There is no question on knowledge of alcohol related harms at baseline.

Group Type EXPERIMENTAL

Alcohol health warning label - cancer

Intervention Type BEHAVIORAL

A sticker with health information on alcohol causing cancer is applied to alcoholic beverage containers purchased by the participants.

Front label

Intervention Type BEHAVIORAL

A sticker will be applied to the front of the alcoholic beverage containers purchased by the participants.

No outcome pre-testing

Intervention Type OTHER

Primary outcome (knowledge of alcohol related harms) is not tested at baseline.

Cancer message - back of the container / no pre-test

A sticker with a message on alcohol causing cancer is applied to the back of the container.

There is no question on knowledge of alcohol related harms at baseline.

Group Type EXPERIMENTAL

Alcohol health warning label - cancer

Intervention Type BEHAVIORAL

A sticker with health information on alcohol causing cancer is applied to alcoholic beverage containers purchased by the participants.

Back label

Intervention Type BEHAVIORAL

A sticker will be applied to the back of the alcoholic beverage containers purchased by the participants.

No outcome pre-testing

Intervention Type OTHER

Primary outcome (knowledge of alcohol related harms) is not tested at baseline.

Responsibility message - front of the container / pre-test

A sticker with a message to drink responsibly is applied to the front of the container. There is a question on knowledge of alcohol related harms at baseline.

Group Type ACTIVE_COMPARATOR

Responsibility message on alcohol label

Intervention Type BEHAVIORAL

A sticker with a message to drink responsibly will be applied to alcoholic beverage containers purchased by the participants.

Front label

Intervention Type BEHAVIORAL

A sticker will be applied to the front of the alcoholic beverage containers purchased by the participants.

Outcome pre-testing

Intervention Type OTHER

Primary outcome (knowledge of alcohol related harms) is tested at baseline.

Responsibility message - back of the container / pre-test

A sticker with a message to drink responsibly is applied to the back of the container. There is a question on knowledge of alcohol related harms at baseline.

Group Type ACTIVE_COMPARATOR

Responsibility message on alcohol label

Intervention Type BEHAVIORAL

A sticker with a message to drink responsibly will be applied to alcoholic beverage containers purchased by the participants.

Back label

Intervention Type BEHAVIORAL

A sticker will be applied to the back of the alcoholic beverage containers purchased by the participants.

Outcome pre-testing

Intervention Type OTHER

Primary outcome (knowledge of alcohol related harms) is tested at baseline.

Cancer message - front of the container / pre-test

A sticker with a message on alcohol causing cancer is applied to the front of the container. There is a question on knowledge of alcohol related harms at baseline.

Group Type EXPERIMENTAL

Alcohol health warning label - cancer

Intervention Type BEHAVIORAL

A sticker with health information on alcohol causing cancer is applied to alcoholic beverage containers purchased by the participants.

Front label

Intervention Type BEHAVIORAL

A sticker will be applied to the front of the alcoholic beverage containers purchased by the participants.

Outcome pre-testing

Intervention Type OTHER

Primary outcome (knowledge of alcohol related harms) is tested at baseline.

Cancer message - back of the container / pre-test

A sticker with a message on alcohol causing cancer is applied to the back of the container. There is a question on knowledge of alcohol related harms at baseline.

Group Type EXPERIMENTAL

Alcohol health warning label - cancer

Intervention Type BEHAVIORAL

A sticker with health information on alcohol causing cancer is applied to alcoholic beverage containers purchased by the participants.

Back label

Intervention Type BEHAVIORAL

A sticker will be applied to the back of the alcoholic beverage containers purchased by the participants.

Outcome pre-testing

Intervention Type OTHER

Primary outcome (knowledge of alcohol related harms) is tested at baseline.

Interventions

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Alcohol health warning label - cancer

A sticker with health information on alcohol causing cancer is applied to alcoholic beverage containers purchased by the participants.

Intervention Type BEHAVIORAL

Responsibility message on alcohol label

A sticker with a message to drink responsibly will be applied to alcoholic beverage containers purchased by the participants.

Intervention Type BEHAVIORAL

Front label

A sticker will be applied to the front of the alcoholic beverage containers purchased by the participants.

Intervention Type BEHAVIORAL

Back label

A sticker will be applied to the back of the alcoholic beverage containers purchased by the participants.

Intervention Type BEHAVIORAL

Outcome pre-testing

Primary outcome (knowledge of alcohol related harms) is tested at baseline.

Intervention Type OTHER

No outcome pre-testing

Primary outcome (knowledge of alcohol related harms) is not tested at baseline.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* have just purchased at least one alcoholic beverage container for their own consumption
* speak Spanish or Catalan
* are 18 years or older
* provide informed consent to participation

Exclusion Criteria

\- all the purchased alcohol containers are too small for a label sticker to be affixed
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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IPSOS

INDUSTRY

Sponsor Role collaborator

Program on Substance Abuse, Public Health Agency, Government of Catalonia

UNKNOWN

Sponsor Role collaborator

World Health Organization

OTHER

Sponsor Role lead

Responsible Party

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Daša Kokole

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Daša Kokole, PhD

Role: PRINCIPAL_INVESTIGATOR

World Health Organisation Regional Office for Europe

Locations

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Sampled supermarkets in selected city neighbourhoods

Barcelona, , Spain

Site Status

Countries

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Spain

Other Identifiers

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24/228-P

Identifier Type: OTHER

Identifier Source: secondary_id

ERC.0004213

Identifier Type: -

Identifier Source: org_study_id

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