Publications by authors named "Josine M Stuber"

Article Synopsis
  • Healthy food nudges may be particularly beneficial for individuals from lower socioeconomic backgrounds, prompting a study on their effectiveness in grocery stores across different demographics.
  • Researchers analyzed data from multiple trials, focusing on how characteristics like education, gender, and age impact the success of these nudges in increasing the purchase of fruits and vegetables.
  • Findings revealed that, overall, healthy food nudges did not significantly influence fruit and vegetable purchases among participants, regardless of their sociodemographic profiles, suggesting the need for more effective strategies.
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There is increasing evidence for the effectiveness of population-based policies to reduce the burden of type 2 diabetes. Yet, there are concerns about the equity effects of some policies, whereby socioeconomically disadvantaged populations are not reached or are adversely affected. There is a lack of knowledge on the effectiveness and equity of policies that are both population based (i.

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Article Synopsis
  • This study aimed to assess the relationship between food purchase data and reported dietary intake to determine if buying patterns could reflect actual diet quality.
  • Data was collected from 227 participants using their supermarket loyalty cards and a food frequency questionnaire (FFQ), creating two diet quality scores based on food groups.
  • Results showed a modest correlation (Pearson's ρ = 0.31) between purchased diet quality and consumed diet quality, suggesting that supermarket purchase data can be a reasonable indicator of dietary intake, even though it typically indicated lower diet quality than what was reported.
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Co-creation is a participatory design approach that leverages the experiential knowledge of non-academic actors. It is increasingly adopted in public health research to enhance the relevance, acceptability, and impact of interventions. This perspective article provides a practical introduction to co-creation, its application, and benefits and considerations for public health researchers.

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Introduction: Addressing the public health problem of physical inactivity, this study evaluates SNapp, a just-in-time adaptive app intervention to promote walking through dynamically tailored coaching content. It assesses SNapp's impact on daily steps and how users' perceptions regarding ease of use and usefulness moderated its effectiveness.

Methods: SNapp was evaluated in an RCT from February 2021 to May 2022.

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Background: Supermarket interventions are promising to promote healthier dietary patterns, but not all individuals may be equally susceptible. We explored whether the effectiveness of nudging and pricing strategies on diet quality differs by psychological and grocery shopping characteristics.

Methods: We used data of the 12-month Supreme Nudge parallel cluster-randomised controlled supermarket trial, testing nudging and pricing strategies to promote healthier diets.

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A shift from predominantly animal-based to plant-based consumption can benefit both planetary and public health. Nudging may help to promote such a shift. This study investigated nudge effects on plant-based alternatives to meat and dairy in an online supermarket.

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Background: Context-specific interventions may contribute to sustained behaviour change and improved health outcomes. We evaluated the real-world effects of supermarket nudging and pricing strategies and mobile physical activity coaching on diet quality, food-purchasing behaviour, walking behaviour, and cardiometabolic risk markers.

Methods: This parallel cluster-randomised controlled trial included supermarkets in socially disadvantaged neighbourhoods across the Netherlands with regular shoppers aged 30-80 years.

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Obesity is a persistent societal and health problem. Its prevalence has doubled since 1990. The increasing availability, low prices and promotion of unhealthy food has contributed to the current obesity epidemic.

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Article Synopsis
  • * The trial successfully recruited 783 participants, with 421 completing consent; the main recruitment method was costly letters/flyers at home, while supermarket flyers were more affordable and efficient.
  • * The average participant was 57.6 years old, mostly female (72%), and generally well-educated (41% with high attainment), with a high success rate in completing at-home health measurements.
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Objective: Low dietary guideline adherence is persistent, but there is limited understanding of how individuals with varying socio-economic backgrounds reach a certain dietary intake. We investigated how quantitative and qualitative data on dietary guidelines adherence correspond and complement each other, to what extent determinants of guideline adherence in quantitative data reflect findings on determinants derived from qualitative data and which of these determinants emerged as interdependent in the qualitative data.

Design: This mixed-methods study used quantitative questionnaire data ( 1492) and qualitative data collected via semi-structured telephone interviews ( 24).

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Background: Nudging is increasingly used to promote healthy food choices in supermarkets. Ordering groceries online is gaining in popularity and nudging seems efficacious there as well, but is never comprehensively tested in real-life. We evaluated the real-life effectiveness of nudging in an online supermarket on healthy food purchases.

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Nudging has received ample attention in scientific literature as an environmental strategy to promote healthy diets, and may be effective for reaching populations with low socioeconomic position (SEP). Therefore, the objective of this study was to investigate how the determinants of food choice shape the perceptions regarding supermarket-based nudging strategies among adults with low SEP. We conducted semi-structured interviews among fifteen adults with low SEP using a pre-defined topic list and visual examples of nudges.

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Background: Nudging and salient pricing are promising strategies to promote healthy food purchases, but it is possible their effects differ across food groups.

Objective: To investigate in which food groups nudging and/or pricing strategies most effectively changed product purchases and resulted in within-food groups substitutions or spillover effects.

Methods: In total, 318 participants successfully completed a web-based virtual supermarket experiment in the Netherlands.

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Background: Unhealthy lifestyle behaviours such as unhealthy dietary intake and insufficient physical activity (PA) tend to cluster in adults with a low socioeconomic position (SEP), putting them at high cardiometabolic disease risk. Educational approaches aiming to improve lifestyle behaviours show limited effect in this population. Using environmental and context-specific interventions may create opportunities for sustainable behaviour change.

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We explored experts' perceived challenges and success factors in the recruitment of adults with a low socioeconomic position (SEP) for participation in community-based lifestyle modification programs. We conducted semi-structured interviews with 11 experienced project coordinators, based on a topic list that included experiences with recruitment, perceived barriers and success factors, and general views on recruitment strategies. Results revealed challenges related to the context of the program (e.

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