This review identifies intervention strategies implemented within U.S. grocery retail stores that are effective in improving the healthfulness of shoppers’ food and beverage purchasing and consumption. Results from our review demonstrate that nutritional scoring and nutritional messaging were the most rigorously tested and effective interventions. Additionally, simple interventions yield the most successful results and minimize More

This review identifies the most promising intervention strategies for promoting the purchase and consumption of healthier items within U.S. grocery retail settings, with a particular focus on those strategies that may be most effective when implemented within SNAP-authorized retail settings. Searches of nine electronic databases, as well as forward and backward searches, yielded 1942 studies. More

A recent policy in the U.S. authorized monthly benefits from the Supplemental Nutrition Assistance Program (SNAP) to be used online to increase grocery access and promote healthy eating. This study examined online grocery attitudes and purchasing behaviors among low-income SNAP-eligible households with young children with and without online grocery experience. An explanatory sequential mixed methods More

Food marketing influences consumers’ preferences for and selection of marketed products. Although a substantial body of research has described food-marketing practices in brick-and-mortar stores, no research has examined food marketing in online grocery retail despite its growing importance as a source of food-at-home purchases. This study aimed to develop and apply a coding instrument to More

Consumption of sugar-sweetened beverages, including fruit drinks, contributes to childhood obesity. We aimed to examine whether nutrition-related claims on fruit drinks influence purchasing among parents and lead to misperceptions of healthfulness. We conducted an experiment in a virtual convenience store with 2219 parents of children ages 1-5 y. Parents were randomly assigned to view fruit More

This study tested a pricing manipulation strategy in a small grocery store to assess the impact on food sales. The prices of 35 healthy foods were decreased over time while simultaneously increasing the prices of 45 unhealthy foods. Trends in sales were examined across each manipulation period. Total sales of healthy foods remained relatively stable More

Online grocery services are an emerging component of the food system with the potential to address disparities in access to healthy food. We assessed the barriers and facilitators of equitable access to healthy foods in the online grocery environment, and the psychosocial, purchasing, and dietary behaviors related to its use among low-income, diverse populations. Four More

Improving healthy food access in low-income communities continues to be a public health challenge. One strategy for improving healthy food access has been to introduce community food stores, with the mission of increasing healthy food access; however, no study has explored the experiences of different initiatives and models in opening and sustaining healthy food stores. More

Nutrient warnings, including warnings on packaged foods and restaurant menus, can be used to show when a food or drink has high levels of calories or unhealthful nutrients like sodium, saturated fat, and added sugars. As of December 2021, calorie and nutrient warnings (including for sodium, saturated fat, and sugar) are required on packaged food More

This study aimed to describe policies and practices of online grocery retailers that may affect healthy food access, including retailers participating in the U.S. Department of Agriculture’s Supplemental Nutrition Assistance Program Online Purchasing Pilot. This was a cross-sectional, quantitative content analysis of 21 online grocery retail websites from November 2019 to January 2020. Most retailers More