Greater fruit selection following an appearance-based compared with a health-based health promotion poster.

Abstract

Background: This study investigated the impact of an appearance-based compared to a traditional health-based public health message for healthy eating. Methods: 166 British University students (41 male; aged 20.6±1.9 years) were randomized to view either an appearance-based (n=82) or a health-based (n=84) fruit promotion poster. Intentions to consume fruit and immediate fruit selection (laboratory observation) were assessed immediately after poster-viewing and subsequent self-report fruit consumption was assessed 3 days later. Results: Intentions to consume fruit were not predicted by poster type (β=0.03, p=0.74), but were associated with fruit-based liking, past consumption, attitudes, and social norms (smallest β=0.16, p=0.04). Immediate fruit selection was greater following the appearance-based compared to the health-based poster (β=-0.24, p<0.01), and this effect remained when controlling for participant characteristics (β=-0.21, p<0.01). Subsequent fruit consumption was greater following the appearance-based compared to the health-based poster (β=-0.22, p=0.03), but this effect became non-significant on consideration of participant characteristics (β=-0.15, p=0.13), and was instead associated with fruit-based liking and past consumption (smallest β=0.24, p=0.03). Conclusions: These findings demonstrate the clear value of an appearance-based compared to a health-based health promotion poster for increasing fruit selection. A distinction between outcome measures, and the value of a behavioural measure is also demonstrated.