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Abstract
Introduction
levels. Two factors that influence food choice at an individual level are food preference
different aspects of nutrition (e.g. nutrients, dietary guidelines) and their relationship to
health. Although associations between nutrition knowledge and food choice are
generally small, knowledge is a variable factor, with a certain level of knowledge which
is essential to make healthy choices (Schreiber, M., Bucher, T., Collins, C., Dohle, S.,
2020).
One study produced results that stated, millennials eating habits are very different from
previous generations. 52% adopts healthy eating habits by consuming more vegetables
and organic foods. (Sacca, 2018). While 69% of millennials eat out at fast-casual
restaurants compared to 62% for Gen X and 43% of baby boomers according to the
findings of Morgan Stanley (Lutz, 2015). There are some things that millennials are
seeking when it comes to dining out thus affects their eating habits, (1) convenience,
which involves online ordering, home delivery and heat-and-eat options at grocery
stores. (2) transparency and responsibility, wherein they consider healthy food as
natural and organic compared to being low-fat. Also, 80% wants to know where their
food is grown, or its origin. (3) trendiness and experience, interest in popular meals are
high and also the sharing of experiences from eating and posting photos of food
consumed on social media also affects the peer's food choice (Dizon, 2019).
With the overview of generations' eating habits, the idea would be present to
have a basis for their food choices and eating habits. There was evidence that stated,
millennials considered healthy foods and this study explored the effect of spatial
positioning of a healthy food cue. Unlike some menus wherein there are categories and
healthy and unhealthy food were presented separately, the condition used in this study
is presenting the healthy food with unhealthy foods in a pictorial-style menu. This study
aims to investigate how the spatial positioning of healthy food will affect the food choice
of an individual and will also look out on other factors that might affect it.
cues, which causes a major contribution to poor dietary choices and other effects like
increased obesity rates, research studies the strategies and other ways to help promote
healthier food choices. Also, there is a shift of focus from changing an individual's eating
behavior to the change of food environment for the promotion of healthier dietary
choices.
For the local setting, this study will be able to observe its differences from the
foreign study and cite factors that cause the difference in dietary choices like social
norms. According to the study of Stok, F. M., de Vet, E., de Ridder, D. T. D., & de Wit, J.
B. F. (2016) that norms are crucial; often socially shaped. Social norms constitute an
people’s goals experiences and behaviors. It is important to note that social norms are
food and nutrients intake due to a malpractice of food preferences and habits. During
this transition stage wherein teenagers will become adults, the body needs an increased
amount of nutrients, but it is also the period which teenagers creates major changes in
their dietary lifestyles such as to start dieting or skipping meals, which may be due to
peer pressure or body image consciousness, meeting society’s standards and more
factors which will definitely affect their eating behavior which will eventually lead to
either too much or lack of food intake that causes obesity or malnutrition.
Food preference or choice is how individuals select the food they want to eat,
which consists of different aspects which leads to their preference such as taste
cultural familiarity. While Food or eating habits refers to the manner and reasons as to
why people eat, what food they consume, with whom or where they eat. These factors
mostly affect the dietary lifestyle of Filipino teenagers as the food is always available in
the Philippines.
Theoretical Framework
The nudge theory, developed by Cass Einstein and Richard Thaler in 2008 with a
book entitled Nudge: Improving Decisions About Health, Wealth and Happiness. This
reinforcement and indirect suggestion can influence people’s decisions and action
changed, added or removed to affect behavior but also respects the freedom of choice
at the same time. It is small changes which results to a big influence on behavior, and
The nudge theory is widely accepted already, and it is becoming more popular to
experts since the book was published. It is known to be simple, low cost, and an
effective way to modify behavior. This links to the idea of Choice Architecture, which no
information was presented but a change in the environment is occurring for forming
80% of human behavior is automatic which causes people to respond to cues or the
Choice Architecture, in the Nudge Theory (Kelly, 2015). Therefore, this is any attempt at
cognitive boundaries, habits, routines and also for rational self-declared interest
(Hansen, 2016). According to Professor Kelly, this approach could be used for
microenvironments like the school canteens to help increase students’ healthy options
and it can also be used for macro applications like preventing chronic diseases but
situation. The Theory of Reasoned Action by Fishbein & Ajzen in 1980, attempted to
present data to form a concrete and logical explanations for the chosen actions and
decisions made by individuals. Defining the theory of reasoned action, it is about the
intentions of a person which leads to the decision or action made. This decision or
action engaged will produce a behavior which will form a person’s attitudes and
and also in engaging in specific actions. Intentions in which refers to an individual’s plan
of action.
Under this theory, there is another concept involved which is the Theory of
Planned Behavior. To further explain these concepts, the behavioral beliefs produces
attitudes while normative beliefs produces subjective norms and control beliefs
produces a perceived behavioral control. Then, after this process, the produced
concepts will form the intentions which will lead and cause the forming of an individual’s
behavior. Therefore, it can be concluded that a person forms belief depending on the
outcome of a certain behavior which later on will contribute in the formation of one’s
attitude and these influences the decision making and the actions done by an individual.
Hypothesis
Definition of variables
Research Paradigm
The following research paradigm was used to examine the effect of spatial positioning
of a healthy food in a pictorial style menu on the food choice of BSBA Management
students.
between subject design. The independent variable is spatial positioning. While the
Methods
2.1. Participants
students from University of the East. They are ages from 18-22 (M = 22.16 SD = 4.29)
and for the controlled group had an average BMI of 22. 52 kg (SD = 5.03) while in the
treatment condition was 22.05 kg (SD = 4.05). Eligibility criteria included liking most
fast for 2hr before testing. Participants received a token for participation.
2.2. Materials
2.2.1. Menus
and a chicken salad which is the healthy food were positioned in a horizontal line to
create the pictorial - style menus. The four photographs were used to create three 8.5 x
11 paper pictorial menus. In the middle condition, the chicken salad was presented in
the middle of the unhealthier foods, In the end condition, the chicken salad was
presented beside the unhealthier foods (fourth from the left in the line) In the separate
condition, the chicken salad was presented 5 cm to the left of the unhealthy foods.
The instructions were given by the experimenter, the participants were asked to
imagine that they were at a fast food outlet and deciding on the food that was on the
menu (having the same price) to have as their meal. The experimenter showed the
menu and gave them a questionnaire to write their chosen dish that was shown and for
the Revised Restraint Scale. Food choice was classified as "healthy" (if the chicken
answered by the participants and assessed with the Revised Restraint Scale. This is a
10-item questionnaire with questions “How often are you dieting?” which are rated on 4-
or 5-point scales.
2.3 Procedure
The testing place was at the SFC building of the University of the East.
Participants under experimental group were given a pictorial style menu in three
different spatial positioning, from that they were able to choose their selected food.
attached to the questionnaires and their profile (BMI), selected food which was ranked
in a 9-point scale and questions regarding their eating habits and weight fluctuation
(Revised Dietary Restraint). Participants in control group were instructed to imagine that
they were eating in a fast food chain having a main dish and they only have to do is to
choose their side dish which they mostly ordered in a fast food chain. Next, same
questionnaires were given and answered by the participants under the treatment
condition. The debriefing form were given after the participants answer the
Food choice was analyzed using Chi-Square test for it is the most appropriate
and familiar for the experimenters to use in testing the significance. The experimenters
also make use of mean to see the Body mass index average of female participants, and
standard deviation to tell how measurements in a group are spread out from the
average.
positioning of a healthy food on food choice from a pictorial style menu. It investigates
how spatial positioning affects one's decision regarding their food choice. The selection
of the participants was limited to the students taking up BSBA Major in Marketing
of the East Manila and it doesn't include all the courses in UE. Also, the selection of
participants was only limited, particular participants of this study were only female
students it doesn’t include male students. Other unmeasured factors like possible
absence of real-world pictorial menus that typically have many more food options. Also,
factors like letting the participants consume their chosen food from the menu was not
Results
Table 1 shows the Body Mass Index of the participants under treatment and
controlled conditions. The controlled group had an average BMI of 22. 52 kg while in the
treatment condition was 22.05 kg. The result showed that most participants in both
Table II shows the food choice of the participants in treatment condition. The
participants’ preferably selected healthy food which is chicken salad when it was
separated among the unhealthy foods, whereas the most common food choice of the
participants was considered as unhealthy food which was Mojos. Also, as shown in the
table above, the p value (p=.072) is greater than the designated alpha level of (.05),
which indicated that spatial positioning has no significant effect in the healthy food
participants in controlled condition selected food were considered as healthy which had
the higher frequency. Also, as shown in the table above, the p value (p=.010) is less
than the designated alpha level of (.05), which signified that there is a significant
difference in the food choice of the BSBA marketing management students between the
Weight Fluctuation
N Min Max Mean Interpretation Std. Dev.
Q2: What is the
maximum amount
of weight you 20 4 5 4.65 0-4 0.48936
have ever lost in
one month?
Q3: What is your
maximum weight
20 2 5 4.05 1-1.2 0.68633
gain within a
week?
Q4: In a typical
week, how much
20 2 5 4.35 1-1.2 0.87509
does your weight
fluctuate?
Q11: How many
pounds over your
desired weight 20 1 5 3.35 6--10 1.1821
were you at your
maximum weight?
Concern for Dieting
Q1: How often are
20 2 5 3.45 Sometimes 1.09904
you dieting?
Q5: Would a
weight fluctuation
of 5lbs affect the 20 3 5 4.05 Slightly 0.75915
way you live your
life?
Q6: Do you eat
sensibly in front of
20 2 5 3.3 Often 1.12858
others and
splurge alone?
Q7: Do you give
too much time and 20 1 4 1.6 Always 0.75394
thought to food?
Q8: Do you have
feelings of guilt 20 1 5 2.65 Often 1.7252
after overeating?
Q9: How
conscious are you
20 1 5 3.4 Moderately 0.88258
of what you're
eating?
Q10: What is your
maximum weight 20 45 77 56.9 9.61851
ever?
Valid N (listwise) 20
The results showed the Dietary Restraint Scale in Controlled Condition. This also
displayed the weighted average of each item in the questionnaire.
Weight Fluctuation
The results showed the Dietary Restraint Scale in Controlled Condition. This also
displayed the weighted average of each item in the questionnaire.
Discussion
Eating behaviors and Body Mass Index (BMI) are closely linked across the
lifespan (French, SA. et. al, 2012) The BMI was included in the study to know if it is
a contributing factor that affects the food choice of the participants. According to the
study, in terms of getting the Body Mass Index, the more food approaching and less
directional relationship was found, indicating that emotional overeating was both a
predictor and a consequence of a relatively high BMI. (Derks et. al, 2018).
The findings of the treatment condition showed that the highest number of times
the healthy food (Chicken Salad) was chosen is when it is presented in the Separate
treatment condition. This indicates that the Separate condition is the most effective
compared to the two other conditions which are the end and middle. While the
control group without any treatment condition given, participants declared their
preferred or most ordered side dish, and results showed that there is a higher
condition presented the healthy food separate from the unhealthy foods, it became
more noticeable and distinct in some way, which others may think that it belongs to a
unhealthy foods (Keegan, E., Kemps, E., Prichard, I., Polivy, J., Herman, C. P., &
. According to some studies that most of the College students are at risk for
making poor dietary choices that can cause them a significant health problem.
(Brown, O’Connor, and Savaiano. 2017). Though a lot of participants have chosen
the unhealthy option, the frequency of choice of the healthy option is much more
given attention and emphasis as it shows the effect of spatial positioning used for
the nudge in the food choice. It showed that the nudging was effective to some of
the participants which are those who selected the Chicken Salad, and it supports the
and proximity can influence food choices. This study, which produced a high
success rate to test the nudge effect wherein sixteen out of eighteen studies which
the food position/order was manipulated, indicated a positive effect on the food
choice which means that nudging was effective for participants to have a healthier
food choice/options (Bucher, et al., 2016). Consumption of food and drink was less
Female participants are only tested for this study as they are known to be more
conscious about their health compared to the male population. Females are much
efforts to examine products carefully. They are more involved and engaged to these
things which makes them informed and are better decision makers than males in the
dietary lifestyle (Ek, 2013). While for the local setting, a study was conducted to
among household meal planners in the Philippines. The results pointed that
respondents had limited adherence to the dietary guidelines and that there is a need
which could help them have a healthy lifestyle (Capanzana, et al., 2017).
Conclusion
The study had found out that spatial positioning has no significant effect on the
food choice of the BSBA Marketing students. However, healthy food was more
between the treatment condition and controlled condition. In addition, the dietary
restraint scale does not reflect the decision made by the participants in choosing
food.
Recommendations
References
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Appendices
Appendix A
Letter of the request for approval
Appendix B
Copy of the Informed Consent
PURPOSE OF THIS STUDY: The purpose of this research study is to further understand
what food is most preferred by people nowadays. The study should take approximately 10
minutes. If you have questions at any time, please approach the experimenter/s.
RISKS AND DISCOMFORTS: The risks are not greater than the risks associated with daily
living. You will answer your questionnaire about your selected food. If any of the questions
make you uncomfortable, you may skip them or any others that you do not wish to answer. At
the end of the data collection, you will be able to have the full nature of the study explained to
you. If you have additional questions, you will be able to ask them at this time.
BENEFITS TO YOU AND OTHERS: The study is likely to yield knowledge to further society's
understanding of the processes under study.
COSTS: There are NO COSTS for participating in this study other than the time you will
spend on the tasks.
CONFIDENTIALITY: Data is being collected only for research purposes. We will not tell
anyone the answers you give us; however, information from the study and the consent form
signed by you may be looked at or copied for research or legal purposes by University of the
East-Manila. What we find from this study may be presented at meetings or published in
papers, but your name will not ever be used in these presentations or papers.
QUESTIONS: In the future, you may have questions about your participation in this study. If
you have any questions, contact Ms. Aubrey Lammatao (Research Leader of the group)
Department of Psychology, University of the East-Manila at breyyyjyc@gmail.com and phone
number, 09392935243.
CONSENT
I understand that the University of the East-Manila, College of Business and Administration
has approved this study. I have been given the chance to read this consent form. I
understand the information about this study. Questions that I wanted to ask about the study
have been answered. My signature says that I am willing to participate in this study. If you
choose to participate, you may stop at any time without any penalty. I will receive a copy of
the consent form once I have agreed to participate.
I understand the information about the study and I AGREE to participate in the
study. By signing, I am giving my consent to participate in this study.
____________________________________ ____________________
Signature over Printed Name Date
Appendix C
Debriefing
Title: “The Effect of Spatial Positioning of a Healthy Food in a Pictorial-Style Menu on the
Food Choice of BSBA Marketing Management Students”.
Appendix D
Sample Questionnaire
The following questions refer to your normal eating pattern and weight fluctuations. Please
answer accordingly.
2. What is the maximum amount of weight (in pounds) you have ever lost in one month?
(Circle one)
0-4 5-9 10-14 15-19 20+
4. In a typical week, how much does your weight fluctuate? (Circle one)
0-1 1.1-2 2.1-3 3.1-5 5.1+
5. Would a weight fluctuation of 5 lbs. affect the way you live your life? (Circle one)
Not at all Slightly Moderately Very much
6. Do you eat sensibly in front of others and splurge alone? (Circle one)
Never Rarely Often Always
7. Do you give too much time and thought to food? (Circle one)
Never Rarely Often Always
11. How many pounds over your desired weight were you at your rnaximum weight? (Circle
one)
0-1 1-5 6-10 1 1-20 21+
Appendix E
Certificate of Validation of Experimental Procedures and
Statistical Treatment of Data
Appendix F
The Menus presented for the treatment condition
Middle Condition
End Condition
Separate Condition
Appendix G
Proof of Actual Experimentation