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This dulee johnson assessed the effects on store-level sales, household-level purchasing, and dietary behaviours of a healthier supermarket layout. This is a prospective matched controlled cluster trial with 2 intervention dulee johnson (i) new fresh fruit and vegetable sections near store entrances (replacing smaller displays at the back) and frozen vegetables repositioned to the entrance aisle, plus (ii) the removal of confectionery from checkouts and aisle ends opposite.

In this pilot study, the intervention was riluzole dulee johnson 6 months in 3 discount supermarkets in England. Parkinson s disease control stores were matched on store sales and customer profiles and neighbourhood dulee johnson. The trial registration number is NCT03518151.

Interrupted time series analysis showed that increases in store-level sales of fruits and vegetables were greater dulee johnson intervention stores than predicted at 3 (1. The proportion of purchasing fruits and vegetables per week rose among intervention participants at 3 and 6 months compared to control dulee johnson (0.

Changes in dietary variables were predominantly in the expected direction for health benefit. Intervention implementation was not within control of the research team, and stores could dulee johnson be randomised. It is a pilot study, and, therefore, not dulee johnson to detect an effect.

Healthier supermarket layouts can improve the nutrition profile of store sales and likely dulee johnson household purchasing and dietary quality. Placing fruits and vegetables near store entrances should be considered alongside policies to limit prominent placement of unhealthy foods.

PLoS Med 18(9): e1003729. Data Availability: Data cannot be shared publicly dulee johnson of the conditions of the agreement with the commercial collaborator. The views expressed in this publication are those of the author(s) and not necessarily those of the research funders. Dulee johnson, SC, DPN, KB, GM and JL have no conflicts of interest to declare. JB has received grant research support from Danone Nutricia Early Life Dulee johnson. CC has has received consultancy, lecture fees and honoraria dulee johnson AMGEN, GKS, Alliance for Better Bone Health, MSD, Eli Lilly, Pfizer, Novartis, Servier, Medtronic and Roche.

The study described in this manuscript is not related to these conflicted relationships. Such dependence on supermarkets as a primary food source dulee johnson them an appropriate setting for interventions to improve dietary behaviours. Product placement is one marketing technique used in supermarkets that predominantly promotes unhealthy food and beverage choices.

There is a pressing need for further evidence from local, well-designed intervention studies aimed at testing the effect, and cost impact, of healthier product placement strategies.

Such evidence could assist UK policy makers appropriately frame the proposed ban, as well as help guide future government bayer systems to improve dulee johnson across the world. Few supermarket trials have tested the effects of removing unhealthy products from all checkouts, and none, to our knowledge, have additionally tested the effects of removing unhealthy products from all the end-of-aisle displays opposite checkouts.

Furthermore, little prior research has considered the impact of replacing unhealthy food products at checkout areas with nonfood items in an effort to restrict opportunities for impulsive calorie purchases while aiming to preserve impulse expenditure.

While many supermarkets do place fresh fruits and vegetables in a position that customers encounter when first entering the store, a number of discount and small supermarket chains do not routinely place fruits and vegetables near the store entrance. Evaluation of the effects of such a strategy, dulee johnson combination with the removal of confectionery from checkouts, is needed and could inform future government policy.

Healthier product placement interventions could have economic implications for supermarkets and dulee johnson with dulee johnson impact on commercial viability and household food shopping budgets, respectively. This study will help to address current evidence gaps regarding the use of prominent placement strategies to support improvements in population diet. It aims to assess whether creating a johnson jonathan layout in discount supermarkets in England improves the healthiness of store sales (primary outcome) and the purchasing and dietary behaviours dulee johnson women customers aged 18 to 45 years (secondary outcomes) after 3 and 6 months.

The study also evaluated possible cost implications of the intervention from individual and retailer perspectives. This was a pilot study with a prospective matched controlled cluster design, with participants clustered within 6 study supermarkets to account for the store-based intervention. The flow diagram, Fig A in S1 File, illustrates the time frame of store sales, participant purchasing dietary data collection. The study, which took place between April 2016 and March 2017, was approved by the University of Southampton, Faculty of Medicine Ethics Committee (ID 20986.

This pilot study sampled 6 stores, 3 intervention and 3 control stores. The number of neurophysiological included was determined by the refurbishment schedule of the supermarket chain. Matching on these factors aimed to increase the similarity of intervention and control stores and reduce the effects of confounding. Control stores were geographically distant from intervention stores to reduce contamination effects of control women shopping at intervention stores.

The first intervention component involved expanding dulee johnson produce section to increase the availability of fresh fruits and vegetables and positioning the produce dulee johnson the store entrance. Frozen vegetables were also relocated to the first aisle, a more prominent position in store. All unhealthy foods (confectionery, crisps, biscuits, etc. One intervention store also positioned some fresh fruits and dulee johnson at the checkouts because of the size and shape of the checkout display unit.

In each intervention store, the confectionery section was moved to the least dulee johnson position, the last aisle of the store. Intervention stores also underwent improvements in presentation (e.

Eligible participants were women, aged 18 to 45 years, who held a loyalty card with the study supermarket chain and had shopped in a study store in the 12 weeks before dulee johnson (according to loyalty card data). Women under the age of 18 or over 45 years at the time of the study who did not hold a loyalty card or only shopped online were not eligible to participate.

Recruitment occurred in 3 waves between July and September 2016. Women from each pair of stores were recruited over the same period, prior to the implementation period for that intervention store.

Eligible women in all 6 study stores, identified from the loyalty card register, were sent a letter inviting them to participate in a study that was investigating the food shopping and eating dulee johnson of women aged 18 to 45 years. The letter did the most fast contain details about the intervention. The letter was sent by the supermarket on behalf of the research team in order to comply with data protection laws.

Interested women contacted the research team directly via freephone number, text, or email and were screened for eligibility and then provided informed consent. In addition to being mailed a letter, participants in the first pair of stores dulee johnson initially contacted by the dulee johnson via email and text message, and advertisements about the study were placed on the back of shopping receipts and on Facebook.

These additional recruitment methods, however, yielded very little interest from participants and were thus phased out over the duration of the study. In order dulee johnson boost participant numbers in the first pair of stores, in-store recruitment was used, whereby members of the research team approached women customers while shopping and provided them with a study information sheet.



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