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A Longitudinal, Randomized-Controlled Experiment of Healthy Food Policies in Online Retail Settings

Who can join

Ages 18 and older · All sexes · Healthy volunteers welcome

Full eligibility criteria
Inclusion Criteria:

* ≥18 years old
* Not currently eligible for or participating in SNAP or another government program that automatically qualifies the person for SNAP (e.g., WIC, TANF)
* Meets the following income eligibility requirements:

For participants living in the Houston or San Antonio areas, their household income must be greater than 165% of the federal poverty level, but less than the Texas state median household income (based on the 2023 American Community Survey) for their household size \[11\].

For participants living in the Philadelphia area, their income must be greater than 200% of the federal poverty level, but less than the Pennsylvania state median household income (based on the 2023 American Community Survey) for their household size \[11\].

* Reports consuming food from McDonald's or a similar fast-food chain at least once a month
* Does most of the grocery shopping for the household
* Can adhere to the study schedule (e.g., receive a lunch on a Wednesday)
* Has regular internet access
* Has a smart phone that can take pictures
* Resident of Houston, TX, San Antonio, TX or Philadelphia, PA or the surrounding areas and plans to be there for the next six weeks
* Household size of six or fewer people
* Have an address eligible for receiving Grubhub+ and Walmart+ deliveries

Exclusion Criteria:

* Does not meet all of the inclusion criteria
* Cognitive impairment; per PIs discretion
* Participant is under 18 years old
* Does not speak English or Spanish

About the study

Unhealthy diets significantly contribute to major preventable chronic diseases including type 2 diabetes, obesity, heart disease and stroke, which disproportionally impact racial/ethnic minority groups and those with lower income \[1-3\]. Although taxes and warning labels targeting sugar-sweetened beverages (SSB) have been successful at shifting behavior \[4-7\], there are many other ultra-processed food products that contribute to unhealthy diets \[8\]. What is less well-known is whether a suite of healthy food policies that are expanded to target a range of ultra-processed foods can shift dietary choices and intake in meaningful ways. Our research team's long-term goal is to identify and understand the degree to which combinations of healthy food policies can improve nutrition security and reduce nutrition-related diseases.

What is being tested

Sponsor: University of Pennsylvania · Participants: 300 · Started: Feb 25, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07422922

Locations in the U.S.

PennsylvaniaUniversity of Pennsylvania, Philadelphia

From ClinicalTrials.gov, data retrieved Oct 2, 2026. Each study sets its own eligibility; the study team decides who can join.