Fiammetta Rita Bianchi|Emma Garnett|Claudia Dorsel|Paul Aveyard|Susan A. Jebb
Restructuring physical micro-environments to reduce the demand for meat: a systematic review and qualitative comparative analysis
University of Oxford|University of Cambridge|Heinrich Heine University Düsseldorf|University of Oxford|University of Oxford
h3backgroundh3 reducing meat consumption could help protect natural environment promote population health interventions restructuring physical microenvironments might help change habitual behaviour synthesised scientific evidence pertaining whether interventions restructuring physical microenvironments effectively reduce demand meat h3methodsh3 systematic review quantitative studies evaluating effectiveness interventions restructuring physical microenvironments reduce demand meat identified relevant records searching six electronic databases cab abstracts embase psycinfo science citation index medline dissertations theses aug 31 2017 contacting experts screening publicly accessible online resources searching references included studies evaluated effectiveness interventions restructuring physical microenvironments reduce demand meat defined actual intended consumption purchase selection meat real virtual environments extracted data pertaining study samples interventions meat demand followup closest intervention completion longest followup former representing primary outcome synthesised data narratively qualitative comparative analysis identify configurations intervention characteristics associated found associated significant reductions meat demand systematic review registered prospero number crd42017081532 h3resultsh3 10 733 titles abstracts screened eligibility assessed 60 full papers included 14 papers reporting 18 studies 22 intervention conditions three interventions reducing portion size meat servings reduced meat consumption randomised trials three interventions providing meat alternatives supporting educational material associated reduced meat demand prepost design studies three four interventions altering sensory properties eg visual presentation meat meat alternatives point purchase reduced meat demand randomised trials four interventions repositioning meat products less prominent point purchase associated lower meat demand two interventions reached statistical significance randomised trial multiple treatment reversal design one five interventions manipulating description meat meat alternatives point purchase associated lower meat demand multiple treatment reversal design evidence randomised trials evaluating pricing intervention interventions restructuring several aspects microenvironments scarce inconsistent conclusive results qualitative comparative analysis supported findings narrative synthesis h3interpretationh3 interventions restructuring physical microenvironments could help promote lower demand meat interventions reducing portion sizes meat servings providing meat alternatives changing sensory properties meat meat alternatives point purchase offered promise context experimental studies h3fundingh3 none