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    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Persuasion In-Situ: Shopping for Healthy Food in Supermarkets</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Ole Kallehave</string-name>
          <email>ole-kallehave@rocha.dk</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Mikael B. Skov</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Nino Tiainen</string-name>
          <email>ninodk@gmail.com</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Author Keywords Shopping</institution>
          ,
          <addr-line>health, persuasive, supermarkets</addr-line>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>HCI Lab, Department of Computer Science, Aalborg University Selma Lagerlöfs Vej 300</institution>
          ,
          <addr-line>9220 Aalborg East</addr-line>
          ,
          <country country="DK">Denmark</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>Healthy lifestyle is a strong trend at the moment, but at the same time a fast growing number of people are becoming over-weight. Persuasive technologies hold promising opportunities to change our lifestyles. In this paper, we introduce a persuasive shopping trolley that integrates two tools of persuasiveness namely reduction and suggestion. The trolley supports shoppers in assessing the nutrition level for supermarket products and provides suggestions for other products to buy. A field trial showed that the persuasive trolley affected the behaviour of some shoppers especially on reduction where shoppers tried to understand how healthy food products are. On the hand, the suggestion part of the system was less successful as our participants made complex decisions when selecting food.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        When supermarket shopping, more studies have shown that
consumer behaviour is highly controlled by routine and is
not simply changed or altered [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. In fact, even if shoppers
want to change their shopping behaviour and patterns, they
find it difficult to understand the nutritious values of many
Copyright © 2011 for the individual papers by the papers'
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editors of PINC2011
products, e.g. they cannot understand nutrition labels or
how much sugar or fat the product contains [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. Further,
one of the fundamental problems resides in the fact that we
are confronted with an overwhelming number of different
food products and it is often difficult to identify and choose
the more healthy ones. Iyengar and Lepper showed in an
experimental study that consumers were more satisfied
with their own selections when they have fewer options to
select from [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. Schwartz refers to this as the paradox of
choice claiming that the huge number of choices decreases
people’s real choice and decision-making [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ]. Thus,
people are likely to continue their current routine type of
behaviour (as illustrated by Park et al. [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]) and this could
potentially prevent them from making healthier choices.
Emerging technologies are increasingly being used to alter
people’s opinions or behaviour, e.g. smoking cessation [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]
or promoting sustainable food choices [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. Fogg refers to
such technologies as persuasive technologies or captology
[
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. Fogg states that contemporary computer technologies
are currently taking on roles as persuaders including
classical roles of influence that traditionally were filled by
doctors, teachers, or coaches [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. Research studies within
different disciplines are increasingly concerned with such
persuasive technologies that may be used to create or
change human thought and behaviour. As examples, Chang
et al. [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ] propose the Playful Toothbrush that assists parents
and teachers to motivate young children to learn thorough
tooth brushing skills while Arroyo et al. [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] introduce the
Waterbot that motivates behaviour at the sink for increased
safety. Both these examples propose rather simple, yet
potentially powerful input and feedback that aim to inform
users of their own behaviour.
      </p>
      <p>
        Todd et al. [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ] illustrate theoretically how nudging could
persuade shoppers to select healthy food products based on
simplified information to the shoppers in-situ, but call for
empirical understandings of persuasive shopping. We
propose a persuasive shopping trolley application called
iCART that attempts to motivate change towards more
healthy shopping behaviour. First, we outline the idea
behind the design of the trolley application and then reports
from field studies of use on its effects on behaviour change.
iCART: INFLUENCING SHOPPING BEHAVIOUR IN-SITU
iCART is a persuasive application mounted on a shopping
trolley that attempts to persuade the shopper’s behaviour
and awareness. The system was implemented in C# using
Windows Presentation Foundation for the interface and a
Microsoft SQL server.
      </p>
      <p>
        From our previous research [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ], we learned that many
consumers actually attempt to buy healthy products when
supermarket shopping, but often they would find it difficult
to assess the nutrition value or energy level. In fact, several
consumers are actually unsure what a healthy food product
is. Shoppers find it difficult to understand the nutrition
information labels on the food products and they usually
don’t bother consulting this information. Supermarket
products and groceries are rather diverse, e.g. ranging from
simple non-processed products (e.g. an apple) to more
complex processed products (e.g. a pizza). Usually people
find it difficult to assess how healthy processed products
are. Furthermore, people find it difficult to change behavior
and usually choose well-known products while shopping.
The overall idea of iCART is that all food products and
items in a supermarket can be classified according to
nutrition level and this classification will be presented to
the user of the trolley every time the shopper puts an item
into the trolley. For our persuasive system, we adapt the
nutrition label initiative called Eat Most from the Danish
Veterinary and Food Administration. For our purpose, it
provides a simple classification of food products based on
the nutrition values of a product. The classification label
includes a table for calculating the value of all food
products. According to the label, all products can be
classified as Eat Most, Eat Less, or Eat Least.
      </p>
      <p>The typical use situation could be as follows (illustrated in
figure 1): The user walks around the supermarket with the
trolley, chooses food products and places them in the
trolley (a), the trolley recognizes the product and displays
its classification according to the Eat Most label (b), and
the system updates the status for the entire trolley on
numbers of Eat Most, Less, and Least food products (c).</p>
      <p>(a) (b) (c)</p>
      <p>
        Figure 1: Illustrating the process of using iCART
Interaction Design
We adapted three persuasive design tool principles from
Fogg namely reduction and suggestion [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. The persuasive
shopping trolley should 1) present or visualize product
nutrition in a simple way and 2) present alternatives to less
healthy products. Finally, we decided that the system
should be a walk-up-and-use system on a shopping trolley.
Reduction reduces complex behaviour to simple tasks in
order to increase the benefit/cost ratio and thereby
influence the user to perform the behaviour [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. As stated
above, consumers find it difficult to assess the overall
nutrition level for products. The persuasive trolley reduces
this nutrition value assessment through the simplification in
the Eat Most classification and thereby the assessment now
becomes a simple task. This is illustrated in figure 2 where
different products have been classified, e.g. milk as eat less
(middle picture).
We colour-coded the three categories with green, yellow,
and red. Figure 3 shows the classification for a cereal
product called Havrefras and this product is an eat least
product. The implementation in iCART reduces the action
of assessing the nutrition value of a product by providing a
simple classification of only three categories.
Suggestion means that persuasive technologies have greater
power if they offer suggestions at opportune moments [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ].
Consumers find it difficult to choice healthier alternatives
as they often have limited understanding of the relative
levels of nutrition between more products. The persuasive
trolley offers suggestions for alternative products (Eat
Most) within the same product group when the shopper
choices an Eat Less or Eat Least product in the trolley. We
consider this an opportune moment as the shopper often
will find the alternatives in their present supermarket area
(as illustrated in figure 4 where two alternative cereals are
suggested for the cereal in figure 3).
      </p>
      <p>FIELD TRIALS
We conducted field trials with the shopping trolley at the
local supermarket called føtex. It was rather important to us
to understand the use of the system in-situ to facilitate the
whole shopping experience.
11 shoppers were recruited through public announcements
and we required that they shopped for food products on a
regular basis. The shoppers were between 27 and 58 years
old and represented different kinds of households and
worked in diverse job professions. We asked them to fill in
a questionnaire on their supermarket shopping experiences
prior to the trials. Some of the participants were highly
concerned with nutritious food while others were less
concerned. The participants were divided into two groups
one group used iCART while the other group served as a
control group using a regular shopping trolley. We
balanced them in the two groups based on their
selfreported knowledge and attitudes towards nutritious food.
Before the trials, we carried out a pilot test to verify and
adjust the process and our instructions. Participants were
not informed about the purpose of the study in order to
minimize study impact and iCART participants were told
about the system but not its focus on healthy food products.
The trials consisted of a three parts namely an introduction,
the actual shopping, and a debriefing. We instructed the
participants to shop items from a pre-generated shopping
list using their own normal criteria for food selection. Thus,
they should try to shop as they normally would. The
shopping list contained 12 items, e.g. milk, cheese, pate.
The list included only general product groups (except for
one item) leaving the participants to choose within the
group, e.g. cheese where they could choose more 20
different cheese products. They were free to choose in
which order they would collect the items.
303 food items were entered into a SQL database
representing all items in the store within the groups from
the shopping list. Data collection was done through 1) a
trolley-mounted video camera that captured verbal
comments and shopping behaviour and 2) the system
logged and time stamped all user interactions enabling to
reproduce action sequences afterwards. The sessions were
done during normal trading hours and they were not
required to check out the collected items.</p>
      <p>We evaluated iCART as a Wizard of Oz experiment where
one of the authors acted as wizard implementing the actions
taken by the participant. When a food product was put into
the trolley, the wizard would update this information in the
system. Another person observed the participant while
shopping in order to facilitate the following interview. The
same procedure was used for the control group, but without
the trolley-mounted display. The total time spent ranged
from 12:08 to 40:28 minutes. Finally, a debriefing session
including questionnaires and semi-structured interview was
conducted immediately afterwards, e.g. they were asked to
assess their own session and the collected items.
OBSERVATIONS AND DISCUSSION
The five participants using iCART expressed that they
liked the system and they would possibly use it if available
in supermarkets. While food products in supermarkets
already have different labels for determining the health or
nutritious level, iCART became a personal technology that
guided the shopper while shopping. This also had the
advantage that shoppers always knew where to look for the
nutritious information for all products. Today, this
information is located on the packaging of the product and
thereby distributed in the store.</p>
      <p>The reduction element of iCART was quite successful. Out
of the 60 food products selected by the participants using
the system, 30 were classified as Eat Less or Eat Least.
Thus, half of the selected products were less healthy. In
several cases, the participants were surprised to realize that
a certain product was less healthy. For example, one of the
participants chose a bag of carrot buns and got surprised to
see that these buns were Eat Least: “I thought they were
healthy as they contain carrots”.</p>
      <p>
        On the other hand, several shoppers chose less healthy food
products and were aware of it – even without the help from
iCART. But the classification made them reflect upon their
choices and several of them started talking about nutrition
and healthy food. One participant said: “But the Eat-Least
classification makes you think and questions whether you
have made the right choice”. From our analysis, it seemed
that they acted out of routine behaviour and that they
partially knew the consequences of these choices. This
confirms the findings by Park et al. [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] on changing
shopping routine behaviour. In summary, the reduction
element of iCART was quite successful as it raised the
awareness of the shoppers on the nutritious level of the
chosen products.
      </p>
      <p>The suggestion component of iCART was less successful
compared to the reduction. The participants changed their
choices 3 times out of 30 (10%). This low number was
somewhat surprising, but shoppers gave several reasons for
this. Some would not change their choice, as they would
rather buy an unhealthy food product that was biodynamic
than buy a healthy product that was not. So the shoppers
would implement their own classification schemes based
on other aspects than nutrition. Also, some shoppers stated
that they never bought any light or zero products, which
often were the products suggested by our system. They said
that they would rather eat less of the unhealthy products
than buy a light product.</p>
      <p>During the field trials, 18 times did the shoppers take a look
at the suggestions made by iCART, but in most situations
(14 times) they chose not to follow the suggestion. This
indicates that the shoppers are interested in receiving
suggestions but the actual suggestions made by the system
in the situation were not good enough. As illustrated above,
they had different objectives when shopping and perhaps
suggestion functionality should be carefully organized.
We identified an interesting observation concerning trust to
the system. Some users expressed scepticism towards the
suggestion part of the system while none of them really
questioned the reduction part. Most of them stated that
nutrition labelling whether on the actual product or
implemented in an interactive system on the trolley should
be controlled and accredited by public authorities. They
were more critical when it concerned suggestions than
reductions. The problem with suggestion could reside in
that it could feel like ads or commercials for other products.
That could be a potential problem when implementing
suggestion tools. However, as expressed by one of the
female participants: “It is cool to be guide. I don’t mind
help or receive suggestions, I’m a grown-up who can make
my own decisions”. This could imply that to change
behaviour designers should focus on providing reduction in
complexity of assessing the food product, but they should
perhaps not suggest or give recommendations to the user.
Shopping in supermarkets is noisy and complex and it can
be stressing due to several multimodal inputs. We noticed
how several participants missed reductions or suggestions
on the screen while acting in the environment. Thus, they
would actually not receive the information proposed by the
system. Also, one participant stated that shopping is private
even though it takes place in a public environment.
The participants who shopped without the persuasive
guidance appeared to have fewer reflections on nutrition
and health. In fact, the iCART participants eventually
bought 25 food items classified as Eat Least whereas the
other participants bought 34 Eat Least products. The
difference cannot only be explained in terms of the
suggestion tool implemented in iCART, but the interaction
made them reflect.</p>
      <p>CONCLUSION
We presented the persuasive shopping trolley iCART that
guides supermarket shoppers in choosing more healthy
food products by classifying all products in three groups
namely Eat More, Eat Less, and Eat Least. Field trials with
11 shoppers showed that iCART proved to provide good
input on reduction, e.g. reducing the complex task of
assessing whether a product is healthy or less healthy. Our
participants noticed when the system classified a product as
Eat Least and usually they would start reflecting upon this.
Only a few times did this result in change of behaviour
where the user changed the original choice. But mostly the
suggestion part of the system was less successful. This was
mainly due to the fact that several participants had rather
specific requirements to their products, e.g. they should be
biodynamic or they never bought light-products.
Based on our findings, we see a number of future research
avenues. First, rather than optimizing the algorithms behind
suggestion tools, we propose that we should design systems
that enables shoppers to make their own decisions in-situ.
This could require a different approach to reduction. Also,
we need to understand the long-term effects of such
systems and we plan to conduct more longitudinal studies.
ACKNOWLEDGMENTS
We would like to thank the shoppers from the field trial as
well as reviewer comments on earlier versions of the paper.</p>
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