Academics in the aisles: Establishing a university-supermarket partnership

Brandy-Joe Milliron
Kathleen Woolf
Barbara Ruhs
Bradley M. Appelhans


The prevalence of overweight and obesity in the US is a serious public health problem. Supermarkets in the US are responding to the obesity epidemic by providing the unique asset of food, pharmacy and registered dietitians in one location to help grocery shoppers manage diseases and improve nutrition. Recent studies report that supermarket point-of-purchase interventions focusing on improving healthy food purchasing behaviours are feasible and potentially efficacious. We describe our experiences and lessons learned while developing a university-supermarket partnership and pilot testing a supermarket POP intervention (Healthstyles-Eat Smart©) prior to its dissemination throughout the region. Barriers to and facilitators of developing university-supermarket partnerships and strategies to increase the feasibility of supermarket POP research are discussed. We conclude that strong university-supermarket partnerships are essential to conducting supermarket intervention research and are worth the time and effort it takes to build them.

Keywords: Fruit and vegetable purchases, point-of-purchase intervention, supermarket partnership, shopping behaviour

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Appelhans, B, Milliron, B-J, Woolf, K, Johnson, T, Pagoto, S, Schneider, K, Whited, M & Ventrelle, J 2012, 'Socioeconomic status, energy cost, and the nutrient content of supermarket food purchases', American Journal of Preventive Medicine, vol. 42, no. 4, pp. 398402.

Black, J, Macinko, J, Dixon, L & Fryer G Jr, 2010, 'Neighborhoods and obesity in New York City', Health and Place, vol. 16, no. 3, pp. 48999.

Blischok, T 2010, 'Childhood obesity: America in crisis', Food Marketing Institute, Symphony IRI, Chicago, IL, viewed 17 April 2012,

Ernst, N, Wu, M, Frommer, P, Katz, E, Matthews, O, Moskowitz, J, Pinsky, J, Pohl, S, Schreiber, G, Sondik, E, Tenney, J, Wilbur, C & Zifferblatt, S 1986, 'Nutrition education at the point of purchase: The Foods for Health" project evaluated', Preventive Medicine, vol. 15, issue 1, pp. 6073."

Flegal, K, Carroll, M, Kit, B & Ogden, C 2012, 'Prevalence of obesity and trends in the distribution of body mass index among US adults, 19992010', Journal of the American Medical Association, vol. 307, no. 5, pp. 49197.

Food Marketing Institute 2010, 'Industry overview 2010: Supermarket facts', viewed 8 March 2012, supermarket-facts.

Food Marketing Institute 2012, 'Health and wellness', viewed 8 March 2012,

Gittelsohn, J, Vijayadeva, V, Davison, N, Ramirez, V, Cheung, L, Murphy, S & Novotny, R 2010, 'A food store intervention trial improves caregiver psychosocial factors and children's dietary intake in Hawaii', Obesity, vol. 18, suppl. 1, pp. 8490s.

Guthrie, J, Lin, B & Frazao, E 2002, 'Role of food prepared away from home in the American diet, 197778 versus 199496: Changes and consequences', Journal of Nutrition Education and Behavior, vol. 34, no. 3, pp. 14050.

Hill, J & Peters, J 1998, 'Environmental contributions to the obesity epidemic', Science, vol. 280, pp. 137174.

Huang, A, Barzi, F, Huxley, R, Denyer, G, Rohrlach, B, Jayne, K & Neal, B 2006, 'The effects on saturated fat purchases of providing internet shoppers with purchase-specific dietary advice: A randomized trial', PLoS Clinical Trials, vol. 1, no. 5, p. 22e.

Kristal, A, Goldenhar, L, Muldoon, J & Morton, R 1997, 'Evaluation of a supermarket intervention to increase consumption of fruits and vegetables', American Journal of Health Promotion, vol. 11, pp. 42225.

Milliron, B, Woolf, K & Appelhans, B 2012, 'A point-of-purchase intervention featuring in-person supermarket education affects healthful food purchases', Journal of Nutrition Education and Behavior, vol. 44, no. 3, pp. 22532.

Morland, K & Evenson, K 2009, 'Obesity prevalence and the local food environment', Health and Place, vol. 15, no. 2, pp. 49195.

Ni Mhurchu, C, Blakely, T, Jiang, Y, Eyles, H & Rodgers, A 2010, 'Effects of price discounts and tailored nutrition education on supermarket purchases: A randomized controlled trial', Amercan Journal of Clinical Nutrition, vol. 91, pp. 73647.

Nielsen, S, Siega-Riz, A & Popkin, B 2002, 'Trends in food locations and sources among adolescents and young adults', Preventive Medicine, vol. 35, no. 2, pp. 10713.

Odgen, C, Carroll, M, Kit, B & Flegal, K 2012, 'Prevalence of obesity and trends in body mass index among US children and adolescents, 19992010', Journal of the American Medical Association, vol. 307, no. 5, pp. 48390.

Paine-Andrews, A, Francisco, V, Fawcett, S, Johnston, J & Coen, S 1996, 'Health marketing in the supermarket: Using prompting, product sampling, and price reduction to increase customer purchases of lower-fat items', Health Mark Q, vol. 14, pp. 8599.

Rodgers, A, Kessler, L, Portnoy, B, Potosky, A, Patterson, B, Tenney, J, Thompson, F, Krebs-Smith, S, Breen, N & Mathews, O 1994, 'Eat for Health": A supermarket intervention for nutrition and cancer risk reduction', American Journal of Public Health, vol. 84, no. 1, pp. 7276."

Sallis, J & Glanz, K 2006, 'The role of the built environment in physical activity, eating, and obesity in childhood', Future Child, vol. 16, pp. 89108.

Sallis, J & Glanz, K 2009, 'Physical activity and food environments: Solutions to the obesity epidemic, The Millbank Quarterly, vol. 87, pp. 12354.

Strong, L, Israel, B, Schulz A, Reyes, A, Rowe, Z, Weir, S & Poe, C 2009, 'Piloting interventions within a community-based participatory research framework: Lessons learned from the Healthy Environments Partnership', Progress in Community Health Partnerships: Research, Education, and Action, vol. 3, no. 4, pp. 32734.

Vermeer, W, Steenhuis, I & Seidell, J 2009, 'From the point-of-purchase perspective: A qualitative study of the feasibility of interventions aimed at portion size', Health Policy, vol. 90, pp. 7380.

Yoo, S, Baranowski, T, Missaghian, M, Baranowski, J, Cullen, K, Fisher, J, Watson, K, Zakeri, F & Nicklas, T 2006, 'Food-purchasing patterns for home: A grocery store intercept survey', Public Health Nutrition, vol. 9, no. 3, pp. 38493.