Report| Volume 52, ISSUE 1, P87-95, January 2020

How Branded Marketing and Media Campaigns Can Support a Healthy Diet and Food Well-Being for Americans: Evidence for 13 Campaigns in the United States

Published:October 29, 2019DOI:


      This report summarizes the available evidence for strategies used in large-scale, branded marketing campaigns to promote healthy dietary behaviors to Americans between 1990 and 2016. An adapted health-branding framework guided the 3-step mixed-methods approach to identify evidence for campaigns using a scoping review, comprehensive literature review, and key-informant interviews (n = 11). Results show that industry, government, and nongovernmental organizations supported 13 campaigns that used various health-branding strategies. The authors suggest opportunities that may inform the design and evaluation of diet-related campaigns to improve understanding and application of health-branding strategies to promote a healthy diet and to advance consumer health and well-being.

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      1. US Department of Health and Human Services, US Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th ed. Washington, DC: US Department of Health and Human Services, US Department of Agriculture; 2015. Accessed August 19, 2019.

      2. Center for Nutrition Policy and Promotion, US Department of Agriculture. Average Healthy Eating Index-2015 scores for Americans by age group. Accessed February 20, 2019.

        • US Burden of Disease Collaborators
        The state of US Health, 1990–2016: burden of diseases, injuries, and risk factors among US states.
        JAMA. 2018; 319: 1444-1472
      3. Institute for Health Metrics and Evaluation (IHME). GBD Compare. United States. Both Sexes, All Ages, Percent of Total DALYs, 1990, 2017. Seattle, WA: IHME, University of Washington; 2017. Accessed February 20, 2019.

        • Johnston JL
        • Fanzo JC
        • Cogill B
        Understanding sustainable diets: a descriptive analysis of the determinants and processes that influence diets and their impact on health, food security, and environmental sustainability.
        Adv Nutr. 2014; 5: 418-429
        • Lee-Kwan SH
        • Moore LV
        • Blanck HM
        • Harris DM
        • Galuska D
        Disparities in state-specific adult fruit and vegetable consumption — United States, 2015.
        MMWR Morb Mortal Wkly Rep. 2017; 66: 1241-1247
        • Block LG
        • Grier SA
        • Childers TL
        • et al.
        From nutrients to nurturance: a conceptual introduction to food well-being.
        J Public Policy Mark. 2011; 30: 5-13
        • Harris JL
        • Pomeranz JL
        • Lobstein T
        • Brownell KD
        A crisis in the marketplace: how food marketing contributes to childhood obesity and what can be done.
        Annu Rev Public Health. 2009; 30: 211-225
        • Leibowitz J
        • Rosch JT
        • Ramirez E
        • Brill J
        • Ohlhausen M
        A Review of Food Marketing to Children and Adolescents: Follow-Up Report.
        Federal Trade Commission, Washington, DC2012
        • Chandon P
        • Wansink B
        Does food marketing need to make us fat? A review and solutions.
        Nutr Rev. 2012; 70: 571-593
        • Keller KL.
        Branding perspectives on social marketing.
        ACR North Am Adv. 1998; 25: 299-302
        • Pleasure PS.
        An under-utilised ‘P’ in social marketing for healthy eating.
        Appetite. 2016; 104: 60-69
        • Bublitz MG
        • Peracchio LA
        Applying industry practices to promote healthy foods: an exploration of positive marketing outcomes.
        J Bus Res. 2015; 68: 2484-2493
        • Evans WD
        • Blitstein J
        • Vallone D
        • Post S
        • Nielsen W
        Systematic review of health branding: growth of a promising practice.
        Transl Behav Med. 2014; 5: 24-36
        • Rekhy R
        • McConchie R.
        Promoting consumption of fruit and vegetables for better health. Have campaigns delivered on the goals?.
        Appetite. 2014; 79: 113-123
        • Snyder LB.
        Health communication campaigns and their impact on behavior.
        J Nutr Educ Behav. 2007; 39: S32-S40
        • Institute of Medicine committee on an evidence framework for obesity prevention decision making
        Assembling evidence and informing decisions.
        in: Kumanyika SK Parker L Sim LJ Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making. National Academies Press, Washington, DC2010: 133-155
        • Kumanyika S
        • Brownson RC
        • Cheadle A
        The LEAD framework: using tools from evidence-based public health to address evidence needs for obesity prevention.
        Prev Chronic Dis. 2012; 9: E125
        • Cohen DJ
        • Crabtree BF.
        Evaluative criteria for qualitative research in health care: controversies and recommendations.
        Ann Fam Med. 2008; 6: 331-339
        • Arksey H
        • O'Malley L
        Scoping studies: towards a methodological framework.
        Int J Soc Res Methodol. 2005; 8: 19-32
        • Paez A
        Grey literature: an important resource in systematic reviews.
        J Evid Based Med. 2017; 10: 233-240
        • Barbour RS.
        Checklists for improving rigour in qualitative research: a case of the tail wagging the dog?.
        BMJ. 2001; 322: 1115
        • Bowling A.
        Research Methods in Health: Investigating Health and Health Services.
        McGraw-Hill Education, Berkshire, England2014
        • Boyatzis RE.
        Transforming Qualitative Information: Thematic Analysis and Code Development.
        Thousand Oaks, CA: Sage Publications, 1998
        • Pivonka E
        • Seymour J
        • McKenna J
        • Baxter SD
        • Williams S
        Development of the behaviorally focused Fruits & Veggies—More Matters public health initiative.
        J Am Diet Assoc. 2011; 111: 1570-1577
      4. Schultz EJ. ‘Got Milk’ dropped as national milk industry changes tactics. Ad Age. February 24, 2014. Accessed August 12, 2019.

        • National Academies of Sciences, Engineering, and Medicine
        Food Literacy: How Do Communications and Marketing Impact Consumer Knowledge, Skills, and Behavior? Workshop Summary.
        The National Academies Press, Washington, DC2016
      5. Harris Interactive. “Got milk?” From memorable to motivational. Accessed August 12, 2019.

        • Lin C-F.
        Segmenting customer brand preference: demographic or psychographic.
        J Prod Brand Manag. 2002; 11: 249-268
        • Wootan MG
        • Reger-Nash B
        • Booth-Butterfield S
        • Cooper L
        The cost-effectiveness of 1% or less media campaigns promoting low-fat milk consumption.
        Prev Chronic Dis. 2005; 2: A05
      6. The Nielsen Company. The drink up campaign is improving America's health, one water bottle at a time; 2015. Accessed August 14, 2019.

        • Montgomery AW
        • Dacin PA
        • Dacin MT
        Collective social entrepreneurship: collaboratively shaping social good.
        Bus Ethics. 2012; 111: 375-388
        • Kraak VI
        • Story M.
        Guiding principles and a decision-making framework for stakeholders pursuing healthy food environments.
        Health Aff. 2015; 34: 1972-1978
        • Afshin A
        • Penalvo J
        • Del Gobbo L
        • et al.
        CVD prevention through policy: a review of mass media, food/menu labeling, taxation/subsidies, built environment, school procurement, worksite wellness, and marketing standards to improve diet.
        Curr Cardiol Rep. 2015; 17: 98
        • Wakefield MA
        • Loken B
        • Hornik RC
        Use of mass media campaigns to change health behaviour.
        Lancet. 2010; 376: 1261-1271
        • Guilkey DK
        • Hutchinson P
        • Lance P
        Cost-effectiveness analysis for health communication programs.
        J Health Commun. 2006; 11: 47-67
        • Snyder LB
        • Hamilton MA
        • Mitchell EW
        • Kiwanuka-Tondo J
        • Fleming-Milici F
        • Proctor D
        A meta-analysis of the effect of mediated health communication campaigns on behavior change in the United States.
        J Health Commun. 2004; 9: 71-96
      7. Produce for Better Health Foundation. 2018 Annual Report. Accessed August 24, 2019.