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A Work project presented as part of the requirements for the Award of a Master’s Degree in Management from the Nova School of Business and Economics Healthy Brand Extentions Targeted at Adolescents: Can products encourage healthier eating habits and still be fun? Clara Nobre Braga dos Santos 909 A Project carried out on the Children Consumer Behaviour Fieldlab, with the supervision of: Professor Luísa Agante January 2013
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Healthy Brand Extentions Targeted at Adolescents

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Page 1: Healthy Brand Extentions Targeted at Adolescents

A Work project presented as part of the requirements for the Award of a Master’s

Degree in Management from the Nova School of Business and Economics

Healthy Brand Extentions Targeted at

Adolescents: Can products encourage healthier eating habits and still be fun?

Clara Nobre Braga dos Santos ♯909

A Project carried out on the Children Consumer Behaviour Fieldlab, with the

supervision of:

Professor Luísa Agante

January 2013

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ABSTRACT  

This study aims to understand if launching healthy extensions of brands that have high

acceptance among adolescents could contribute to healthier eating habits. We also

analyzed the impact of this launch on brand image. We conducted a survey with 121

Brazilian teenagers and used the market leader brand to study the hypothesis. Results

showed that brand preference remained very high with the introduction of the new

reduced sugar product, although this caused significant effects regarding brand image.

These effects vary regarding age and gender of the child, and also whether the

adolescent had already engaged in weight control practices.

Key words: Brand extension, Brand image, Health, Adolescents

   

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INDEX  

ABSTRACT  ..................................................................................................................  2  

1.   INTRODUCTION  ...................................................................................................  4  

LITERATURE  REVIEW  AND  HYPOTHESIS  FORMULATION  .............................................  5  1.1   Adolescents’  Relationship  with  Brands  and  Food  .........................................................................  5  1.2   Stages  of  Cognitive  Development  .........................................................................................................  6  1.3   Adolescents’  Relationship  with  Healthy  Eating  and  Diets  .........................................................  7  1.4   Brand  Extensions  .........................................................................................................................................  8  1.5   Adolescents,  Self-­‐Image  and  Dieting  ...................................................................................................  8  

METODOLOGY  .........................................................................................................  10  1.6   Legal  an  Ethical  Issues  ...........................................................................................................................  10  1.7   Research  Method  ......................................................................................................................................  10  1.8   Pre  test  ..........................................................................................................................................................  10  1.9   Sample  ...........................................................................................................................................................  10  1.10   Measurements  .........................................................................................................................................  11  1.10.1   Questionnaire  1:  Brand  Awareness  ...........................................................................................  11  1.10.2   Questionnaire  1  Results  ..................................................................................................................  11  1.10.3   Brand  Preference  ...............................................................................................................................  12  1.10.4   Brand  Image  ........................................................................................................................................  13  

RESULTS  ..................................................................................................................  14  1.11   Sample  ........................................................................................................................................................  14  1.12   Hypothesis testing  ....................................................................................................................................  14  

CONCLUSIONS  .........................................................................................................  19  

LIMITATIONS  AND  FUTURE  RESEARCH  .....................................................................  20  

REFERENCES  ............................................................................................................  20  

APPENDIXES  ............................................................................................................  23    

   

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1. INTRODUCTION  Overweight children and adolescents are a growing concern, with 5% to over 25% of

11 to 13 year old children around the globe being overweight or obese, reaching

epidemic proportions in industrialized and in low and middle-income countries,

especially in urban areas (WHO, 2009,2005).

Nielsen´s 2011 global survey showed that 48% of consumers are trying to lose

weight and one seventh of them are cutting down on fat. The industry is responding to

that reducing sugar from consumer packaged goods (Mintel, 2010).

There is a strong preference in the FMCG market to launch innovations through

extensions, as opposed to new brands (Taylor, 2004). However, failure of extensions is

significantly high (ACNielsen’s 2005). The trend to launch products via extensions can

be explained due to the fact that this transfers to the new product qualities that the brand

already has in the eyes of the consumer (Boush et al., 1987). Adolescents have strong

brand loyalty (Solomon et al., 2006), which makes it even harder for new brands to be

launched towards this specific target. For that reason, when directing healthy products

to adolescents, it makes sense to do so under a brand that already has a good acceptance

with them. Moreover, brand extensions have the advantage of securing trial due to

brand awareness (Swaminathan et al., 2001). On the other hand, acceptance of brand

extensions by adolescents depends on the fit between parent and extension category

(Xin, Liu et al., 2012), making sure the new product fits within the brand’s promise

(Kapferer, 2008), and does not damage its image.

Food targeted to children often has high levels of sugar and fat (Story and French,

2004), and it is necessary to offer products that also appeal to the mother, since they

often act as gatekeepers to the purchase decision (Robertson, 1979). Studies have shown

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that simply stating the benefits of healthy food is not enough to promote its purchase

and consumption (Gary et al, 2007). Mothers struggle with the desire to please their

children, but still providing healthy options (Gary et al, 2007). Products that have a high

appeal to the adolescents while catering to a desire for healthier choices would please

both the child and the parent, and availability of healthier options could influence

children´s purchase (Rexha et al, 2010). Therefore, being able to successfully take

advantage of a high-levered brand and promote consumption of healthier alternatives

could be an encouraging possibility to promote better eating habits among children.

This study aims to understand if reduced sugar brand extensions targeted at

adolescents are able to have the necessary fit with the fun parent brand in order to

generate positive response when it comes to brand preference and brand image, thus

resulting in a successful strategy for product launch.

LITERATURE  REVIEW  AND  HYPOTHESIS  FORMULATION  

1.1 Adolescents’  Relationship  with  Brands  and  Food

Brand loyalty is formed and maintained in the adolescent years and has a

positive relation with age (Moore, Moschies and Stanley, 1984). Flavell (1970)

complements Piaget’s (1972) theory of cognition (which claims that a person’s

cognition is formed during adolescence) by saying that changes that happen in this time

are not merely biological, this being a point in which an individual’s cognitive structure

changes, resulting in the development of brand preference (e.g. Guest, 1944; Fauman,

1966). This strong loyalty creates an entry barrier for other brands (Solomon et al.,

2006). Hence, the advantage of brands with high awareness is even greater when it

comes to targeting adolescents.

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When it comes to taste, adolescents have a very strong and inflexible view of

what is considered “good” or “bad”, the former being often related to unhealthy food

and the later to healthy options (Clifford et al., 2007). Moreover, there is a strong

preference for things that “look good” (Clifford et al., 2007). Having foods that are

already have the appeal (color, consistency, packaging, logo, smell, texture) that

adolescents appreciate, could overcome this aversion to the looks and taste of food that

is seen as healthy. Familiarity also plays an important hole, since preference increases

when consumers are familiar and experienced with a certain object (Bettman et al.,

1998). According to Clifford et al. (2007), when it comes to health concerns,

adolescents see calorie dense foods as “bad for you”, and many define healthy dieting

by the exclusion of these foods. Although they often opt for such foods, they have a

sense of guilt in doing so, and report healthy eating as an intention that is hard to follow

due to their cravings. Moreover, adolescents tend to see themselves as helpless when it

comes to eating healthy, thinking they need aid from parents in order to do so. This

affects their self-image as they see themselves as unable to take charge of a healthier

diet. This leads to our first hypothesis:

H1: When it comes to familiar brands, adolescents will prefer the reduced

sugar version of the breakfast cereal to the regular version.

1.2 Stages  of  Cognitive  Development  

Teenagers have already been through the analytical stage of consumer

socialization, which takes place between 7 and 11 years old. In this stage, they learn

how to analyze products and brands in more than one dimension, being able to take into

account multiple features. The decision making process becomes more complex, with

the ability to develop cause and effect relationships. From 11 to 16 years old, children

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develop those characteristics even further, in the reflexive stage, in which more detailed

consideration of a product’s performance attributes are taken (John, 1999). This leads to

our second hypothesis:

H2: Low fat/sugar products will be more appealing to older children.

1.3 Adolescents’  Relationship  with  Healthy  Eating  and  Diets  

Adolescents struggle with their body image, having an ideal image of being thin

and even ostracizing the ones who do not fit into this profile. This is a concern common

to both genders; however, it is stronger of teenage girls (Clifford et al., 2007).

Adolescents have, typically, a lack of urgency when it comes to their health

(Neumark-Sztainer et al., 1999), and they point overweight as a reason to start eating

more healthily, since they value more the short-term benefit of being thin than the long

term one of being healthy (Clifford et al., 2007).

Researches indicate that adolescents consume a significant amount of light

products, and many of them are or have been in some sort of diet. A study conducted by

the University of Minnesota showed that, among the adolescents studied, half of the

females and one fourth of the males claimed to be in some sort of diet in the previous

year (Neumark-Sztainer et al., 1999). Moreover, research shows that women consume

more light and low sugar products, and they do so more frequently (Flaczyk et al.,

2006).

According to the Gender Intensification Theory (e.g. Hill and Lynch, 1982;

Archer, 1989), after puberty, the physical differences that are highlighted between boys

and girls trigger a pressure on adolescents to depict higher gender-specific behavior. As

adolescents mature, girls show an increasing concern with personal attractiveness (e.g.

Elliot, 1988; Gavin and Furmin, 1989). This persist until adult life, when women are

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more dissatisfied and more concerned about their physical appearance than men

(Frederick et al., 2006), showing more anxiety related to feelings of attractiveness and

satisfaction with their body (Kamps and Bermam, 2011). This leads to the next

hypothesis:

H3: Girls will be more receptive than boys when it comes to healthier

versions of known products.

H3.1: The gender gap increases with age.

1.4 Brand  Extensions  

An easier and cheaper way of launching new products into the market is through

brand extensions, since this saves the need to create awareness from scratch. It is also a

safe option since failures in brand extensions are usually forgotten with little or no harm

to the parent brand (Kapferer, 2008). Extensions failure is usually due to a lack of

understanding of the parent brand, and what it stands for, creating an over-stretch (Haig,

2003).

Taking into account that healthy brand extensions of fun parent brands keep the

fun appeal in their marketing and communication campaigns, the next hypothesis is:

H4: Launching a healthy(er) version of a product from a certain brand will

not damage its brand image.

1.5 Adolescents,  Self-­‐Image  and  Dieting  

In modern society, thinness is constantly emphasized, and this results in children

being more and more concerned about body image at a young age (Dennison and

Shepherd, 1995; Fox et al., 1994). Disordered eating behaviors such as extreme dieting,

binge eating and vomiting are reported even for non-overweight adolescents (Neumark-

Sztainer et al., 1998). The strongest predictor of disorder eating behavior is body image

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(Neumark-Sztainer, Butler and Palti, 1995), which plays an important role in

adolescence (WHO, 2005). Many researches have tried to explain this link and the best

explanation that can be drawn from available data is based upon sociocultural factors

(Heinberg, Wood and Thompson, 1996), since, with increased availability of food, there

has been a shift in the beauty ideal from the time in which fatness was a sign of

prosperity (Brown and Bentley-Condit, 1998) to nowadays, when being thin is the new

ideal body status (Popkin et al., 1993). Adolescents are especially vulnerable to the

influence of peers, mass media, and social and cultural norms (Johnston and Haddad,

1996), and it is known that unnecessary or frequent dieting are risk factors for eating

disorders (French, Story and Perry, 1995). For that reason, it is important to know if the

launch and promotion of reduced sugar or reduced fat products might encourage

extreme dieting behavior. This leads to the fifth hypothesis:

H5: Preference for reduced sugar products will be higher for adolescents

who adopt weight control practices

H5.1: Preference for reduced sugar products is more strongly

associated with adoption of unhealthy weight control practices than

with healthy ones

If there is an association between unhealthy diet practices and the pursuit of

reduced sugar products, regulations to protect adolescents and discourage unnecessary

dieting would be necessary.

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METODOLOGY  

1.6 Legal  an  Ethical  Issues  

In order to respect ethical requirements, the guidelines from UNICEF (2002) were

used. It was required permission from parents and from the schools. Confidentiality

was guaranteed and the academic purpose of the study was explained to parents and

adolescents. We explained to adolescents that there were no right or wrong answers and

that they could decide to participate or not despite of parent’s authorization.

1.7 Research  Method  

This study aims to find numerical evidence for the proposed hypothesis,

measuring brand image and brand preference. For that reason, quantitative research

(questionnaires) was used. Qualitative research should be used in further studies, if the

goal is to understand the reason for certain behavior (Malhotra et al., 2007). The

questionnaires were applied in two private schools in Brazil, one in the city of

Contagem and the other in the city of Vespasiano. The study was conducted in two

steps so each child answered two questionnaires.

1.8 Pre  test  

A pre test with 8 children was done, in order to see if there were any problems in

understanding the questions. There were no difficulties, so we proceeded to apply the

questionnaires to the sample.

1.9 Sample  

Our sample was a group of children between 11-14 years old. These children are

already in the reflective stage of cognitive development (John, 1999), being apt to

understand the advantages and disadvantages of products, making weighed choices

based on what they value the most.

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A total of 121 parent´s authorizations were received, so 121 questionnaires were

applied to the children, 61 to the experimental group and 30 to the control group.

Regarding the parent´s questionnaires (see appendix I), 120 were answered.

1.10 Measurements    

This first questionnaire to children had the aim to measure brand awareness

(recall and recognition). The second questionnaire accessed brand preference and brand

image. We also used variables related to the adolescent’s concern with health and

healthy eating (see appendixes III and IV). We also included a questionnaire to parents,

to understand better the sample (see appendix I). First, they were asked about education

level, in order to access social class. Then they were asked which breakfast cereal their

children often consumed, to evaluate the frequency of consumption and relate to the

awareness levels. The last question evaluated how often they talked to their children

about healthy eating (McLeod, 2008) on a 5-point Likert scale, in order to see if the

children were coming from households that valued healthy habits.

1.10.1 Questionnaire  1:  Brand  Awareness    

In order to know which brand to be used on questionnaire 2, the first

questionnaire aimed at accessing wich were the “known” and “unknown” brands. First,

adolescents were asked to write all brands of cereal that they could think of, in order to

test recall. Further, they were asked to mark which cereals they knew from a list of nine

options, to test recognition. Pictures were provided at this stage, since often brand

awareness cannot be separated from its symbols and imagery (Aaker, 1996).

1.10.2 Questionnaire  1  Results  

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A total number of 121 questionnaires were applied, to children between 11 and

14 years of age. The brands Chocapic and Zadimel had the lowest scores in brand

awareness (both recall and recognition) Chocapic presented 0% recall and 4,9%

recognition, whereas Zadimel had 0% recall and 0% recognition. The brand that had the

highest awareness levels was Sucrilhos, with recall of 90,2% and recognition of 100%.

Thus being the brand used to test the hypothesis.

In order to test preference and brand image for the reduced sugar

version of the known brand, a package for the reduced sugar version of

Sucrilhos was created. It was inspired by the packaging of the brand

Frosties 1 Reduced Sugar, which is already commercialized in some

countries such as the UK and Portugal (see Figure 1) The reduced sugar

product used is not real, but a simulation of a packaging created in order to

conduct this research (see appendix III; Q1, Q2).

1.10.3 Brand  Preference  

Brand preference, in this case, was considered the extension to which customers

prefer a certain brand to other brands of breakfast cereal. In order to do so, adolescents

were asked to rate their preference for four different cereal brands, ordering them from

most to least preferred brand, being 1 the most preferred brand and 4 the least preferred

one.

The experimental group was presented with four cereal options, one of them was

Sucrilhos Reduced Sugar and the other three were regular versions of other cereals

(Chocapic, Zadimel and Cornflakes). The control group had the same options, except

that they were presented with the regular version of Sucrilhos, instead of the Reduced

                                                                                                               1  Frosties is the name of Sucrilhos in countries such as The United States, United Kingdom, Portugal and France  

Figure  1  Frosties  Reduced  Sugar  Packaging

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Sugar option, as can be seen in the questionnaires for both groups (appendix II and III).

To see which brands were the most and the least preferred, we computed preference

means for the brands presented individually for each child. To compare the preference

for the regular or the reduced sugar version we compared the mean for the control

versus the experimental group as a whole and per subgroup, according to each

hypothesis (age, gender, weight control measures).

1.10.4 Brand  Image  

Brand image can be defined as a consumer’s perception of a brand and can be

measured by the associations made in consumer’s minds (Chandon, 2004). In order to

measure the strength of attributes regarding a certain brand, children were asked to

answer four questions using a 5-point Likert scale (1 being strongly disagree and 5

being strongly agree), saying how much they agreed with certain statements regarding

the brand (McLeod, 2008). The experimental groups were asked to answer those

questions about the line composed by Sucrilhos Reduced Sugar and regular Sucrilhos.

The control group was presented only with the regular version. The purpose was to

access brand image for the regular version of the brand, and then compare with brand

image of the line (regular version plus reduced sugar version). By doing so, it was

possible to see whether or not the group of students who were exposed to healthier

versions of the brand would rate it lower, that is, if the launch of the Reduced Sugar

version would damage brand image.

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RESULTS  

1.11 Sample    

The questionnaires of the parents were analyzed in order to understand better the

sample. 120 valid questionnaires were received from parents. Most parents had an

education level between 9th and 12th year (26% and 34%, respectively), although there is

a high percentage of parents (22%) with a degree of some sort. When asked which

brand of breakfast cereal their children usually consumed, Sucrilhos was the most

mentioned brand (64%), followed by Nescau (24%), Cornflakes (6%) and finally,

Nesquick (4%). This corroborated the results of the brand awareness questionnaire 1

from children. Since Sucrilhos was the most consumed brand, it makes sense that it had

high awareness. Finally, when asked how frequently parents talked to their children

about health, most of the parents indicated to do it either “Frequently” (70%) or “Very

Frequently” (17%), which may indicate that this is a common subject on the

respondents homes or that parents may have felt compelled to answer positively due to

a social desirability bias (Podsakoff et al., 2003).

Our children sample was composed of 121 children, 54% girls and 46% boys. In

terms of gender distribution in the control and experimental groups, it was

homogeneous, as proved by a Chi-Square test (p=.239).

1.12 Hypothesis  testing  

In order to test the hypothesis presented, the two groups (experimental and

control) were divided into 4 subgroups. The experimental group was divided into

subgroup 1 (composed of younger children) and subgroup 2 (composed of older

children). The control group was divided into subgroup 3 (composed of younger

children) and subgroup 4 (composed of older children).

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Hypothesis H1 claimed that adolescents would prefer the reduced sugar version

of Sucrilhos to its regular version. To test that, an independent sample T-Test was

conducted, comparing the preference means for the experimental group (mean = 1.31)

versus the control group (mean = 1.32). A p value of .816 was found, which means that

are no statistical differences for mean preference of the reduced sugar versus the regular

version, indicating that H1 should be rejected.

We also divided the preference ratings into high (when the brand was placed in

the first position) versus medium-low (when the brand was placed in positions 2, 3 or

4), and conducted a Chi Square test, (p=.871), which confirmed the results.

The second hypothesis H2 predicted that older children would be more receptive

of the reduced sugar brand. In order to test that, mean preference for all the subgroups

was calculated. Subgroup 1 had a mean preference for Sucrilhos of 1.23, Subgroup 2

had a mean of 1.40, Subgroup 3 had a 1.40 mean preference and Subgroup 4 mean was

1.23. In the case of the older group, the means are contrary to our expectations, with

children preferring the normal version to the reduced sugar version.

We analyzed these differences in the same way as we did for H1. Our results

indicate the means difference to be significant for younger children (T-Test: p=.031, χ2:

p=.334) at a 5% significance level, and for older children (T-Test: p=.091, χ2: p=.222) at

a 10% significance level. Therefore, H2 is rejected since it is younger children who

prefer the reduced sugar version. It is important to highlight that the T-Test takes into

account all the preference options (first, second, third and fourth position), whereas the

Chi-Square only compares high preference (first position) versus medium-low (second,

third and fourth positions together), and we can see that the Chi-Square did not accuse

significant change in preference.

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Hypothesis H3 predicted that girls would be more receptive of the reduced sugar

brand than boys. Table 1 presents the means obtained for each gender, as well as the p

values obtained for the T-Tests and Chi-Square tests conducted. As we can see, for both

genders the mean preference for the reduced sugar version is lower than the normal

version, but since these differences are non-significant, we can conclude that there is no

effect for both genders, and, therefore, we can reject H3.

Table 1: Comparison between experimental and control preference levels for each gender

For hypothesis H4, in order to test the fit between the reduced sugar version

with the brand’s image, students were asked to rate four statements about the brand. The

means for each variable rating were compared for the experimental group (in which the

entire line, reduced sugar and regular versions were presented) and for the control group

(in which just the regular version was presented). In order to do so, a series of

independent T-Tests was conducted. The results are summarized in Table 2 and indicate

that there is a significant difference in the ratings given for the brand in the

experimental group and in the control group for all of the attributes tested. That means

that a reduced sugar version affects the brand image of Sucrilhos, so H4 is rejected.

Table 2 T-Test of brand image between control and experimental groups

The test was then repeated, taking into account the impact the reduced sugar

version would have on brand image regarding age and gender differences. Tables 4 and

5 summarize the results. It is possible to see that both girls and boys see the brand

Mean%Experimental% Mean%Control% T1Test

how%many%rated%high%preference%

control

how%many%rated%high%preference%experimental

Chi1Square

Females 1.36 1.38 p=.764 (21)-72% 26-(72%) p=.986Males 1.24 1.26 p=.748 (25)-81% 20-(80%) p=.952

Affirmation Mean,Experimental Mean,Control p2value Accept,H4?

4.90

4.90

4.90

4.90

I&like&it 4.98 .000 No

I&would&buy&it 4.97 .004 No

The&cereals&are&fun 4.98 .000 No

The&cereals&are&tasty 4.98 .000 No

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image affected by the launch of a reduced sugar product. Purchase intention, however,

was not altered for the girls. Regarding age, the launch has no impact for younger

children at all, but has a strong impact on older children in all attributes tested.

Table 3- T-Test between experimental and control brand image attributes according to gender

Table 4 T-Test between experimental and control brand image attributes according to age

Hypothesis H5 predicted that children that already adopt some sort of weight

control measure would be more inclined to have a higher preference for the reduced

sugar version. Only 24% of our sample confirmed to have adopted some of these

practices in the past. Weight control practices considered were: dieting (8.3%), eating

less sugar in order to lose weight (22.3%), skipping meals in order to lose weight (0%),

and others (19%).

In order to test this Hypothesis, the sample was divided into children who had

adopted weight control measures and children who had not. Within both groups we

conducted T-Tests and Chi-Square tests between the control and the experimental

groups. Results suggest that there are no significant differences on all groups (Table 5),

and, therefore, H5 is rejected.

Mean%Experimental Mean%Control p0value Mean%Experimental Mean%Control p0value

4.89

4.89

4.89

4.89

p=.001

I%would%buy%it 4.93 p=.247 4.92 5.00 p=.001

I%like%it 4.97 p=.019 4.92 5.00

p=.001

The%cereals%are%tasty 4.97 p=.019 4.92 5.00 p=.001

The%cereals%are%fun 4.97 p=.019 4.92 5.00

AffirmationFemales Males

Mean%Experimental Mean%Control p0value Mean%Experimental Mean%Control p0value

p=.000

4.87

4.87

4.87

4.87I%would%buy%it 4.94 4.93 p=.947 5.00

p=.000

I%like%it 4.94 4.97 p=.226 5.00 p=.000

The%cereals%are%tasty 4.94 4.97 p=.226 5.00

AffirmationYounger Older

The%cereals%are%fun 4.94 4.97 p=.226 5.00 p=.000

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Table 5: Results for preference between children who have and have not adopted weight control measure

We also tested if brand image varied according to adoption of weight control

practices. In order to do that, an Independent Variable T-Test was conducted,

comparing brand attributes rating for experimental versus control groups, for children

who adopted weight control measures and for children who did not adopt them (Table

6). Results suggest that, for children who adopt weight control measures, the reduced

sugar version diminishes the “fun” aspect of the brand. However, it does not affect other

attributes studied. Among the group who did not adopt weight control measures the

impact on brand image is stronger, with the reduced sugar version significantly

impacting all attributes studied.

Table 6: T-Test between Experimental and Control Brand Image Attributes according to adoption of weight control measures

Hypothesis H5.1 could not be tested because none of the adolescents claimed

to have taken unhealthy measures in other to lose weight (only healthy measures such as

exercise and eating fewer sweets were reported). This could be due to the fact that, even

though anonymity was guaranteed, unhealthy eating habits are associated with eating

disorders, which are a sensitive issue. Therefore, such questions are subject to omission

by interviewees (Brener et al, 2003), due to its sensitive nature.

Mean%Experimental Mean%Control T1Test Chi1SquareAdoption%of%weight%control%measures 1.36 1.29 p=.830 p=.466

No%adoption%of%weight%control%measures 1.28 1.32 p=.510- p=.872

Mean%Experimental Mean%Control p0value Mean%Experimental Mean%Control p0value

p=.007

p=.000

p=.000

p=.007

4.92

4.92

4.92

4.98

5.00

5.00

4.98

5.00

4.86

4.86

4.86

p=.023

p=.934

p=.934

p=.934

Adoption%of%weight%control%measures No%adoption%of%weight%control%measuresAffirmation

The%cereals%are%fun

The%cereals%are%tasty

I%like%it

4.86

4.86

4.86

4.92

I%would%buy%it 4.86

Page 19: Healthy Brand Extentions Targeted at Adolescents

  19  

CONCLUSIONS  

The findings of this study revealed that the reduced sugar version had a very

high acceptance, as high as the regular version, among adolescents from 11 to 14 years

old, with disregard of gender. When it comes to age, older children had high preference

for both versions, despite having a higher mean preference for the regular version.

Younger children, however, had a higher mean preference for the reduced sugar

version, still having high preference for both versions. A reflection of this age

differences can be seen when analyzing brand image. For older children, the launch of

the reduced sugar version had an impact on brand image, reducing the positive

responses the brand elicits. To younger children, however, there was no impact on

brand image due to the launch of the reduced sugar version. This suggests that the

product could be more successful if targeted to younger adolescents.

It was also possible to see that the reduced sugar version did not have a higher

preference among children who usually adopt weight control measures, leading to the

conclusion that launching and marketing such products to this target would not take

advantage of children who are more concerned with weight control nor particularly

encourage such concerns. Due to its universal acceptance (even when preference and

image were affected, they still remained very high) to different ages, genders and

behaviors (concerned and not concerned with weight and/or health), making these

products available would appeal to a broad audience and could benefit a lot of

adolescents.

This possibility should, therefore, be considered, since it can encourage healthier

eating, by making products like this available while taking advantage of a high

acceptance of the brand by this target. However, it is important to see if the parent brand

Page 20: Healthy Brand Extentions Targeted at Adolescents

  20  

is strong enough, as it is the case of Sucrilhos, to be able to sustain high preference and

positive brand image even with the impacts that the launch of a reduced sugar version

can bring.

LIMITATIONS  AND  FUTURE  RESEARCH  

Since eating disorders are a sensitive issue, it is possible that it was not

accurately reported in the questionnaires (Rosen & Poplawski, 1987). For this reason,

we suggest further research to conduct a deeper analysis, built with help of doctors and

psychologists and using more detailed methods that would be able to perceive more

accurately which children are prone to developing eating disorders.

Moreover, this study should be conducted with different brands that do not have

such strong image, preference and/or awareness in the market, in order to test if the

results would vary.

Lastly, we could see that the sample was mostly composed by children whose

parents have high levels of education, so a broader social background would be desired

in order to have a better representation of the population.

REFERENCES  

• Aaker, D. A. 1996. “Measuring Brand Equity Across Products and Markets.” California Management Review, 38(Spring): 102-120. • Archer, S. 1989. “The Status of Identity: Reflections on the Need for Intervention.” Journal of Adolescence, 12: 345 – 359. • Bettman, J.R., Luce, M.F., Payne, J.W. 1998. "Constructive Consumer Choice Processes", Journal of Consumer Research, 25(3):187-217. • Boush, DM. & Loken, B. 1991. "A Process-Tracing Study of Brand Extension Evaluation", Journal of Marketing Research, 28 (February): 16-28. • Brown, P; Bentley-Condit UK. 1998. “Culture, evolution and obesity”. In Handbook of obesity ed Bray GA, Bouchard C, James WPT, 143-55. New-York: Marcel Dekker. • Brener N.D., Billy J.O.D., Grady W.R. 2003. “Assessment of Factors Affecting the Validity of Self-Reported Health-Risk Behavior Among Adolescents: Evidence From the Scientific Literature”, Journal of Adolescent Health, 33 (December): 496-503.

Page 21: Healthy Brand Extentions Targeted at Adolescents

  21  

• Chandon, P. 2004. “Note on brand Audit: How to Measure Brand Awareness, Brand Image, Brand Equity and Brand Value”, INSEAD • Dennison, CM; Shepherd, R. 1995. “Adolescent Food Choice: an Application of the Theory of Planned Behaviour.” Journal Human Nutrition Dietetics, 8:9-23. • Flaczyk, E; Kobus, J & Korczak, J. 2006. “Assessment of Consumption of “ Light Food by Students”, ACTA Scientiarum Polonorum Technologia Alimentaria, 5(1): 173-181. • Fox, KR; Page, A; Peters, DM et al. 1994. “Dietary restraint and fatness in early adolescent girls and boys.” Journal of Adolescence, 17:149 • Fraser, K & Eccles, J. 1995. “Sex, hopes and fears: Gender Differences in Adolescents’ Possible Selves” Youth and Society, 31(3): 187-309. • French, SA; Story, M; Perry, CL. 1995. “Self-esteem and obesity in children and adolescents: a literature review.” Obesity Research, 3:479-90 • Hellier, P.K.; Geursen, G.M.; Carr, R.A.; and Rickard, J.A. 2000. “Customer repurchase intention: A general structural equation model.” European Journal of Marketing, 37 (11/12): 1762-1800 • John, D. R.1999. "Consumer Socialization of Children: A Retrospective Look at Twenty-Five Years of Research". Journal of Consumer Research, 26(3): 183-213 • Johnston, PK; Haddad, EH. 1996 “Vegetarian and other dietary practices.” In: Adolescent Nutrition– Assessment and management, ed Rickert VI, 57-88. New York: Chapman & Hall Inc, • Haig, Matt. 2003. Brand Failures: The Truth About the 100 Biggest Branding Mistakes of All Time,London: Kogan Paige • Heinberg, LJ; Wood, KC; Thompson, JK. 1996. “Body image.” In: Adolescent Nutrition – Assessment and management. Ed Rickert VI, 136-156. New York: Chapman & Hall Inc. • Kamps, C. and Bermam, S. 2011 “Body image and identity formation: the role of identity distress”. Revista Latinoamericana de Psicología 43(2):267-277 • Kapferer, J. 2008. The New Strategic Brand Management: Creating and Sustaining Brand Equity Long Term, Fourth Edition, London: Kogan Page • Malhotra, NK. & Birks, D. 2003. Marketing Research – an applied approach. London: Prentice Hall. • McLeod, S. A. 2008. Likert Scale Retrieved from www.simplypsychology.org/likert-scale.html • Moschis, GP.; Moore, RL.; Stanley, TJ. 1984. “An Exploratory Study of Brand Loyalty Development”. Advances in Consumer Research, 11: 412-417. • Neumark-Sztainer, D; Story, M; Perry, C; Casey, M. 1999. “Factors Influencing Food Choices of Adolescents: Findings from Focus-Group Discussions with Adolescents” Journal of the American Dietetic Association, 99 (8):929-937. • Neumark-Sztainer, D; Butler, R; Palti, H. 1995. “Eating disturbances among adolescent girls: evaluation of a school-based primary prevention program.” Journal Nutrition Education, 27:24-31. • Noble, G; Stead, M; Jones, S; McDermott, L; McVie, D. 2007 “The paradoxical food buying behaviour of parents: Insights from the UK and Australia.”, British Food Journal, 109 (5): 387-398. • Podsakoff, PM.; MacKenzie, SB.; Jeong-Yeon, L. 2003 “Common Method Biases in Behavioral Research: A Critical Review of the Literature and Recommended Remedies.” Journal of Applied Psychology, 88(5): 879-203. • Popkin, BM; Keyou, G; Zhai, F; et al. 1993 “The nutrition transition in China: a cross-sectional analysis.” European Journal of Clinical Nutrition, 47: 333-46.

Page 22: Healthy Brand Extentions Targeted at Adolescents

  22  

• Rexha, D; Mizerki, K; Mizerki, D. 2010. “The Effect of Availability, Point of Purchase Advertising and Sampling on Children´s First Independent Food Purchases” Journal of Promotional Management, 16(1): 148 – 166. • Rosen, JC & Poplawski, D. 1987. “The validity of self-reported weight loss and weight gain efforts in adolescents.” International Journal of Eating Disorders, 6:515–23. • Robertson, TS. 1979. "Parental Mediation of Television Advertising Effects," Journal of Communication, 29 (Winter), 12-25. • Seyama, W. 2006. “Factors of Successful Brand Extensions in the FMCG Industry” MBA dissertation, University of Pretoria, Pretoria, viewed 12/10/20: http://upetd.up.ac.za/thesis/available/etd-04012010-113445. • Solomon, M; Bamossy, G; Askegaard, S; Hogg, MK. 2006. Consumer Behavior, A European Perspective, Third Edition, Essex:Prentice Hall. • Srull, T. K. 1984. “Methodological techniques for the study of person memory and social cognition.” In Handbook of social cognition Vol 2, ed. R. S. Wyer & T. K. Srull, 1-72. Hillsdale NJ: Erlbaum Associates. • Stevenson, C; Doherty, G; Barnett, J; Muldoon, OT; Trew, K. 2007. “Adolescents’ views of food and eating: Identifying barriers to healthy eating”. Journal of Adolescence, 30: 417-434. • Story, M & French, SF. 2004. “Food Advertising and Marketing Directed at Children and Adolescents in the US.” International Journal of Behavioral Nutrition and Physical Activity; 1: 3. • Taylor, D. 2004. Brand Stretch: Why 1 in 2 Extensions Fail, and How to Beat the Odds. West Sussex: John Wiley & Sons Ltd • Vanitha, S; Richard, JF; Srinivas, KR. 2001. “The Impact of Brand Extension Introduction on Choice.” Journal of Marketing, 65(4): 1-15. • Ward, S. 1974. “Consumer Socialization” Journal of Consumer Research, 1(2): 1-14. • World Health Organization. 2009. “Prevelance of Overweight and Obesity in Children and Adolescents.” Fact Sheet 2.3 December. • World Health Organization. 2005. “Issues and challenges for the health sector : issues in adolescent health and development”, WHO Press Nutrition in adolescence . • Xin, L & Jing, H. 2012. “Adolescent Evaluations of Brand Extensions: The Influence of Reference Group.” Psychology & Marketing Journal, 29(2): 98-106. Websites: • World Health Organization. Global strategy on diet, physical activity, and health: childhood overweight and obesity. Accessed September 10, 2012. • Mintel.com Accessed November 28, 2012.    

Page 23: Healthy Brand Extentions Targeted at Adolescents

  23  

APPENDIXES      I. Parent’s  Authorization  Form  and  Questionnaire  

       

Cla

ra N

obre

Bra

ga d

os S

anto

s, A

luna

de

Mes

trado

em

Ges

tão

N

ova

Scho

ol o

f Bus

ines

s an

d Ec

onom

ics

Con

tact

os: 9

1 28

6 68

73

– cl

aran

bs@

gmai

l.com

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Que

stio

nári

o R

espo

nsáv

el

1.

Indiqu

e*suas*hab

ilitações*literária

s*

□**Sem

*estud

os*

*□*

12º*An

o*(Ensino*Secund

ário)*

□*4º*Ano

*(Ensino*Prim

ário)*

□*Ba

charelad

o/Licenciatura*

□*9º*Ano

*(Ensino*Bá

sico)*

□*Pó

s*Gradu

ação

*

2. Qua

is*cereais*m

atinais*s

eu*filho*costum

a*consum

ir?*(p

ode*indicar*m

ais*d

o*qu

e*um

a*marca*e,*se*for*e

sse*

o*caso,*coloq

ueNas*p

or*ordem

*decrescen

te*de*consum

o,*desde

*aqu

ela*qu

e*o(a)*se

u(sua)*filho(a)*

consom

e*mais*p

ara*as*que

*con

some*men

os)*

* * *

3. Co

m*que

*freq

uência*costuma*conversar*c

om*se

u*filho

*sobre*alim

entação*saud

ável?**

*

1*2*

3*4*

5*

Muito*Frequ

entemen

te*

Freq

uentem

ente*

Ocasio

nalm

ente*

Raramen

te*

Nun

ca*

*

Obrigad

a*pe

la*su

a*colabo

ração!*

Cla

ra N

obre

Bra

ga d

os S

anto

s, A

luna

de

Mes

trado

em

Ges

tão

N

ova

Scho

ol o

f Bus

ines

s and

Eco

nom

ics

Con

tact

os: 9

1 28

6 68

73

– cl

aran

bs@

gmai

l.com

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

A

ssun

to: P

edid

o de

aut

oriz

ação

par

a ed

ucan

do p

artic

ipar

em

est

udo

sobr

e la

nçam

ento

de

exte

nsõe

s de

linha

de

prod

utos

“sa

udáv

eis”

(com

teor

redu

zido

de

açúc

ares

). __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

__

Exm

o. S

r. Pa

i ou

Res

pons

ável

, So

u al

una

do M

estra

do e

m G

estã

o da

Uni

vers

idad

e N

ova

de L

isbo

a e

esto

u fa

zend

o m

inha

tese

na

área

de

com

porta

men

to d

o co

nsum

idor

inf

antil

. Pa

ra t

al,

esto

u es

tuda

ndo

a re

laçã

o do

s ad

oles

cent

es c

om

exte

nsõe

s de

linh

a sa

udáv

eis,

cara

cter

izad

os n

o m

eu e

stud

o po

r ver

sões

com

açú

car r

eduz

ido

de p

rodu

tos

já c

onhe

cido

s. O

est

udo

visa

por

um

lado

per

cebe

r de

que

for

ma

as m

arca

s po

dem

intro

duzi

r pr

odut

os

mai

s sa

udáv

eis

na s

ua g

ama

de p

rodu

tos;

e c

omo

isso

é v

alor

izad

o pe

los

adol

esce

ntes

ou

se,

pelo

co

ntrá

rio, v

ai p

rom

over

mai

ores

obs

essõ

es c

om o

con

trolo

de

peso

(um

a te

ndên

cia

rece

nte

e pr

eocu

pant

e na

ado

lesc

ênci

a). A

s co

nclu

sões

da

tese

ser

ão m

uito

im

porta

ntes

que

r em

ter

mos

de

ente

nder

o q

ue é

ét

ico

e re

com

endá

vel,

bem

com

o se

é n

eces

sário

int

rodu

zir

algu

ma

legi

slaç

ão q

ue v

ise

a pr

oteç

ão d

a sa

úde

públ

ica.

N

eces

sita

va q

ue o

(a)

seu

filho

(a)

resp

onde

sse

a um

peq

ueno

que

stio

nário

com

qu

estõ

es r

elac

iona

das

a ce

reai

s m

atin

ais

e al

imen

taçã

o sa

udáv

el,

assi

m c

omo

sobr

e a

sua

opin

ião

sobr

e os

tem

as d

e sa

úde

e co

ntro

le d

e pe

so. T

udo

isto

dem

orar

á ce

rca

de 2

0 m

inut

os, s

erá

feito

na

esco

la e

coo

rden

ado

com

as

aula

s. Pr

ecis

o ai

nda

de a

lgum

as i

nfor

maç

ões

pess

oais

sua

s, a

sere

m d

adas

no

ques

tioná

rio q

ue e

nvio

ab

aixo

. O

s da

dos

reco

lhid

os s

erão

ana

lisad

os p

or m

im e

a s

ua c

onfid

enci

alid

ade

é to

tal,

send

o ap

enas

pub

licad

os

na te

se o

s re

sulta

dos

do e

stud

o se

m a

ref

erên

cia

aos

dado

s do

s al

unos

e s

em a

iden

tific

ação

da

esco

la

onde

o e

stud

o fo

i rea

lizad

o (a

pena

s se

rá m

enci

onad

o a

cida

de e

o ti

po d

e es

cola

, púb

lica

ou p

rivad

a). O

s re

sulta

dos

do e

stud

o se

rão

envi

ados

par

a a

esco

la, p

oden

do s

er c

onsu

ltado

s po

r tod

os o

s en

carr

egad

os d

e ed

ucaç

ão. D

esde

já a

grad

eço

a su

a co

oper

ação

. C

om o

s mel

hore

s cum

prim

ento

s,

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

----

A

utor

izo

o(a)

alu

no(a

)___

____

____

____

____

____

____

____

____

____

____

____

_ do

___

__ º

ano,

turm

a __

___

a pa

rtici

par n

este

est

udo.

____

____

____

____

____

__, _

____

_ de

___

____

____

____

_ de

201

2

____

____

____

____

____

____

____

____

____

__

Assin

atura)do

)encarregado

)de)ed

ucação

)) )

Page 24: Healthy Brand Extentions Targeted at Adolescents

  24  

II. Children´s  Questionnaire  1:  Awareness  Test    

         

!1!

! Clara!Nobre!Braga!dos!Santos!

! Aluna!de!Mestrado!na!Nova!School!of!Business!and!

Econom

ics!

! _____________________________________________________________________________________________________!

Olá!!!

! Estou!fazendo!um

!estudo!para!o!meu!Mestrado!em

!Gestão!e!gostava!de!te!fazer!algumas!

questões,!algum

as!relacionadas!com!cereais!matinais!e!outras!com

!sua!preocupação!com

!saúde!e!peso.!Apenas!preencha!o!questionário!se!quiser.!As!respostas!são!confidenciais!e!

o!questionário!é!anônimo.!Preencha!um

a!página!de!cada!vez,!e,!depois!de!responder!a!

uma!pergunta,!não!volte!a!ela.!Não!há!respostas!certas!e!erradas!!

! !A!sua!opinião!é!im

portante!!!

! Obrigada,!

! Clara!Nobre!!

_____________________________________________________________________________________________________!

!Inform

ações,Pessoais,

! ! Idade:!_____________________________________!

! Sexo:!______________________________________!

! !Questionário,

,1.Cereais,

! 1.!Liste!as!marcas!de!cereais!matinais!que!você!conhece!(escreva!todas!que!se!lembrar):!

!!

!2!

2.!Das!m

arcas!de!cereais!ma

tinais!abaixo,!circule!as!qu

e!você!conhece:!

! ! ! ! !

!!

!

!!

!

!!

!! ! ! !

Page 25: Healthy Brand Extentions Targeted at Adolescents

  25  

III. Children´s  Questionnaire  2:  Hypothesis  Testing  –  Experimental  Group  

     

!1!

! Clara!Nobre!Braga!dos!Santos!

! Aluna!de!Mestrado!na!Nova!School!of!Business!and!

Econom

ics!

! _____________________________________________________________________________________________________!

Olá!!!

! Estou!fazendo!um

!estudo!para!o!meu!Mestrado!em

!Gestão!e!gostava!de!te!fazer!algumas!

questões,!algum

as!relacionadas!com!cereais!matinais!e!outras!com

!sua!preocupação!com

!saúde!e!peso.!Apenas!preencha!o!questionário!se!quiser.!As!respostas!são!confidenciais!e!

o!questionário!é!anônimo.!Preencha!um

a!página!de!cada!vez,!e,!depois!de!responder!a!

uma!pergunta,!não!volte!a!ela.!Não!há!respostas!certas!e!erradas!!

! !A!sua!opinião!é!im

portante!!!

! Obrigada,!

! Clara!Nobre!!

_____________________________________________________________________________________________________!

!Inform

ações,Pessoais,

! ! Idade:!_____________________________________!

! Sexo:!______________________________________!

! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

!2!

1!Ao!chegar!ao!superme

rcado,!você!vê!os!cereais!abaixo.!Alguns!você!já!conhece,!outros!

são!produtos!novos!no!me

rcado.!Dos!cereais!apresentad

os!abaixo,!indiqu

e!a!sua!

preferência,!escrevendo!no!nú

mero!1!(o!qu

e!mais!preferiria!comp

rar)!ao!4!(o!qu

e!menos!

preferiria!comp

rar):!

!

!!

! !! 1!(o!que!eu!mais!prefiro)!___________________________________________________!

2!______________________________________________________________________________!

3!______________________________________________________________________________!

4!(o!que!eu!menos!prefiro)!_________________________________________________!

!!

Page 26: Healthy Brand Extentions Targeted at Adolescents

  26  

           

!3!

2.!Em

!relação!a!ma

rca!SUCRILHOS,!apresentad

a!abaixo,!você!a!conside

ra:!

! !

! ! ! ! !!

!

!

!Concordo!Muito!

!

Concordo! !

Não!Sei! !

!! !

Não!Concordo! !

Não!Concordo!

Nada!

!

São!divertidos! !

!!

!!

!

São!Saborosos! !

!!

!!

!

Gosto! !

!!

!!

!

Comp

raria! !

!!

!!

!

!4!

2.,Hábitos,Alim

entares,

,

1.!Você!fez!algum!tipo!de!dieta!no!último!ano?!

!

� Sim

Não!

!

2.!Você!pensa!em

!seu!peso!quando!escolhe!o!que!vai!com

er?!

�Nunca!!

�Quase!Nunca!!

�As!vezes!

�Quase!sempre!!

�Sempre!

3.!Você!pensa!na!sua!saúde!quando!escolhe!o!que!vai!comer?!

�Nunca!!

�Quase!Nunca!!

�As!vezes!

�Quase!sempre!!

�Sempre!

4.!Já!tentou!consum

ir!menos!doces!para!perder!peso?!

� Sim

Não!

5.!Já!saltou!refeições!com

!o!objetivo!de!perder!peso?!

� Sim

Não!

!

6.!Já!tomou!outras!m

edidas!para!perda!de!peso?!Se!sim,!quais?!

� Sim

Não!

!

Quais:!_____________________________________________________________________________________________!

Page 27: Healthy Brand Extentions Targeted at Adolescents

  27  

IV. Children’s  Questionnaire  2  –  Control  Group  

   

!1!

! Clara!Nobre!Braga!dos!Santos!

! Aluna!de!Mestrado!na!Nova!School!of!Business!and!

Econom

ics!

! _____________________________________________________________________________________________________!

Olá!!!

! Estou!fazendo!um

!estudo!para!o!meu!Mestrado!em

!Gestão!e!gostava!de!te!fazer!algumas!

questões,!algum

as!relacionadas!com!cereais!matinais!e!outras!com

!sua!preocupação!com

!saúde!e!peso.!Apenas!preencha!o!questionário!se!quiser.!As!respostas!são!confidenciais!e!

o!questionário!é!anônimo.!Preencha!um

a!página!de!cada!vez,!e,!depois!de!responder!a!

uma!pergunta,!não!volte!a!ela.!Não!há!respostas!certas!e!erradas!!

! !A!sua!opinião!é!im

portante!!!

! Obrigada,!

! Clara!Nobre!!

_____________________________________________________________________________________________________!

!Inform

ações,Pessoais,

! ! Idade:!_____________________________________!

! Sexo:!______________________________________!

! !,

Questionário,

, ,,

, , , , , , , , , , , , , , , , ,,

!2!

1.!Ao!chegar!ao!supermercado,!você!vê!os!cereais!abaixo.!Alguns!você!já!conhece,!outros!

são!produtos!novos!no!me

rcado.!Dos!cereais!apresentad

os!abaixo,!indiqu

e!a!sua!

preferência,!escrevendo!no!nú

mero!1!(o!qu

e!mais!preferiria!comp

rar)!ao!4!(o!qu

e!menos!

preferiria!comp

rar):!

!

!!

! !! 1!(o!que!eu!mais!prefiro)!___________________________________________________!

2!______________________________________________________________________________!

3!______________________________________________________________________________!

4!(o!que!eu!menos!prefiro)!_________________________________________________!

!!

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!3!

4.!Em

!relação!a!ma

rca!SUCRILHOS,!apresentad

a!abaixo,!você!a!conside

ra:!

! !

! ! ! ! !!

!

!

!Concordo!Muito!

!

Concordo! !

Não!Sei! !

!! !

Não!Concordo! !

Não!Concordo!

Nada!

!

São!divertidos! !

!!

!!

!

São!Saborosos! !

!!

!!

!

Gosto! !

!!

!!

!

Comp

raria! !

!!

!!

!

!4!

2.,Hábitos,Alim

entares,

,

1.!Você!fez!algum!tipo!de!dieta!no!último!ano?!

!

� Sim

Não!

!

2.!Você!pensa!em

!seu!peso!quando!escolhe!o!que!vai!com

er?!

�Nunca!!

�Quase!Nunca!!

�As!vezes!

�Quase!sempre!!

�Sempre!

3.!Você!pensa!na!sua!saúde!quando!escolhe!o!que!vai!comer?!

�Nunca!!

�Quase!Nunca!!

�As!vezes!

�Quase!sempre!!

�Sempre!

4.!Já!tentou!consum

ir!menos!doces!para!perder!peso?!

� Sim

Não!

5.!Já!saltou!refeições!com

!o!objetivo!de!perder!peso?!

� Sim

Não!

!

6.!Já!tomou!outras!m

edidas!para!perda!de!peso?!Se!sim,!quais?!

� Sim

Não!

!

Quais:!_____________________________________________________________________________________________!