Background: Because Americans commonly consume restaurant foods with poor dietary quality, effective interventions are needed to improve food choices at restaurants. Purpose: The purpose of this study was to design and evaluate a restaurant-based intervention to help customers select and restaurants promote heart healthy menu items with healthful fats and high-quality carbohydrates. Methods: The intervention included table tents outlining 10 heart healthy eating tips, coupons promoting healthy menu items, an information brochure, and link to study website. Pre- and postintervention surveys were completed by restaurant managers and customers completed a brief “intercept” survey. Results: Managers (n = 10) reported that the table tents and coupons were well received, and several noted improved personal nutrition knowledge. Overall, 4214 coupons were distributed with 1244 (30%) redeemed. Of 300 customers surveyed, 126 (42%) noticed the table tents and, of these, 115 (91%) considered the nutrition information helpful, 42 (33%) indicated that the information influenced menu items purchased, and 91 (72%) reported that the information will influence what they order in the future. Discussion: The intervention was well received by restaurant managers and positively influenced menu item selection by many customers. Translation to Health Education Practice: Further research is needed to assess effective strategies for scaling up and sustaining this intervention approach
