Objective To evaluate a restaurant-based nutrition program by measurin
g customer satisfaction with lower-fat menu items and assessing patron
s' reactions to the program. Design and setting Questionnaires to asse
ss satisfaction with menu items were administered to patrons in eight
of the nine restaurants that volunteered to participate in the nutriti
on program. One patron from each participating restaurant was randomly
selected for a semistructured interview about nutrition programming i
n restaurants. Subjects Persons dining in eight participating restaura
nts over a 1-week period (n=686). Statistical analyses performed Indep
endent samples t tests were used to compare respondents' satisfaction
with lower-fat and regular menu items. Two-way analysis of variance te
sts were completed using overall satisfaction as the dependent variabl
e and menu-item classification (ie, lower fat or regular) and one of e
ight other menu item and respondent characteristics as independent var
iables. Qualitative methods were used to analyze interview transcripts
. Results Of 1,127 menu items rated for satisfaction, 205 were lower f
at, 878 were regular, and 44 were of unknown classification. Customers
were significantly more satisfied with lower-fat than with regular me
nu items (P<.001). Overall satisfaction did not vary by any of the oth
er independent variables. Interview results indicate the importance of
restaurant dining as an indulgent experience. Conclusions High satisf
action with lower-fat menu items suggests that customers will support
restaurants providing such choices. Dietitians can use these findings
to encourage restaurateurs to include lower-fat choices on their menus
, and to assure clients that their expectations of being indulged are
not incompatible with these choices.