Trial Outcomes & Findings for COVID-19 Health Messaging to Underserved Communities (NCT NCT04371419)

NCT ID: NCT04371419

Last Updated: 2021-07-27

Results Overview

Incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 7

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

14267 participants

Primary outcome timeframe

The outcome was measured immediately following the intervention in the 15-minute baseline survey.

Results posted on

2021-07-27

Participant Flow

Individuals were recruited throughout the United States by the survey company Lucid from 13 May to 26 May 2020. Only persons aged 18 years or older and self-identifying as Black or Latinx were eligible.

The trial sample was enrolled from 13 May 2020 through 26 May 2020. Of 35,987 persons screened, 20,925 were eligible for participation (15,062 who would have been eligible were excluded because the demographic quotas were met); 5,450 individuals did not consent or failed both basic attention checks, and 1,208 left the survey before randomization. Out of 14,267 participants enrolled and randomized,123 participants did not answer one or more baseline questions and were excluded from analysis.

Participant milestones

Participant milestones
Measure
Control - CDC - Mask (Control) - Concordant
Control Intro, CDC Social Distancing, Mask Control version delivered by minority doctor of same background as the recipient - other definitions are similar Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Control - CDC - Mask (Control) - Discordant
Control Intro, CDC Social Distancing, Mask Control version delivered by majority doctor of different background as the recipient - other definitions are similar Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Control - MGH - Mask (Control) - Concordant
Control Intro, MGH Social Distancing, Mask Control version delivered by concordant doctor Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Control - MGH - Mask (Control) - Discordant
Control Intro, MGH Social Distancing, Mask Control version delivered by discordant doctor Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Ack. Discrimination- MGH - Mask (Control) - Concordant
Introduction Acknowledges past discrimination, MGH doctor talks about Social Distancing, Mask Control all by concordant MD Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Ack. Discrimination- MGH - Mask (Control) - Discordant
Introduction Acknowledges past discrimination, MGH doctor talks about Social Distancing, Mask Control all by discordant MD Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Ack. Econ. Circumstance- MGH - Mask (Control ) Concordant
Intro econ. circumstance -MGH - Mask (Control ) Concordant Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Ack. Econ. Circumstance - MGH - Mask (Control ) Discordant
Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Control Intro - CDC - Mask (antiStigma) Concordant
Control Intro - CDC - Mask (antiStigma) Concordant messenger Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Control Intro - CDC - Mask (antiStigma) Discordant
Control Intro - CDC - Mask (antiStigma) discordant messenger Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Control - MGH - MaskS (antiStigma) Concordant Messenger
Control - MGH - MaskS (antiStigma) Concordant sender Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Control- MGH-MaskS (antiStigma) Discordant Messenger
Control - MGH - MaskS (antiStigma) Discordant sender Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Ack. Discrimination - MGH - MaskS (antiStigma) Concordant
Acknowledge Discrimination - MGH - MaskS (antiStigma) Concordant sender Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Ack. Discrimination - MGH - MaskS (antiStigma) Discordant
Acknowledge Discrimination - MGH - MaskS (antiStigma) Discordant sender Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Ack. Econ Hardship- MGH - Mask (antiStigma) Concordant
Acknowledge Econ Hardship- MGH - Mask (antiStigma) Concordant sender Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Ack. Econ Hardship- MGH - Mask (antiStigma) Discordant
Acknowledge Econ Hardship- MGH - Mask (antiStigma) discordant sender Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Info Later - Pure Control
This group will not receive the videos but will receive information later. Messaging: o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document. * Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject. * Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation. * Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians. * Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey. * Some individuals in a control group will see messages later.
Overall Study
STARTED
784
791
780
778
777
788
783
788
779
780
782
790
779
786
781
781
1617
Overall Study
Completed the Knowledge Questions
663
669
673
664
666
683
664
679
670
655
656
692
664
687
652
652
1526
Overall Study
COMPLETED
641
636
639
631
644
654
639
658
649
621
626
662
633
660
626
625
1450
Overall Study
NOT COMPLETED
143
155
141
147
133
134
144
130
130
159
156
128
146
126
155
156
167

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The "Hispanic Origin" question is only applicable to Latinx participants.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Study Participants - Control
n=1617 Participants
Study participants who are assigned to a pure control group
Study Participants - Any Intervention
n=12527 Participants
Study participants who are assigned to any intervention groups
Total
n=14144 Participants
Total of all reporting groups
Age, Continuous
39.16 years
STANDARD_DEVIATION 15.6 • n=1617 Participants
38.9 years
STANDARD_DEVIATION 15.2 • n=12527 Participants
38.93 years
STANDARD_DEVIATION 15.3 • n=14144 Participants
Sex: Female, Male
Female
943 Participants
n=1617 Participants
7169 Participants
n=12527 Participants
8112 Participants
n=14144 Participants
Sex: Female, Male
Male
674 Participants
n=1617 Participants
5358 Participants
n=12527 Participants
6032 Participants
n=14144 Participants
Race/Ethnicity, Customized
African American
1042 Participants
n=1617 Participants
7725 Participants
n=12527 Participants
8767 Participants
n=14144 Participants
Race/Ethnicity, Customized
Latinx
575 Participants
n=1617 Participants
4802 Participants
n=12527 Participants
5377 Participants
n=14144 Participants
Region of Enrollment
United States
1617 participants
n=1617 Participants
12527 participants
n=12527 Participants
14144 participants
n=14144 Participants
Household size
3.23 person
STANDARD_DEVIATION 1.7 • n=1617 Participants
3.21 person
STANDARD_DEVIATION 1.7 • n=12527 Participants
3.22 person
STANDARD_DEVIATION 1.7 • n=14144 Participants
Education index
4.53 scores on a scale
STANDARD_DEVIATION 1.5 • n=1617 Participants
4.57 scores on a scale
STANDARD_DEVIATION 1.5 • n=12527 Participants
4.56 scores on a scale
STANDARD_DEVIATION 1.5 • n=14144 Participants
Likely to run out of money because of COVID-19
875 Participants
n=1617 Participants
6531 Participants
n=12527 Participants
7406 Participants
n=14144 Participants
Trouble paying for food
558 Participants
n=1617 Participants
4592 Participants
n=12527 Participants
5150 Participants
n=14144 Participants
Stratum
Female, age ≥45 y, coastal
164 Participants
n=1617 Participants
1154 Participants
n=12527 Participants
1318 Participants
n=14144 Participants
Stratum
Female, age ≥45 y, central
229 Participants
n=1617 Participants
1784 Participants
n=12527 Participants
2013 Participants
n=14144 Participants
Stratum
Female, age ≤44 y, coastal
223 Participants
n=1617 Participants
1787 Participants
n=12527 Participants
2010 Participants
n=14144 Participants
Stratum
Female, age ≤44 y, central
327 Participants
n=1617 Participants
2444 Participants
n=12527 Participants
2771 Participants
n=14144 Participants
Stratum
Male, age ≥45 y, coastal
96 Participants
n=1617 Participants
724 Participants
n=12527 Participants
820 Participants
n=14144 Participants
Stratum
Male, age ≥45 y, central
111 Participants
n=1617 Participants
885 Participants
n=12527 Participants
996 Participants
n=14144 Participants
Stratum
Male, age ≤44 y, coastal
199 Participants
n=1617 Participants
1740 Participants
n=12527 Participants
1939 Participants
n=14144 Participants
Stratum
Male, age ≤44 y, central
268 Participants
n=1617 Participants
2009 Participants
n=12527 Participants
2277 Participants
n=14144 Participants
Hispanic origin
Mexican, Mexican American, Chicano
387 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
3271 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
3658 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Cuba
22 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
208 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
230 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Argentina
8 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
74 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
82 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Colombia
8 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
97 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
105 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Ecuador
9 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
38 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
47 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
El Salvador
8 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
76 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
84 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Guatemala
3 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
40 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
43 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Nicaragua
5 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
19 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
24 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Panama
2 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
20 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
22 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Peru
8 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
55 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
63 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Spain
27 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
189 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
216 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Venezuela
9 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
50 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
59 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Other country
73 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
608 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
681 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
Hispanic origin
Puerto Rico
6 Participants
n=575 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
57 Participants
n=4802 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.
63 Participants
n=5377 Participants • The "Hispanic Origin" question is only applicable to Latinx participants.

PRIMARY outcome

Timeframe: The outcome was measured immediately following the intervention in the 15-minute baseline survey.

Population: Any intervention was indeed an arm that included each sub arm of different types of message that we tested against a control and pre-specified in our study protocol and analysis plan to combine arms for analysis.

Incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 7

Outcome measures

Outcome measures
Measure
Study Participants - Control
n=1525 Participants
Study participants who are assigned to a pure control group
Study Participants - Any Intervention
n=10711 Participants
Study participants who are assigned to any intervention groups
Intervention 2: Video 2 Recorded by MGH Physician/Dr. Birx of the CDC - MGH Physician (Arm A)
Participants who were assigned to receive the social distancing component of the message is recorded by the MGH physicians.
Intervention 2: Video 2 Recorded by MGH Physician/Dr. Birx of the CDC - Dr. Birx of the CDC (Arm B)
Participants who were assigned to receive the social distancing component of the message is delivered by Dr. Birx of the CDC.
Intervention 3: Received Acknowledgment of Discrimination - No (Arm A)
Participants who were NOT assigned to receive the message include an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system (African American participants) or fear of deportation (for Latinx participants)
Intervention 3: Received Acknowledgment of Discrimination - Yes (Arm B)
Participants who were assigned to receive the message include an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system (African American participants) or fear of deportation (for Latinx participants)
Intervention 4: Received Acknowledgment of Economic Inequalities - No (Arm A)
Participants who were NOT assigned to receive the message acknowledged economic hardships that were associated with tight living quarters and working in essential services.
Intervention 4: Received Acknowledgment of Economic Inequalities - Yes (Arm B)
Participants who were assigned to receive the message acknowledged economic hardships that were associated with tight living quarters and working in essential services.
Intervention 5: Received Information About Social Perception - No (Arm A)
Participants who were assigned to receive information about how representative individuals perceive mask wearers of color.
Intervention 5: Received Information About Social Perception - Yes (Arm B)
Participants who were assigned to receive information about how representative individuals perceive mask wearers of color.
Incidence Rate for Knowledge Gaps: Control vs. Any Intervention
0.085 proportion of knowledge gaps
Interval 0.076 to 0.093
0.065 proportion of knowledge gaps
Interval 0.062 to 0.068

PRIMARY outcome

Timeframe: The outcome was measured immediately following the intervention in the 15-minute baseline survey.

Population: Any intervention was indeed an arm that included each sub arm of different types of message that we tested against a control and pre-specified in our study protocol and analysis plan to combine arms for analysis.

Incidence rate for Information-seeking behavior is the count of links demanded divided by the maximum possible count: 10

Outcome measures

Outcome measures
Measure
Study Participants - Control
n=1450 Participants
Study participants who are assigned to a pure control group
Study Participants - Any Intervention
n=10244 Participants
Study participants who are assigned to any intervention groups
Intervention 2: Video 2 Recorded by MGH Physician/Dr. Birx of the CDC - MGH Physician (Arm A)
Participants who were assigned to receive the social distancing component of the message is recorded by the MGH physicians.
Intervention 2: Video 2 Recorded by MGH Physician/Dr. Birx of the CDC - Dr. Birx of the CDC (Arm B)
Participants who were assigned to receive the social distancing component of the message is delivered by Dr. Birx of the CDC.
Intervention 3: Received Acknowledgment of Discrimination - No (Arm A)
Participants who were NOT assigned to receive the message include an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system (African American participants) or fear of deportation (for Latinx participants)
Intervention 3: Received Acknowledgment of Discrimination - Yes (Arm B)
Participants who were assigned to receive the message include an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system (African American participants) or fear of deportation (for Latinx participants)
Intervention 4: Received Acknowledgment of Economic Inequalities - No (Arm A)
Participants who were NOT assigned to receive the message acknowledged economic hardships that were associated with tight living quarters and working in essential services.
Intervention 4: Received Acknowledgment of Economic Inequalities - Yes (Arm B)
Participants who were assigned to receive the message acknowledged economic hardships that were associated with tight living quarters and working in essential services.
Intervention 5: Received Information About Social Perception - No (Arm A)
Participants who were assigned to receive information about how representative individuals perceive mask wearers of color.
Intervention 5: Received Information About Social Perception - Yes (Arm B)
Participants who were assigned to receive information about how representative individuals perceive mask wearers of color.
Incidence Rate for Information-seeking Behavior: Control vs. Any Intervention
0.335 proportion of links
Interval 0.318 to 0.352
0.344 proportion of links
Interval 0.338 to 0.351

PRIMARY outcome

Timeframe: The outcome was measured immediately following the intervention in the 15-minute baseline survey.

Population: Each intervention indicated in Arm/Group Title was indeed an arm that included each sub arm of different types of message that we tested Arm A against Arm B, or vice versa, and pre-specified in our study protocol and analysis plan to combine arms for analysis. Arms A and B are indicated in each Arm/Group Title.

Incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 7

Outcome measures

Outcome measures
Measure
Study Participants - Control
n=5395 Participants
Study participants who are assigned to a pure control group
Study Participants - Any Intervention
n=5316 Participants
Study participants who are assigned to any intervention groups
Intervention 2: Video 2 Recorded by MGH Physician/Dr. Birx of the CDC - MGH Physician (Arm A)
n=8041 Participants
Participants who were assigned to receive the social distancing component of the message is recorded by the MGH physicians.
Intervention 2: Video 2 Recorded by MGH Physician/Dr. Birx of the CDC - Dr. Birx of the CDC (Arm B)
n=2670 Participants
Participants who were assigned to receive the social distancing component of the message is delivered by Dr. Birx of the CDC.
Intervention 3: Received Acknowledgment of Discrimination - No (Arm A)
n=8010 Participants
Participants who were NOT assigned to receive the message include an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system (African American participants) or fear of deportation (for Latinx participants)
Intervention 3: Received Acknowledgment of Discrimination - Yes (Arm B)
n=2701 Participants
Participants who were assigned to receive the message include an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system (African American participants) or fear of deportation (for Latinx participants)
Intervention 4: Received Acknowledgment of Economic Inequalities - No (Arm A)
n=8058 Participants
Participants who were NOT assigned to receive the message acknowledged economic hardships that were associated with tight living quarters and working in essential services.
Intervention 4: Received Acknowledgment of Economic Inequalities - Yes (Arm B)
n=2653 Participants
Participants who were assigned to receive the message acknowledged economic hardships that were associated with tight living quarters and working in essential services.
Intervention 5: Received Information About Social Perception - No (Arm A)
n=5366 Participants
Participants who were assigned to receive information about how representative individuals perceive mask wearers of color.
Intervention 5: Received Information About Social Perception - Yes (Arm B)
n=5345 Participants
Participants who were assigned to receive information about how representative individuals perceive mask wearers of color.
Incidence Rate for Knowledge Gaps by Intervention
0.066 proportion of knowledge gaps
Interval 0.061 to 0.07
0.065 proportion of knowledge gaps
Interval 0.061 to 0.069
0.065 proportion of knowledge gaps
Interval 0.061 to 0.068
0.068 proportion of knowledge gaps
Interval 0.061 to 0.074
0.066 proportion of knowledge gaps
Interval 0.063 to 0.07
0.063 proportion of knowledge gaps
Interval 0.057 to 0.069
0.066 proportion of knowledge gaps
Interval 0.063 to 0.07
0.063 proportion of knowledge gaps
Interval 0.057 to 0.069
0.066 proportion of knowledge gaps
Interval 0.062 to 0.071
0.065 proportion of knowledge gaps
Interval 0.06 to 0.069

PRIMARY outcome

Timeframe: The outcome was measured immediately following the intervention in the 15-minute baseline survey.

Population: Each intervention indicated in Arm/Group Title was indeed an arm that included each sub arm of different types of message that we tested Arm A against Arm B, or vice versa, and pre-specified in our study protocol and analysis plan to combine arms for analysis. Arms A and B are indicated in each Arm/Group Title.

Incidence rate for Information-seeking behavior is the count of links demanded divided by the maximum possible count: 10

Outcome measures

Outcome measures
Measure
Study Participants - Control
n=5147 Participants
Study participants who are assigned to a pure control group
Study Participants - Any Intervention
n=5097 Participants
Study participants who are assigned to any intervention groups
Intervention 2: Video 2 Recorded by MGH Physician/Dr. Birx of the CDC - MGH Physician (Arm A)
n=7697 Participants
Participants who were assigned to receive the social distancing component of the message is recorded by the MGH physicians.
Intervention 2: Video 2 Recorded by MGH Physician/Dr. Birx of the CDC - Dr. Birx of the CDC (Arm B)
n=2547 Participants
Participants who were assigned to receive the social distancing component of the message is delivered by Dr. Birx of the CDC.
Intervention 3: Received Acknowledgment of Discrimination - No (Arm A)
n=7653 Participants
Participants who were NOT assigned to receive the message include an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system (African American participants) or fear of deportation (for Latinx participants)
Intervention 3: Received Acknowledgment of Discrimination - Yes (Arm B)
n=2591 Participants
Participants who were assigned to receive the message include an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system (African American participants) or fear of deportation (for Latinx participants)
Intervention 4: Received Acknowledgment of Economic Inequalities - No (Arm A)
n=7696 Participants
Participants who were NOT assigned to receive the message acknowledged economic hardships that were associated with tight living quarters and working in essential services.
Intervention 4: Received Acknowledgment of Economic Inequalities - Yes (Arm B)
n=2548 Participants
Participants who were assigned to receive the message acknowledged economic hardships that were associated with tight living quarters and working in essential services.
Intervention 5: Received Information About Social Perception - No (Arm A)
n=5142 Participants
Participants who were assigned to receive information about how representative individuals perceive mask wearers of color.
Intervention 5: Received Information About Social Perception - Yes (Arm B)
n=5102 Participants
Participants who were assigned to receive information about how representative individuals perceive mask wearers of color.
Incidence Rate for Information-seeking Behavior by Intervention
0.336 proportion of links
Interval 0.327 to 0.346
0.353 proportion of links
Interval 0.343 to 0.362
0.343 proportion of links
Interval 0.336 to 0.351
0.348 proportion of links
Interval 0.335 to 0.362
0.346 proportion of links
Interval 0.338 to 0.353
0.341 proportion of links
Interval 0.328 to 0.354
0.344 proportion of links
Interval 0.337 to 0.352
0.345 proportion of links
Interval 0.332 to 0.358
0.345 proportion of links
Interval 0.336 to 0.355
0.344 proportion of links
Interval 0.334 to 0.353

Adverse Events

Control - CDC - Mask (Control) - Concordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control - CDC - Mask (Control) - Discordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control - MGH - Mask (Control) - Concordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control - MGH - Mask (Control) - Discordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ack. Discrimination- MGH - Mask (Control) - Concordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ack. Discrimination- MGH - Mask (Control) - Discordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ack. Econ. Circumstance- MGH - Mask (Control ) Concordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ack. Econ. Circumstance - MGH - Mask (Control ) Discordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Intro - CDC - Mask (antiStigma) Concordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Intro - CDC - Mask (antiStigma) Discordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control - MGH - MaskS (antiStigma) Concordant Messenger

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control- MGH-MaskS (antiStigma) Discordant Messenger

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ack. Discrimination - MGH - MaskS (antiStigma) Concordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ack. Discrimination - MGH - MaskS (antiStigma) Discordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ack. Econ Hardship- MGH - Mask (antiStigma) Concordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Ack. Econ Hardship- MGH - Mask (antiStigma) Discordant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Info Later - Pure Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Pierre-Luc Vautrey

Massachusetts Institute of Technology

Phone: (617) 258-7013

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place