Trial Outcomes & Findings for Does Framing and Humor Improve the Effectiveness of Messages About COVID-19 Vaccine (NCT NCT05085613)

NCT ID: NCT05085613

Last Updated: 2023-08-21

Results Overview

Assessed by change in response to the question To what extent do you agree or disagree with the following statement: The FDA has only authorized COVID vaccines that are safe and effective; with response options on a continuous scale from 0 "I do not agree at all" to 100, "I completely agree."

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

100 participants

Primary outcome timeframe

Baseline and up to 5 minutes after receiving the corrective message

Results posted on

2023-08-21

Participant Flow

Participant milestones

Participant milestones
Measure
Vaccine Corrective Control
A message that explains why people are hesitant to accept the FDA authorized COVID vaccines are safe and effective and how the vaccines are evaluated as safe and effective by FDA. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Economic Recovery Framing
The content of the control message with the addition of the text, "If everyone gets vaccinated, we can keep schools, stores, and other businesses open so more Americans can keep working and supporting their families." The message will also include a picture of an "open for business" sign. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Freedom Framing
The content of the control message with the addition of the text, "Everyone getting vaccinated is the key to freedom! A vaccine can give us the freedom to hang out with friends, shop, and worship together again safely." The message will also include a picture of an American flag. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Humor
The content of the control message with the addition of the text, "Unfortunately, everyone getting vaccinated means leaving the house again." The message will include a meme of a cat being pulled/rescued from a window with text boxes labeling the cat as "People at home working in sweatpants" and the rescuer as "COVID Vaccines." Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Overall Study
STARTED
27
27
24
22
Overall Study
COMPLETED
27
27
24
22
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Does Framing and Humor Improve the Effectiveness of Messages About COVID-19 Vaccine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vaccine Corrective Control
n=27 Participants
A message that explains why people are hesitant to accept the FDA authorized COVID vaccines are safe and effective and how the vaccines are evaluated as safe and effective by FDA. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Economic Recovery Framing
n=27 Participants
The content of the control message with the addition of the text, "If everyone gets vaccinated, we can keep schools, stores, and other businesses open so more Americans can keep working and supporting their families." The message will also include a picture of an "open for business" sign. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Freedom Framing
n=24 Participants
The content of the control message with the addition of the text, "Everyone getting vaccinated is the key to freedom! A vaccine can give us the freedom to hang out with friends, shop, and worship together again safely." The message will also include a picture of an American flag. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Humor
n=22 Participants
The content of the control message with the addition of the text, "Unfortunately, everyone getting vaccinated means leaving the house again." The message will include a meme of a cat being pulled/rescued from a window with text boxes labeling the cat as "People at home working in sweatpants" and the rescuer as "COVID Vaccines." Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Total
n=100 Participants
Total of all reporting groups
Age, Continuous
39 years
STANDARD_DEVIATION 9.9 • n=5 Participants
41.4 years
STANDARD_DEVIATION 11.9 • n=7 Participants
43.3 years
STANDARD_DEVIATION 9.2 • n=5 Participants
40.8 years
STANDARD_DEVIATION 9.7 • n=4 Participants
41.1 years
STANDARD_DEVIATION 10.3 • n=21 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
15 Participants
n=7 Participants
10 Participants
n=5 Participants
9 Participants
n=4 Participants
42 Participants
n=21 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
12 Participants
n=7 Participants
14 Participants
n=5 Participants
13 Participants
n=4 Participants
58 Participants
n=21 Participants
Race/Ethnicity, Customized
Race/ethnicity · Non-Hispanic White
19 Participants
n=5 Participants
24 Participants
n=7 Participants
20 Participants
n=5 Participants
16 Participants
n=4 Participants
79 Participants
n=21 Participants
Race/Ethnicity, Customized
Race/ethnicity · Racial/ethnic minority
8 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
6 Participants
n=4 Participants
21 Participants
n=21 Participants
Political affiliation
Conservative
11 Participants
n=5 Participants
18 Participants
n=7 Participants
16 Participants
n=5 Participants
13 Participants
n=4 Participants
58 Participants
n=21 Participants
Political affiliation
Liberal
3 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
3 Participants
n=4 Participants
16 Participants
n=21 Participants
Political affiliation
Moderate
13 Participants
n=5 Participants
5 Participants
n=7 Participants
2 Participants
n=5 Participants
6 Participants
n=4 Participants
26 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Baseline and up to 5 minutes after receiving the corrective message

Assessed by change in response to the question To what extent do you agree or disagree with the following statement: The FDA has only authorized COVID vaccines that are safe and effective; with response options on a continuous scale from 0 "I do not agree at all" to 100, "I completely agree."

Outcome measures

Outcome measures
Measure
Vaccine Corrective Control
n=27 Participants
A message that explains why people are hesitant to accept the FDA authorized COVID vaccines are safe and effective and how the vaccines are evaluated as safe and effective by FDA. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Economic Recovery Framing
n=27 Participants
The content of the control message with the addition of the text, "If everyone gets vaccinated, we can keep schools, stores, and other businesses open so more Americans can keep working and supporting their families." The message will also include a picture of an "open for business" sign. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Freedom Framing
n=24 Participants
The content of the control message with the addition of the text, "Everyone getting vaccinated is the key to freedom! A vaccine can give us the freedom to hang out with friends, shop, and worship together again safely." The message will also include a picture of an American flag. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Humor
n=22 Participants
The content of the control message with the addition of the text, "Unfortunately, everyone getting vaccinated means leaving the house again." The message will include a meme of a cat being pulled/rescued from a window with text boxes labeling the cat as "People at home working in sweatpants" and the rescuer as "COVID Vaccines." Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Change in Accuracy of the Belief That FDA Authorized COVID-19 Vaccines Are Safe and Effective
20.1 score on a 0-100 scale
Standard Deviation 23.8
22.8 score on a 0-100 scale
Standard Deviation 24.0
24.2 score on a 0-100 scale
Standard Deviation 26.9
22.7 score on a 0-100 scale
Standard Deviation 24.1

PRIMARY outcome

Timeframe: Up to 5 minutes after receiving the corrective message

Assessed by response to the question To what extent do you agree with the following: The FDA authorized flu vaccine is safe and effective.; with response options on a continuous scale from 0 "I do not agree at all" to 100, "I completely agree."

Outcome measures

Outcome measures
Measure
Vaccine Corrective Control
n=27 Participants
A message that explains why people are hesitant to accept the FDA authorized COVID vaccines are safe and effective and how the vaccines are evaluated as safe and effective by FDA. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Economic Recovery Framing
n=27 Participants
The content of the control message with the addition of the text, "If everyone gets vaccinated, we can keep schools, stores, and other businesses open so more Americans can keep working and supporting their families." The message will also include a picture of an "open for business" sign. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Freedom Framing
n=24 Participants
The content of the control message with the addition of the text, "Everyone getting vaccinated is the key to freedom! A vaccine can give us the freedom to hang out with friends, shop, and worship together again safely." The message will also include a picture of an American flag. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Humor
n=22 Participants
The content of the control message with the addition of the text, "Unfortunately, everyone getting vaccinated means leaving the house again." The message will include a meme of a cat being pulled/rescued from a window with text boxes labeling the cat as "People at home working in sweatpants" and the rescuer as "COVID Vaccines." Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Accuracy of Inferential Belief That the FDA Authorized Flu Vaccine is Safe and Effective
37.074074 score on a 0-100 scale
Standard Deviation 33.546668
44.666667 score on a 0-100 scale
Standard Deviation 31.619128
49.583333 score on a 0-100 scale
Standard Deviation 35.808569
50.954545 score on a 0-100 scale
Standard Deviation 35.18993

PRIMARY outcome

Timeframe: Up to 5 minutes after receiving the corrective message

Assessed by response to the question, The FDA recommended more testing of ResVax and did NOT authorize the vaccine because it did not prevent enough RSV infections. To what extent do you agree with the following: ResVax is safe and effective; with response options on a continuous scale from 0 "I do not agree at all" to 100, "I completely agree."

Outcome measures

Outcome measures
Measure
Vaccine Corrective Control
n=27 Participants
A message that explains why people are hesitant to accept the FDA authorized COVID vaccines are safe and effective and how the vaccines are evaluated as safe and effective by FDA. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Economic Recovery Framing
n=27 Participants
The content of the control message with the addition of the text, "If everyone gets vaccinated, we can keep schools, stores, and other businesses open so more Americans can keep working and supporting their families." The message will also include a picture of an "open for business" sign. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Freedom Framing
n=24 Participants
The content of the control message with the addition of the text, "Everyone getting vaccinated is the key to freedom! A vaccine can give us the freedom to hang out with friends, shop, and worship together again safely." The message will also include a picture of an American flag. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Humor
n=22 Participants
The content of the control message with the addition of the text, "Unfortunately, everyone getting vaccinated means leaving the house again." The message will include a meme of a cat being pulled/rescued from a window with text boxes labeling the cat as "People at home working in sweatpants" and the rescuer as "COVID Vaccines." Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Accuracy of Inferential Belief That RexVax is Safe and Effective
14.923077 units on a scale
Standard Deviation 20.853629
14.24 units on a scale
Standard Deviation 23.502269
12.47619 units on a scale
Standard Deviation 17.28473
23.863636 units on a scale
Standard Deviation 28.782097

PRIMARY outcome

Timeframe: Baseline and up to 5 minutes after receiving the corrective message

Assessed by change in response to the statement: I plan on getting an FDA authorized coronavirus vaccine; with response options on a continuous scale from 0 "I do not agree at all" to 100, "I completely agree."

Outcome measures

Outcome measures
Measure
Vaccine Corrective Control
n=27 Participants
A message that explains why people are hesitant to accept the FDA authorized COVID vaccines are safe and effective and how the vaccines are evaluated as safe and effective by FDA. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Economic Recovery Framing
n=27 Participants
The content of the control message with the addition of the text, "If everyone gets vaccinated, we can keep schools, stores, and other businesses open so more Americans can keep working and supporting their families." The message will also include a picture of an "open for business" sign. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Freedom Framing
n=24 Participants
The content of the control message with the addition of the text, "Everyone getting vaccinated is the key to freedom! A vaccine can give us the freedom to hang out with friends, shop, and worship together again safely." The message will also include a picture of an American flag. Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Vaccine Corrective With Humor
n=22 Participants
The content of the control message with the addition of the text, "Unfortunately, everyone getting vaccinated means leaving the house again." The message will include a meme of a cat being pulled/rescued from a window with text boxes labeling the cat as "People at home working in sweatpants" and the rescuer as "COVID Vaccines." Corrective message framing and humor: The main content of the messages will be the same. Experimental conditions (arms 2-4) will additionally include consequent framing as a result of getting vaccinated (e.g. economic recovery for arm 2 and freedom for arm 3) and humor for arm 4. Participants will be randomized to view one of the four messages.
Change in Intention to Get a COVID-19 Vaccine
15.925926 score on a 0-100 scale
Standard Deviation 24.935187
9.4814815 score on a 0-100 scale
Standard Deviation 16.032108
9.625 score on a 0-100 scale
Standard Deviation 21.906546
12.863636 score on a 0-100 scale
Standard Deviation 20.2797

Adverse Events

Vaccine Corrective Control

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

Vaccine Corrective With Economic Recovery Framing

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

Vaccine Corrective With Freedom Framing

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

Vaccine Corrective With Humor

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

Caitlin Weiger

Johns Hopkins Bloomberg School of Public Health

Phone: 301-712-8357

Results disclosure agreements

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