Trial Outcomes & Findings for COVID-19 Messaging for Vaccination (NCT NCT05182554)

NCT ID: NCT05182554

Last Updated: 2023-08-25

Results Overview

County-level Covid-19 vaccination rates were analysed using publicly available data. The number of new vaccinations in each county was transformed using the inverse hyperbolic sine because the underlying vaccination count data were right-skewed and included zeros. Larger numbers are considered better in the context of the study (more people vaccinated).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

6 participants

Primary outcome timeframe

During intervention (6 weeks) and after intervention (3 weeks)

Results posted on

2023-08-25

Participant Flow

Unit of analysis: Counties

Participant milestones

Participant milestones
Measure
Control
No intervention in this arm; the study team will examine publicly available county- and zip code-level outcomes in this group.
Treatment 1: Direct
Facebook users in the area receive ads which include videos of health professionals telling them to get vaccinated. The health professionals answer common questions about Covid-19 vaccines (e.g. are they safe / are they free). Doctor Videos: Receive ads on Facebook or through our website with videos in which health professionals tell people to get the Covid-19 vaccine. The health professionals answer common questions about the Covid-19 vaccine, such as how mRNA vaccines work, and what types of side effects to expect.
Treatment 2: Friends
Facebook users in the area receive ads which include videos of health professionals encouraging them to help their friends to get vaccinated. There is also a link in the ad to a website build by the study team. This website hosts videos which answer common questions about vaccination (the same videos which are directly served to Facebook users in Treatment 1). Doctor Videos: Receive ads on Facebook or through our website with videos in which health professionals tell people to get the Covid-19 vaccine. The health professionals answer common questions about the Covid-19 vaccine, such as how mRNA vaccines work, and what types of side effects to expect. Sharing Videos: Receive ads on Facebook with videos in which health professionals tell people to encourage their unvaccinated friends to get the Covid-19 vaccine. Vaccine Ambassador: Adults in participating geographic areas can sign up to be a "vaccine ambassador" on a website that the study team has built. Video framing: Visitors to the vaccine content website will randomly receive one framing of each video ("myth" or "fact"). Video order: The order in which videos appear is randomized.
Treatment 3: Gossips
Facebook users in the area receive ads which include videos of health professionals encouraging them to nominate their most influential friends to help their friends get vaccinated. The difference from Treatment 2 is that the health professionals call on Facebook users to get their most influential friends to do the convincing about the vaccine. There is also a link in the ad to a website built by the study team. This website hosts videos which answer common questions about vaccination (the same videos that are directly served to Facebook users in Treatment 1). Doctor Videos: Receive ads on Facebook or through our website with videos in which health professionals tell people to get the Covid-19 vaccine. The health professionals answer common questions about the Covid-19 vaccine, such as how mRNA vaccines work, and what types of side effects to expect. Sharing Videos (Influencers): Receive ads on Facebook with videos in which health professionals tell people to get their most influential friends to encourage their unvaccinated friends to get the Covid-19 vaccine. Vaccine Ambassador: Adults in participating geographic areas can sign up to be a "vaccine ambassador" on a website that the study team has built. Video framing: Visitors to the vaccine content website will randomly receive one framing of each video ("myth" or "fact"). Video order: The order in which videos appear is randomized.
Overall Study
STARTED
0 417
0 275
4 274
2 276
Overall Study
COMPLETED
0 417
0 275
4 274
2 276
Overall Study
NOT COMPLETED
0 0
0 0
0 0
0 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Age data not collected

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=417 Counties
No intervention in this arm; the study team will examine publicly available county- and zip code-level outcomes in this group.
Treatment 1: Direct
n=275 Counties
Facebook users in the area receive ads which include videos of health professionals telling them to get vaccinated. The health professionals answer common questions about Covid-19 vaccines (e.g. are they safe / are they free). Doctor Videos: Receive ads on Facebook or through our website with videos in which health professionals tell people to get the Covid-19 vaccine. The health professionals answer common questions about the Covid-19 vaccine, such as how mRNA vaccines work, and what types of side effects to expect.
Treatment 2: Friends
n=274 Counties
Facebook users in the area receive ads which include videos of health professionals encouraging them to help their friends to get vaccinated. There is also a link in the ad to a website build by the study team. This website hosts videos which answer common questions about vaccination (the same videos which are directly served to Facebook users in Treatment 1). Doctor Videos: Receive ads on Facebook or through our website with videos in which health professionals tell people to get the Covid-19 vaccine. The health professionals answer common questions about the Covid-19 vaccine, such as how mRNA vaccines work, and what types of side effects to expect. Sharing Videos: Receive ads on Facebook with videos in which health professionals tell people to encourage their unvaccinated friends to get the Covid-19 vaccine. Vaccine Ambassador: Adults in participating geographic areas can sign up to be a "vaccine ambassador" on a website that the study team has built. Video framing: Visitors to the vaccine content website will randomly receive one framing of each video ("myth" or "fact"). Video order: The order in which videos appear is randomized.
Treatment 3: Gossips
n=276 Counties
Facebook users in the area receive ads which include videos of health professionals encouraging them to nominate their most influential friends to help their friends get vaccinated. The difference from Treatment 2 is that the health professionals call on Facebook users to get their most influential friends to do the convincing about the vaccine. There is also a link in the ad to a website built by the study team. This website hosts videos which answer common questions about vaccination (the same videos that are directly served to Facebook users in Treatment 1). Doctor Videos: Receive ads on Facebook or through our website with videos in which health professionals tell people to get the Covid-19 vaccine. The health professionals answer common questions about the Covid-19 vaccine, such as how mRNA vaccines work, and what types of side effects to expect. Sharing Videos (Influencers): Receive ads on Facebook with videos in which health professionals tell people to get their most influential friends to encourage their unvaccinated friends to get the Covid-19 vaccine. Vaccine Ambassador: Adults in participating geographic areas can sign up to be a "vaccine ambassador" on a website that the study team has built. Video framing: Visitors to the vaccine content website will randomly receive one framing of each video ("myth" or "fact"). Video order: The order in which videos appear is randomized.
Total
n=1242 Counties
Total of all reporting groups
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Counties
Ethnicity data not collected
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Counties
Ethnicity data not collected
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Counties
Ethnicity data not collected
Race (NIH/OMB)
American Indian or Alaska Native
0 Counties
Race data not collected
Race (NIH/OMB)
Asian
0 Counties
Race data not collected
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Counties
Race data not collected
Race (NIH/OMB)
Black or African American
0 Counties
Race data not collected
Race (NIH/OMB)
White
0 Counties
Race data not collected
Race (NIH/OMB)
More than one race
0 Counties
Race data not collected
Race (NIH/OMB)
Unknown or Not Reported
0 Counties
Race data not collected

PRIMARY outcome

Timeframe: During intervention (6 weeks) and after intervention (3 weeks)

Population: Counties were randomized into treatment groups, and outcome data are public county-level data.

County-level Covid-19 vaccination rates were analysed using publicly available data. The number of new vaccinations in each county was transformed using the inverse hyperbolic sine because the underlying vaccination count data were right-skewed and included zeros. Larger numbers are considered better in the context of the study (more people vaccinated).

Outcome measures

Outcome measures
Measure
Control
n=417 Counties
No intervention in this arm; the study team will examine publicly available county- and zip code-level outcomes in this group.
Treatment 1: Direct
n=275 Counties
Facebook users in the area receive ads which include videos of health professionals telling them to get vaccinated. The health professionals answer common questions about Covid-19 vaccines (e.g. are they safe / are they free). Doctor Videos: Receive ads on Facebook or through our website with videos in which health professionals tell people to get the Covid-19 vaccine. The health professionals answer common questions about the Covid-19 vaccine, such as how mRNA vaccines work, and what types of side effects to expect.
Treatment 2: Friends
n=274 Counties
Facebook users in the area receive ads which include videos of health professionals encouraging them to help their friends to get vaccinated. There is also a link in the ad to a website build by the study team. This website hosts videos which answer common questions about vaccination (the same videos which are directly served to Facebook users in Treatment 1). Doctor Videos: Receive ads on Facebook or through our website with videos in which health professionals tell people to get the Covid-19 vaccine. The health professionals answer common questions about the Covid-19 vaccine, such as how mRNA vaccines work, and what types of side effects to expect. Sharing Videos: Receive ads on Facebook with videos in which health professionals tell people to encourage their unvaccinated friends to get the Covid-19 vaccine. Vaccine Ambassador: Adults in participating geographic areas can sign up to be a "vaccine ambassador" on a website that the study team has built. Video framing: Visitors to the vaccine content website will randomly receive one framing of each video ("myth" or "fact"). Video order: The order in which videos appear is randomized.
Treatment 3: Gossips
n=276 Counties
Facebook users in the area receive ads which include videos of health professionals encouraging them to nominate their most influential friends to help their friends get vaccinated. The difference from Treatment 2 is that the health professionals call on Facebook users to get their most influential friends to do the convincing about the vaccine. There is also a link in the ad to a website built by the study team. This website hosts videos which answer common questions about vaccination (the same videos that are directly served to Facebook users in Treatment 1). Doctor Videos: Receive ads on Facebook or through our website with videos in which health professionals tell people to get the Covid-19 vaccine. The health professionals answer common questions about the Covid-19 vaccine, such as how mRNA vaccines work, and what types of side effects to expect. Sharing Videos (Influencers): Receive ads on Facebook with videos in which health professionals tell people to get their most influential friends to encourage their unvaccinated friends to get the Covid-19 vaccine. Vaccine Ambassador: Adults in participating geographic areas can sign up to be a "vaccine ambassador" on a website that the study team has built. Video framing: Visitors to the vaccine content website will randomly receive one framing of each video ("myth" or "fact"). Video order: The order in which videos appear is randomized.
Changes in County-Level Covid-19 Vaccination Measured by Inverse Hyperbolic Sine
0 asinh(new dose 1s of vaccine)
Interval 0.0 to 0.0
-0.023 asinh(new dose 1s of vaccine)
Interval -0.1 to 0.055
-0.007 asinh(new dose 1s of vaccine)
Interval -0.081 to 0.067
-0.037 asinh(new dose 1s of vaccine)
Interval -0.11 to 0.034

Adverse Events

Control

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

Treatment 1: Direct

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

Treatment 2: Friends

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

Treatment 3: Gossips

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

LISA HO

MIT

Phone: 5106505455

Results disclosure agreements

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