Availability and Advice on Test Uptake During the COVID-19 Pandemic: a Vignette Study.

NCT ID: NCT05215483

Last Updated: 2022-01-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

3270 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-11

Study Completion Date

2021-11-16

Brief Summary

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Lateral Flow Testing (LFT) use for COVID-19 related symptoms continues to rise, despite governmental advice to test at a test facility. In this study we investigate whether 1) adjusting the governmental testing advice will lead to a collective increase of people who test with COVID-19 symptoms and if this leads to a higher strategy sensitivity.

Detailed Description

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In an online randomised multi-factorial survey (vignette study) participants are randomised to assess four scenario's. Between subject testing advise is randomised (IV1; 2 levels) and the availability of LFT (IV2; 2 levels). Within subject we asked participants to assess their most likely behaviour on day 1 of symptoms and day 3 of unchanged symptoms (IV3; 2 levels). Corona-related symptoms are randomly presented (IV4; 4 levels) and new incidences of symptoms are presented in additional vignettes describing new months (IV5; 4 levels).

Subjects are asked to immerse themselves in the scenario's before answering what their most likely behaviour would be: a) go to a test facility b) use a LFT c) wait and see or 4) no test. Participants who didn't choose the test facility on day 1 were presented with the same vignette on day 3 with unchanged symptoms, and were asked their most likely behaviour again.

After assessing the scenario's, participants fill in a questionnaire assessing demographics, behavioural determinants related to test behaviour, vaccine status, current symptoms and previous experience with Corona and testing.

The primary outcomes is defined as the average strategy sensitivity over time and therefore the chance of detecting a Covid-infection. Average strategy sensitivity is calculated by converting the choice of testing behaviour into the corresponding sensitivity score (PCR =1, LFT day 1 = .8, LFT day 3 = .7, wait and see and no test = 0), averaged over four scenario's.

Our primary hypothesis is:

1. Adjusting the governmental testing advice will lead to a higher strategy sensitivity.

In follow-up analysis we will explore the following hypothesis:
2. Availability of LFT at home will lead to a higher strategy sensitivity.
3. The type of corona related symptoms (mild or severe) are predictive of the type of test used.
4. When confronted with a new incidence of corona-related symptoms over time, strategy sensitivity will decline.

Conditions

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COVID-19

Keywords

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Test intentions Lateral Flow test uptake

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

In an online randomised multi-factorial survey (vignette study) participants are randomised to assess four scenario's. Between subject testing advise is randomised (IV1; 2 levels) and the availability of LFT (IV2; 2 levels). Within subject we asked participants to assess their most likely behaviour on day 1 of symptoms and day 3 of unchanged symptoms (IV3; 2 levels). Corona-related symptoms are randomly presented (IV4; 4 levels) and new incidences of symptoms are presented in additional vignettes describing new months (IV5; 4 levels).
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Customised advice + LFT available at home

Respondents will see an altered testing advice in text and picture in which they are allowed to use LFT with corona related symptoms.

Respondents will informed in writing that they don't currently have any LFT available at home.

Group Type EXPERIMENTAL

Customised testing advice

Intervention Type BEHAVIORAL

Customised advice: With Corona related symptoms, get tested at a test facility. If this isn't possible, use a Lateral Flow test.

LFT available

Intervention Type BEHAVIORAL

LFT availability: Enough lateral flow tests available at home

Customised advice + No LFT available at home

Respondents will see an altered testing advice in text and picture in which they are allowed to use LFT with corona related symptoms.

Respondents will informed in writing that they don't currently have any LFT available at home.

Group Type EXPERIMENTAL

Customised testing advice

Intervention Type BEHAVIORAL

Customised advice: With Corona related symptoms, get tested at a test facility. If this isn't possible, use a Lateral Flow test.

No LFT available

Intervention Type BEHAVIORAL

LFT availability: No lateral flow tests available at home

Regular advice + LFT available at home

Respondents will see the regular testing advice in text and picture with the current governmental advice to visit a test facility with corona related symptoms.

Respondents will informed in writing that they don't currently have any LFT available at home.

Group Type EXPERIMENTAL

Regular testing advice

Intervention Type BEHAVIORAL

Government guideline testing advice: "With Corona related symptoms, get tested at a test facility".

LFT available

Intervention Type BEHAVIORAL

LFT availability: Enough lateral flow tests available at home

Regular advice + No LFT available at home

Respondents will see the regular testing advice in text and picture with the current governmental advice to visit a test facility with corona related symptoms.

Respondents will informed in writing that they don't currently have any LFT available at home.

Group Type ACTIVE_COMPARATOR

Regular testing advice

Intervention Type BEHAVIORAL

Government guideline testing advice: "With Corona related symptoms, get tested at a test facility".

No LFT available

Intervention Type BEHAVIORAL

LFT availability: No lateral flow tests available at home

Interventions

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Customised testing advice

Customised advice: With Corona related symptoms, get tested at a test facility. If this isn't possible, use a Lateral Flow test.

Intervention Type BEHAVIORAL

Regular testing advice

Government guideline testing advice: "With Corona related symptoms, get tested at a test facility".

Intervention Type BEHAVIORAL

LFT available

LFT availability: Enough lateral flow tests available at home

Intervention Type BEHAVIORAL

No LFT available

LFT availability: No lateral flow tests available at home

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* non

Exclusion Criteria

* non
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute for Public Health and the Environment (RIVM)

OTHER_GOV

Sponsor Role lead

Responsible Party

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Colene Zomer

Researcher Corona Behavioural Unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marijn de Bruin, prof

Role: STUDY_CHAIR

RIVM

Locations

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National Institute for Public Health and the Environment

Bilthoven, Utrecht, Netherlands

Site Status

Countries

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Netherlands

Related Links

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https://doi.org/10.1016/j.puhe.2021.07.023

Do members of the public think they should use lateral flow tests or PCR tests when they have COVID-19-like symptoms? The COVID-19 Rapid Survey of Adherence to Interventions and Responses \[CORSAIR\] study,

Other Identifiers

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G&M-537

Identifier Type: -

Identifier Source: org_study_id