Using Social Influencers for Public Health Education on Antibiotic Use and Antimicrobial Resistance
NCT ID: NCT06998576
Last Updated: 2025-07-29
Study Results
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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RECRUITING
NA
3300 participants
INTERVENTIONAL
2025-07-21
2027-06-30
Brief Summary
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The quasi-experimental study will involve a total of 3300 patrons of the 10 most popular consenting clinics, food and beauty establishments respectively, in two neighborhoods in Singapore.
Recruitment Process
1. Participants will scan the QR code on the posters in the participating clinics/establishments
2. Read the study information sheet
3. Consent will be implied on submission of survey
4. Total recruitment period: One year
5. Target: 3300 patrons of the 30 establishments (10 each of clinics, food, and beauty establishments)
Intervention Structure
1. Participants will complete a pre-intervention/baseline survey (#1)
2. Intervention includes an animated educational video with key messages on appropriate antibiotic use and AMR
3. Followed by immediate post-intervention survey (#2)
4. Provide contact details (mobile phone number) for reimbursement \& future follow-up online surveys
5. Complete follow-up online surveys: at 1 month post-intervention (#3), 3 months post-intervention (#4) and 6 months post-intervention (#5)
Expected Outcomes Increase in public knowledge of antibiotic use and AMR, and antibiotic behaviors through health education facilitated by neighborhood food and beauty establishments, in addition to that facilitated by clinics
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Detailed Description
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While healthcare providers are key players in health communication and considered most trusted sources of health information across all age groups \[7\], there is a need to identify and harness non-healthcare related establishments which can serve as trusted sources of health information especially for younger age groups who are less likely to have healthcare encounters \[8-10\]. The present study aims to engage non-healthcare establishments (food and beauty) with high degree centrality in the community identified through social network analysis, and evaluate the effectiveness of sharing health information about antibiotic use facilitated by non-healthcare establishments (food and beauty) as compared to traditional healthcare sources (clinics).
The Investigators conducted an exploratory sequential mixed methods study to identify both healthcare and non-healthcare (food and beauty) establishments which were highly frequented by the residents in the community. Findings from the above study were used to select the top 10 highly frequented healthcare and non-healthcare (food and beauty) establishments.
A quasi-experimental study will be conducted to compare the effectiveness of sharing health information about antibiotic use and AMR facilitated through healthcare clinics, and beauty and food establishments in 2 neighborhoods. Participants (patients/patrons) who visit the participating establishments (clinics/food establishments/beauty establishments) will be invited to take part in the study by scanning the QR code on the recruitment posters placed inside the premises. Upon scanning the QR code, participants will proceed to complete a pre-intervention questionnaire survey (#1) on an online platform after going through the study information sheet. Upon completion of the survey #1, participants will be guided through embedded instructions to click on a link to access the health educational intervention. The educational intervention includes a short 2-minute animated video (developed based on the preferences of the community as identified from the results of the quantitative survey) will be hosted on a multimedia online platform providing key information on appropriate antibiotic use and AMR. After viewing the video, the participants will be subsequently led to the post-intervention survey #2 via a link. Before submitting survey #2, contact details (mobile number) and the preferred payment method will be collected for reimbursement purposes and future follow-up surveys. The enrolled participants will be re-contacted by the study team via a mobile messaging service (such as WhatsApp), and will be guided through embedded instructions to complete three more surveys (#3, #4 \& #5) at 1-, 3-, and 6-month post-intervention to assess knowledge on antibiotic use and AMR and behaviors on antibiotic use. Participants will be recruited from all 30 participating establishments (10 clinics, 10 F\&B shops, 10 beauty salons) for the entire study duration of one year and will be followed up for 6 months after the intervention.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
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Healthcare clinics
Ten healthcare clinics will be chosen. Patients will enrol into the study by scanning the QR code on the recruitment poster at the participating healthcare clinics will access the health educational intervention.
Animated educational video on antibiotic use
The intervention features a concise animated video on antibiotic use and AMR. The video's content and format will be developed based on the results of a survey conducted among the community residents in the two neighborhoods. Through the survey, the participants evaluated multiple message options including the various delivery formats. The animated video was designed incorporating the community's preferred key message and delivery method. The resulting video uses graphics, voice-overs, captions \[in all 4 official national languages\] to convey key messages about appropriate antibiotic use and AMR.
Food establishments
Ten food establishments will be chosen. Patrons will enrol in the study by scanning the QR code on the recruitment poster at the participating F\&B shops will access the health educational intervention.
Animated educational video on antibiotic use
The intervention features a concise animated video on antibiotic use and AMR. The video's content and format will be developed based on the results of a survey conducted among the community residents in the two neighborhoods. Through the survey, the participants evaluated multiple message options including the various delivery formats. The animated video was designed incorporating the community's preferred key message and delivery method. The resulting video uses graphics, voice-overs, captions \[in all 4 official national languages\] to convey key messages about appropriate antibiotic use and AMR.
Beauty establishments
Ten beauty etablishments will be chosen. Patrons will enrol in the study by scanning the QR code on the recruitment poster at the participating beauty establishments will access the health educational intervention.
Animated educational video on antibiotic use
The intervention features a concise animated video on antibiotic use and AMR. The video's content and format will be developed based on the results of a survey conducted among the community residents in the two neighborhoods. Through the survey, the participants evaluated multiple message options including the various delivery formats. The animated video was designed incorporating the community's preferred key message and delivery method. The resulting video uses graphics, voice-overs, captions \[in all 4 official national languages\] to convey key messages about appropriate antibiotic use and AMR.
Interventions
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Animated educational video on antibiotic use
The intervention features a concise animated video on antibiotic use and AMR. The video's content and format will be developed based on the results of a survey conducted among the community residents in the two neighborhoods. Through the survey, the participants evaluated multiple message options including the various delivery formats. The animated video was designed incorporating the community's preferred key message and delivery method. The resulting video uses graphics, voice-overs, captions \[in all 4 official national languages\] to convey key messages about appropriate antibiotic use and AMR.
Eligibility Criteria
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Inclusion Criteria
* Patrons of the 30 participating healthcare clinics, food and beauty establishments
Exclusion Criteria
21 Years
ALL
Yes
Sponsors
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Tan Tock Seng Hospital
OTHER
Responsible Party
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Chow Li Ping Angela
Senior Consultant, Department of Epidemiology and Preventive Medicine
Locations
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Tan Tock Seng Hospital
Singapore, Singapore, Singapore
Countries
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Central Contacts
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Facility Contacts
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References
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Chow A, Aithal S, Guo H, Lwin MO, Hildon ZJ. Using social influencers for public health education on antibiotic use and antimicrobial resistance: protocol for a quasi-experimental study. BMC Public Health. 2025 Sep 24;25(1):3120. doi: 10.1186/s12889-025-24338-z.
Other Identifiers
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CSAINV22jul-0010
Identifier Type: -
Identifier Source: org_study_id
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