Vaccine Confidence and Infodemic in Southeast Asia's Nusantara Sociocultural Sphere

April 19, 2025 updated by: Laura (Layla) H Kwong, University of California, Berkeley

Vaccine Confidence and Infodemic in Southeast Asia's Nusantara Sociocultural Sphere: A Transdisciplinary, Transnational Study

The goal of this clinical trial is to understand how well a culturally-specific "prebunking" video can improve vaccine information literacy and vaccine confidence among individuals in the Nusantara sociocultural sphere. The investigators hypothesize the individuals who watch the co-created "prebunking" intervention video will have improved vaccine literacy skills and vaccine confidence compared to individuals who watch a video about safe medication disposal.

Study Overview

Detailed Description

The primary aim of this research is to develop and assess the impact of an educational video in enhancing vaccine information literacy and vaccine confidence within Southeast Asia's Nusantara Sociocultural Sphere--a network of communities spanning multiple countries in Southeast Asia, connected by shared linguistic, historical, and sociocultural roots. Adopting a transdisciplinary and human-centered approach, we will engage representatives from Brunei, Indonesia, Malaysia and Singapore through online workshops and in-person focus group discussions to co-create a video. Guided by the findings from our research (using publicly available social media dataset) and communication theories from existing literature, the video will contain messages that focus on equipping viewers with the skills to identify common tactics used in vaccine misinformation in two mutually intelligible languages (Bahasa Melayu and Bahasa Indonesia) and on enhancing vaccine confidence levels among viewers.

To evaluate the effectiveness of the videos as an intervention for vaccine information literacy and vaccine confidence, we will conduct an online two-arm randomized controlled trial (RCT). Participants will be randomly assigned to one of the two groups:

  1. Group 1 (Intervention Group): Participants will watch the co-created video containing vaccine-related messages.
  2. Group 2 (Control Group): Participants will watch a control video containing messages related to the importance of proper and safe medication disposal.

We hypothesize that exposure to Video 1 will lead to a significant increase in vaccine literacy skills and vaccine confidence compared to exposure to Video 2.

The study will be conducted online. Individuals who have signed the e-consent form will be automatically redirected to the online RCT. Each participant will be asked to respond to several pre-video questions (including demographic, vaccine confidence, and vaccine literacy). After stratification by language, they will be randomly assigned to watch either the control video (physical exercise) or intervention video (vaccine) using REDCap's randomization functionality. After watching the video, they will respond to post-video questions (including behavior, vaccine confidence, and vaccine literacy). They will then undergo debriefing, which aims to clarify which social media posts (embedded in vaccine literacy-related questions) contain misinformation AND to provide full disclosure on the goal of the RCT (which was partially disclosed during recruitment to avoid confusion). Finally, each participant will be asked if they are interested to participate in a gift card drawing -- if they are, the investigators will asked them to share their name and contact information. The UCB team will monitor data collection and stop data collection when the target number of participants has been reached.

Within two weeks of closing the RCT data collection, the UCB team will draw 40 names from a pool of participants who have successfully completed the experiment and have agreed to participate in the drawing for gift cards. 20 out of 40 selected participants will be from the Bahasa Melayu-speaking pool; the other 20 from the Bahasa Indonesia-speaking pool.

Study Type

Interventional

Enrollment (Estimated)

472

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • California
      • Berkeley, California, United States, 94720
        • Recruiting
        • University of California, Berkeley
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • At least 18 years old
  • Live in Brunei, Indonesia, Malaysia, or Singapore
  • Fluent in Bahasa Melayu or Bahasa Indonesia
  • Watch social media content in Bahasa Melayu or Bahasa Indonesia every day
  • Access to stable Internet on smartphone or laptop to complete the experiment without interruption

Exclusion Criteria:

  • Individuals who were involved in the online human-centered design thinking workshops or the in-person focus-group discussions will not be eligible to participate in RCT. This exclusion criterion is put in place to prevent potential bias in the evaluation of the intervention's effectiveness.
  • Individuals who have difficulty in looking at social media on cellphone (even when they use prescription glasses), listening to the audio of social media content on cellphone (even with hearing aid), and typing within or engaging with social media content on cell phone are not eligible to participate in this study. -

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Watch pre-bunking video
Participants in this arm will watch a ~3-minute pre-bunking video
~3 minutes educational video to improve vaccine literacy and vaccine confidence
Placebo Comparator: Watch video on safe disposal of medication
Participants in this arm will watch a ~3-minute video that discusses safe ways to dispose of medication
~3 minutes educational video on safe disposal of medication

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Identification of vaccine misinformation
Time Frame: From the start to the end of the survey (approximately 20 minutes)
The percent of social media posts that the participant correctly identifies as misinformation
From the start to the end of the survey (approximately 20 minutes)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Vaccine confidence
Time Frame: From the start to the end of the survey (approximately 20 minutes)
The participant's stated vaccine confidence on a Likert scale
From the start to the end of the survey (approximately 20 minutes)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Laura H Kwong, University of California, Berkeley

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 28, 2024

Primary Completion (Estimated)

December 31, 2025

Study Completion (Estimated)

June 1, 2026

Study Registration Dates

First Submitted

January 6, 2025

First Submitted That Met QC Criteria

April 19, 2025

First Posted (Actual)

April 27, 2025

Study Record Updates

Last Update Posted (Actual)

April 27, 2025

Last Update Submitted That Met QC Criteria

April 19, 2025

Last Verified

April 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • 2023-06-16452

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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