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Cognitive and Emotional Inoculation Against Nutrition-Related Misinformation in Young Adults

4 septembre 2026 mis à jour par: Beijing Normal University

Cognitive and Emotional Inoculation Against Nutrition-Related Misinformation in Young Adults: A Randomized Controlled Trial

This study aims to examine the effects of cognitive and emotional inoculation interventions on young adults' ability to identify and respond to nutrition-related misinformation on social media. The study will compare two game-based inoculation approaches-a cognitive inoculation intervention and an emotional inoculation intervention-with a control condition. Outcomes will be assessed at baseline, immediately after the intervention, and 2 weeks later.

Aperçu de l'étude

Description détaillée

Nutrition-related misinformation is increasingly disseminated through social media and may influence how young adults perceive and make decisions about food, diet, and health. Such misinformation may rely not only on inaccurate or unsupported claims but also on persuasive communication techniques, including appeals to authority, unrealistic promises, fear appeals, conspiracy narratives, and absolute or dichotomous framing. These techniques may influence judgments by eliciting trust, desire, anxiety, anger, or decision-related pressure.

This three-arm randomized controlled trial will compare two game-based inoculation interventions-a cognitive inoculation intervention and an emotional inoculation intervention-with a control condition. Participants will encounter common persuasive techniques used in nutrition-related misinformation and receive condition-specific feedback. The cognitive intervention is designed to promote recognition of misleading techniques and verification of supporting evidence. The emotional intervention is designed to promote recognition of emotional cues associated with manipulative messages and reflection on how such cues may influence judgment. The study will assess participants' responses to nutrition-related social media posts at baseline, immediately after the intervention, and 2 weeks later to examine both immediate and sustained effects.

Type d'étude

Interventionnel

Inscription (Estimé)

330

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

Lieux d'étude

    • Guangdong
      • Zhuhai, Guangdong, Chine, 519087
        • Beijing Normal University

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte

Accepte les volontaires sains

Non

La description

Inclusion Criteria:

  1. Aged 18 to 30 years.
  2. Able to read and understand Chinese.
  3. Able to access and independently complete the online intervention game and study questionnaires.
  4. Has access to WeChat for study communication and follow-up reminders.
  5. Provides electronic informed consent.

Exclusion Criteria:

  1. Younger than 18 years or older than 30 years.
  2. Unable to read Chinese or independently complete the online study procedures.
  3. Does not provide electronic informed consent.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: La prévention
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Cognitive Inoculation
Cognitive Game-Based Inoculation
Participants will complete a five-level interactive game designed to build resistance to nutrition-related misinformation on social media. In each level, participants act as a health-content creator and choose between an original social media post and alternative titles that may use misleading persuasive techniques. The game addresses five techniques: fake authority, impossible expectations, fear appeals, conspiracy framing, and false dichotomies. After each decision, participants receive cognitive feedback explaining how the misleading technique operates, the linguistic cues that may indicate its use, and how to evaluate whether the claim is supported by verifiable evidence.
Expérimental: Affective Inoculation
Emotional Game-Based Inoculation
Participants will complete a five-level interactive game designed to build resistance to nutrition-related misinformation on social media. The game uses the same scenarios and addresses the same five misleading techniques as the cognitive inoculation intervention: fake authority, impossible expectations, fear appeals, conspiracy framing, and false dichotomies. After each decision, participants receive emotional feedback designed to help them recognize and reflect on the emotional cues triggered by manipulative messages, including unwarranted reassurance, desire, anxiety, anger, and pressure to make extreme choices. The feedback explains how these emotional responses may influence judgment of nutrition-related information.
Comparateur actif: General Nutrition Education
General Nutrition Health Education
Participants will read eight brief sections of general nutrition health education adapted from the Chinese Dietary Guidelines (2022). This condition provides credible healthy-diet information without instruction about nutrition-related misinformation, persuasive techniques, evidence verification, fact-checking, or emotional manipulation cues. The sections cover dietary variety; energy balance and physical activity; fruit and vegetable intake; animal-source foods; limiting salt, oil, sugar, and alcohol; regular meals and adequate hydration; food selection, label reading, and food hygiene; and sustainable dietary practices.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Manipulation-Technique Recognition Accuracy
Délai: Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Change from baseline in the accuracy of recognizing manipulation techniques in nutrition-related social-media information will be assessed using simulated posts containing both misleading and accurate content. Participants will identify the persuasion or manipulation technique used in each post, or indicate that no misleading technique is present. Higher scores indicate better recognition accuracy.
Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Perceived Credibility of Nutrition-Related Misinformation
Délai: Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Change from baseline in perceived credibility of nutrition-related misinformation will be assessed using simulated social-media posts about diet and health. Participants will rate the perceived credibility of each post using a 7-point Likert scale ranging from 1 (not at all credible) to 7 (extremely credible). Higher scores indicate greater perceived credibility of nutrition-related misinformation, representing a worse outcome. Lower scores indicate lower perceived credibility of nutrition-related misinformation.
Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Intention to Share Nutrition-Related Misinformation
Délai: Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Change from baseline in willingness to share nutrition-related misinformation will be assessed using simulated social-media posts about diet and health. Participants will rate their willingness to share the information with others on a 7-point Likert scale ranging from 1 (very unlikely) to 7 (very likely). Higher scores indicate greater intention to share nutrition-related misinformation and represent a worse outcome.
Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Intention to Fact-Check Nutrition-Related Information
Délai: Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Change from baseline in intention to verify nutrition-related information will be assessed using simulated social-media posts about diet and health. Participants will rate the extent to which they would check whether the information is accurate or supported by reliable evidence on a 7-point Likert scale ranging from 1 (very unlikely) to 7 (very likely). Higher scores indicate greater intention to fact-check nutrition-related information and represent a better outcome.
Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Perceived Manipulativeness
Délai: Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Change from baseline in perceived manipulativeness will be assessed by participants' ratings of the extent to which nutrition-related social-media posts are perceived as deliberately attempting to influence or guide their judgment. Ratings will be made on a 7-point Likert scale ranging from 1 (not at all manipulative) to 7 (extremely manipulative). Higher scores indicate greater perceived manipulativeness.
Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Perceived Emotional Manipulation
Délai: Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Change from baseline in perceived emotional manipulation will be assessed in response to nutrition-related social-media posts. Participants will rate the extent to which the posts rely on emotional appeals rather than factual information.Ratings will be made on 7-point Likert scale ranging from 1 (not at all) to 7 (extremely). Higher scores indicate greater perceived emotional manipulation.
Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Perceived Threat
Délai: Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Change from baseline in perceived threat will be assessed in response to nutrition-related social-media posts. Participants will rate the extent to which the posts evoke concerns about personal health.Ratings will be made on 7-point Likert scale ranging from 1 (not at all) to 7 (extremely).Higher scores indicate greater perceived threat.
Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Counterarguing in Response to Nutrition-Related Misinformation
Délai: Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Change from baseline in counterarguing will be assessed by participants' self-reported tendency to generate thoughts that question, challenge, or critically evaluate the claims made in nutrition-related social-media posts. Responses will be rated on a 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater counterarguing and represent a better outcome.
Baseline (T0), immediate post-intervention (T1), and 2-week follow-up (T2).
Misinformation-Detection Self-Efficacy
Délai: Baseline (T0) and 2-week follow-up (T2).
Change from baseline in confidence in detecting false, exaggerated, or insufficiently supported nutrition-related information and in verifying its source will be assessed using self-report items rated on 7-point Likert scale ranging from 1 (not at all confident) to 7 (extremely confident). Higher scores indicate greater misinformation-detection self-efficacy.
Baseline (T0) and 2-week follow-up (T2).

Autres mesures de résultats

Mesure des résultats
Description de la mesure
Délai
Critical and Electronic Health Literacy
Délai: Baseline (T0) and 2-week follow-up (T2).
Change from baseline in critical and electronic health literacy will be assessed using self-report items addressing participants' ability to find, evaluate, and apply online diet- and health-related information, including the ability to identify omissions, exaggeration, or weak evidence. Responses will be rated on 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate higher critical and electronic health literacy.
Baseline (T0) and 2-week follow-up (T2).

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Les enquêteurs

  • Chercheur principal: Xue Weng, Beijing Normal University

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Estimé)

1 septembre 2026

Achèvement primaire (Estimé)

30 décembre 2026

Achèvement de l'étude (Estimé)

30 juin 2027

Dates d'inscription aux études

Première soumission

31 août 2026

Première soumission répondant aux critères de contrôle qualité

31 août 2026

Première publication (Réel)

3 septembre 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

9 septembre 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

4 septembre 2026

Dernière vérification

1 septembre 2026

Plus d'information

Termes liés à cette étude

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • Nutrition Misinformation Trial

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

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