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COVID-19 Health Messaging to Underserved Communities

24 juli 2021 bijgewerkt door: Esther Duflo, National Bureau of Economic Research, Inc.
Recent data have shown that covid19 is disproportionately infecting and killing African Americans and Latinx people in the United States. The aim of the study is to determine which messages are most effective at increasing knowledge and changing behaviors that can protect individuals and their communities from the virus. To accomplish this aim, we plan to recruit approximately 20,000 Hispanic and African-American individuals and randomly assign them to videos that vary either the sender or the framing of the message, while providing the relevant public health information.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

The following procedures will be followed. The research subjects will participate online.

  1. Doctors from MGH who express interest in participating will record messages according to our scripts (US Doctors Script African American, US Doctors Script Latinx). They will be instructed to film several different versions each.
  2. We will recruit a sample of Latinx and African American study participants from across the country through Lucid, an online survey firm that has access to a large subject pool.
  3. Participants will first read a consent script and give us their informed consent (US Doctors Messaging Consent)
  4. Participants will then navigate through the following steps

    1. Brief demographics survey questions (US Doctors Messaging Survey)
    2. Videos 1 and 2: Introduction, Acknowledgement, Social Distancing (US Doctors Script African American, US Doctors Script Latinx). Individuals in the control group will not see videos.
    3. Beliefs survey questions (US Doctors Messaging Survey)
    4. Video 3: Masks (US Doctors Script African American, US Doctors Script Latinx). Again, individuals in the control group will not see a video here.
    5. Main outcomes survey (US Doctors Messaging Survey)
    6. Control group is shown a version of all 3 videos at end (US Doctors Script African American, US Doctors Script Latinx).
  5. The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

    1. Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
    2. Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
    3. Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
    4. Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
    5. Some individuals in a control group will only see messages after all surveying has been completed.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

14267

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

    • Massachusetts
      • Cambridge, Massachusetts, Verenigde Staten, 02138
        • JPAL North America

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria: Hispanic and African-American adult individuals, men and women - oversample of those with less completed education Exclusion Criteria: children, those who do not identify as above

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Preventie
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Control - CDC - Mask (Control) - Concordant
Control Intro, CDC Social Distancing, Mask Control version delivered by minority doctor of same background as the recipient - other definitions are similar

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Control - CDC - Mask (Control) - Discordant
Control Intro, CDC Social Distancing, Mask Control version delivered by majority doctor of different background as the recipient - other definitions are similar

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Control - MGH - Mask (Control) - Concordant
Control Intro, MGH Social Distancing, Mask Control version delivered by concordant doctor

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Control - MGH - Mask (Control) - Discordant
Control Intro, MGH Social Distancing, Mask Control version delivered by discordant doctor

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Ack. Discrimination- MGH - Mask (Control) - Concordant
Introduction Acknowledges past discrimination, MGH doctor talks about Social Distancing, Mask Control all by concordant MD

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Ack. Discrimination- MGH - Mask (Control) - Discordant
Introduction Acknowledges past discrimination, MGH doctor talks about Social Distancing, Mask Control all by discordant MD

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Ack. econ. circumstance- MGH - Mask (Control ) Concordant
Intro econ. circumstance -MGH - Mask (Control ) Concordant

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Ack. econ. circumstance - MGH - Mask (Control ) Discordant

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Control Intro - CDC - Mask (antiStigma) Concordant
Control Intro - CDC - Mask (antiStigma) Concordant messenger

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Control Intro - CDC - Mask (antiStigma) Discordant
Control Intro - CDC - Mask (antiStigma) discordant messenger

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Control - MGH - MaskS (antiStigma) Concordant messenger
Control - MGH - MaskS (antiStigma) Concordant sender

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Control- MGH-MaskS (antiStigma) Discordant messenger
Control - MGH - MaskS (antiStigma) Discordant sender

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Ack. Discrimination - MGH - MaskS (antiStigma) Concordant
Acknowledge Discrimination - MGH - MaskS (antiStigma) Concordant sender

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Ack. Discrimination - MGH - MaskS (antiStigma) Discordant
Acknowledge Discrimination - MGH - MaskS (antiStigma) Discordant sender

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Ack. Econ Hardship- MGH - Mask (antiStigma) Concordant
Acknowledge Econ Hardship- MGH - Mask (antiStigma) Concordant sender

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Experimenteel: Ack. Econ Hardship- MGH - Mask (antiStigma) Discordant
Acknowledge Econ Hardship- MGH - Mask (antiStigma) discordant sender

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.
Placebo-vergelijker: Info later - Pure Control
This group will not receive the videos but will receive information later.

o The video messages each participant in one of the treatment groups sees will be randomized on the following dimensions. The different versions are clearly demarcated in the US Doctors Scripts document.

  • Racial or ethnic identity of the doctor delivering the messages: concordant vs. discordant identity to the subject.
  • Whether the message includes an acknowledgment of "elephant in the room" issues for each target group: trust in the medical system or fear of deportation.
  • Whether the social distancing component of the message is delivered by Dr. Birx of the CDC or recorded by the MGH physicians.
  • Whether individuals are given information about how representative individuals perceive mask wearers of color. This information comes from results of our nationally representative pilot survey.
  • Some individuals in a control group will see messages later.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Incidence Rate for Knowledge Gaps: Control vs. Any Intervention
Tijdsspanne: The outcome was measured immediately following the intervention in the 15-minute baseline survey.
Incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 7
The outcome was measured immediately following the intervention in the 15-minute baseline survey.
Incidence Rate for Information-seeking Behavior: Control vs. Any Intervention
Tijdsspanne: The outcome was measured immediately following the intervention in the 15-minute baseline survey.
Incidence rate for Information-seeking behavior is the count of links demanded divided by the maximum possible count: 10
The outcome was measured immediately following the intervention in the 15-minute baseline survey.
Incidence Rate for Knowledge Gaps by Intervention
Tijdsspanne: The outcome was measured immediately following the intervention in the 15-minute baseline survey.
Incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 7
The outcome was measured immediately following the intervention in the 15-minute baseline survey.
Incidence Rate for Information-seeking Behavior by Intervention
Tijdsspanne: The outcome was measured immediately following the intervention in the 15-minute baseline survey.
Incidence rate for Information-seeking behavior is the count of links demanded divided by the maximum possible count: 10
The outcome was measured immediately following the intervention in the 15-minute baseline survey.

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

13 mei 2020

Primaire voltooiing (Werkelijk)

24 mei 2020

Studie voltooiing (Werkelijk)

26 mei 2020

Studieregistratiedata

Eerst ingediend

28 april 2020

Eerst ingediend dat voldeed aan de QC-criteria

28 april 2020

Eerst geplaatst (Werkelijk)

1 mei 2020

Updates van studierecords

Laatste update geplaatst (Werkelijk)

27 juli 2021

Laatste update ingediend die voldeed aan QC-criteria

24 juli 2021

Laatst geverifieerd

1 juli 2021

Meer informatie

Termen gerelateerd aan deze studie

Andere studie-ID-nummers

  • 2003000118

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

Generally, economists will post code and de-identified data when the findings are published

IPD-tijdsbestek voor delen

Generally, social scientists post code and de-identified data when the findings are published

IPD-toegangscriteria voor delen

To be determined, if published alongside the paper data and code may be gated.

IPD delen Ondersteunend informatietype

  • SAP
  • ANALYTIC_CODE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

Klinische onderzoeken op Coronavirus

3
Abonneren