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Skydda mot felaktig information om hiv-vaccin med tonårsflickor och unga kvinnor i Sydafrika (PROTECT)

7 augusti 2026 uppdaterad av: University of Pennsylvania
Ungdomsflickor och unga kvinnor (AGYW) i åldrarna 15-24 år fortsätter att bära bördan av infektioner med humant immunbristvirus (HIV) i Sydafrika trots framsteg som noterats i förebyggande och behandlingsprogram. Unga kvinnors pågående mottaglighet för HIV-infektion och det suboptimala utnyttjandet av förebyggande alternativ såsom Pre-Exposure Prophylaxis (PrEP) som är mycket effektiva skapar ett behov av ett HIV-vaccin för att gynna befolkningar med betydande risk för HIV-infektion. Lärdomar från tidigare vaccinstudier och det senaste vaccinet mot covid-19 har dock visat på betydande hinder för vaccinupptagning, såsom utbredd desinformation och vaccinationstveksamhet. Dessa utmaningar hotar den framgångsrika implementeringen av ett framtida HIV-vaccin. Med utgångspunkt i dessa insikter kommer denna studie att använda psykologisk inokuleringsteori för att utveckla och utvärdera HIV-vaccinmeddelanden bland tonårsflickor och unga kvinnor. Primärt mål: Att jämföra förändringar i avsikter att få HIV-vaccin efter exponering för desinformation i grupper med och utan psykologisk inokulering och beteendeekonomisk boost. Sekundära mål: (1) Att jämföra trovärdigheten och övertalningsförmågan hos påståenden om desinformation och motiverande hot i samband med desinformation i grupper med och utan psykologisk inokulering och beteendeekonomisk boost. (2) Att utforska undergruppseffekter av relevanta sociodemografiska och beteendemässiga faktorer, inklusive HIV-risk, PrEP-historia, COVID-19-vaccinhistoria, allmän vaccinationstveksamhet och undvikande av information. Utredarna kommer att genomföra en trearmad randomiserad kontrollerad studie av 2-3 inokuleringsmeddelanden som tar upp nya myter och felaktig information om HIV-vaccinet i Sydafrika. Deltagarna kommer att tilldelas slumpmässigt till en kontrollgrupp eller en av två interventionsarmar: (1) inokuleringsmeddelandearm, eller (2) förbättra inokuleringsmeddelandet med insikter från beteendeekonomi.

Studieöversikt

Status

Aktiv, inte rekryterande

Studietyp

Interventionell

Inskrivning (Faktisk)

2163

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • Johannesburg, Sydafrika
        • Health Economics and Epidemiology Research Office, University of the Witwatersrand

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen

Tar emot friska volontärer

Ja

Beskrivning

Inklusionskriterier:

  • Kvinnlig
  • Ålder 18-24 år
  • Självrapporterad historia av sexuell aktivitet under de senaste 12 månaderna
  • Självrapporterad HIV-negativ status eller okänd HIV-status vid inskrivningen
  • Vill och kan ge skriftligt informerat samtycke
  • Kunna läsa och förstå engelska

Uteslutningskriterier:

  • Ovillig eller oförmögen att ge samtycke till studiedeltagande.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Dubbel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Aktiv komparator: Kontrollera
Deltagare som är inskrivna i kontrollgruppen kommer att få oberoende information om diabetes och näringsämnen av samma längd som inokuleringsmeddelanden. Se bilaga 6 för ett exempel på hur detta meddelande kommer att struktureras. Detta kommer att göra kontrollgruppen till en uppmärksamhetskontrollgrupp och säkerställa att fynd inte förvirras av interventionsgruppen som spenderar mer tid och uppmärksamma resurser vid deltagande i studien.
Deltagare som är inskrivna i kontrollgruppen kommer att få oberoende information om diabetes och näringsämnen av samma längd som inokuleringsmeddelanden. Se bilaga 6 för ett exempel på hur detta meddelande kommer att struktureras. Detta kommer att göra kontrollgruppen till en uppmärksamhetskontrollgrupp och säkerställa att fynd inte förvirras av interventionsgruppen som spenderar mer tid och uppmärksamma resurser vid deltagande i studien.
Övrig: Förbättrat inokuleringsmeddelande
Deltagare som är inskrivna i den förbättrade inokuleringsmeddelandearmen kommer att få meddelanden som varnar dem om förestående HIV -vaccin -felinformation och förklarar varför dessa påståenden är falska eller vilseledande, meddelandena kommer att förbättras med insikter från beteendeekonomi Se bilaga 5: "Inokuleringsmeddelande med ett boost" för ett exempel på inokuleringsmeddelandet. Som en del av beteendekonomiförstärkningen kan deltagarna välja att få ett litet symbol (t.ex. klistermärke, märke, armband) med ett meddelande som främjar vaccination som en konsistens och engagemangspremi.
Deltagare som är inskrivna i den förbättrade inokuleringsmeddelandearmen kommer att få meddelanden som varnar dem om förestående HIV -vaccin -felinformation och förklarar varför dessa påståenden är falska eller vilseledande, meddelandena kommer att förbättras med insikter från beteendeekonomi Se bilaga 5: "Inokuleringsmeddelande med ett boost" för ett exempel på inokuleringsmeddelandet. Som en del av beteendekonomiförstärkningen kan deltagarna välja att få ett litet symbol (t.ex. klistermärke, märke, armband) med ett meddelande som främjar vaccination som en konsistens och engagemangspremi.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
HIV Vaccine Intention, at the End of the Baseline Assessment
Tidsram: At the end of the baseline assessment
Intention to get the HIV vaccine, measured after inoculation intervention and misinformation exposure The intention to get the vaccine will be measured on a 0-10 scale. Higher score means they are more likely to get the HIV vaccine.
At the end of the baseline assessment

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
HIV Vaccine Intention, Follow-up
Tidsram: 2-4 weeks
Intention to get the HIV vaccine, measured at follow-up survey following misinformation exposure and intervention. Measured on a 0-10 scale. Higher score means they are more likely to get the HIV vaccine.
2-4 weeks
Recommend to Friends, at the End of the Baseline Assessment
Tidsram: At the end of the baseline assessment
Intention to recommend the HIV vaccine to friends, measured at survey baseline following misinformation exposure and intervention. Measured on a 0-10 scale. Higher score means they are more likely to recommend the HIV vaccine to a friend.
At the end of the baseline assessment
Recommend to Friends, Follow-up
Tidsram: 2-4 weeks
Intention to recommend the HIV vaccine to friends, measured at follow-up survey following misinformation exposure and intervention, controlling for baseline pre-intervention/exposure intention. Measured on a 0-10 scale. Higher score means they are more likely to recommend the HIV vaccine to a friend.
2-4 weeks
Credibility of Inoculated Exposure #1
Tidsram: At the end of the baseline assessment
Extent to which claim #1 made the participants believe the credibility of the information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
At the end of the baseline assessment
Credibility of Inoculated Exposure #2
Tidsram: At the end of the baseline assessment
Extent to which claim #2 made the participants believe the credibility of the information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
At the end of the baseline assessment
Credibility of Inoculated Exposure #3
Tidsram: At the end of the baseline assessment
Extent to which claim #3 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
At the end of the baseline assessment
Credibility of Inoculated Exposure #4
Tidsram: At the end of the baseline assessment
Extent to which claim #4 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
At the end of the baseline assessment
Credibility of Inoculated Exposure #5
Tidsram: At the end of the baseline assessment
Extent to which claim #5 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
At the end of the baseline assessment
Credibility of Inoculated Exposure #6
Tidsram: At the end of the baseline assessment
Extent to which claim #6 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
At the end of the baseline assessment
Anxiousness of Inoculated Exposure #1
Tidsram: At the end of the baseline assessment
Extent to which claim #1 made the participants anxious or nervous about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
At the end of the baseline assessment
Anxiousness of Inoculated Exposure #2
Tidsram: At the end of the baseline assessment
Extent to which claim #2 made the participants anxious or nervous about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
At the end of the baseline assessment
Anxiousness of Inoculated Exposure #3
Tidsram: At the end of the baseline assessment
Extent to which claim #3 made the participants anxious or nervous about the HIV vaccine. TThey were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
At the end of the baseline assessment
Anxiousness of Inoculated Exposure #4
Tidsram: At the end of the baseline assessment
Extent to which claim #4 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
At the end of the baseline assessment
Anxiousness of Inoculated Exposure #5
Tidsram: At the end of the baseline assessment
Extent to which claim #5 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
At the end of the baseline assessment
Anxiousness of Inoculated Exposure #6
Tidsram: At the end of the baseline assessment
Extent to which claim #6 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
At the end of the baseline assessment
Shareability of Inoculated Exposure #1
Tidsram: At the end of the baseline assessment
Extent to which claim #1 made the participants more likely to share information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
At the end of the baseline assessment
Shareability of Inoculated Exposure #7
Tidsram: At the end of the baseline assessment
Extent to which claim #7 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
At the end of the baseline assessment
Shareability of Inoculated Exposure #3
Tidsram: At the end of the baseline assessment
Extent to which claim #3 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
At the end of the baseline assessment
Shareability of Inoculated Exposure #4
Tidsram: At the end of the baseline assessment
Extent to which claim #4 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
At the end of the baseline assessment
Shareability of Inoculated Exposure #5
Tidsram: At the end of the baseline assessment
Extent to which claim #5 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
At the end of the baseline assessment
Shareability of Inoculated Exposure #6
Tidsram: At the end of the baseline assessment
Extent to which claim #6 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
At the end of the baseline assessment
Credibility of Inoculated Exposure #1, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #1 made the participants believe the credibility of the information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
2-4 weeks
Credibility of Inoculated Exposure #2, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #2 made the participants believe the credibility of the information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
2-4 weeks
Shareability of Inoculated Exposure #1, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #1 made the participants more likely to share information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
2-4 weeks
Shareability of Inoculated Exposure #2, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #2 made the participants more likely to share information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
2-4 weeks
Anxiousness of Inoculated Exposure #1, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #1 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
2-4 weeks
Anxiousness of Inoculated Exposure #2, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #2 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
2-4 weeks
Credibility of New Claims, Exposure #12, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #12 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
2-4 weeks
Credibility of New Claims, Exposure #8, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #8 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
2-4 weeks
Credibility of New Claims, Exposure #9, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #9 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
2-4 weeks
Credibility of New Claims, Exposure #10, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #10 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
2-4 weeks
Credibility of New Claims, Exposure #11, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #11 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
2-4 weeks
Anxiousness o of New Claims, Exposure #12, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #12 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
2-4 weeks
Anxiousness of New Claims, Claim #8, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #8 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
2-4 weeks
Anxiousness of New Claims, Exposure #9, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #9 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
2-4 weeks
Anxiousness of New Claims, Exposure #10, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #10 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
2-4 weeks
Anxiousness of New Claims, Exposure #11, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #11 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
2-4 weeks
Shareability of New Claims, Exposure #12, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #12 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
2-4 weeks
Shareability of New Claims, Exposure #8, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #8 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
2-4 weeks
Shareability of New Claims, Exposure #9, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #9 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
2-4 weeks
Shareability of New Claims, Exposure #10, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #10 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
2-4 weeks
Shareability of New Claims, Exposure #11, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #11 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
2-4 weeks
Credibility of Inoculated Exposure #7
Tidsram: At the end of the baseline assessment
Extent to which claim #7 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
At the end of the baseline assessment
Anxiousness of Inoculated Exposure #7
Tidsram: At the end of the baseline assessment
Extent to which claim #7 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
At the end of the baseline assessment
Shareability of Inoculated Exposure #2
Tidsram: At the end of the baseline assessment
Extent to which claim #2 made the participants more likely to share information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
At the end of the baseline assessment
Credibility of New Claims, Exposure #13, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #13 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.
2-4 weeks
Anxiousness of New Claims, Exposure #13, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #13 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.
2-4 weeks
Shareability of New Claims, Exposure #13, Follow-up
Tidsram: 2-4 weeks
Extent to which claim #13 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.
2-4 weeks

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

24 juli 2025

Primärt slutförande (Faktisk)

16 oktober 2025

Avslutad studie (Beräknad)

1 juni 2027

Studieregistreringsdatum

Först inskickad

7 november 2024

Först inskickad som uppfyllde QC-kriterierna

18 november 2024

Första postat (Faktisk)

22 november 2024

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

28 augusti 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

7 augusti 2026

Senast verifierad

1 augusti 2026

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • 1R01MH132401 (U.S.S. NIH-anslag/kontrakt)

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