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As the COVID-19 pandemic persists, a sizable proportion of the U.S. population remains unvaccinated and at high risk of death and serious illness from COVID-19. Vaccine hesitancy, fueled by the proliferation of vaccine misinformation on social media, is one factor contributing to lack of vaccination. Current attempts to overcome vaccine misinformation focus on correcting or debunking falsehoods. Although debunking strategies are important components to any public health campaign, communications must also address rationales for vaccine hesitancy that vary among individuals and communities, and directly address the gist of their concerns in an empathetic, non-judgmental manner. We will conduct a randomized controlled trial to test the effectiveness of empathic, relationship-building interactions relative to standard provision of information on social media to address COVID-19 vaccine hesitancy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gist | Experimental | Gist-based messages on COVID-19 vaccination and moderated group discussions in a private Facebook group |
|
| Information | Placebo Comparator | Link to Facebook COVID-19 Information Center |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gist messages on COVID-19 vaccination | Behavioral | Participants will receive gist-based messages on COVID-19 vaccines and have their concerns addressed by a group moderator |
|
| Measure | Description | Time Frame |
|---|---|---|
| Engagement and satisfaction with the program | Engagement includes participation in the Facebook group; satisfaction=self-rated overall satisfaction with the program (7-point scale) | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants getting the COVID-19 vaccine | self-reported vaccination status | 4 weeks |
| Change in COVID-19 vaccination intention | Self-reported intention to get the COVID-19 vaccine (7-point scale) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| George Washington University | Washington D.C. | District of Columbia | 20052 | United States |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D000088823 | Vaccination Hesitancy |
| D015438 | Health Behavior |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| COVID-19 vaccine information | Behavioral | Participants will receive a link to the Facebook COVID-19 Information Center via a private Facebook Group |
|
| 4 weeks |
| Change in intention to encourage others to get the COVID-19 vaccine | Self-reported intention to encourage others to get the COVID-19 vaccine (7-point scale) | 4 weeks |
| Change in COVID-19 vaccine confidence | Self-reported confidence in the COVID-19 vaccine (5-point scale) | 4 weeks |
| Change in general vaccine confidence | Self-reported confidence in vaccines (7-point scale) | 4 weeks |
| Change in vaccine hesitancy | Self-reported vaccine hesitancy (7-point scale | 4 weeks |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D000072758 | Vaccination Refusal |
| D016312 | Treatment Refusal |
| D000074822 | Treatment Adherence and Compliance |
| D001519 | Behavior |