NCT04112680

Brief Summary

In the Contagious Misinformation Trial the investigators aim to debunk prevalent misinformation about an infectious disease using two evidence-based methods of debunking. The two debunking methods are packaged in two audio dramas of 4 episodes each, which will be sent to the WhatsApp of participants who are randomised to intervention group 1 or 2. The control group will receive audio messages about a different topic. The primary outcome is the reduction in belief in two misinformation statements about the infectious diseases.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
750

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 27, 2019

Completed
5 days until next milestone

First Posted

Study publicly available on registry

October 2, 2019

Completed
5 days until next milestone

Study Start

First participant enrolled

October 7, 2019

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 21, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 21, 2019

Completed
Last Updated

January 22, 2020

Status Verified

January 1, 2020

Enrollment Period

3 months

First QC Date

September 27, 2019

Last Update Submit

January 20, 2020

Conditions

Keywords

MisinformationCommunicationInfectious diseases

Outcome Measures

Primary Outcomes (1)

  • Change in the belief in misinformation

    The change in the belief in misinformation will be measured through Yes/No questions in the baseline and follow-up surveys. Using logistic regression models, the prevalence of the belief in misinformation about 2 aspects of an infectious disease compared to the control group will be analysed using an intention-to-treat and per-protocol analysis

    Up to 2 months

Secondary Outcomes (8)

  • Inadvertent promotion of misinformation: the backfire effect

    Up to 2 months

  • As treated analysis of primary outcomes

    Up to 2 months

  • Knowledge about preventive methods

    Up to 2 months

  • Health-related discussions among family/friend

    Up to 2 months

  • Method of administration

    Up to 2 months

  • +3 more secondary outcomes

Study Arms (3)

Intervention group 1

EXPERIMENTAL

Audio messages in this group are focussed on providing a Plausible Alternative to the misinformation

Behavioral: Debunking Misinformation through Audio Dramas

Intervention group 2

EXPERIMENTAL

Audio messages in this group focus on Avoiding the Misinformation and instead only provide the correct information

Behavioral: Debunking Misinformation through Audio Dramas

Control group

PLACEBO COMPARATOR

Audio messages in this control group are on a different topic

Behavioral: Control group audio jingles

Interventions

The audio dramas (one drama of 4 episodes per intervention group), aim to debunk misinformation about an infectious disease. The content of the two dramas differ in the two groups; in intervention group 1, the drama will state the misinformation and provide a plausible alternative, delivered through a trusted source, in line with world views. In intervention group 2, the audio drama will avoid mentioning the misinformation and instead only state the correct information about the infectious disease

Intervention group 1Intervention group 2

The control group will receive audio jingles about exclusive breastfeeding

Control group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adults
  • Living in Freetown
  • In possession of a mobile phone that has WhatsApp
  • Fluent in Krio

You may not qualify if:

  • Deafness

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Focus1000

Freetown, Western Area, Sierra Leone

Location

Related Publications (1)

  • Winters M, Oppenheim B, Sengeh P, Jalloh MB, Webber N, Pratt SA, Leigh B, Molsted-Alvesson H, Zeebari Z, Sundberg CJ, Jalloh MF, Nordenstedt H. Debunking highly prevalent health misinformation using audio dramas delivered by WhatsApp: evidence from a randomised controlled trial in Sierra Leone. BMJ Glob Health. 2021 Nov;6(11):e006954. doi: 10.1136/bmjgh-2021-006954.

MeSH Terms

Conditions

CommunicationCommunicable Diseases

Condition Hierarchy (Ancestors)

BehaviorInfectionsDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Helena Nordenstedt, MD PHD

    Karolinska Institutet

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Participant will not know the group they are assigned to, as all groups (also the control group) will receive audio messages. The investigator and outcomes assessors will only be handed an anonymised data set.
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Interventional study, with 3 arms (2 intervention groups, 1 control group) to test communication elements of audio dramas aiming to counter prevalent belief in misinformation about an infectious disease in Freetown, Sierra Leone
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

September 27, 2019

First Posted

October 2, 2019

Study Start

October 7, 2019

Primary Completion

December 21, 2019

Study Completion

December 21, 2019

Last Updated

January 22, 2020

Record last verified: 2020-01

Data Sharing

IPD Sharing
Will share

After publication of the primary analysis and study results, the anonymised data will be published in a public repository

Shared Documents
SAP, ICF
Time Frame
January 2022

Locations