COVID-19 Resource Offers Among Rent and Utility Assistance Applicants in St. Louis

NCT05451511 | Completed

• 1 other identifier: 3R01CA235773-03S2
• Study Type: interventional
• Target: 531
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate health messaging strategies that help individuals with a high degree of housing-related needs engage in COVID-19 vaccination and testing behaviors. Findings from this research can help other communities determine how best to integrate social needs and COVID-19 prevention services. Participants' contact information will be shared with us by 211 with the participants' previously given consent. The study team will send via text message a link to a survey that includes a screen where they will provide informed consent. Those who provide consent will be randomly assigned to receive one of two surveys. The order of the offers is what varies across the surveys. Participants will be asked, along with other survey items, if they have been vaccinated against COVID-19. If they have not, they will be asked if they are interested in receiving help to receive a vaccine. Participants will also be asked if they are interested in receiving an at-home COVID self-test. If they say yes to assistance with vaccination, a vaccine navigator will call and assist them. If they say yes to receiving a COVID test, the study team will ship them a test that has been procured from the City of St. Louis Mayor's office. One month later participants will be sent a follow-up survey that asks about their experiences either with testing or with vaccination if applicable.

Conditions

Behavior and Behavior Mechanisms; Communication

Outcome Measures

Primary Outcomes (3)

• Proportion Vaccinated

  Via a mobile-optimized web-based survey, the investigators will ask individuals seeking rental/housing assistance if they are thinking about getting vaccinated and report the proportion "already vaccinated."

  Baseline

• Sequential Request Strategy Effectiveness

  To compare differences in testing acceptance and vaccination responses by sequential request strategy, the investigators will identify which strategy is associated with greater testing and vaccination intentions.

  Baseline

• Testing and Vaccination Offer Acceptance

  At baseline, participants will be offered vaccination support and free a COVID-19 self-test. The investigators will report the proportion of applicants who accept each of the offers.

  Baseline

Secondary Outcomes (2)

• Testing and Vaccination Behaviors

  1 month follow-up

• Rent Relief

  Baseline

Study Arms (2)

Door-In-The-Face Technique

ACTIVE COMPARATOR

Using sequential request strategies, participants randomized to the Door-In-The-Face Technique group will be asked if they would like vaccination support (if not already vaccinated) and if they say no, they will be asked if they'd like to try a COVID-19 self-test at home.

Other: Door-In-The-Face Technique

Foot-In-The-Door Technique

ACTIVE COMPARATOR

Using sequential request strategies, participants randomized to the Foot-In-The-Door Technique group will be first asked if they are interested in trying an at-home COVID-19 test and then asked if they are interested in vaccination support (if not already vaccinated).

Other: Foot-In-The-Door Technique

Interventions

Door-In-The-Face Technique OTHER

Sequential request strategies will be applied as an intervention. For the Door-In-The-Face Technique, participants first receive a large request they are unlikely to accept, followed by a smaller request that is the true behavior of interest.

Door-In-The-Face Technique

Foot-In-The-Door Technique OTHER

Sequential request strategies will be applied as an intervention. For the Foot-In-The-Door Technique, participants are shown an easier first request that they are likely to accept, followed by a larger request that is not the behavior of interest.

Foot-In-The-Door Technique

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Applicants for rent and utility assistance in St. Louis City or County
• English language proficiency
• Be willing to be contacted via text message or email
• Resident of St. Louis City or County

You may not qualify if:

• N/A

Sponsors & Collaborators

• Washington University School of Medicine: lead

Study Sites (1)

Washington University in St. Louis

St Louis, Missouri, 63130, United States

Location

MeSH Terms

Conditions

Behavior; Communication

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 7, 2022
• First Posted: July 11, 2022
• Study Start: July 5, 2022
• Primary Completion: September 25, 2022
• Study Completion: September 25, 2022
• Last Updated: November 30, 2022

Record last verified: 2022-11

Locations

US (1)