NCT05607082

Brief Summary

This megastudy is a massive randomized controlled trial. By randomizing participants to 10 different intervention conditions simultaneously, the investigators will be able to compare the effectiveness of different interventions to one another and to a control group (in which individuals will only receive the usual communications from their partner organization) to identify which interventions significantly increase vaccination rates. Pharmacy customers will be randomly assigned to receive one of the interventions designed by team scientists to encourage vaccination or to a control group. The baseline intervention will be based on the top-performing SMS intervention identified in the investigators previous megastudies on encouraging vaccination (Milkman et al., 2021b, 2022). Pharmacy customers will receive SMS messages conveying that a COVID booster vaccine is reserved or waiting for them at the pharmacy. Additional behavioral science messaging strategies will be tested by building off of this baseline intervention.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
2,600,000

participants targeted

Target at P75+ for not_applicable covid19

Timeline
Completed

Started Nov 2022

Shorter than P25 for not_applicable covid19

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

November 3, 2022

Completed
Same day until next milestone

Study Start

First participant enrolled

November 3, 2022

Completed
4 days until next milestone

First Posted

Study publicly available on registry

November 7, 2022

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 8, 2022

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 6, 2023

Completed
Last Updated

March 3, 2023

Status Verified

March 1, 2023

Enrollment Period

1 month

First QC Date

November 3, 2022

Last Update Submit

March 1, 2023

Conditions

Keywords

COVID-19 vaccinationbehavioral science interventionsvaccination promotion

Outcome Measures

Primary Outcomes (1)

  • Patient uptake of the COVID bivalent booster

    Whether patients receive a bivalent COVID booster at the pharmacy in question

    During the 30 days after receiving the SMS/MMS intervention

Secondary Outcomes (2)

  • Patient uptake of the COVID bivalent booster

    60 days after receiving the SMS/MMS intervention

  • Patient uptake of the COVID bivalent booster

    90 days after receiving the SMS/MMS intervention

Study Arms (11)

Holdout control condition with no message

NO INTERVENTION

Participants will only receive the standard pharmacy messaging.

Control condition with "waiting for you" message

EXPERIMENTAL

This control condition will use the text message that we've found to be the best performing in our last mega-study of vaccine text messages to recommend a COVID vaccination.

Behavioral: COVID Booster text messages

Control condition with "waiting for you" message with a GIF

EXPERIMENTAL

This control condition will use the text message that we've found to be the best performing in our last mega-study of vaccine text messages and includes a GIF to recommend a COVID vaccination.

Behavioral: COVID Booster text messages

Planning message recommending same time/location as last vaccination

EXPERIMENTAL

This condition will use a text message recommending the same time and location as the participant's last vaccination to get a COVID vaccination.

Behavioral: COVID Booster text messages

Message from local pharmacy team

EXPERIMENTAL

This condition will use a text message from the participant's local pharmacist recommending a COVID vaccination.

Behavioral: COVID Booster text messages

Message including link to resources combating misinformation

EXPERIMENTAL

This condition will use a text message including a link to to resources combating misinformation and then recommend a COVID vaccination.

Behavioral: COVID Booster text messages

Message including link to resources combating misinformation with a GIF

EXPERIMENTAL

This condition will use a text message including a link to to resources combating misinformation and then recommend a COVID vaccination and will include a GIF.

Behavioral: COVID Booster text messages

Message offering free round trip ride to the pharmacy

EXPERIMENTAL

This condition will use a text message offering a free round trip ride to the pharmacy to get a COVID vaccination.

Behavioral: COVID Booster text messages

Message communicating latest data on COVID transmission in patient's area

EXPERIMENTAL

This condition will use a text message informing the participant of the latest data on COVID transmission in participant's area and recommend a COVID vaccination.

Behavioral: COVID Booster text messages

Message encouraging vaccination in preparation for the holidays

EXPERIMENTAL

This condition will use a text message to encourage a COVID vaccination in preparation for the holidays.

Behavioral: COVID Booster text messages

Message conveying the CDC recommends vaccination

EXPERIMENTAL

This condition will use a text message to encourage a COVID vaccination by conveying the CDC recommends vaccination.

Behavioral: COVID Booster text messages

Interventions

Participants will receive text messages per descriptions listed in the arms.

Control condition with "waiting for you" messageControl condition with "waiting for you" message with a GIFMessage communicating latest data on COVID transmission in patient's areaMessage conveying the CDC recommends vaccinationMessage encouraging vaccination in preparation for the holidaysMessage from local pharmacy teamMessage including link to resources combating misinformationMessage including link to resources combating misinformation with a GIFMessage offering free round trip ride to the pharmacyPlanning message recommending same time/location as last vaccination

Eligibility Criteria

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

You may qualify if:

  • Patient of a large retail pharmacy that has opted into receving SMS messages from the pharmacy and has received their primary COVID vaccination series.

You may not qualify if:

  • The patient unsubscribed from texts before the send date and time of the patient's SMS/MMS message
  • The patient received a bivalent COVID booster before the send date and time of the patient's SMS/MMS message.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

MeSH Terms

Conditions

COVID-19

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
CARE PROVIDER, OUTCOMES ASSESSOR
Masking Details
As treated participants will receive text messages, there is no scope for blinding. Care providers will not be made aware of subjects' participation in the study, or assigned treatment arms. The study team will only receive data on subjects' assigned arms and outcomes at the end of the study.
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Model Details: Participants will be randomly assigned to the different arms.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 3, 2022

First Posted

November 7, 2022

Study Start

November 3, 2022

Primary Completion

December 8, 2022

Study Completion

February 6, 2023

Last Updated

March 3, 2023

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will not share

Locations