NCT06417762

Brief Summary

Dime la Verdad (Tell me the truth) will evaluate the use of storytelling by community health workers as a communication strategy to disseminate reliable health information on social media and encourage informed decision-making in favor of recommended immunizations in communities with high morbidity and mortality due to respiratory virus infections. Dime La Verdad is an innovative social media capacity-building program based on theoretical frameworks related to health communication that empowers community health workers to disseminate reliable information about respiratory virus protection strategies through the use of personal narratives on social media. The proposed work will use a rigorous stepped wedge design to 1) deliver a scalable program of science communicators using an adapted curriculum grounded in principles of health communication, 2) evaluate how diffusion of health messaging is perceived on social media, and 3) discern how use of personal narratives to enhance science communication can encourage informed decision-making to promote evidence-based immunization practices and improve health outcomes.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
1,400

participants targeted

Target at P75+ for not_applicable

Timeline
36mo left

Started Jul 2024

Longer than P75 for not_applicable

Geographic Reach
1 country

4 active sites

Status
recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress39%
Jul 2024Apr 2029

First Submitted

Initial submission to the registry

May 13, 2024

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 16, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

July 2, 2024

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2028

Expected
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2029

Last Updated

March 2, 2026

Status Verified

February 1, 2026

Enrollment Period

4 years

First QC Date

May 13, 2024

Last Update Submit

February 26, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Uptake of respiratory virus protection strategies among Community health workers' social media followers

    Community health workers social media followers' intent to use respiratory virus protection strategies. Members of community health workers' social media circles will be surveyed to understand the reach and effectiveness of various types of social media posts. Investigators will measure effectiveness by surveying the social circles of the community health workers six months after the implementation of the curriculum (see recruitment and retention plan), and after the completion of the campaign. Specific items will include which posts the social circle members remembered most and why. Investigators will also ask whether this changed their thinking about respiratory virus protection strategies and or the specific call to action that was put in the infographic.

    Year 2 - Year 4

  • Community health workers Social Media Self-Efficacy

    Compare Community health workers confidence with disseminating reliable information on social media before and after completing the science communication curriculum. 15-minute survey to assess their work-related social media communication self-efficacy. The baseline survey will also gather demographics, social determinants of health and baseline usage of Facebook and other social media (e.g., social media apps they use, the number of friends on each social media platform, the frequency of reading from and posting/sharing on each platform), and confidence and preparedness to disseminate reliable information in their communities regarding about respiratory virus protection strategies

    Year 1 - Year 3

Secondary Outcomes (3)

  • Learner satisfaction

    Year 2 - Year 4

  • Verify circulating knowledge about respiratory virus protection strategies and related health beliefs in seven communities with high morbidity and mortality due to respiratory virus infections

    Year 1-2

  • Social media engagement

    Years 1- 5

Study Arms (5)

Control: One year baseline period

NO INTERVENTION

Initial baseline period before rollout of the intervention in seven communities with high morbidity and mortality due to respiratory virus infections.

Experimental: Cohort 1 participation in science communication curriculum

EXPERIMENTAL

Community health workers servicing two geographically adjacent community areas out of the seven selected for participation in this study will receive a tailored curriculum where they can learn to diffuse reliable information and create infographics and media as well as incorporate their personal narratives into social media posts for their communities. The core of the implementation strategy consists of augmenting training and self-efficacy for natural community champions as trusted messengers to diffuse reliable information.

Behavioral: Science Communication Curriculum Cohort 1

Experimental: Cohort 2 participation in science communication curriculum

EXPERIMENTAL

Community health workers servicing two geographically adjacent community areas out of the seven selected for participation in this study will receive a tailored curriculum where they can learn to diffuse reliable information and create infographics and media as well as incorporate their personal narratives into social media posts for their communities. The core of the implementation strategy consists of augmenting training and self-efficacy for natural community champions as trusted messengers to diffuse reliable information.

Behavioral: Science communication curriculum Cohort 2

Experimental: Cohort 3 participation in science communication curriculum

EXPERIMENTAL

Community health workers servicing three geographically adjacent community areas out of the seven selected for participation in this study will receive a tailored curriculum where they can learn to diffuse reliable information and create infographics and media as well as incorporate their personal narratives into social media posts for their communities. The core of the implementation strategy consists of augmenting training and self-efficacy for natural community champions as trusted messengers to diffuse reliable information.

Behavioral: Science communication curriculum Cohort 3

Experimental: Cohort 4 participation in science communication curriculum

EXPERIMENTAL

Community health workers servicing one community area out of the seven selected for participation in this study will receive a tailored curriculum where they can learn to diffuse reliable information and create infographics and media as well as incorporate their personal narratives into social media posts for their communities. The core of the implementation strategy consists of augmenting training and self-efficacy for natural community champions as trusted messengers to diffuse reliable information.

Behavioral: Science communication curriculum Cohort 4

Interventions

Community health workers will receive a tailored curriculum where they can learn to diffuse reliable information and create infographics and media as well as incorporate their personal narratives into social media posts for their communities. Community health workers will share their final infographic and final post / social media strategy.

Experimental: Cohort 1 participation in science communication curriculum

Community health workers will receive a tailored curriculum where they can learn to diffuse reliable information and create infographics and media as well as incorporate their personal narratives into social media posts for their communities. Community health workers will share their final infographic and final post / social media strategy.

Experimental: Cohort 2 participation in science communication curriculum

Community health workers will receive a tailored curriculum where they can learn to diffuse reliable information and create infographics and media as well as incorporate their personal narratives into social media posts for their communities. Community health workers will share their final infographic and final post / social media strategy.

Experimental: Cohort 3 participation in science communication curriculum

Community health workers will receive a tailored curriculum where they can learn to diffuse reliable information and create infographics and media as well as incorporate their personal narratives into social media posts for their communities. Community health workers will share their final infographic and final post / social media strategy.

Experimental: Cohort 4 participation in science communication curriculum

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years or older
  • Fluent in English or Spanish
  • Provide services as a community health worker or similar designation in at least one of the seven communities with high morbidity and mortality due to respiratory virus infections
  • Have a social media presence (personal or work related)

You may not qualify if:

  • Plan to stop working as a community health worker or similar designation before spring of 2028 (end of data collection planned)
  • Do not wish to participate in a social media campaign

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Rush University

Chicago, Illinois, 60612, United States

ACTIVE NOT RECRUITING

University of Chicago

Chicago, Illinois, 60637, United States

RECRUITING

University of Iowa

Iowa City, Iowa, 52242, United States

ACTIVE NOT RECRUITING

University of Michigan

Ann Arbor, Michigan, 48109, United States

ACTIVE NOT RECRUITING

MeSH Terms

Conditions

Influenza, HumanCOVID-19Health Behavior

Condition Hierarchy (Ancestors)

Respiratory Tract InfectionsInfectionsOrthomyxoviridae InfectionsRNA Virus InfectionsVirus DiseasesRespiratory Tract DiseasesPneumonia, ViralPneumoniaCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsLung DiseasesBehavior

Study Officials

  • Marina DelRios, MD

    University of Chicago - Section of Emergency Medicine

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Yajaira Bolanos Flores, MPH

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
De-identified information to data analysis.The list that links the study code to each participant's personal information will be kept completely separate from the de-identified database.
Purpose
PREVENTION
Intervention Model
SEQUENTIAL
Model Details: Step wedge
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 13, 2024

First Posted

May 16, 2024

Study Start

July 2, 2024

Primary Completion (Estimated)

June 30, 2028

Study Completion (Estimated)

April 1, 2029

Last Updated

March 2, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations