NCT07200570

Brief Summary

The goal of this clinical trial is to learn if a chatbot powered by artificial intelligence works to improve HPV vaccination among females aged 15 to 26 in China. A randomized controlled trial and implementation science study will be conducted targeting females as participants. The main questions it aims to answer are:

  1. 1.Does the vaccine chatbot influence women's confidence, literacy, hesitancy, and uptake of the HPV vaccine.
  2. 2.What are the public acceptance of chatbot and the facilitators and barriers to its implementation in a real-world setting.
  3. 3.Be recruited and randomly allocated into one of two groups. One group will be invited to use the HPV vaccine chatbot and the other group will not get access to the vaccine chatbot until the end of the trial.
  4. 4.Complete a questionnaire survey on their confidence, literacy, and hesitancy on the HPV vaccine.
  5. 5.Have their vaccination status checked at the end of trial.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
1,800

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2025

Shorter than P25 for not_applicable

Status
not yet recruiting

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 23, 2025

Completed
3 days until next milestone

Study Start

First participant enrolled

September 26, 2025

Completed
5 days until next milestone

First Posted

Study publicly available on registry

October 1, 2025

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2026

Completed
Last Updated

October 1, 2025

Status Verified

September 1, 2025

Enrollment Period

7 months

First QC Date

September 23, 2025

Last Update Submit

September 23, 2025

Conditions

Keywords

HPVvaccine confidencechatbotrandomised controlled trialimplementation science

Outcome Measures

Primary Outcomes (1)

  • HPV Vaccine Uptake

    Whether participants get vaccinated against HPV, measured by official vaccination records.

    Three months after participant randomization allocation

Secondary Outcomes (6)

  • HPV Vaccine Hesitancy

    The same day after the intervention

  • HPV Vaccine Confidence

    The same day after the intervention

  • HPV Vaccine Literacy

    The same day after the intervention

  • Timing of HPV Vaccination

    Within three months after participant randomization allocation

  • Chatbot Usability

    The same day after the intervention

  • +1 more secondary outcomes

Study Arms (2)

Chatbot Intervention Group

EXPERIMENTAL

Participants in this arm will be granted access to an interactive, LLM-powered HPV vaccine chatbot for a period of three months. They are invited to use the chatbot to ask any questions related to HPV and HPV vaccine to receive personalized and accurate information. The chatbot invitation will be sent every weeks to reinforce the intervention within the first month.

Behavioral: LLM-Powered HPV Vaccine Chatbot

Control Group

NO INTERVENTION

Participants assigned to the control arm will receive standard care but will not have access to the HPV vaccine chatbot during the study period. For ethical considerations, participants in this arm will be offered access to the chatbot after the end of the study.

Interventions

A vaccine chatbot delivered via WeChat or a web browser, designed to provide information and health education about the HPV vaccine. The chatbot is powered by large language models and is trained on an expert-validated knowledge base derived from authoritative sources such as the WHO and China CDC to ensure accuracy. The knowledge base is validated by experts. The chatbot engages users in interactive, conversational dialogue to answer questions and address concerns regarding HPV and HPV vaccines.

Chatbot Intervention Group

Eligibility Criteria

Age15 Years - 26 Years
Sexfemale
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Female, aged 15 to 26 years, inclusive.
  • Not previously vaccinated against HPV.
  • Reports no contraindications to HPV vaccination.
  • Has no mental, visual, or reading impairments that would preclude cooperation with study activities.
  • Is willing and able to provide informed consent.

You may not qualify if:

  • Male.
  • Age under 15 or over 26 years.
  • Has a history of prior HPV vaccination.
  • Has a known contraindication to HPV vaccination.
  • Unable to comply with study procedures.
  • Is unwilling or unable to provide informed consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (20)

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    PMID: 36409300BACKGROUND
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    PMID: 35737898BACKGROUND
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    PMID: 36197708BACKGROUND
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    PMID: 36178723BACKGROUND
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    PMID: 35088609BACKGROUND
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    PMID: 35229931BACKGROUND
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    PMID: 32245644BACKGROUND
  • Zhang X, Wang Z, Ren Z, Li Z, Ma W, Gao X, Zhang R, Qiao Y, Li J. HPV vaccine acceptability and willingness-related factors among Chinese adolescents: a nation-wide study. Hum Vaccin Immunother. 2021 Apr 3;17(4):1025-1032. doi: 10.1080/21645515.2020.1812314. Epub 2020 Oct 29.

    PMID: 33121330BACKGROUND
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    PMID: 36229401BACKGROUND
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    PMID: 34324411BACKGROUND
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    PMID: 26936076BACKGROUND
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    PMID: 36284538BACKGROUND
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    PMID: 32707126BACKGROUND
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    PMID: 31255301BACKGROUND
  • Falcaro M, Castanon A, Ndlela B, Checchi M, Soldan K, Lopez-Bernal J, Elliss-Brookes L, Sasieni P. The effects of the national HPV vaccination programme in England, UK, on cervical cancer and grade 3 cervical intraepithelial neoplasia incidence: a register-based observational study. Lancet. 2021 Dec 4;398(10316):2084-2092. doi: 10.1016/S0140-6736(21)02178-4. Epub 2021 Nov 3.

    PMID: 34741816BACKGROUND
  • Chen Y, Jiang N, Jiao Y, Chen J, Cao A, An J, Dang Y. Analysis of HPV vaccination and influencing factors among 9-14-year-old girls in underdeveloped areas of northwestern China: A cross-sectional survey report on guardians. Vaccine. 2025 Aug 30;62:127568. doi: 10.1016/j.vaccine.2025.127568. Epub 2025 Aug 7.

    PMID: 40780093BACKGROUND
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    PMID: 33243631BACKGROUND

Central Study Contacts

Zhiyuan Hou, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

September 23, 2025

First Posted

October 1, 2025

Study Start

September 26, 2025

Primary Completion

May 1, 2026

Study Completion

May 1, 2026

Last Updated

October 1, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Individual participant data will not be shared due to participant privacy concerns and institutional data protection policies.