NCT07236034

Brief Summary

The goal is to identify the most impactful strategies for capturing attention and enhancing effectiveness of vaccine promotion messages. This will be done using an online survey that employs remote eye-tracking and self report measures to evaluate response to sample vaccine promotion social media content in rural populations in New England. Participants will be randomly assigned into one of 14 conditions in a 2(source: expert vs. influencer) by 7 (themes: constructs from 7C Vaccine Framework) experiment and view sample messages and then answer questions about their attitudes and beliefs while being monitored for eye-tracking.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
700

participants targeted

Target at P75+ for not_applicable

Timeline
5mo left

Started Dec 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

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 Progress45%
Dec 2025Sep 2026

First Submitted

Initial submission to the registry

October 1, 2025

Completed
2 months until next milestone

First Posted

Study publicly available on registry

November 19, 2025

Completed
12 days until next milestone

Study Start

First participant enrolled

December 1, 2025

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 30, 2026

Expected
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2026

Last Updated

December 22, 2025

Status Verified

December 1, 2025

Enrollment Period

6 months

First QC Date

October 1, 2025

Last Update Submit

December 18, 2025

Conditions

Keywords

Message perceptionsVaccinationImmunization

Outcome Measures

Primary Outcomes (5)

  • Source credibility

    Participants' perception of the credibility of the message source will be assessed using a 7-point Likert scale measured across four items. Participants will be asked to rate the following four items on this scale: To what extent do you believe the source of the message to be… (1=not at all, 7=very much so) 1. Fair 2. Accurate 3. Telling the whole story 4. Trustworthy Unit of measure: Scale score 1-7, mean

    Immediately after viewing each message

  • Perceived Message Effectiveness

    Perceived message effectiveness will be measured using six items (worth remembering, grabs attention, powerful, informative, meaningful, convincing), each rated on a 7-point Likert scale. The outcome will be the mean of these six ratings for each participant, then averaged by experimental condition. To what extent is… (1=not at all, 7=very much so) 1. The message worth remembering 2. The message grabs attention 3. This message powerful 4. This message informative 5. This message meaningful 6. This message convincing Unit of Measure: Scale score (1-7, mean across items)

    Immediately after viewing each message

  • Visual attention

    Visual attention, quantified as mean dwell time in milliseconds, will be measured using remote eye-tracking while participants view vaccine promotion messages. Dwell time will be calculated for pre-specified Areas of Interest (AOIs) during the message viewing period. Higher dwell times indicate greater visual attention to the AOIs. Unit of measure: mean dwell time in milliseconds per message

    During message viewing ( immediately post-randomization, prior to completion of post-message survey)

  • Message reactance

    Reactance will be assessed using four items (irritated, angry, annoyed, aggravated), rated 0 ("None of this feeling") to 4 ("A great deal of this feeling"). The mean reactance score will be calculated for each participant. How much did this message make you feel the following way? Response options: 0 (None of this feeling) to 4 (A great deal of this feeling). 1. Irritated 2. Angry 3. Annoyed 4. Aggravated Unit of Measure: Scale score (0-4, mean across items)

    Immediately after viewing each message

  • Information sharing intentions

    Description: Assessed with 6 items regarding interpersonal and online sharing, rated 1 (Strongly disagree) to 5 (Strongly agree). The mean score across items will be reported per participant and per condition. Rate with the following statements on a scale from 1 (Strongly disagree) to 5 (Strongly agree). Interpersonal setting 1. I would be willing to share this information with others. 2. I would talk with others about this message. 3. I would point others in a direction where they could read this message. Online setting 4. I would be willing to post a link to this information on my social media. 5. I would like a social media post with this information. 6. I would share a social media post with this information. Unit of Measure: Scale score (1-5, mean across items)

    Immediately after viewing each message

Secondary Outcomes (1)

  • Vaccine perceptions

    Assessed at baseline (prior to message exposure) and immediately post-intervention (after message exposure)

Study Arms (14)

Arm 1: Peer message, 7C Construct 1

EXPERIMENTAL

This arm will include messages with a "peer" influence as the source and the construct of "confidence" as the message.

Behavioral: Exposure to source and message content

Arm 2: Professional source, 7C Construct 1

EXPERIMENTAL

This arm will include messages with a "professional" influencer as the source and the construct of "confidence" as the message.

Behavioral: Exposure to source and message content

Arm 3: Peer message, 7C Construct 2

EXPERIMENTAL

This arm will include messages with a "peer" influence as the source and the construct of "complacency" as the message.

Behavioral: Exposure to source and message content

Arm 4: Professional message, 7C Construct 2

EXPERIMENTAL

This arm will include messages with a "professional" influence as the source and the construct of "complacency" as the message.

Behavioral: Exposure to source and message content

Arm 5: Peer message, 7C Construct 3

EXPERIMENTAL

This arm will include messages with a "peer" influence as the source and the construct of "constraints" as the message.

Behavioral: Exposure to source and message content

Arm 6: Professional message, 7C Construct 3

EXPERIMENTAL

This arm will include messages with a "professional" influencer as the source and the construct of "constraints" as the message.

Behavioral: Exposure to source and message content

Arm 7: Peer message, 7C Construct 4

EXPERIMENTAL

This arm will include messages with a "peer" influencer as the source and the construct of "calculation" as the message.

Behavioral: Exposure to source and message content

Arm 8: Professional message, 7C Construct 4

EXPERIMENTAL

This arm will include messages with a "professional" influencer as the source and the construct of "calculation" as the message.

Behavioral: Exposure to source and message content

Arm 9: Peer message, 7C Construct 5

EXPERIMENTAL

This arm will include messages with a "peer" influencer as the source and the construct of "collective responsibility" as the message.

Behavioral: Exposure to source and message content

Arm 10: Professional message, 7C Construct 5

EXPERIMENTAL

This arm will include messages with a "professional" influencer as the source and the construct of "collective responsibility" as the message.

Behavioral: Exposure to source and message content

Arm 11: Peer message; 7C Construct 6

EXPERIMENTAL

This arm will include messages with a "peer" influencer as the source and the construct of "compliance" as the message.

Behavioral: Exposure to source and message content

Arm 12: Professional message, 7C Construct 6

EXPERIMENTAL

This arm will include messages with a "professional" influencer as the source and the construct of "compliance" as the message.

Behavioral: Exposure to source and message content

Arm 13: Peer message, 7C Construct 7

EXPERIMENTAL

This arm will include messages with a "peer" influencer as the source and the construct of "conspiracy" as the message.

Behavioral: Exposure to source and message content

Arm 14: Professional message, 7C Construct 7

EXPERIMENTAL

This arm will include messages with a "professional" influencer as the source and the construct of "conspiracy" as the message.

Behavioral: Exposure to source and message content

Interventions

Within each arm, participants will be exposed to two messages each of which are delivered by the same source (peer or professional) and have message content related to one of the 7C Constructs.

Arm 10: Professional message, 7C Construct 5Arm 11: Peer message; 7C Construct 6Arm 12: Professional message, 7C Construct 6Arm 13: Peer message, 7C Construct 7Arm 14: Professional message, 7C Construct 7Arm 1: Peer message, 7C Construct 1Arm 2: Professional source, 7C Construct 1Arm 3: Peer message, 7C Construct 2Arm 4: Professional message, 7C Construct 2Arm 5: Peer message, 7C Construct 3Arm 6: Professional message, 7C Construct 3Arm 7: Peer message, 7C Construct 4Arm 8: Professional message, 7C Construct 4Arm 9: Peer message, 7C Construct 5

Eligibility Criteria

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

You may qualify if:

  • Age 18+
  • Living in New England state (CT, MA, ME, NH, VT RI) in a zip code as defined by each individual state's definition of rural
  • Able to read and write in English
  • Access to an internet connected computer or laptop with a web-camera

You may not qualify if:

  • N/A

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Massachusetts Chan Medical School

Worcester, Massachusetts, 01605, United States

RECRUITING

Study Officials

  • Grace W Ryan, PhD, MPH

    University of Massachusetts Chan Medical School

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Grace W Ryan, PhD, MPH

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
FACTORIAL
Model Details: Participants will be assigned to one of 14 conditions and view two messages within each.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

October 1, 2025

First Posted

November 19, 2025

Study Start

December 1, 2025

Primary Completion (Estimated)

May 30, 2026

Study Completion (Estimated)

September 30, 2026

Last Updated

December 22, 2025

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will share

Per the data management plan, datasets and codebooks will be provided to individual researchers upon reasonable request.

Locations