NCT07248319

Brief Summary

Health awareness videos are integral in disseminating knowledge about respiratory infectious diseases (RIDs). The aim of this study is to produce and evaluate an evidence-based health awareness video on precautionary measures against respiratory infectious diseases among public transportation drivers in Lebanon. You will be asked to watch a newly produced health-awareness video, then we will test your knowledge about respiratory infectious diseases , health-risk perceptions, attitude towards vaccination, and cognitive dissonance. Public transportation drivers are eligible to enroll if they operate within the Lebanese public transportation system, regardless of their gender. A proportionate sample of drivers will be invited to enroll from various Lebanese regions. The experimental group (n=80) will watch a health-awareness video, whereas the control group (n=80) will watch a neutral video on traffic signs. Participants' knowledge about RID, health-risk perceptions, attitude towards vaccination, and cognitive dissonance will be evaluated. The trial study will be conducted in community settings where public transportation drivers are naturally present (transportation stations, parking lots). A written informed consent will be sought. Data will be electronically recorded. Data will remain anonymous during data entry/analyses. An incentive will be provided.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
160

participants targeted

Target at P75+ for not_applicable

Timeline
22mo left

Started Mar 2026

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

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

Study Progress9%
Mar 2026Mar 2028

First Submitted

Initial submission to the registry

November 18, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

November 25, 2025

Completed
3 months until next milestone

Study Start

First participant enrolled

March 1, 2026

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2027

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2028

Last Updated

November 25, 2025

Status Verified

November 1, 2025

Enrollment Period

1 year

First QC Date

November 18, 2025

Last Update Submit

November 18, 2025

Conditions

Keywords

influenzacovid-19transportationhealth awareness videoLebanon

Outcome Measures

Primary Outcomes (5)

  • Knowledge

    Knowledge about RID mode of transmission and prevention will be evaluated (Khoury and Salameh 2015, Choucair, El Sawda et al. 2021). The percentage mean of knowledge scores (PMS±SD) will be presented. Higher scores indicate better knowledge. This variable measures the effectiveness of the health awareness video.

    2 months

  • Patient Education Materials Assessment Tool - Audiovisual (PEMAT-AV) and • DISCERN tool

    PEMAT-AV systematically evaluates the understandability and actionability of educational materials. Understandability is the viewers' ability to understand the video regardless of their diverse backgrounds and varying levels of health literacy. Actionability is the viewers' ability to identify what they can do based on the information presented in the video regardless of their background and level of health literacy. PEMAT produces separate numeric scores for understandability and actionability. DISCERN: to enable information providers to judge the quality of information about treatment choices. DISCERN facilitates the production of new, high quality, and evidence-based consumer health information. DISCERN became a reliable and valid instrument for judging the quality of written consumer health information.

    5 months

  • Health-risk perceptions

    Health-risk perceptions: participants' health-risk perceptions will be evaluated following two dimensions of the HBM that are the perceived susceptibility (2 items) and the perceived severity of RID (3 items) (Adams, Hall et al. 2014).

    2 months

  • Attitude towards vaccination

    participants' attitude towards vaccination will be evaluated using three domains of the Vaccination Attitudes Examination (VAX) scale: unexplored side effects of the vaccines (5 statements), pharmaceutical companies profiteering from vaccines (3 statements), and preferred reliance on natural immunity (3 statements). VAX is a generic tool that identifies people with negative attitudes towards vaccines (Martin and Petrie 2017).

    2 months

  • Cognitive dissonance

    dissonance is a self-reported measure of the emotional discomfort experienced due to cognitive dissonance (Elliot and Devine 1994). Cognitive dissonance can be measured using the dissonance thermometer that constitutes of adjectives distributed across four indices (discomfort index, negative self-index, shame index, and positive index). All four subscales demonstrated acceptable levels of reliability, with the positive and negative affect scales exhibiting excellent internal consistency and test-retest reliability (McGrath 2011). For this study, the discomfort index that constitutes of uncomfortable, uneasy, and bothered feelings will be used as adjective ratings (0 to 6). Higher score indicates an increased level of discomfort due to the effect of the video content.

    2 months

Study Arms (2)

Experimental group (n=80) will watch the health-awareness video

EXPERIMENTAL

The experimental group will watch the newly produced health-awareness video. Using a Delphi technique, the script will be revised by a panel of experts in public health, infection control, psychology, filmmaking, and public transportation (drivers, users, stakeholders). Experts will evaluate the script using two validated assessment tools, the Patient Education Materials Assessment Tool (PEMAT) and DISCERN. Once consensus is reached, the video will be produced.

Other: Health awareness video on precautionary measures against respiratory infectious disease

control group will watch a neutral video

ACTIVE COMPARATOR

control group will watch a neutral video (raising awareness about traffic signs in Lebanon, https://www.youtube.com/watch?v=hb3107sylj0 )

Other: Health awareness video on precautionary measures against respiratory infectious disease

Interventions

Drafting of a narrative blueprint of the script for the health-awareness video is inspired by published and unpublished evidence-based studies previously conducted on public transportation drivers in Lebanon. This ensures the video content is evidence-based, culturally oriented, socially acceptable and tailored towards the target viewers. Using a Delphi technique, the script will be revised by a panel of experts in public health, infection control, psychology, filmmaking, and public transportation (drivers, users, stakeholders). Experts will evaluate the script using two validated assessment tools, the Patient Education Materials Assessment Tool (PEMAT) and DISCERN. Once consensus is reached, the video will be produced.

Experimental group (n=80) will watch the health-awareness videocontrol group will watch a neutral video

Eligibility Criteria

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

You may qualify if:

  • Public transportation drivers who operate within the Lebanese public transportation system, regardless of their nationality or gender.

You may not qualify if:

  • Commercial drivers (trucks) or others who are not in a daily contact with commuters.
  • Drivers who are unwilling to enroll in the study or unable to comprehend written/verbal Arabic language will be excluded.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mahmoud Salam

Beirut, Lebanon

Location

Related Publications (4)

  • Risk perceptions towards respiratory infectious diseases among university students utilizing the public transportation system in Lebanon

    RESULT
  • Salam M, Haidar GH. Influenza vaccine hesitancy and its determinants among Lebanese public transportation drivers. Vaccine X. 2024 Dec 25;22:100606. doi: 10.1016/j.jvacx.2024.100606. eCollection 2025 Jan.

  • Exploring the Challenges that Public Transportation Drivers Face in Lebanon

    RESULT
  • COVID-19 risk perceptions among public transportation drivers and users in Lebanon: A cross-sectional study

    RESULT

MeSH Terms

Conditions

Influenza, HumanCOVID-19

Condition Hierarchy (Ancestors)

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

Study Officials

  • Mahmoud Salam, PhD

    Lebanese American University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Mahmoud Salam, PhD

CONTACT

Mira Hassan, BSN

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: After the video is produced, a non-blinded, randomized, two-arm controlled trial will be conducted. The experimental group will watch the newly produced health-awareness video, whereas the control group will watch a neutral video (raising awareness about traffic signs in Lebanon, https://www.youtube.com/watch?v=hb3107sylj0 ). The participants' knowledge about RID, health-risk perceptions, attitude towards vaccination, and cognitive dissonance will be evaluated.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

November 18, 2025

First Posted

November 25, 2025

Study Start

March 1, 2026

Primary Completion (Estimated)

March 1, 2027

Study Completion (Estimated)

March 1, 2028

Last Updated

November 25, 2025

Record last verified: 2025-11

Locations