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Covid19NCT04568889

Minnesota COVID-19 Testing Project

A study testing A $10 Survey Incentive, A $20 Survey Incentive and Emphasis of Government Involvement in people with Covid19 and Infectious Disease, run by Harvard University at 10 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this project is to help the state of Minnesota understand why individuals are not getting tested and potentially identify trusted individuals or organizations that could be used in follow-up work to send messages. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Covid19, Infectious Disease
What is being tested?
A $10 Survey Incentive, A $20 Survey Incentive and Emphasis of Government Involvement
Could I receive a placebo?
No, everyone receives an active treatment
How many people
561 participants
Where
10 sitesUnited States
Study dates
28 Sep 2020to 31 Aug 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • All participants who are aged 18 or above and speak English or Spanish

Who cannot join

  • Children, those who do not identify as above or adults who identify as above but do not agree to participate in survey during the consent stage.

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United States10 sites
  • Volunteers Enlisted to Assist People

    Bloomington, Minnesota, 55420

  • Southern Anoka Community Assistance

    Columbia Heights, Minnesota, 55421

  • People Reaching Out to People Food Shelf

    Eden Prairie, Minnesota, 55344

  • Fridley Covenant Church

    Fridley, Minnesota, 55432

  • Calvary Lutheran Church Food Shelf

    Minneapolis, Minnesota, 55407

  • NorthPoint Health and Wellness

    Minneapolis, Minnesota, 55411

  • Community Emergency Assistance Programs

    Minneapolis, Minnesota, 55429

  • Intercongregation Communities Association

    Minnetonka, Minnesota, 55343

  • Valley Outreach

    Stillwater, Minnesota, 55082

  • White Bear Area Foodshelf

    White Bear Lake, Minnesota, 55110

Other trials in United States

About this study

The goal of this project is to help the state of Minnesota understand why individuals are not getting tested and potentially identify trusted individuals or organizations that could be used in follow-up work to send messages. Investigators focus on the first two issues of unit and item nonresponse, which is not random across the population and thus could lead to nonresponse bias. To do so, investigators are deploying flyers through 10 Twin City area food shelves and potentially through public housing units with information on how to answer an online questionnaire.

Read the detailed description

In the United States, recent statistics show that African American and Latinx communities bear a disproportionate burden from COVID-19. Reaching vulnerable and underserved populations is therefore crucial to combating the disease. However, most public messaging campaigns are not targeted toward underserved communities and don't address fears of social stigma, mistrust in the healthcare system, or concerns about immigration status.

The goal of this project is to help the state of Minnesota understand why individuals are not getting tested and potentially identify trusted individuals or organizations that could be used in follow-up work to send messages. To do so, investigators are deploying flyers through 10 Twin City area food shelves and potentially through public housing units with information on how to answer an online questionnaire.

This provides us with an opportunity to study who answers surveys and why - and what questions are particularly sensitive. This is of general interest to academicians and policymakers alike.

The quality of household surveys is in decline, for three main reasons. First, households have become increasingly less likely to answer surveys at all (unit nonresponse). Second, those that respond are less likely to answer certain questions (item nonresponse). Third, when households do provide answers, they are less likely to be accurate (measurement error). This is important since household surveys help to estimate the employment rate, healthcare needs and of course the census determines resources/representation.

Investigators focus on the first two issues of unit and item nonresponse, which is not random across the population and thus could lead to nonresponse bias. Census tracts with predominantly Hispanic or Black residents had significantly lower response rates to the American Community Survey as compared to the response rates in predominantly white tracts. Similarly, response rates to the Health Information National Trends Survey (HINTS) were lower in areas with higher levels of Hispanic and minority residents.

Investigators hypothesize that financial incentives may encourage unit response; conversely, a close association with the government may discourage response. To test these hypotheses, investigators plan to cross-randomize the incentive amount offered and the emphasis placed on government involvement in the study on flyers advertising the baseline survey. Individuals will see either a) a 10 dollar incentive, or b) a 20 dollar incentive; and either a) messaging that emphasizes government involvement in the study, or b) messaging that emphasizes the involvement of academic researchers. Flyers will be randomized at the foodshelf-day level.

To test what affects item non-response on potentially sensitive questions, such as questions which ask for health information, investigators hypothesize that ethical framing may encourage individuals to answer questions. This takes two forms --- the deontological (or duty based) frame, and the consequential (or cost-benefit) frame. Moreover, knowing others feel the same way (regarding the obligation or benefits of providing health information) may amplify motivation. Finally, there is the possibility that emphasizing the importance of ethnic and racial disadvantage associated with COVID-19 outcomes may be important for improving item non-response on sensitive questions.

Upon completion of the demographic module of the survey but prior to starting several potentially sensitive survey modules, individuals will see a message that either a) emphasizes the public health benefits of answering the survey questions (cost-benefit frame); b) emphasizes an individual's responsibility to their community (duty frame); c) emphasizes the disproportionate impact of COVID-19 on certain ethnic and racial groups; or d) provides no messaging. Messaging content will be randomized at the individual level.

Being tested
A $10 Survey Incentive, A $20 Survey Incentive, Emphasis of Government Involvement, Emphasis of Academic Researchers Involvement, Cost-Benefit Frame
Keywords
COVID-19, Minnesota, Unit nonresponse, Item nonresponse
Medical subject headings
COVID-19, Communicable Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • A $10 Survey IncentiveBehavioural

    Individuals see a 10 dollar incentive on the flyers advertising the baseline survey.

  • A $20 Survey IncentiveBehavioural

    Individuals see a 10 dollar incentive on the flyers advertising the baseline survey.

  • Emphasis of Government InvolvementBehavioural

    Individuals see a message emphasizing the involvement of the government in the study,

  • Emphasis of Academic Researchers InvolvementBehavioural

    Individuals see a message emphasizing the involvement of academic researchers in the study,

  • Cost-Benefit FrameBehavioural

    Individuals will see messaging that emphasizes the public health benefits of answering the survey questions in the baseline survey (cost-benefit frame).

  • Duty FrameBehavioural

    Individuals will see messaging that emphasizes an individual's responsibility to their community in the baseline survey (duty frame),

  • Racial/Ethnic FrameBehavioural

    Individuals will see messaging that emphasizes the disproportionate impact of COVID-19 on certain ethnic and racial groups in the baseline survey.

  • No MessagingBehavioural

    Individuals will see no messaging in the baseline survey.

Study groups in NCT04568889
Study groupRoleWhat they receive
Government/High Incentive/Cost-Benefit FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing government involvement and a $20 incentive. Then the participant is assigned to be a message that emphasizes the public health benefits of answering the survey questions (i.e. cost-benefit frame).
Receives: Behavioral: A $20 Survey Incentive; Behavioral: Emphasis of Government Involvement; Behavioral: Cost-Benefit Frame
Government/High Incentive/Duty FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing government involvement and a $20 incentive. Then the participant is assigned to be a message that emphasizes an individual's responsibility to their community (i.e. duty frame).
Receives: Behavioral: A $20 Survey Incentive; Behavioral: Emphasis of Government Involvement; Behavioral: Duty Frame
Government/High Incentive/Racial/Ethnic FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing government involvement and a $20 incentive. Then the participant is assigned to be a message that emphasizes the disproportionate impact of COVID-19 on certain ethnic and racial groups.
Receives: Behavioral: A $20 Survey Incentive; Behavioral: Emphasis of Government Involvement; Behavioral: Racial/Ethnic Frame
Government/High Incentive/No Message FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing government involvement and a $20 incentive. Then the participant is assigned to the arm that provides no messaging.
Receives: Behavioral: A $20 Survey Incentive; Behavioral: Emphasis of Government Involvement; Behavioral: No Messaging
Researchers/High Incentive/Cost-Benefit FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing the involvement of academic researchers and a $20 incentive. Then the participant is assigned to be a message that emphasizes the public health benefits of answering the survey questions (i.e. cost-benefit frame).
Receives: Behavioral: A $20 Survey Incentive; Behavioral: Emphasis of Academic Researchers Involvement; Behavioral: Cost-Benefit Frame
Researchers/High Incentive/Duty FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing the involvement of academic researchers and a $20 incentive. Then the participant is assigned to be a message that emphasizes an individual's responsibility to their community (i.e. duty frame).
Receives: Behavioral: A $20 Survey Incentive; Behavioral: Emphasis of Academic Researchers Involvement; Behavioral: Duty Frame
Researchers/High Incentive/Racial/Ethnic FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing the involvement of academic researchers and a $20 incentive. Then the participant is assigned to be a message that emphasizes the disproportionate impact of COVID-19 on certain ethnic and racial groups.
Receives: Behavioral: A $20 Survey Incentive; Behavioral: Emphasis of Academic Researchers Involvement; Behavioral: Racial/Ethnic Frame
Researchers/High Incentive/No Message FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing the involvement of academic researchers and a $20 incentive. Then the participant is assigned to the arm that provides no messaging.
Receives: Behavioral: A $20 Survey Incentive; Behavioral: Emphasis of Academic Researchers Involvement; Behavioral: No Messaging
Government/Low Incentive/Cost-Benefit FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing government involvement and a $10 incentive. Then the participant is assigned to be a message that emphasizes the public health benefits of answering the survey questions (i.e. cost-benefit frame).
Receives: Behavioral: A $10 Survey Incentive; Behavioral: Emphasis of Government Involvement; Behavioral: Cost-Benefit Frame
Government/Low Incentive/Duty FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing government involvement and a $10 incentive. Then the participant is assigned to be a message that emphasizes an individual's responsibility to their community (i.e. duty frame).
Receives: Behavioral: A $10 Survey Incentive; Behavioral: Emphasis of Government Involvement; Behavioral: Duty Frame
Government/Low Incentive/Racial/Ethnic FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing government involvement and a $10 incentive. Then the participant is assigned to be a message that emphasizes the disproportionate impact of COVID-19 on certain ethnic and racial groups.
Receives: Behavioral: A $10 Survey Incentive; Behavioral: Emphasis of Government Involvement; Behavioral: Racial/Ethnic Frame
Government/Low Incentive/No Message FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing government involvement and a $10 incentive. Then the participant is assigned to the arm that provides no messaging.
Receives: Behavioral: A $10 Survey Incentive; Behavioral: Emphasis of Government Involvement; Behavioral: No Messaging
Researchers/Low Incentive/Cost-Benefit FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing the involvement of academic researchers and a $10 incentive. Then the participant is assigned to be a message that emphasizes the public health benefits of answering the survey questions (i.e. cost-benefit frame).
Receives: Behavioral: A $10 Survey Incentive; Behavioral: Emphasis of Academic Researchers Involvement; Behavioral: Cost-Benefit Frame
Researchers/Low Incentive/Duty FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing the involvement of academic researchers and a $10 incentive. Then the participant is assigned to be a message that emphasizes an individual's responsibility to their community (i.e. duty frame).
Receives: Behavioral: A $10 Survey Incentive; Behavioral: Emphasis of Academic Researchers Involvement; Behavioral: Duty Frame
Researchers/Low Incentive/Racial/Ethnic FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing the involvement of academic researchers and a $10 incentive. Then the participant is assigned to be a message that emphasizes the disproportionate impact of COVID-19 on certain ethnic and racial groups.
Receives: Behavioral: A $10 Survey Incentive; Behavioral: Emphasis of Academic Researchers Involvement; Behavioral: Racial/Ethnic Frame
Researchers/Low Incentive/No Message FrameExperimentalThe participant is assigned to receive a flyer that includes a message emphasizing the involvement of academic researchers and a $10 incentive. Then the participant is assigned to the arm that provides no messaging.
Receives: Behavioral: A $10 Survey Incentive; Behavioral: Emphasis of Academic Researchers Involvement; Behavioral: No Messaging

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Effect of monetary incentives in increasing unit response 1

    Number of participants who received a flyer that mentions a $20 incentive and completed the survey

    Measured: This outcome will be assessed when the individual agrees to participate in the Baseline survey, which takes approximately 20 minutes.

  2. Effect of monetary incentives in increasing unit response 2

    Number of participants who received a flyer that mentions a $10 incentive and completed the survey.

    Measured: This outcome will be assessed when the individual agrees to participate in the Baseline survey, which takes approximately 20 minutes.

  3. Effect of a government frame in reducing unit response 1

    Number of participants who received a flyer that mentions a government frame and completed the survey

    Measured: This outcome will be assessed when the individual agrees to participate in the Baseline survey, which takes approximately 20 minutes.

  4. Effect of a government frame in reducing unit response 2

    Number of participants who received a flyer that mentions a research frame and completed the survey.

    Measured: This outcome will be assessed when the individual agrees to participate in the Baseline survey, which takes approximately 20 minutes.

  5. Interactions between monetary incentives and a government frame 1

    Number of participants who received a flyer that mentions a government frame and $20 incentive and completed the survey

    Measured: This outcome will be assessed when the individual agrees to participate in the Baseline survey, which takes approximately 20 minutes.

  6. Interactions between monetary incentives and a government frame 2

    Number of participants who received a flyer that mentions a government frame and $10 incentive and completed the survey

    Measured: This outcome will be assessed when the individual agrees to participate in the Baseline survey, which takes approximately 20 minutes.

  7. Interactions between monetary incentives and a government frame 3

    Number of participants who received a flyer that mentions a researcher frame and $20 incentive and completed the survey

    Measured: This outcome will be assessed during the 20-minute Baseline Survey.

  8. Interactions between monetary incentives and a government frame 4

    Number of participants who received a flyer that mentions a researcher frame and $10 incentive and completed the survey

    Measured: This outcome will be assessed during the 20-minute Baseline Survey.

  9. Demographic characteristics of participants assigned into each treatment arm

    Demographic characteristics (e.g. sex, education level, income level, race/ethnicity) of participants who are assigned to each treatment arm and completed the survey.

    Measured: This outcome will be assessed during the 20-minute Baseline Survey.

  10. Effect of various messaging frames in increasing item non-response

    Number of survey participants who are randomly assigned to receive each messaging frame that: a) emphasizes the public health benefits of answering the survey questions (cost-benefit frame); b) emphasizes an individual's responsibility to their community (duty frame); c) emphasizes the disproportionate impact of COVID-19 on certain ethnic and racial groups; or d) provides no messaging.

    Measured: This outcome will be assessed during the 20-minute Baseline Survey.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Sep 2020
  2. Study start28 Sep 2020
  3. Primary completion31 Aug 2022
  4. Study completion31 Aug 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
561 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04568889
Sponsor's protocol ID
IRB20-1444
Status last verified
Oct 2022
First submitted
24 Sep 2020
Last updated
14 Oct 2022
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Griffin, DH. Measuring survey nonresponse by race and ethnicity. In Proceedings of the Annual Meetings of the American Statistical Association. 2002; 11-15.

  • Maitland A, Lin A, Cantor D, Jones M, Moser RP, Hesse BW, Davis T, Blake KD. A Nonresponse Bias Analysis of the Health Information National Trends Survey (HINTS). J Health Commun. 2017 Jul;22(7):545-553. doi: 10.1080/10810730.2017.1324539. Epub 2017 May 30.

    PubMed 28557627
  • Meyer, Bruce D., Wallace KC Mok, and James X. Sullivan. Household surveys in crisis. Journal of Economic Perspectives. 2015; 29(4): 199-226.

Questions about this trial

What is this clinical trial studying?

A study testing A $10 Survey Incentive, A $20 Survey Incentive and Emphasis of Government Involvement in people with Covid19 and Infectious Disease, run by Harvard University at 10 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Effect of monetary incentives in increasing unit response 1 (time frame: This outcome will be assessed when the individual agrees to participate in the Baseline survey, which takes approximately 20 minutes.). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04568889, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2022.

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