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TrustNCT04693689

Novelty, Conformity and Trust in COVID-19 Vaccines

A study testing RNA vaccine, 20% adoption rate and 40% adoption rate in people with Trust, run by National University of Singapore at 1 site 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

Despite their established benefits as public measures, vaccines continue to be treated with suspicion by many people, in the US and other parts of the world (Larson et al. 2014; Olive et al. 2018; Lazarus et al. 2020). Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Trust
What is being tested?
RNA vaccine, 20% adoption rate and 40% adoption rate
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35,180 participants
Where
1 siteUnited States
Study dates
1 Feb 2021to 30 Mar 2021
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

  • Healthy adults over 18 years old

Who cannot join

  • None

Trial locations and contacts

1 site in 1 country.

United States1 site
  • SurveyMonkey

    San Mateo, California, 94403

Other trials in United States

About this study

Official title: Novelty, Conformity and Trust in Vaccines

Despite their established benefits as public measures, vaccines continue to be treated with suspicion by many people, in the US and other parts of the world (Larson et al. 2014; Olive et al. 2018; Lazarus et al. 2020). Since the success of vaccines depends on their high uptake level (Anderson and May, 1985; Fine et al. 2011; Fontanet and Cauchemez, 2020), identifying factors that influence low trust and decision-making in relation to vaccines is essential in order to combat diseases such as the novel Coronavirus (COVID-19).

The investigators study factors that could potentially influence public's trust in COVID-19 vaccines through a large-scale online field experiment. The investigators conduct an online survey of 32,400 subjects in nine countries (USA, Brazil, Mexico, China, India, Indonesia, Russia, Germany, and UK).

Read more

The investigators study how willingness to receive the COVID-19 vaccine is affected by (1) the "novelty" of the vaccine technology (conventional vs. RNA vaccines), and (2) the adoption rate of the new vaccine in the country. That is - the impact of controversial science and the force of conformity on the rates of adoption. The latter will also allow us to calculate the "tipping point" adoption rate for each country that will allow the country to achieve herd immunity from COVID-19.

The investigators have four hypotheses, below.

H1 (Conformity): People are more willing to receive a vaccine as the cumulative adoption rate in their community increases.

H2 (Novelty): People are less willing to get a COVID-19 vaccine that uses the new RNA technology, compared to a conventional vaccine

H3 (Interaction between H1 and H2): As the cumulative adoption rate in a community increases, the difference between people's willingness to adopt conventional rather than RNA vaccines decreases.

H4 (Tipping Point): Each country will have a different "tipping point". This is the cumulative adoption rate after which unvaccinated people are significantly more willing to get the vaccine. Countries that have a higher "honesty index" will have the tipping point appear at a lower cumulative adoption rate.

Please note that this study is not a clinical trial. This study is a randomized controlled trial in the form of an online survey.

Read the detailed description

The investigators study the role of trust in COVID-19 vaccine through a global survey. Specifically, the investigators vary (1) the degree of vaccine innovation and (2) the adoption rate of the vaccine to test if these factors influence the individuals' willingness to receive the vaccine.

An online survey is conducted across 9 countries with 3,600 subjects per country. About 15 questions will be asked for each subject and the survey is expected to take about 10-15 minutes to complete.

The 9 countries are USA, Brazil, Mexico, China, India, Indonesia, Russia, Germany and the UK. The three most populous countries from three major continents (Americas, Asia and Europe) are chosen. The target subjects are healthy adults over 18 years of age.

The survey instrument will consist of two parts. In the first part, the survey will ask 10 questions regarding their demographics and the general perception on the safety, effectiveness, and importance of vaccines. This part of the survey allows us to explore the relationship between the individual factors (such as age, gender or income status) and trust in COVID-19 vaccine, as well as to normalize the attitude towards COVID-19 vaccines over the overall vaccine-related confidence.

The 3 key questions of interest are:

"Suppose that a conventional vaccine for COVID-19 receives approval for human use and is available for the public.

A3. How much do you think the government should subsidize the conventional COVID-19 vaccine? [10%, 25%, 50%, 75%, 100%]

A4. If the conventional COVID-19 vaccine were provided to you for free, how likely are you to accept the vaccination? [Very likely, somewhat likely, neither likely nor unlikely, somewhat unlikely, very unlikely]

A5. Suppose the conventional COVID-19 vaccine is endorsed by your Government, free, but no one in your country has received the vaccine. How likely would you be willing to be vaccinated with this new vaccine? [Very likely, somewhat likely, neither likely nor unlikely, somewhat unlikely, very unlikely]"

The investigators manipulate two dimensions of information between the subjects. The two dimensions are:

  • 2 vaccine types: 50% of subjects will be asked for "conventional vaccine"; 50% of subjects will be asked for "RNA vaccine"
  • 5 different levels of adoption rate in the country: 0% (i.e., no one in your country has received the vaccine), 20%, 40%, 60%, and 80%

Within each country, there will be 2 (vaccine type) x 5 (different adoption rates) = 10 between-subject treatments.

In the second part of the survey, the investigators ask participants to complete a simple economic dice-rolling task, and predict outcomes of the same task in their own country. The investigators will study how individual performance in these tasks correlate with their trust in COVID-19 vaccines.

Conditions
Trust
Being tested
RNA vaccine, 20% adoption rate, 40% adoption rate, 60% adoption rate, 80% adoption rate
Keywords
COVID-19, Coronavirus, Vaccine, Trust, RNA, Global survey
Medical subject headings
COVID-19, Coronavirus Infections

What participants receive

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

  • RNA vaccineOther

    We elicit subjects' willingness to receive RNA COVID-19 vaccine

  • 20% adoption rateOther

    We elicit subjects' willingness to receive the new vaccine if 20% of the country's population has received it

  • 40% adoption rateOther

    We elicit subjects' willingness to receive the new vaccine if 40% of the country's population has received it

  • 60% adoption rateOther

    We elicit subjects' willingness to receive the new vaccine if 60% of the country's population has received it

  • 80% adoption rateOther

    We elicit subjects' willingness to receive the new vaccine if 80% of the country's population has received it

  • Conventional vaccineOther

    We elicit subjects' willingness to receive conventional COVID-19 vaccine

  • 0% adoption rateOther

    We elicit subjects' willingness to receive the new vaccine if 0% of the country's population has received it

Study groups in NCT04693689
Study groupRoleWhat they receive
Conventional vaccine, 0% adoption rateExperimentalOur survey follows a 2 x 5 between-subjects design. The two dimensions we vary are vaccine technology (conventional vs. RNA) and the hypothetical adoption rate of the new vaccine in the country (0%, 20%, 40%, 60%, 80%). We elicit subjects' willingness to receive the new COVID-19 vaccine given the vaccine technology and a hypothetical adoption rate of the new vaccine. In this arm, we elicit subjects' willingness to receive a conventional vaccine if its current adoption rate in the country is 0%.
Receives: Other: Conventional vaccine; Other: 0% adoption rate
Conventional vaccine, 20% adoption rateExperimentalOur survey follows a 2 x 5 between-subjects design. The two dimensions we vary are vaccine technology (conventional vs. RNA) and the hypothetical adoption rate of the new vaccine in the country (0%, 20%, 40%, 60%, 80%). We elicit subjects' willingness to receive the new COVID-19 vaccine given the vaccine technology and a hypothetical adoption rate of the new vaccine. In this arm, we elicit subjects' willingness to receive a conventional vaccine if its current adoption rate in the country is 20%.
Receives: Other: 20% adoption rate; Other: Conventional vaccine
Conventional vaccine, 40% adoption rateExperimentalOur survey follows a 2 x 5 between-subjects design. The two dimensions we vary are vaccine technology (conventional vs. RNA) and the hypothetical adoption rate of the new vaccine in the country (0%, 20%, 40%, 60%, 80%). We elicit subjects' willingness to receive the new COVID-19 vaccine given the vaccine technology and a hypothetical adoption rate of the new vaccine. In this arm, we elicit subjects' willingness to receive a conventional vaccine if its current adoption rate in the country is 40%.
Receives: Other: 40% adoption rate; Other: Conventional vaccine
Conventional vaccine, 60% adoption rateExperimentalOur survey follows a 2 x 5 between-subjects design. The two dimensions we vary are vaccine technology (conventional vs. RNA) and the hypothetical adoption rate of the new vaccine in the country (0%, 20%, 40%, 60%, 80%). We elicit subjects' willingness to receive the new COVID-19 vaccine given the vaccine technology and a hypothetical adoption rate of the new vaccine. In this arm, we elicit subjects' willingness to receive a conventional vaccine if its current adoption rate in the country is 60%.
Receives: Other: 60% adoption rate; Other: Conventional vaccine
Conventional vaccine, 80% adoption rateExperimentalOur survey follows a 2 x 5 between-subjects design. The two dimensions we vary are vaccine technology (conventional vs. RNA) and the hypothetical adoption rate of the new vaccine in the country (0%, 20%, 40%, 60%, 80%). We elicit subjects' willingness to receive the new COVID-19 vaccine given the vaccine technology and a hypothetical adoption rate of the new vaccine. In this arm, we elicit subjects' willingness to receive a conventional vaccine if its current adoption rate in the country is 80%.
Receives: Other: 80% adoption rate; Other: Conventional vaccine
RNA vaccine, 0% adoption rateExperimentalOur survey follows a 2 x 5 between-subjects design. The two dimensions we vary are vaccine technology (conventional vs. RNA) and the hypothetical adoption rate of the new vaccine in the country (0%, 20%, 40%, 60%, 80%). We elicit subjects' willingness to receive the new COVID-19 vaccine given the vaccine technology and a hypothetical adoption rate of the new vaccine. In this arm, we elicit subjects' willingness to receive an RNA vaccine if its current adoption rate in the country is 0%.
Receives: Other: RNA vaccine; Other: 0% adoption rate
RNA vaccine, 20% adoption rateExperimentalOur survey follows a 2 x 5 between-subjects design. The two dimensions we vary are vaccine technology (conventional vs. RNA) and the hypothetical adoption rate of the new vaccine in the country (0%, 20%, 40%, 60%, 80%). We elicit subjects' willingness to receive the new COVID-19 vaccine given the vaccine technology and a hypothetical adoption rate of the new vaccine. In this arm, we elicit subjects' willingness to receive an RNA vaccine if its current adoption rate in the country is 20%.
Receives: Other: RNA vaccine; Other: 20% adoption rate
RNA vaccine, 40% adoption rateExperimentalOur survey follows a 2 x 5 between-subjects design. The two dimensions we vary are vaccine technology (conventional vs. RNA) and the hypothetical adoption rate of the new vaccine in the country (0%, 20%, 40%, 60%, 80%). We elicit subjects' willingness to receive the new COVID-19 vaccine given the vaccine technology and a hypothetical adoption rate of the new vaccine. In this arm, we elicit subjects' willingness to receive an RNA vaccine if its current adoption rate in the country is 40%.
Receives: Other: RNA vaccine; Other: 40% adoption rate
RNA vaccine, 60% adoption rateExperimentalOur survey follows a 2 x 5 between-subjects design. The two dimensions we vary are vaccine technology (conventional vs. RNA) and the hypothetical adoption rate of the new vaccine in the country (0%, 20%, 40%, 60%, 80%). We elicit subjects' willingness to receive the new COVID-19 vaccine given the vaccine technology and a hypothetical adoption rate of the new vaccine. In this arm, we elicit subjects' willingness to receive an RNA vaccine if its current adoption rate in the country is 60%.
Receives: Other: RNA vaccine; Other: 60% adoption rate
RNA vaccine, 80% adoption rateExperimentalOur survey follows a 2 x 5 between-subjects design. The two dimensions we vary are vaccine technology (conventional vs. RNA) and the hypothetical adoption rate of the new vaccine in the country (0%, 20%, 40%, 60%, 80%). We elicit subjects' willingness to receive the new COVID-19 vaccine given the vaccine technology and a hypothetical adoption rate of the new vaccine. In this arm, we elicit subjects' willingness to receive an RNA vaccine if its current adoption rate in the country is 80%.
Receives: Other: RNA vaccine; Other: 80% adoption rate

What is being measured

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

  1. Willingness to receive COVID-19 vaccine

    Subjects' response to the question: "If the conventional COVID-19 vaccine were provided to you for free, how likely are you to accept the vaccination?" on a Likert scale from 1 (very unlikely) to 5 (very likely).

    Measured: During the 15-minute survey

  2. Belief in how much COVID-19 vaccine should be subsidized by the government

    Subjects' response to the question: "How much do you think the government should subsidize the conventional COVID-19 vaccine?" There are 5 answer options: 0%, 25%, 50%, 75%, 100%.

    Measured: During the 15-minute survey

Secondary outcomes (4)
  1. Belief in importance of vaccinating children

    Subjects' response to the question: "To what extent do you agree or disagree with the following statement: It is important for children to be vaccinated" on a Likert scale from 1 (strongly disagree) to 5 (strongly agree)

    Measured: During the 15-minute survey

  2. Belief in safety of vaccines

    Subjects' response to the question: "To what extent do you agree or disagree with the following statement: Vaccines are safe" on a Likert scale from 1 (strongly disagree) to 5 (strongly agree)

    Measured: During the 15-minute survey

  3. Belief in effectiveness of vaccines

    Subjects' response to the question: "To what extent do you agree or disagree with the following statement: Vaccines are effective" on a Likert scale from 1 (strongly disagree) to 5 (strongly agree)

    Measured: During the 15-minute survey

  4. Dishonesty index

    We ask each subject to report the outcome of a dice roll (which investigators do not observe), where the subject receives a higher pay for reporting a higher roll. We use the average reported dice roll in a group as a measure of the group's dishonesty. A higher number indicates higher degree of dishonesty. If everyone was honest, the average number should be 3.5.

    Measured: During the 15-minute survey

Timeline

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

  1. First posted5 Jan 2021
  2. Study start1 Feb 2021
  3. Primary completion30 Mar 2021
  4. Study completion30 Mar 2021

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
Single blind
Who is masked
Participant
Enrolment
35,180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04693689
Sponsor's protocol ID
SG-Trust in Vaccines
Status last verified
Feb 2022
First submitted
22 Dec 2020
Last updated
22 Feb 2022
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Investigators will not be storing or sharing any personal identifiers. All individual level data will be anonymized, and only anonymized data will be shared with other researchers, upon request.

Publications

  • Anderson RM, May RM. Vaccination and herd immunity to infectious diseases. Nature. 1985 Nov 28-Dec 4;318(6044):323-9. doi: 10.1038/318323a0.

    PubMed 3906406
  • Fine P, Eames K, Heymann DL. "Herd immunity": a rough guide. Clin Infect Dis. 2011 Apr 1;52(7):911-6. doi: 10.1093/cid/cir007.

    PubMed 21427399
  • Fontanet A, Cauchemez S. COVID-19 herd immunity: where are we? Nat Rev Immunol. 2020 Oct;20(10):583-584. doi: 10.1038/s41577-020-00451-5.

    PubMed 32908300
  • Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine. 2014 Apr 17;32(19):2150-9. doi: 10.1016/j.vaccine.2014.01.081. Epub 2014 Mar 2.

    PubMed 24598724
  • Lazarus JV, Ratzan SC, Palayew A, Gostin LO, Larson HJ, Rabin K, Kimball S, El-Mohandes A. A global survey of potential acceptance of a COVID-19 vaccine. Nat Med. 2021 Feb;27(2):225-228. doi: 10.1038/s41591-020-1124-9. Epub 2020 Oct 20.

    PubMed 33082575
  • Olive JK, Hotez PJ, Damania A, Nolan MS. The state of the antivaccine movement in the United States: A focused examination of nonmedical exemptions in states and counties. PLoS Med. 2018 Jun 12;15(6):e1002578. doi: 10.1371/journal.pmed.1002578. eCollection 2018 Jun.

    PubMed 29894470

Questions about this trial

What is this clinical trial studying?

A study testing RNA vaccine, 20% adoption rate and 40% adoption rate in people with Trust, run by National University of Singapore at 1 site 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 22 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

Willingness to receive COVID-19 vaccine (time frame: During the 15-minute survey). The study lists 2 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 NCT04693689, which also lists 6 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 22 Feb 2022.

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