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MisinformationPROTECTNCT06700447

Protecting Against HIV Vaccine Misinformation With Adolescent Girls and Young Women in South Africa

A study testing Enhanced inoculation message and Nutrition information in people with Misinformation and HIV Vaccine, run by University of Pennsylvania at 1 site in South Africa.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Adolescent girls and young women (AGYW) between the ages of 15-29 years continue to bear the brunt of Human Immunodeficiency Virus (HIV) infections in South Africa despite progress recorded in prevention and treatment programmes. Read more about this study

Who is it for?
Ages 18 to 29 yearsHealthy volunteers can take part
Conditions the study is for
Misinformation, HIV Vaccine
What is being tested?
Enhanced inoculation message and Nutrition information
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,163 participants
Where
1 siteSouth Africa
Study dates
24 Jul 2025to Jun 2027
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 to 29 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Female
  • Age 18-29 years
  • Self-reported history of sexual activity in the past 12 months
  • Self-reported HIV-negative status or unknown HIV status at enrolment
  • Willing and able to provide written informed consent
  • Able to read and understand English

Who cannot join

  • Unwilling or unable to provide consent for study participation.

Trial locations and contacts

1 site in 1 country.

South Africa1 site
  • Health Economics and Epidemiology Research Office, University of the Witwatersrand

    Johannesburg

Other trials in South Africa

About this study

Adolescent girls and young women (AGYW) between the ages of 15-29 years continue to bear the brunt of Human Immunodeficiency Virus (HIV) infections in South Africa despite progress recorded in prevention and treatment programmes. The ongoing susceptibility of young women to HIV infection and the sub-optimal uptake of prevention options such as Pre-Exposure Prophylaxis (PrEP) that are highly effective creates a need for an HIV vaccine to benefit populations at substantial risk of HIV infection. However, lessons from previous vaccine studies and the recent COVID-19 vaccine have highlighted significant barriers to vaccine uptake, such as widespread misinformation and vaccine hesitancy. These challenges threaten the successful implementation of a future HIV vaccine. Building on these insights, this study will utilise psychological inoculation theory to develop and evaluate HIV vaccine messages among adolescent girls and young women. Primary objective: To compare changes in intentions to receive HIV vaccine following misinformation exposure in groups with and without psychological inoculation and behavioural economics boost.

Secondary objectives: (1) To compare believability and persuasiveness of misinformation claims and motivational threat associated with misinformation in groups with and without psychological inoculation and behavioural economics boost. (2) To explore subgroup effects by relevant sociodemographic and behavioural factors including HIV risk, PrEP history, COVID-19 vaccine history, general vaccine hesitancy, and information avoidance. The investigators will conduct a two-arm randomized controlled trial of 2-3 inoculation messages that address emerging myths and misinformation about the HIV vaccine in South Africa. Participants will be randomly assigned to a control group or an intervention arm: enhanced inoculation message with insights from behavioural economics.

Being tested
Enhanced inoculation message, Nutrition information
Keywords
Prevention: Vaccines, Adolescent Girls and Young Women, South Africa, HIV
Medical subject headings
Communication

What participants receive

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

  • Enhanced inoculation messageBehavioural

    Participants enrolled in the enhanced inoculation message arm will receive messages that warn them about impending HIV vaccine misinformation and explains why those claims are false or misleading, the messages will be enhanced with insights from behavioural economics see Appendix 5: "Inoculation message with a BE boost" for an example of the inoculation message. As part of the behavioural economics boost, participants may choose to receive a small token (e.g., sticker, badge, bracelet) with a message promoting vaccination as a consistency and commitment prime.

  • Nutrition informationBehavioural

    Participants enrolled in the control group will receive unrelated information on diabetes and nutrition topics of the same length as the inoculation messages. Please see Appendix 6 for an example of how this message will be structured. This will make the control group an attention control group and ensure that findings are not confounded by the intervention group spending more time and attentional resources on participation in the study.

Study groups in NCT06700447
Study groupRoleWhat they receive
ControlActive comparatorParticipants enrolled in the control group will receive unrelated information on diabetes and nutrition topics of the same length as the inoculation messages. Please see Appendix 6 for an example of how this message will be structured. This will make the control group an attention control group and ensure that findings are not confounded by the intervention group spending more time and attentional resources on participation in the study.
Receives: Behavioral: Nutrition information
Enhanced inoculation messageOtherParticipants enrolled in the enhanced inoculation message arm will receive messages that warn them about impending HIV vaccine misinformation and explains why those claims are false or misleading, the messages will be enhanced with insights from behavioural economics see Appendix 5: "Inoculation message with a BE boost" for an example of the inoculation message. As part of the behavioural economics boost, participants may choose to receive a small token (e.g., sticker, badge, bracelet) with a message promoting vaccination as a consistency and commitment prime.
Receives: Behavioral: Enhanced inoculation message

What is being measured

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

  1. HIV Vaccine Intention, at the End of the Baseline Assessment

    Intention to get the HIV vaccine, measured after inoculation intervention and misinformation exposure The intention to get the vaccine will be measured on a 1-10 scale. Higher score means they are more likely to get the HIV vaccine.

    Measured: At the end of the baseline assessment

Secondary outcomes (48)
  1. HIV Vaccine Intention, Follow-up

    Intention to get the HIV vaccine, measured at follow-up survey following misinformation exposure and intervention. Measured on a 1-10 scale. Higher score means they are more likely to get the HIV vaccine.

    Measured: 2-4 weeks

  2. Recommend to Friends, at the End of the Baseline Assessment

    Intention to recommend the HIV vaccine to friends, measured at survey baseline following misinformation exposure and intervention. Measured on a 1-10 scale. Higher score means they are more likely to recommend the HIV vaccine to a friend.

    Measured: At the end of the baseline assessment

  3. Recommend to Friends, Follow-up

    Intention to recommend the HIV vaccine to friends, measured at follow-up survey following misinformation exposure and intervention, controlling for baseline pre-intervention/exposure intention. Measured on a 1-10 scale. Higher score means they are more likely to recommend the HIV vaccine to a friend.

    Measured: 2-4 weeks

  4. Credibility of Inoculated Exposure #1

    Extent to which claim #1 made the participants believe the credibility of the information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: At the end of the baseline assessment

  5. Credibility of Inoculated Exposure #2

    Extent to which claim #2 made the participants believe the credibility of the information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: At the end of the baseline assessment

  6. Credibility of Inoculated Exposure #3

    Extent to which claim #3 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: At the end of the baseline assessment

  7. Credibility of Inoculated Exposure #4

    Extent to which claim #4 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: At the end of the baseline assessment

  8. Credibility of Inoculated Exposure #5

    Extent to which claim #5 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: At the end of the baseline assessment

  9. Credibility of Inoculated Exposure #6

    Extent to which claim #6 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: At the end of the baseline assessment

  10. Anxiousness of Inoculated Exposure #1

    Extent to which claim #1 made the participants anxious or nervous about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: At the end of the baseline assessment

  11. Anxiousness of Inoculated Exposure #2

    Extent to which claim #2 made the participants anxious or nervous about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: At the end of the baseline assessment

  12. Anxiousness of Inoculated Exposure #3

    Extent to which claim #3 made the participants anxious or nervous about the HIV vaccine. TThey were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: At the end of the baseline assessment

  13. Anxiousness of Inoculated Exposure #4

    Extent to which claim #4 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: At the end of the baseline assessment

  14. Anxiousness of Inoculated Exposure #5

    Extent to which claim #5 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: At the end of the baseline assessment

  15. Anxiousness of Inoculated Exposure #6

    Extent to which claim #6 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: At the end of the baseline assessment

  16. Shareability of Inoculated Exposure #1

    Extent to which claim #1 made the participants more likely to share information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: At the end of the baseline assessment

  17. Shareability of Inoculated Exposure #7

    Extent to which claim #7 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: At the end of the baseline assessment

  18. Shareability of Inoculated Exposure #3

    Extent to which claim #3 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: At the end of the baseline assessment

  19. Shareability of Inoculated Exposure #4

    Extent to which claim #4 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: At the end of the baseline assessment

  20. Shareability of Inoculated Exposure #5

    Extent to which claim #5 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: At the end of the baseline assessment

  21. Shareability of Inoculated Exposure #6

    Extent to which claim #6 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: At the end of the baseline assessment

  22. Credibility of Inoculated Exposure #1, Follow-up

    Extent to which claim #1 made the participants believe the credibility of the information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: 2-4 weeks

  23. Credibility of Inoculated Exposure #2, Follow-up

    Extent to which claim #2 made the participants believe the credibility of the information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: 2-4 weeks

  24. Shareability of Inoculated Exposure #1, Follow-up

    Extent to which claim #1 made the participants more likely to share information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: 2-4 weeks

  25. Shareability of Inoculated Exposure #2, Follow-up

    Extent to which claim #2 made the participants more likely to share information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: 2-4 weeks

  26. Anxiousness of Inoculated Exposure #1, Follow-up

    Extent to which claim #1 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: 2-4 weeks

  27. Anxiousness of Inoculated Exposure #2, Follow-up

    Extent to which claim #2 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: 2-4 weeks

  28. Credibility of New Claims, Exposure #12, Follow-up

    Extent to which claim #12 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: 2-4 weeks

  29. Credibility of New Claims, Exposure #8, Follow-up

    Extent to which claim #8 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: 2-4 weeks

  30. Credibility of New Claims, Exposure #9, Follow-up

    Extent to which claim #9 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: 2-4 weeks

  31. Credibility of New Claims, Exposure #10, Follow-up

    Extent to which claim #10 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: 2-4 weeks

  32. Credibility of New Claims, Exposure #11, Follow-up

    Extent to which claim #11 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: 2-4 weeks

  33. Anxiousness o of New Claims, Exposure #12, Follow-up

    Extent to which claim #12 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: 2-4 weeks

  34. Anxiousness of New Claims, Claim #8, Follow-up

    Extent to which claim #8 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: 2-4 weeks

  35. Anxiousness of New Claims, Exposure #9, Follow-up

    Extent to which claim #9 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: 2-4 weeks

  36. Anxiousness of New Claims, Exposure #10, Follow-up

    Extent to which claim #10 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: 2-4 weeks

  37. Anxiousness of New Claims, Exposure #11, Follow-up

    Extent to which claim #11 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: 2-4 weeks

  38. Shareability of New Claims, Exposure #12, Follow-up

    Extent to which claim #12 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: 2-4 weeks

  39. Shareability of New Claims, Exposure #8, Follow-up

    Extent to which claim #8 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: 2-4 weeks

  40. Shareability of New Claims, Exposure #9, Follow-up

    Extent to which claim #9 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: 2-4 weeks

  41. Shareability of New Claims, Exposure #10, Follow-up

    Extent to which claim #10 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: 2-4 weeks

  42. Shareability of New Claims, Exposure #11, Follow-up

    Extent to which claim #11 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: 2-4 weeks

  43. Credibility of Inoculated Exposure #7

    Extent to which claim #7 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: At the end of the baseline assessment

  44. Anxiousness of Inoculated Exposure #7

    Extent to which claim #7 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: At the end of the baseline assessment

  45. Shareability of Inoculated Exposure #2

    Extent to which claim #2 made the participants more likely to share information about the HIV vaccine. They were provided information on this claim and how to recognize it as misinformation. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: At the end of the baseline assessment

  46. Credibility of New Claims, Exposure #13, Follow-up

    Extent to which claim #13 made the participants believe the credibility of the information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to believe the claim.

    Measured: 2-4 weeks

  47. Anxiousness of New Claims, Exposure #13, Follow-up

    Extent to which claim #13 made the participants anxious or nervous about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number indicates more self-reported anxiousness.

    Measured: 2-4 weeks

  48. Shareability of New Claims, Exposure #13, Follow-up

    Extent to which claim #13 made the participants more likely to share information about the HIV vaccine. They were not provided prior information on this claim. The scale is measured on 1-7. Higher number means they are more likely to share the claim.

    Measured: 2-4 weeks

Timeline

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

  1. First posted22 Nov 2024
  2. Study start24 Jul 2025
  3. Primary completion16 Oct 2025
  4. Study completionJun 2027 (estimated)

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
2,163 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06700447
Sponsor's protocol ID
1R01MH132401
Other IDs
1R01MH132401
Acronym
PROTECT
Status last verified
Aug 2026
First submitted
7 Nov 2024
Last updated
24 Sep 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: The investigators are still determining the data sharing plan and if we will be sharing IPD yet

Questions about this trial

What is this clinical trial studying?

A study testing Enhanced inoculation message and Nutrition information in people with Misinformation and HIV Vaccine, run by University of Pennsylvania at 1 site in South Africa.

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 6 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: under way, not looking for participants, as of the sponsor's last update on 24 Sep 2026. 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 South Africa. 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?

Yes. Results are posted in the registry (first posted 28 Aug 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

HIV Vaccine Intention, at the End of the Baseline Assessment (time frame: At the end of the baseline assessment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 24 Sep 2026.

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