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Opioid Use DisorderNCT06743178

The Effects of Mass Media Photographs on Drug-Related Stigma

A study testing Photo of a person injecting drugs, Photo of EMS responding to an overdose (White) and Photo of EMS responding to an overdose (Black) in people with Opioid Use Disorder and Substance Use Disorders, run by Johns Hopkins Bloomberg School of Public Health 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

The aim of this study was to evaluate the effects of exposure to drug-related photos used by the media on emotions, stigma towards people who use drugs, and public health services for this population. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Photo of a person injecting drugs, Photo of EMS responding to an overdose (White) and Photo of EMS responding to an overdose (Black)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3,570 participants
Where
1 siteUnited States
Study dates
20 Mar 2024to 8 Apr 2024
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

  • participant in existing web-based survey panel (NORC's AmeriSpeak)

Who cannot join

  • not able to complete experiment and survey in English

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Johns Hopkins Bloomberg School of Public Health

    Baltimore, Maryland, 21205

Other trials in United States

About this study

Official title: A Randomized Experiment to Test the Effects of Mass Media Photographs Related to Drug Use

The aim of this study was to evaluate the effects of exposure to drug-related photos used by the media on emotions, stigma towards people who use drugs, and public health services for this population.

Read the detailed description

This randomized experiment evaluated the impact of drug-related photographs used by the media on stigma towards people who use drugs. A nationally representative sample of US adults was randomized to view different photos used in the media (a person injecting drugs, a person being resuscitated after an overdose, a person receiving treatment, a person in recovery, or a person who had lost a family member to an overdose) and then asked questions about their feelings towards people who use drugs and their acceptance of public health services to address the overdose crisis.

Being tested
Photo of a person injecting drugs, Photo of EMS responding to an overdose (White), Photo of EMS responding to an overdose (Black), Photo of a person receiving treatment (Jail), Photo of a person receiving treatment (Community)
Medical subject headings
Opioid-Related Disorders, Substance-Related Disorders, Social Stigma

What participants receive

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

  • Photo of a person injecting drugsBehavioural

    Exposed to a photo of a person injecting drugs

  • Photo of EMS responding to an overdose (White)Behavioural

    Exposed to a photo of EMS responding to an overdose (White)

  • Photo of EMS responding to an overdose (Black)Behavioural

    Exposed to a photo of EMS responding to an overdose (Black)

  • Photo of a person receiving treatment (Jail)Behavioural

    Exposed to a photo of a person receiving treatment (Jail)

  • Photo of a person receiving treatment (Community)Behavioural

    Exposed to a photo of a person receiving treatment (Community)

  • Photo of a person in recovery (White)Behavioural

    Exposed to a photo of a person in recovery (White)

  • Photo of a person in recovery (Black)Behavioural

    Exposed to a photo of a person in recovery (Black)

  • Photo of a family member of an overdose decedentBehavioural

    Exposed to a photo of a family member of an overdose decedent

Study groups in NCT06743178
Study groupRoleWhat they receive
No exposure control groupNo interventionThis group was not exposed to any drug-related photo.
Photo of person injecting drugsExperimentalParticipants randomized to this arm were exposed to a photo of a person injecting drugs.
Receives: Behavioral: Photo of a person injecting drugs
Photo of Emergency Medical Services (EMS) responding to an overdose (White)ExperimentalParticipants randomized to this arm were exposed to a photo of EMS responding to a white person who had overdosed.
Receives: Behavioral: Photo of EMS responding to an overdose (White)
Photo of EMS responding to an overdose (Black)ExperimentalParticipants randomized to this arm were exposed to a photo of EMS responding to a Black person who had overdosed.
Receives: Behavioral: Photo of EMS responding to an overdose (Black)
Photo of a person receiving treatment (Jail)ExperimentalParticipants randomized to this arm were exposed to a photo of a person receiving methadone treatment in jail.
Receives: Behavioral: Photo of a person receiving treatment (Jail)
Photo of a person receiving treatment (Community)ExperimentalParticipants randomized to this arm were exposed to a photo of a person receiving methadone treatment in a community setting.
Receives: Behavioral: Photo of a person receiving treatment (Community)
Photo of a person in recovery (White)ExperimentalParticipants randomized to this arm were exposed to a photo of a white person in recovery in their workplace.
Receives: Behavioral: Photo of a person in recovery (White)
Photo of a person in recovery (Black)ExperimentalParticipants randomized to this arm were exposed to a photo of a Black person in recovery in their workplace.
Receives: Behavioral: Photo of a person in recovery (Black)
Photo of a family member of an overdose decedentExperimentalParticipants randomized to this arm were exposed to a photo of a person who had lost a family member to an overdose.
Receives: Behavioral: Photo of a family member of an overdose decedent

What is being measured

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

  1. Positive and Negative Affect Scale (Angry)

    Rating of feeling angry at the present moment. Item from the Positive and Negative Affect Scale. Measured on 5-point Likert scale with 1 indicating "not at all" and 5 indicating "extremely" their feeling angry at the present moment.

    Measured: Immediately post-exposure to photo intervention

  2. Positive and Negative Affect Scale (Sympathy)

    Rating of feeling sympathy at the present moment. Item from the Positive and Negative Affect Scale. Measured on 5-point Likert scale with 1 indicating "not at all" and 5 indicating "extremely" their feeling sympathy at the present moment.

    Measured: Immediately post-exposure to photo intervention

  3. Positive and Negative Affect Scale (Disgust)

    Rating of feeling disgust at the present moment. Item from the Positive and Negative Affect Scale. Measured on 5-point Likert scale with 1 indicating "not at all" and 5 indicating "extremely" their feeling disgust at the present moment.

    Measured: Immediately post-exposure to photo intervention

  4. Positive and Negative Affect Scale (Pity)

    Rating of feeling pity at the present moment. Item from the Positive and Negative Affect Scale. Measured on 5-point Likert scale with 1 indicating "not at all" and 5 indicating "extremely" their feeling pity at the present moment.

    Measured: Immediately post-exposure to photo intervention

  5. Social Distance Scale (Family)

    Rating of willingness to have person with substance use disorder marry into their family. Item from the Social Distance Scale that measures one element of stigma (desire for social distance). Measured on 5-point Likert scale with 1 indicating greater willingness and 5 indicating greater unwillingness to have a person with a substance use disorder marry into the family.

    Measured: Immediately post-exposure to photo intervention

  6. Social Distance Scale (Neighbor)

    Rating of willingness to have person with substance use disorder as a neighbor. Item from the Social Distance Scale that measures one element of stigma (desire for social distance). Measured on 5-point Likert scale with 1 indicating greater willingness and 5 indicating greater unwillingness to have a person with a substance use disorder as a neighbor.

    Measured: Immediately post-exposure to photo intervention

  7. Social Distance Scale (Work Closely)

    Rating of willingness to have person with substance use disorder work closely with them. Item from the Social Distance Scale that measures one element of stigma (desire for social distance). Measured on 5-point Likert scale with 1 indicating greater willingness and 5 indicating greater unwillingness to have a person with a substance use disorder work closely with them.

    Measured: Immediately post-exposure to photo intervention

  8. Social Distance Scale (close friend)

    Rating of willingness to have person with substance use disorder as a close personal friend. Item from the Social Distance Scale that measures one element of stigma (desire for social distance). Measured on 5-point Likert scale with 1 indicating greater willingness and 5 indicating greater unwillingness to have a person with a substance use disorder as a close personal friend.

    Measured: Immediately post-exposure to photo intervention

  9. Feeling-Thermometer measure of warmth towards people with substance use disorders

    Rating of warmth felt toward people with substance use disorder with 0 indicating extremely cold and 100 indicating extremely warm.

    Measured: Immediately post-exposure to photo intervention

  10. Rating of agreement that recovery is possible

    Rating of agreement with statement "Recovery from a drug addiction is possible" on a 5-point Likert scale with 1 indicating strongly agree and 5 indicating strongly disagree.

    Measured: Immediately post-exposure to photo intervention

  11. Rating of willingness to have a drug treatment program in their neighborhood

    Rating of willingness to have a drug treatment program in their neighborhood with 1 indicating greater willingness and 5 indicating greater unwillingness. Measured via survey questionnaire.

    Measured: Immediately post-exposure to photo intervention

  12. Rating of willingness to have a syringe exchange program in their neighborhood

    Rating of willingness to have a syringe exchange program in their neighborhood with 1 indicating greater willingness and 5 indicating greater unwillingness.

    Measured: Immediately post-exposure to photo intervention

  13. Rating of willingness to have a safe consumption site in their neighborhood

    Participant's rating of willingness to have a safe consumption site in their neighborhood with 1 indicating greater willingness and 5 indicating greater unwillingness.

    Measured: Immediately post-exposure to photo intervention

  14. Number of participants having a family member with a substance use disorder

    Personal experience of having a family member with a substance use disorder. Three close-ended response options (Yes, No, Don't know) when asked if the participant has ever had a family member with a substance use disorder.

    Measured: Immediately post-exposure to photo intervention

  15. Number of participants having a close friend with a substance use disorder

    Personal experience of having a close friend with a substance use disorder. Three close-ended response options (Yes, No, Don't know) when asked if the participant has ever had a close friend with a substance use disorder.

    Measured: Immediately post-exposure to photo intervention

  16. Number of participants having substance use disorder

    Personal experience of having a substance use disorder. Three close-ended response options (Yes; No; Don't Know) when asked if the participant has ever had a substance use disorder. Measured via survey questionnaire.

    Measured: Immediately post-exposure to photo intervention

Timeline

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

  1. First posted19 Dec 2024
  2. Study start20 Mar 2024
  3. Primary completion8 Apr 2024
  4. Study completion8 Apr 2024

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
3,570 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06743178
Sponsor's protocol ID
IRB00026173
Status last verified
Dec 2024
First submitted
16 Dec 2024
Last updated
19 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hom JK, Heley K, Bandara S, Kennedy-Hendricks A. The impact of news photographs on drug-related stigma: A randomized message testing experiment in a National Sample of US Adults. Prev Med. 2025 Jun;195:108293. doi: 10.1016/j.ypmed.2025.108293. Epub 2025 Apr 29.

    PubMed 40311941

Questions about this trial

What is this clinical trial studying?

A study testing Photo of a person injecting drugs, Photo of EMS responding to an overdose (White) and Photo of EMS responding to an overdose (Black) in people with Opioid Use Disorder and Substance Use Disorders, run by Johns Hopkins Bloomberg School of Public Health 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 19 Dec 2024. 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?

Positive and Negative Affect Scale (Angry) (time frame: Immediately post-exposure to photo intervention). The study lists 16 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 NCT06743178, which also lists 1 linked publication.

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 19 Dec 2024; AzTrials last refreshed its copy on 8 Nov 2026.

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