CClinicalTrials.gg
CompletedNCT01009645Updated Oct 30, 2023Results posted

The Effect of Fact Versus Myth Messages on Receipt of Influenza Vaccination

An interventional study of Fact Only Education Message and Fact and Myth Educational Message in Influenza Vaccination, sponsored by Northwestern University. Completed at 1 site in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2023-10-30.

Sponsored by Northwestern University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
125
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate whether message design of educational materials increases vaccination rates among participants.

02

Conditions studied

  • Influenza Vaccination

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Keywords

  • education
  • vaccination
  • preventive service
  • Prevention & Control
03

In context

Influenza, Human

2,214 studies on the registry are indexed under Influenza, Human; 163 are open to participants now.

This study's enrollment of 125 is below the median of 238 across 1,853 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

Northwestern University is the lead sponsor of 1,396 studies on the registry; 199 are open to participants now.

Of its 102 completed or terminated interventional studies of FDA-regulated products, 73 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participant must have a scheduled appointment at least 6 weeks in advance in either the GIM or Geriatrics clinics at NMFF.
  • Participant must be a patient of Northwestern Medical Faculty Foundation.
  • Participant does not intend to receive the influenza vaccine.

Exclusion criteria

Exclusion Criteria:

  • Participant has a diagnosis of Alzheimer's Disease or Dementia
  • Participant has received an influenza vaccination during either the last influenza season or the current.
  • The scheduled visit is the participant's first time being seen by this doctor (appointment is to establish care in the clinic).
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
125 participants (actual)

Study arms

  • Experimental
    Fact Only

    The educational message used will contain facts only.

    Behavioral: Fact Only Education Message

  • Experimental
    Fact and Myth

    The educational material seen by this arm will contain facts and myths only.

    Behavioral: Fact and Myth Educational Message

  • Experimental
    Fact, Myth, Why

    The educational material seen by this arm will contain myths, facts, and refutations of the myths.

    Behavioral: Fact, Myth, Why Educational Message

  • Placebo comparator
    Control

    This arm will receive fact/myth educational materials originally developed and used by the CDC.

    Behavioral: Control Educational Message

Interventions

  • BehavioralFact Only Education Message

    Participants randomized to this intervention will receive an educational brochure listing the facts of the influenza vaccine.

    Also known as: Fact Only

  • BehavioralFact and Myth Educational Message

    Participants randomized to this intervention will receive an educational brochure listing the facts and myths of the influenza vaccine.

    Also known as: Fact & Myth

  • BehavioralFact, Myth, Why Educational Message

    Participants randomized to this intervention will receive an educational brochure listing the facts, myths, and refutation of the myths of the influenza vaccine.

    Also known as: Fact, Myth, Why

  • BehavioralControl Educational Message

    Participants randomized to this intervention will receive an educational brochure created and used by the CDC in a previous influenza season.

    Also known as: Control

06

What researchers measure

Primary outcomes

  1. Influenza Vaccination

    The primary outcome is receipt of influenza vaccination at appointment directly following the post-test. A pre-test was completed by participants during a telephone interview that occurred approximately two weeks prior to a scheduled clinic appointment. The post-test was completed via an in-person interview by participants immediately prior to their scheduled appointment. That is, the participants met with the Research Assistant, completed the post-test, and then proceeded to see their physician for a previously scheduled office visit.

    Time frame: 1 week following randomization

Secondary outcomes

  1. Recall Accuracy

    Participants were given 8 statements about the flu/flu shot and asked to recall if they had seen the statement on the message they received via FedEx. Participants responded that statement had been "presented as a fact," "presented as a myth," "presented, but I don't recall if it was a fact or a myth," or "not presented." Participants scored 1 for each correct answer; 0 for each incorrect answer or for response "I don't recall." Recall accuracy was calculated among each message format, range for recall accuracy was 0 - 8 with 0 indicating no correct answers and 8 representing 100% accuracy. Thus units of measurement are "units on a scale" to represent participant scores out of 8 on the recall items.

    Time frame: 1 week following receipt of message

07

Results

Posted Sep 18, 2012
Limitations and caveats
Low participation in the trial due to the emergence of H1N1; many individuals \>50 years of age opted to receive seasonal flu vaccine as they were initially unable to receive the H1N1 vaccine. Hence, the available study population shrank markedly.

Participant flow

Eligible participants had scheduled appointments in a private medical clinic during October 2009 - March 2010. Potential participants were sent an opt-out letter indicating that they would be receiving a phone call to invite them to participate in a study if interested; those not opting out were contacted and asked to participate.

Participant flow — Overall Study
MilestoneFact OnlyFact and MythFact, Myth, WhyControl
Started31313231
Completed29232826
Not completed2845
Withdrew: Lost to follow-up2845

Outcome measures

PrimaryInfluenza Vaccination

The primary outcome is receipt of influenza vaccination at appointment directly following the post-test. A pre-test was completed by participants during a telephone interview that occurred approximately two weeks prior to a scheduled clinic appointment. The post-test was completed via an in-person interview by participants immediately prior to their scheduled appointment. That is, the participants met with the Research Assistant, completed the post-test, and then proceeded to see their physician for a previously scheduled office visit.

Time frame:
1 week following randomization
Reported as:
Number · participants
Influenza Vaccination
participantsFact OnlyFact and MythFact, Myth, WhyControl
Influenza Vaccination4134
Statistical analysis
  • Fact Only vs Fact and Myth vs Fact, Myth, Why vs Control · Contrast Analysis · p = <0.05 (The a priori threshold for statistical significance was p \<0.0167 as the p-value was adjusted for multiple comparisons (three planned contrasts).)Bonferroni correction used (3 planned contrasts)
  • Fact Only vs Fact and Myth vs Fact, Myth, Why · Contrast Analysis · p = <0.05 (The a priori threshold for statistical significance was p \<0.0167 as the p-value was adjusted for multiple comparisons (three planned contrasts).)Bonferroni correction used (3 planned contrasts)
  • Fact Only vs Fact, Myth, Why · Contrast Analysis · p = <0.05 (The a priori threshold for statistical significance was p \<0.0167 as the p-value was adjusted for multiple comparisons (three planned contrasts).)Bonferroni correction used (3 planned contrasts)
SecondaryRecall Accuracy

Participants were given 8 statements about the flu/flu shot and asked to recall if they had seen the statement on the message they received via FedEx. Participants responded that statement had been "presented as a fact," "presented as a myth," "presented, but I don't recall if it was a fact or a myth," or "not presented." Participants scored 1 for each correct answer; 0 for each incorrect answer or for response "I don't recall." Recall accuracy was calculated among each message format, range for recall accuracy was 0 - 8 with 0 indicating no correct answers and 8 representing 100% accuracy. Thus units of measurement are "units on a scale" to represent participant scores out of 8 on the recall items.

Time frame:
1 week following receipt of message
Reported as:
Mean · units on a scale
Recall Accuracy
units on a scaleFact OnlyFact and MythFact, Myth, WhyControl
Recall Accuracy3.13 ± 1.664.52 ± 1.965.67 ± 1.654.77 ± 1.82
Statistical analysis
  • Fact Only vs Fact and Myth vs Fact, Myth, Why vs Control · ANOVA · p = <0.05used Scheffe's post-hoc analysis

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Fact Only—0/31 (0%)0/31 (0%)
Fact and Myth—0/31 (0%)0/31 (0%)
Fact, Myth, Why—0/32 (0%)0/32 (0%)
Control—0/31 (0%)0/31 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Fact OnlyFact and MythFact, Myth, WhyControlTotal
<=18 years00000
Between 18 and 65 years1820231677
>=65 years131191548
Age, Continuous
Age, Continuous(years)Fact OnlyFact and MythFact, Myth, WhyControlTotal
Mean62.8 ± 11.2761.13 ± 7.4663.34 ± 9.6465.35 ± 8.4063.16 ± 9.43
Sex: Female, Male
Sex: Female, Male(Participants)Fact OnlyFact and MythFact, Myth, WhyControlTotal
Female2724232498
Male479727
Region of Enrollment
Region of Enrollment(participants)Fact OnlyFact and MythFact, Myth, WhyControlTotal
United States31313231125
08

Study locations

1 site
  • Northwestern Medical Faculty Foundation General Internal Medicine and Geriatric Clinics
    Chicago, Illinois 60611, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 30, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01009645
Lead sponsor
Northwestern University
Collaborators
National Institute on Aging (NIA)
Responsible party
Sponsor
First posted
Nov 9, 2009
Start date
Sep 2009
Primary completion
Apr 2010
Completion
Apr 2010
Results posted
Sep 18, 2012
Last update
Oct 30, 2023

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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