CClinicalTrials.gg
CompletedNCT07132125Updated Aug 20, 2025

Conversations With AI Chatbots Increase Short-Term Vaccine Intentions But Do Not Outperform Standard Public Health Messaging

An interventional study of Default-style LLM chatbot and Conversational-style LLM chatbot in HPV Vaccination Intent, sponsored by University of Pennsylvania. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-20.

Sponsored by University of Pennsylvania · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Mar 2025, registered Aug 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
930
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to test whether short conversations with large language model (LLM) chatbots can persuade vaccine-hesitant parents to vaccinate their children against human papillomavirus (HPV). The study compares two chatbot styles to official public health information and to a no-message control. Parents of HPV-eligible children first complete a survey about their attitudes toward the HPV vaccine and their main concerns. They are then randomly assigned to read public health materials, have a three-minute conversation with either a default-style chatbot or a conversational-style chatbot tailored to their concern, or receive no message. The main outcome is change in intent to vaccinate immediately after the intervention, with follow-up surveys at 15 and 45 days.

02

Conditions studied

  • HPV Vaccination Intent

Keywords

  • chatbot
  • artificial intelligence
  • large language models
  • HPV vaccine
03

In context

Lead sponsor

University of Pennsylvania is the lead sponsor of 1,635 studies on the registry; 239 are open to participants now.

Of its 154 completed or terminated interventional studies of FDA-regulated products, 104 (68%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Adults aged 18 years and up
  • Living in Canada, the UK, or the USA
  • At least one child eligible for HPV vaccine based on country-specific guidelines who has not received any doses of the vaccine or whose vaccination status is unknown

Exclusion criteria

Exclusion Criteria:

  • Failure to pass attention checks
  • Identified as non-human respondents by reCAPTCHA or other automated bot detection
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
930 participants (actual)

Study arms

  • Experimental
    Default-style LLM chatbot

    A large language model chatbot (GPT-4o) that delivers tailored persuasive messages to parents about HPV vaccination, using the model's default style with longer, structured responses. Participants engage in a three-minute, multi-turn conversation, with responses personalized to their top-rated vaccine concern identified in a pre-intervention survey.

    Behavioral: Default-style LLM chatbot

  • Experimental
    Conversational-style LLM chatbot

    A large language model chatbot (GPT-4o) that delivers tailored persuasive messages to parents about HPV vaccination in a conversational style, with short responses. Participants engage in a three-minute, multi-turn conversation, with responses personalized to their top-rated vaccine concern identified in a pre-intervention survey.

    Behavioral: Conversational-style LLM chatbot

  • Active comparator
    Public health informational materials

    Official public health informational materials on HPV vaccination from the Centers for Disease Control and Prevention (U.S.), National Health Service (U.K.), or Public Health Agency of Canada, matched to the participant's country of residence. Materials are 589-680 words in length, cover HPV risks and benefits of vaccination, and are presented for three minutes before participants proceed.

    Behavioral: Public health informational materials

  • No intervention
    No Message

    No Intervention

Interventions

  • BehavioralDefault-style LLM chatbot

    A large language model chatbot (GPT-4o) that delivers tailored persuasive messages to parents about HPV vaccination, using the model's default style with longer, structured responses. Participants engage in a three-minute, multi-turn conversation, with responses personalized to their top-rated vaccine concern identified in a pre-intervention survey.

  • BehavioralConversational-style LLM chatbot

    A large language model chatbot (GPT-4o) that delivers tailored persuasive messages to parents about HPV vaccination in a conversational style, with short responses. Participants engage in a three-minute, multi-turn conversation, with responses personalized to their top-rated vaccine concern identified in a pre-intervention survey.

  • BehavioralPublic health informational materials

    Official public health informational materials on HPV vaccination from the Centers for Disease Control and Prevention (U.S.), National Health Service (U.K.), or Public Health Agency of Canada, matched to the participant's country of residence. Materials are 589-680 words in length, cover HPV risks and benefits of vaccination, and are presented for three minutes before participants proceed.

06

What researchers measure

Primary outcomes

  1. Change in intent to vaccinate child against HPV within the next 12 months

    Self-reported likelihood, on a 0-100 scale, of vaccinating the participant's youngest HPV vaccine-eligible child (identified in pre-survey) within the next 12 months. Measured before and immediately after the intervention to assess short-term changes in vaccination intent.

    Time frame: Baseline to immediately post-intervention

Secondary outcomes

  1. Change in intent to vaccinate child against HPV at 15-day follow-up

    Self-reported likelihood, on a 0-100 scale, of vaccinating the participant's youngest HPV vaccine-eligible child within the next 12 months. Measured at baseline and 15 days after the intervention to assess durability of effects.

    Time frame: Baseline to 15 days post-intervention

  2. Change in intent to vaccinate child against HPV at 45-day follow-up

    Self-reported likelihood, on a 0-100 scale, of vaccinating the participant's youngest HPV vaccine-eligible child within the next 12 months. Measured at baseline and 45 days after the intervention to assess durability of effects.

    Time frame: Baseline to 45 days post-intervention

  3. Change in general parental vaccine hesitancy (PACV-5)

    Change in scores on the 5-item Parent Attitudes about Childhood Vaccines (PACV-5) scale. Measured at baseline and immediately after the intervention.

    Time frame: Baseline to immediately post-intervention

  4. Change in intent to vaccinate child for influenza and COVID-19

    Self-reported likelihood, on a 0-100 scale, of vaccinating the participant's youngest eligible child for influenza or COVID-19 within the next 12 months.

    Time frame: Measured at baseline and immediately post-intervention.

  5. Change in importance ratings of HPV vaccine concerns

    Change in participant ratings (0-100 scale) of importance for each HPV vaccine concern (list derived from National Immunization Surveys) between baseline and immediately post-intervention.

    Time frame: Baseline to immediately post-intervention

  6. Clicks on HPV vaccine appointment scheduling link

    Whether participants click a provided link to schedule an HPV vaccine appointment through CVS during the post-intervention survey.

    Time frame: Immediately post-intervention

  7. Willingness to donate payment to vaccine education charity

    Percentage of survey payment participants choose to donate (0%, 10%, 30%, or 50%) to an immunization-related charity during the post-intervention survey.

    Time frame: Immediately post-intervention

  8. Willingness to be recontacted for future research

    Participant self-reported willingness (yes/no) to be contacted for future studies

    Time frame: Immediately post-intervention

  9. Ratings of empathy, usefulness, and relevance of intervention content

    Participant ratings (1-5 scale) of how empathetic, useful, and relevant they found the assigned chatbot conversation or public health reading material.

    Time frame: Immediately post-intervention

07

Study locations

1 site
  • Participants are recruited online via Prolific
    Philadelphia, Pennsylvania 19104, United States
08

References and documents

Publications

  • Sehgal NKR, Rai S, Tonneau M, Agarwal AK, Cappella J, Kornides ML, Ungar L, Buttenheim A, Guntuku SC. Large Language Model Chatbot Conversations vs Public Health Materials and Parental HPV Vaccination Intentions: A Randomized Clinical Trial. JAMA Netw Open. 2026 Jun 1;9(6):e2616822. doi: 10.1001/jamanetworkopen.2026.16822. PubMed 42258213 ↗

Individual participant data

Plan to share: Yes

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07132125
Lead sponsor
University of Pennsylvania
Responsible party
Sponsor
First posted
Aug 20, 2025
Start date
Mar 17, 2025
Primary completion
May 22, 2025
Completion
May 22, 2025
Last update
Aug 20, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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