ClinicalTrials.gg
Active, not recruitingNCT07896850Updated Nov 4, 2026

Conversational AI for Adult Flu Vaccination Decisions

An interventional study of Flu vaccination guide and Accident safety guide in Influenza, Human and Vaccine Hesitancy, sponsored by Calypta Systems, Inc.. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Calypta Systems, Inc. · Not applicable, Interventional, and Prevention

Updated Nov 4, 2026Now Active, not recruitingStudy documents posted+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
220
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 965 studies in Influenza, Human with a site in United States — 60 open to participants now, 84 under way, 7 of them phase 3. Influenza, Human · United States.

Planned enrollment
453rd of 842
220 · median 273
Started
2026
with 25 others
No phase
160 of 965
13 open now
Primary completion
2026-10
later than 16 of 82 live
Registered
964th of 965
by date

Among the 965 studies in Influenza, Human with a site in United States, this one is the 453rd largest by planned enrollment of the 842 interventional ones, is one of 26 that started in 2026, is one of 160 with no phase, reaches primary completion later than 16 of the 82 other live ones, and was the 964th registered.

By phase

965 studies; the count open now beside each. This study's row is marked.

Phase 1177 · 11 open
Phase 2161 · 7 open
No phasethis study160 · 13 open
Phase 4146 · 8 open
Observational122 · 14 open
Phase 3116 · 6 open
Phase 1/272 · 1 open
Phase 2/311 · 0 open

By the year they started

First in 1997; this study’s year is marked. 26 started in 2026.

Size and results

Median enrollment 273 across the 842 interventional studies, 261 across the 122 observational. Of the 841 that completed or were terminated, 433 (51%) have results posted.

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02

Study summary

This randomized trial tests whether an online guide combining short evidence cards with an AI-guided conversation increases flu-vaccination intention among US adults who haven't decided whether to get a flu vaccine this season. Participants recruited through Prolific are randomly assigned to the flu guide or to a structure-matched guide about everyday accident safety. The primary outcome is self-rated likelihood of getting a flu vaccine this season (1-7), asked immediately after the session. Participants are asked at about 2 and 8 weeks whether they have been vaccinated. The study is powered for the intention outcome but not for vaccination. For vaccination, it estimates the effect, the base rate, and follow-up response, to size a later, larger trial.

Read the detailed description

In a prior randomized trial by the same investigator, a similar intervention (evidence cards followed by an AI-guided motivational-interviewing conversation) raised MMR vaccination intention among hesitant parents by about one point on a 1-7 scale relative to an active control (Forman 2025, PsyArXiv, doi:10.31234/osf.io/5kteh_v1). This study tests whether the effect transfers to a different decision and population: adult seasonal flu vaccination.

Design: two-arm, parallel, 1:1 randomized trial conducted entirely online. Participants are US adults on Prolific (approval rate ≥ 99%, at least 25 previous submissions), desktop or mobile. A five-item health-plans screener masks the eligibility question; eligible participants answer "Probably", "Unsure", or "Probably not" to getting a flu vaccine in the next few months. Participants then answer the baseline intention item; those answering 7 are screened out before randomization. Randomization is by minimization within screener stratum (probably / unsure / probably not), with random tie-breaking. Up to 220 are randomized; dropouts are not replaced.

Intervention: a study version of Calypta Health's public flu vaccination guide: an intro card and 12 evidence cards (including an interactive simulation), followed by a conversation with an AI model (a Claude model accessed through Amazon Bedrock; the model and its instructions are fixed for the study's duration). Control: a study-only guide on everyday accident avoidance (mostly driving, plus falls and smoke and carbon-monoxide alarms) with the same structure, card count, minimum reading time, and conversation rules. In both arms, per-card minimum times (10 seconds for the intro card, 20 seconds for each other card) and a minimum conversation length (at least 3 rounds and 100 engagement points) apply. After the post-session question, participants in either arm who answer 6 or 7 are offered the same optional flu-vaccination plan card (where and which day). Because the card is offered only after a 6 or 7, more flu-arm participants may see it, so the vaccination comparison includes any effect of the card.

Follow-up: check-ins at about 2 and 8 weeks, each a separate Prolific study open to everyone randomized, ask about flu vaccination since the session, intention, and (as a negative-control outcome) dental cleanings or checkups.

Analysis: the primary outcome is analyzed by ANCOVA adjusting for baseline intention and screener stratum, with HC3 standard errors, two-sided α = .05. The analysis set is randomized participants who completed the session and met the engagement rule; the primary population excludes sessions that an AI reviewer links as one person using two accounts, sensitivity analyses include everyone or remove sessions flagged as low quality, and a further analysis is limited to participants with a baseline intention of 5 or below. Analysis code for the primary outcome is written and frozen before arm labels are unblinded; check-in outcomes are analyzed as the preregistered plan specifies once each wave closes, with any deviation reported. A full analysis plan is preregistered on OSF and linked from this record.

A feasibility pilot (20 randomized, 2026-10-15), under the same IRB approval, preceded main enrollment to test study mechanics and a next-day follow-up; pilot data are not presented as results of this study or combined with main-study data, and pilot participants are excluded from the main study.

Conflict of interest: the investigator founded Calypta Systems, Inc. and is its CEO, sole director, and majority shareholder. Calypta makes the flu guide and funds the study. Results will be made public regardless of outcome.

03

Conditions studied

  • Influenza, Human
  • Vaccine Hesitancy

Keywords

  • influenza vaccination
  • vaccine hesitancy
  • motivational interviewing
  • large language model
  • conversational agent
  • chatbot
  • health decision-making
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • US resident, age 18 or older, Prolific approval rate ≥ 99% and at least 25 previous submissions
  • Answers "Probably", "Unsure", or "Probably not" to planning to get a flu vaccine in the next few months
  • Consents to participate

Exclusion criteria

Exclusion Criteria:

  • Already vaccinated against flu this season ("Already done this year")
  • Baseline intention of 7 ("Definitely yes")
  • Took part in the feasibility pilot
05

Study design

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

Study arms

  • Experimental
    Flu vaccination guide

    Calypta Health's flu vaccination guide: 12 evidence cards followed by an AI-guided conversation.

    Behavioral: Flu vaccination guide

  • Sham comparator
    Accident safety guide

    An attention-matched control: a structure-matched guide on everyday accident avoidance, 12 evidence cards followed by an AI-guided conversation, with no flu or vaccine content.

    Behavioral: Accident safety guide

Interventions

  • BehavioralFlu vaccination guide

    Online guide with 12 evidence cards on seasonal flu and flu vaccines (including an interactive simulation of flu risk), with per-card minimum reading times, followed by a text or voice conversation with an AI model instructed to use motivational-interviewing techniques and to draw on curated, cited sources. The session takes about 10 to 20 minutes.

  • BehavioralAccident safety guide

    Online guide with 12 evidence cards on everyday accident avoidance (driving, falls, and smoke and carbon-monoxide alarms; including an interactive seatbelt simulation), with matched minimum reading time, followed by an AI conversation under the same rules. The session takes about 10 to 20 minutes.

06

What researchers measure

Primary outcomes

  1. Flu vaccination intention

    "How likely are you to get a flu vaccine this season?" 1 (Definitely not) to 7 (Definitely yes), asked identically at baseline and post-session. Analyzed as the post-session score adjusted for baseline and stratum.

    Time frame: Immediately after the session (about 10 to 20 minutes after baseline)

Secondary outcomes

  1. Self-reported flu vaccination

    Proportion of check-in B respondents who answered "Yes, I've gotten a flu vaccine" at either check-in (about 2 or about 8 weeks) to "Since you took part in our study on \[the participant's session date, e.g. October 15\], have you gotten a flu vaccine?"

    Time frame: About 8 weeks after the session

  2. Flu vaccination intention or vaccination at 2 weeks

    The 1-7 intention item at the check-in, with participants vaccinated by that check-in coded 7, adjusted for baseline and stratum.

    Time frame: About 2 weeks after the session

  3. Flu vaccination intention or vaccination at 8 weeks

    As above, at check-in B, where vaccinated means a yes at either check-in.

    Time frame: About 8 weeks after the session

Other outcomes

  1. Self-reported dental cleaning or checkup (negative control)

    Exploratory negative-control outcome: proportion of check-in B respondents who reported a dental cleaning or checkup since the session at either check-in.

    Time frame: About 8 weeks after the session

07

Study locations

1 site
  • Calypta Systems, Inc.
    San Francisco, California 94114, United States
08

References and documents

Publications

  • Forman SJ. Informational Briefing Followed by LLM-Guided Motivational Interview Increases MMR Vaccination Intent among Hesitant Parents. PsyArXiv preprint, 2025. doi:10.31234/osf.io/5kteh_v1

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — De-identified structured variables only (screener answers, intention measures, arm, stratum, engagement counts, check-in answers, and the coarse demographic and device groups used in the analyses by group) under study codes. Not shared: Prolific IDs, conversation transcripts.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Analytic code

Time frame: Data will be shared when the results preprint is posted, expected in January 2027.

Access criteria: Open to anyone, with no request or data use agreement, from a public repository (OSF, or another repository that issues a DOI).

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2026 to primary completion in Oct 2026, 0 months.

Of 166 interventional studies with no phase under Influenza, Human, half reached primary completion within 6 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 16. This study's 0 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 20, 2026
First posted
Oct 27, 2026
StartActual
Oct 21, 2026
Primary completionActual
Oct 21, 2026
CompletionEst.
Dec 31, 2026
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Active, not recruiting
changed Nov 4, 2026
Primary completion
Oct 30, 2026→Oct 21, 2026 (actual)
Nov 4, 2026
Documents
Nov 4, 2026
Registered
First appeared on the registry
Oct 27, 2026
Show all 2 updates
  1. Nov 4, 2026
    Not yet recruiting→Active, not recruiting
    Documents Informed consent form ↗ posted
    Primary completion Oct 30, 2026→Oct 21, 2026 (now actual)
    + 2 other changes: verification date and contact details
  2. Oct 27, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07896850
Lead sponsor
Calypta Systems, Inc.
Responsible party
Sponsor
First posted
Oct 27, 2026
Start date
Oct 21, 2026
Primary completion
Oct 21, 2026
Completion
Dec 31, 2026 (estimated)
Last update
Nov 4, 2026

Study contacts

Scott J Forman
principal investigator · Calypta Systems, Inc.

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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