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Covid-19 Messaging to Underserved Communities - 2nd Experiment

Covid-19 Messaging to Underserved Communities - 2nd Experiment

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04502056
Enrollment
20460
Registered
2020-08-06
Start date
2020-08-07
Completion date
2020-09-06
Last updated
2021-07-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Covid19

Brief summary

The aim of the study is to build off results from our first experiment (NCT04371419) , and test whether messages that acknowledge racial injustice on behalf of institutions affect the retention of knowledge and movement of beliefs and behavior with respect to Covid-19. The investigators will also test the effect of concordance of providers and whether highlighting the unequal burden of the disease has additional effects on knowledge, beliefs and behavior regarding covid-19. The sample will include African American and white adult Americans and oversample those with less than a college degree.

Detailed description

Recent data have shown that covid19 is disproportionately infecting and killing African Americans and Latinx people in the United States. Moreover, since our last experiment, the killing of George Floyd by Minnesota police has raised awareness of structural racism in the United States. The aim of the study is to build off results from our first experiment (NCT04371419) , and test whether messages that acknowledge racial injustice on behalf of institutions affect the retention of knowledge and movement of beliefs and behavior with respect to Covid-19. The investigators will also test the effect of concordance of providers and whether highlighting the unequal burden of the disease has additional effects on knowledge, beliefs and behavior regarding covid-19.The sample will include African American and white adult Americans and oversample those with less than a college degree.

Interventions

BEHAVIORALAcknowledgement Racial Injustice AMA

Investigators will examine whether acknowledgements of racial inequality are helpful towards improving knowledge retention and behaviors associated with the intervention among participants. In this arm, participants will receive a AMA statement on racial injustice.

BEHAVIORALAfrican American Sender Acknowledgement

Investigators will also vary the messenger of the acknowledgement sender. In this arm participants receive a African American sender in acknowledgment of AMA

BEHAVIORALAfrican American Sender in Informational Videos.

Investigators will vary the sender of the informational covid-19 videos. In this arm, participants receive a African American sender in informational videos.

BEHAVIORALRacial Inequality Highlighted

Investigators will include information on race-specific covid-19 cases and deaths in one variation in the messaging. In this arm, participants receive disproportionate race-specific Covid-19 facts

BEHAVIORALAMA Acknowledgement Drug Pricing

Investigators will examine whether acknowledgements of racial inequality are helpful towards improving knowledge retention and behaviors associated with the intervention among participants. In this arm, participants receive AMA information on drug pricing

BEHAVIORALWhite Sender in Acknowledgement

Investigators will also vary the messenger of the acknowledgement sender. In this arm, participants receive a white sender in the acknowledgement

BEHAVIORALWhite Sender in Informational Videos

Investigators will vary the messenger of the informational covid-19 videos. In this arm, participants receive white sender in the informational video

BEHAVIORALNo Racial Inequality Highlighting

In this arm, the disproportionate burden of Covid-19 on communities of color will not be highlighted

BEHAVIORALPlacebo videos

Videos not related to covid-19 will be shown

Sponsors

Massachusetts General Hospital
CollaboratorOTHER
Stanford University
CollaboratorOTHER
Yale University
CollaboratorOTHER
Harvard University
CollaboratorOTHER
National Bureau of Economic Research, Inc.
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* adults who self-identify as African American or white. * an oversample of individuals with less than a college education

Design outcomes

Primary

MeasureTime frameDescription
Incidence Rate for Knowledge Gaps: Control vs. Any InterventionThe outcome was measured immediately following the intervention in the baseline survey.Participants were asked to identify ways to prevent COVID-19 spread and identify four common symptoms. The incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 10.
Incidence Rate for Knowledge Gaps: Control vs. Any Intervention - Follow upThe outcome was measured at a follow-up within 2 weeks following the interventionParticipants were asked to identify ways to prevent COVID-19 spread and identify four common symptoms. Incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 10.
Incidence Rate for Information-seeking Behavior: Control vs. Any InterventionThe outcome was measured immediately following the intervention in the baseline survey.Participants were offered the option of requesting additional information on COVID-19 related resources by clicking on up to five links that included more content. We measured information seeking behavior as the number of links for which participants expressed interest, a count variable between 0 (lowest information seeking behavior) and 5 (greatest information seeking behavior). Incidence rate for interest in links is the count of links demanded divided by the maximum possible count: 5.
Incidence Rate - Safety Gap Score: Control vs. Any InterventionThe outcome was measured at a follow-up within 2 weeks following the intervention.Participants were asked about how often they engaged in four behaviors of interest: if they wore a mask indoors/outdoors; if they washed their hands; if they followed social distancing guidelines. The safety gap index takes values of 0 (if a participant reported that they always practiced the four behaviors of interest) up to 4 (none). Incidence rate for safety gaps is the count of safety gaps divided by the maximum possible count: 4.
Willingness to Pay (WTP) for Masks: Control vs. Any InterventionThe outcome was measured immediately following the intervention in the baseline survey.WTP: the participants will be asked to choose between two masks vs an unrestricted gift card. They will be asked what amount of gift card would make them just as happy to receive two mask versus the gift card.
Incidence Rate Ratio (IRR) - Knowledge GapThe outcome was measured immediately following the intervention in the baseline survey.Participants were asked to identify ways to prevent COVID-19 spread and identify four common symptoms. The incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 10. The incidence rate ratio compares the incidence rate of participants in Arm A vs. Arm B within the intervention group (i.e. those who received covid-19-related videos), within in the control group (i.e. those who saw placebo videos), or across the intervention and control group. Arms A and B are described in each Arm/Group Title. The overall number of participants analyzed is all equal across 6 arms/groups because the outcome measure data presented below came from a single negative binomial regression.
Incidence Rate Ratio (IRR) - Knowledge Gap - Follow upThe outcome was measured at a follow-up within 2 weeks following the interventionParticipants were asked to identify ways to prevent COVID-19 spread and identify four common symptoms. The incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 10. The incidence rate ratio compares the incidence rate of participants in Arm A vs. Arm B within the intervention group (i.e. those who received covid-19-related videos), within in the control group (i.e. those who saw placebo videos), or across the intervention and control group. Arms A and B are described in each Arm/Group Title. The overall number of participants analyzed is all equal across 6 arms/groups because the outcome measure data presented below came from a single negative binomial regression.
Incidence Rate Ratio (IRR) - Information-seeking BehaviorThe outcome was measured immediately following the intervention in the baseline survey.Participants were offered the option of requesting additional information on COVID-19 related resources by clicking on up to 5 links that included more content. We measured information seeking behavior as the number of links for which participants expressed interest, a count variable between 0 (lowest information seeking behavior) and 5 (greatest information seeking behavior). Incidence rate for interest in links is the count of links demanded divided by the maximum possible count: 5. The incidence rate ratio compares the incidence rate of participants in Arm A vs. Arm B within the intervention group (i.e. those who received covid-19-related videos), within in the control group (i.e. those who saw placebo videos), or across the intervention and control group. Arms A and B are described in each Arm/Group Title. The overall number of participants analyzed is all equal across 6 arms/groups because the outcome measure data presented below came from a single negative binomial regression.
Incidence Rate Ratio (IRR) - Safety Gap ScoreThe outcome was measured at a follow-up within 2 weeks following the intervention.Participants were asked about how often they engaged in four behaviors of interest: if they wore a mask indoors/outdoors; if they washed their hands; if they followed social distancing guidelines. The safety gap index takes values of 0 (if a participant reported that they always practiced the four behaviors of interest) up to 4 (none). Incidence rate for safety gaps is the count of safety gaps divided by the maximum possible count: 4. The incidence rate ratio compares the incidence rate of participants in Arm A vs. Arm B within the intervention group (i.e. those who received covid-19-related videos), within in the control group (i.e. those who saw placebo videos), or across the intervention and control group. Arms A and B are described in each Arm/Group Title. The overall number of participants analyzed is all equal across 6 arms/groups because the outcome measure data presented below came from a single negative binomial regression.
OLS Regression Coefficients - Willingness to Pay (WTP) for MasksThe outcome was measured immediately following the intervention in the baseline survey.WTP: the participants will be asked to choose between two masks vs an unrestricted gift card. They will be asked what amount of gift card would make them just as happy to receive two mask versus the gift card. The regression coefficients compares the incidence rate of participants in Arm A vs. Arm B within the intervention group (i.e. those who received covid-19-related videos), within in the control group (i.e. those who saw placebo videos), or across the intervention and control group. Arms A and B are described in each Arm/Group Title. The overall number of participants analyzed is all equal across 6 arms/groups because the outcome measure data presented below came from a single ordinary least squares (OLS) regression for WTP masks).

Countries

United States

Participant flow

Participants by arm

ArmCount
Intervention
Participants who are assigned to any intervention groups
14,145
Control
Participants who are assigned to a control group
3,544
Total17,689

Baseline characteristics

CharacteristicControlInterventionTotal
Age, Continuous40.30 years
STANDARD_DEVIATION 17.73
40.20 years
STANDARD_DEVIATION 17.83
40.22 years
STANDARD_DEVIATION 17.81
High school graduate3007 Participants12009 Participants15016 Participants
Household income above 60k850 Participants3356 Participants4206 Participants
Party Affiliation
Democrat
1383 Participants5594 Participants6977 Participants
Party Affiliation
Independent
1279 Participants5057 Participants6336 Participants
Party Affiliation
Republican
882 Participants3494 Participants4376 Participants
Preventive practices: distance (always)1890 Participants7571 Participants9461 Participants
Preventive practices: mask in (always)2458 Participants9648 Participants12106 Participants
Preventive practices: mask out (always)1109 Participants4408 Participants5517 Participants
Preventive practices: wash hands (always)2091 Participants8688 Participants10779 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
1576 Participants6303 Participants7879 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
1968 Participants7842 Participants9810 Participants
Region of Enrollment
United States
Midwest, United States
770 Participants3114 Participants3884 Participants
Region of Enrollment
United States
Northeast, United States
600 Participants2424 Participants3024 Participants
Region of Enrollment
United States
South, United States
1649 Participants6397 Participants8046 Participants
Region of Enrollment
United States
West, United States
525 Participants2210 Participants2735 Participants
Sex: Female, Male
Female
1973 Participants7907 Participants9880 Participants
Sex: Female, Male
Male
1571 Participants6238 Participants7809 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
deaths
Total, all-cause mortality
0 / 2,0460 / 2,0440 / 2,0450 / 2,0460 / 2,0440 / 2,0520 / 2,0460 / 2,0430 / 1,0260 / 1,0250 / 1,0230 / 1,020
other
Total, other adverse events
0 / 2,0460 / 2,0440 / 2,0450 / 2,0460 / 2,0440 / 2,0520 / 2,0460 / 2,0430 / 1,0260 / 1,0250 / 1,0230 / 1,020
serious
Total, serious adverse events
0 / 2,0460 / 2,0440 / 2,0450 / 2,0460 / 2,0440 / 2,0520 / 2,0460 / 2,0430 / 1,0260 / 1,0250 / 1,0230 / 1,020

Outcome results

Primary

Incidence Rate for Information-seeking Behavior: Control vs. Any Intervention

Participants were offered the option of requesting additional information on COVID-19 related resources by clicking on up to five links that included more content. We measured information seeking behavior as the number of links for which participants expressed interest, a count variable between 0 (lowest information seeking behavior) and 5 (greatest information seeking behavior). Incidence rate for interest in links is the count of links demanded divided by the maximum possible count: 5.

Time frame: The outcome was measured immediately following the intervention in the baseline survey.

Population: Any intervention was indeed an arm that included each sub arm of different types of message that we tested against a control and pre-specified in our study protocol and analysis plan to combine arms for analysis.

ArmMeasureValue (MEAN)
InterventionIncidence Rate for Information-seeking Behavior: Control vs. Any Intervention0.338 proportion of links
ControlIncidence Rate for Information-seeking Behavior: Control vs. Any Intervention0.320 proportion of links
Primary

Incidence Rate for Knowledge Gaps: Control vs. Any Intervention

Participants were asked to identify ways to prevent COVID-19 spread and identify four common symptoms. The incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 10.

Time frame: The outcome was measured immediately following the intervention in the baseline survey.

Population: Any intervention was indeed an arm that included each sub arm of different types of message that we tested against a control and pre-specified in our study protocol and analysis plan to combine arms for analysis.

ArmMeasureValue (MEAN)
InterventionIncidence Rate for Knowledge Gaps: Control vs. Any Intervention0.214 proportion of knowledge gaps
ControlIncidence Rate for Knowledge Gaps: Control vs. Any Intervention0.241 proportion of knowledge gaps
Primary

Incidence Rate for Knowledge Gaps: Control vs. Any Intervention - Follow up

Participants were asked to identify ways to prevent COVID-19 spread and identify four common symptoms. Incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 10.

Time frame: The outcome was measured at a follow-up within 2 weeks following the intervention

Population: Any intervention was indeed an arm that included each sub arm of different types of message that we tested against a control and pre-specified in our study protocol and analysis plan to combine arms for analysis.

ArmMeasureValue (MEAN)
InterventionIncidence Rate for Knowledge Gaps: Control vs. Any Intervention - Follow up0.241 proportion of knowledge gaps
ControlIncidence Rate for Knowledge Gaps: Control vs. Any Intervention - Follow up0.250 proportion of knowledge gaps
Primary

Incidence Rate Ratio (IRR) - Information-seeking Behavior

Participants were offered the option of requesting additional information on COVID-19 related resources by clicking on up to 5 links that included more content. We measured information seeking behavior as the number of links for which participants expressed interest, a count variable between 0 (lowest information seeking behavior) and 5 (greatest information seeking behavior). Incidence rate for interest in links is the count of links demanded divided by the maximum possible count: 5. The incidence rate ratio compares the incidence rate of participants in Arm A vs. Arm B within the intervention group (i.e. those who received covid-19-related videos), within in the control group (i.e. those who saw placebo videos), or across the intervention and control group. Arms A and B are described in each Arm/Group Title. The overall number of participants analyzed is all equal across 6 arms/groups because the outcome measure data presented below came from a single negative binomial regression.

Time frame: The outcome was measured immediately following the intervention in the baseline survey.

Population: Arms were combined to assess the differential effectiveness of each unique video message by comparing participants in Arm A vs. Arm B, since Arm A cut across several other studies:~1. within the intervention group; or~2. within the control group; or~3. across the intervention and control groups.~Arms A and B are described in each Arm/Group Title.

ArmMeasureValue (NUMBER)
InterventionIncidence Rate Ratio (IRR) - Information-seeking Behavior1.04 ratio
ControlIncidence Rate Ratio (IRR) - Information-seeking Behavior1.03 ratio
Within Intervention Group: Doctor Racial Disparity (Arm A) vs. Either/Neither (Arm B)Incidence Rate Ratio (IRR) - Information-seeking Behavior1.02 ratio
Within Control Group: Black Physician (Arm A) vs. White Physician (Arm B)Incidence Rate Ratio (IRR) - Information-seeking Behavior0.96 ratio
Within Control Group: AMA Anti-racism vs. Either/NeitherIncidence Rate Ratio (IRR) - Information-seeking Behavior0.97 ratio
Intervention Group vs. Control GroupIncidence Rate Ratio (IRR) - Information-seeking Behavior1.01 ratio
Primary

Incidence Rate Ratio (IRR) - Knowledge Gap

Participants were asked to identify ways to prevent COVID-19 spread and identify four common symptoms. The incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 10. The incidence rate ratio compares the incidence rate of participants in Arm A vs. Arm B within the intervention group (i.e. those who received covid-19-related videos), within in the control group (i.e. those who saw placebo videos), or across the intervention and control group. Arms A and B are described in each Arm/Group Title. The overall number of participants analyzed is all equal across 6 arms/groups because the outcome measure data presented below came from a single negative binomial regression.

Time frame: The outcome was measured immediately following the intervention in the baseline survey.

Population: Arms were combined to assess the differential effectiveness of each unique video message by comparing participants in Arm A vs. Arm B, since Arm A cut across several other studies:~1. within the intervention group; or~2. within the control group; or~3. across the intervention and control groups.~Arms A and B are described in each Arm/Group Title.

ArmMeasureValue (NUMBER)
InterventionIncidence Rate Ratio (IRR) - Knowledge Gap1.01 ratio
ControlIncidence Rate Ratio (IRR) - Knowledge Gap0.99 ratio
Within Intervention Group: Doctor Racial Disparity (Arm A) vs. Either/Neither (Arm B)Incidence Rate Ratio (IRR) - Knowledge Gap1.01 ratio
Within Control Group: Black Physician (Arm A) vs. White Physician (Arm B)Incidence Rate Ratio (IRR) - Knowledge Gap0.99 ratio
Within Control Group: AMA Anti-racism vs. Either/NeitherIncidence Rate Ratio (IRR) - Knowledge Gap0.99 ratio
Intervention Group vs. Control GroupIncidence Rate Ratio (IRR) - Knowledge Gap0.89 ratio
Primary

Incidence Rate Ratio (IRR) - Knowledge Gap - Follow up

Participants were asked to identify ways to prevent COVID-19 spread and identify four common symptoms. The incidence rate for knowledge gaps is the count of knowledge gaps divided by the maximum possible count: 10. The incidence rate ratio compares the incidence rate of participants in Arm A vs. Arm B within the intervention group (i.e. those who received covid-19-related videos), within in the control group (i.e. those who saw placebo videos), or across the intervention and control group. Arms A and B are described in each Arm/Group Title. The overall number of participants analyzed is all equal across 6 arms/groups because the outcome measure data presented below came from a single negative binomial regression.

Time frame: The outcome was measured at a follow-up within 2 weeks following the intervention

Population: Arms were combined to assess the differential effectiveness of each unique video message by comparing participants in Arm A vs. Arm B, since Arm A cut across several other studies:~1. within the intervention group; or~2. within the control group; or~3. across the intervention and control groups.~Arms A and B are described in each Arm/Group Title.

ArmMeasureValue (NUMBER)
InterventionIncidence Rate Ratio (IRR) - Knowledge Gap - Follow up0.98 ratio
ControlIncidence Rate Ratio (IRR) - Knowledge Gap - Follow up0.98 ratio
Within Intervention Group: Doctor Racial Disparity (Arm A) vs. Either/Neither (Arm B)Incidence Rate Ratio (IRR) - Knowledge Gap - Follow up1.01 ratio
Within Control Group: Black Physician (Arm A) vs. White Physician (Arm B)Incidence Rate Ratio (IRR) - Knowledge Gap - Follow up1.01 ratio
Within Control Group: AMA Anti-racism vs. Either/NeitherIncidence Rate Ratio (IRR) - Knowledge Gap - Follow up0.98 ratio
Intervention Group vs. Control GroupIncidence Rate Ratio (IRR) - Knowledge Gap - Follow up0.97 ratio
Primary

Incidence Rate Ratio (IRR) - Safety Gap Score

Participants were asked about how often they engaged in four behaviors of interest: if they wore a mask indoors/outdoors; if they washed their hands; if they followed social distancing guidelines. The safety gap index takes values of 0 (if a participant reported that they always practiced the four behaviors of interest) up to 4 (none). Incidence rate for safety gaps is the count of safety gaps divided by the maximum possible count: 4. The incidence rate ratio compares the incidence rate of participants in Arm A vs. Arm B within the intervention group (i.e. those who received covid-19-related videos), within in the control group (i.e. those who saw placebo videos), or across the intervention and control group. Arms A and B are described in each Arm/Group Title. The overall number of participants analyzed is all equal across 6 arms/groups because the outcome measure data presented below came from a single negative binomial regression.

Time frame: The outcome was measured at a follow-up within 2 weeks following the intervention.

Population: Arms were combined to assess the differential effectiveness of each unique video message by comparing participants in Arm A vs. Arm B, since Arm A cut across several other studies:~1. within the intervention group; or~2. within the control group; or~3. across the intervention and control groups.~Arms A and B are described in each Arm/Group Title.

ArmMeasureValue (NUMBER)
InterventionIncidence Rate Ratio (IRR) - Safety Gap Score1.04 ratio
ControlIncidence Rate Ratio (IRR) - Safety Gap Score1.03 ratio
Within Intervention Group: Doctor Racial Disparity (Arm A) vs. Either/Neither (Arm B)Incidence Rate Ratio (IRR) - Safety Gap Score1.01 ratio
Within Control Group: Black Physician (Arm A) vs. White Physician (Arm B)Incidence Rate Ratio (IRR) - Safety Gap Score0.97 ratio
Within Control Group: AMA Anti-racism vs. Either/NeitherIncidence Rate Ratio (IRR) - Safety Gap Score0.95 ratio
Intervention Group vs. Control GroupIncidence Rate Ratio (IRR) - Safety Gap Score0.93 ratio
Primary

Incidence Rate - Safety Gap Score: Control vs. Any Intervention

Participants were asked about how often they engaged in four behaviors of interest: if they wore a mask indoors/outdoors; if they washed their hands; if they followed social distancing guidelines. The safety gap index takes values of 0 (if a participant reported that they always practiced the four behaviors of interest) up to 4 (none). Incidence rate for safety gaps is the count of safety gaps divided by the maximum possible count: 4.

Time frame: The outcome was measured at a follow-up within 2 weeks following the intervention.

Population: Any intervention was indeed an arm that included each sub arm of different types of message that we tested against a control and pre-specified in our study protocol and analysis plan to combine arms for analysis.

ArmMeasureValue (MEAN)
InterventionIncidence Rate - Safety Gap Score: Control vs. Any Intervention0.450 proportion of safety gaps
ControlIncidence Rate - Safety Gap Score: Control vs. Any Intervention0.465 proportion of safety gaps
Primary

OLS Regression Coefficients - Willingness to Pay (WTP) for Masks

WTP: the participants will be asked to choose between two masks vs an unrestricted gift card. They will be asked what amount of gift card would make them just as happy to receive two mask versus the gift card. The regression coefficients compares the incidence rate of participants in Arm A vs. Arm B within the intervention group (i.e. those who received covid-19-related videos), within in the control group (i.e. those who saw placebo videos), or across the intervention and control group. Arms A and B are described in each Arm/Group Title. The overall number of participants analyzed is all equal across 6 arms/groups because the outcome measure data presented below came from a single ordinary least squares (OLS) regression for WTP masks).

Time frame: The outcome was measured immediately following the intervention in the baseline survey.

Population: Arms were combined to assess the differential effectiveness of each unique video message by comparing participants in Arm A vs. Arm B, since Arm A cut across several other studies:~1. within the intervention group; or~2. within the control group; or~3. across the intervention and control groups.~Arms A and B are described in each Arm/Group Title.

ArmMeasureValue (NUMBER)
InterventionOLS Regression Coefficients - Willingness to Pay (WTP) for Masks-0.21 dollar
ControlOLS Regression Coefficients - Willingness to Pay (WTP) for Masks-0.29 dollar
Within Intervention Group: Doctor Racial Disparity (Arm A) vs. Either/Neither (Arm B)OLS Regression Coefficients - Willingness to Pay (WTP) for Masks0.07 dollar
Within Control Group: Black Physician (Arm A) vs. White Physician (Arm B)OLS Regression Coefficients - Willingness to Pay (WTP) for Masks0.17 dollar
Within Control Group: AMA Anti-racism vs. Either/NeitherOLS Regression Coefficients - Willingness to Pay (WTP) for Masks0.32 dollar
Intervention Group vs. Control GroupOLS Regression Coefficients - Willingness to Pay (WTP) for Masks0.71 dollar
Primary

Willingness to Pay (WTP) for Masks: Control vs. Any Intervention

WTP: the participants will be asked to choose between two masks vs an unrestricted gift card. They will be asked what amount of gift card would make them just as happy to receive two mask versus the gift card.

Time frame: The outcome was measured immediately following the intervention in the baseline survey.

Population: Any intervention was indeed an arm that included each sub arm of different types of message that we tested against a control and pre-specified in our study protocol and analysis plan to combine arms for analysis.

ArmMeasureValue (MEAN)
InterventionWillingness to Pay (WTP) for Masks: Control vs. Any Intervention14.580 dollar
ControlWillingness to Pay (WTP) for Masks: Control vs. Any Intervention14.072 dollar

Source: ClinicalTrials.gov · Data processed: Feb 14, 2026