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What Works to Get the Elderly Vaccinated Against COVID-19? Experimental Evidence From India

Not Applicable
Completed
Conditions
Aging
Covid19
Interventions
Behavioral: Information
Behavioral: Buddy
Behavioral: Gossip intervention
Behavioral: Information assigned in community
Behavioral: Buddy assigned in community
Registration Number
NCT04870593
Lead Sponsor
National Bureau of Economic Research, Inc.
Brief Summary

COVID-19 poses a substantial risk to elderly populations; understanding how to get elders vaccinated against the virus is therefore a policy priority. An experiment with elders in Tamil Nadu, India will be used to evaluate interventions policymakers might use to raise vaccination rates amongst the elderly. The particular interventions being tested are: calling elders to inform them about vaccination; encouragement of a "buddy system," whereby elders are accompanied to the vaccination site by another adult who could also get the vaccine; and seeding vaccination information with "gossips," individuals who elders identify as being good at spreading information in the elders' communities. The interventions are phone-based, and can be implemented quickly and at low cost. This makes them promising strategies the Tamil Nadu government and other governments could use to vaccinate elderly populations against COVID-19.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
3006
Inclusion Criteria
  • At least 55 years of age
  • Has phone number
Exclusion Criteria
  • Not part of the experiments registered under protocol IDs 223749 or 172020

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Community receives buddy and gossip treatment, individual informed directly (arm (1))Buddy(i) Individual elder given vaccination information. (ii) Individual elder encouraged to get vaccinated using "buddy system," whereby he/she is accompanied to the vaccination site by another adult who could also get the vaccine. A potential buddy also given vaccination information and encouraged to help the elder get to the vaccination site so they could both be vaccinated. (iii) Members of elder's community asked who in the community is good at spreading information. These "gossips" then asked to spread information about vaccination of elders and to encourage their communities to use the buddy system to get elders vaccinated.
Community receives buddy and gossip treatment, individual informed directly (arm (1))Gossip intervention(i) Individual elder given vaccination information. (ii) Individual elder encouraged to get vaccinated using "buddy system," whereby he/she is accompanied to the vaccination site by another adult who could also get the vaccine. A potential buddy also given vaccination information and encouraged to help the elder get to the vaccination site so they could both be vaccinated. (iii) Members of elder's community asked who in the community is good at spreading information. These "gossips" then asked to spread information about vaccination of elders and to encourage their communities to use the buddy system to get elders vaccinated.
Community receives buddy and gossip treatment, individual informed directly (arm (1))Information(i) Individual elder given vaccination information. (ii) Individual elder encouraged to get vaccinated using "buddy system," whereby he/she is accompanied to the vaccination site by another adult who could also get the vaccine. A potential buddy also given vaccination information and encouraged to help the elder get to the vaccination site so they could both be vaccinated. (iii) Members of elder's community asked who in the community is good at spreading information. These "gossips" then asked to spread information about vaccination of elders and to encourage their communities to use the buddy system to get elders vaccinated.
Community receives buddy and gossip treatment, individual not informed directly (arm (2))Gossip interventionIndividual elder lives in community with elders in arm (1).
Community receives gossip treatment, individual not informed directly (arm (4))Gossip interventionIndividual elder lives in community with elders in arm (3).
Community receives gossip treatment, individual informed directly (arm (3))Information assigned in community(i) Individual elder given vaccination information. (ii) Members of elder's community asked who in the community is good at spreading information. These "gossips" then asked to spread information about vaccination of elders.
Community receives buddy treatment, individual informed directly (arm (5))Information(i) Individual elder given vaccination information. (ii) Individual elder encouraged to get vaccinated using "buddy system," whereby he/she is accompanied to the vaccination site by another adult who could also get the vaccine. A potential buddy also given vaccination information and encouraged to help the elder get to the vaccination site so they could both be vaccinated.
Community receives buddy treatment, individual informed directly (arm (5))Buddy(i) Individual elder given vaccination information. (ii) Individual elder encouraged to get vaccinated using "buddy system," whereby he/she is accompanied to the vaccination site by another adult who could also get the vaccine. A potential buddy also given vaccination information and encouraged to help the elder get to the vaccination site so they could both be vaccinated.
Community receives buddy and gossip treatment, individual not informed directly (arm (2))Buddy assigned in communityIndividual elder lives in community with elders in arm (1).
Community receives buddy and gossip treatment, individual informed directly (arm (1))Buddy assigned in community(i) Individual elder given vaccination information. (ii) Individual elder encouraged to get vaccinated using "buddy system," whereby he/she is accompanied to the vaccination site by another adult who could also get the vaccine. A potential buddy also given vaccination information and encouraged to help the elder get to the vaccination site so they could both be vaccinated. (iii) Members of elder's community asked who in the community is good at spreading information. These "gossips" then asked to spread information about vaccination of elders and to encourage their communities to use the buddy system to get elders vaccinated.
Community receives gossip treatment, individual informed directly (arm (3))Information(i) Individual elder given vaccination information. (ii) Members of elder's community asked who in the community is good at spreading information. These "gossips" then asked to spread information about vaccination of elders.
Community receives buddy and gossip treatment, individual informed directly (arm (1))Information assigned in community(i) Individual elder given vaccination information. (ii) Individual elder encouraged to get vaccinated using "buddy system," whereby he/she is accompanied to the vaccination site by another adult who could also get the vaccine. A potential buddy also given vaccination information and encouraged to help the elder get to the vaccination site so they could both be vaccinated. (iii) Members of elder's community asked who in the community is good at spreading information. These "gossips" then asked to spread information about vaccination of elders and to encourage their communities to use the buddy system to get elders vaccinated.
Community receives buddy and gossip treatment, individual not informed directly (arm (2))Information assigned in communityIndividual elder lives in community with elders in arm (1).
Community receives gossip treatment, individual not informed directly (arm (4))Information assigned in communityIndividual elder lives in community with elders in arm (3).
Community receives buddy treatment, individual not informed directly (arm (6))Buddy assigned in communityIndividual elder lives in community with elders in arm (5).
Community receives information, individual not informed directly (arm (8))Information assigned in communityIndividual elder lives in community with elders in arm (7).
Community receives gossip treatment, individual informed directly (arm (3))Gossip intervention(i) Individual elder given vaccination information. (ii) Members of elder's community asked who in the community is good at spreading information. These "gossips" then asked to spread information about vaccination of elders.
Community receives buddy treatment, individual informed directly (arm (5))Buddy assigned in community(i) Individual elder given vaccination information. (ii) Individual elder encouraged to get vaccinated using "buddy system," whereby he/she is accompanied to the vaccination site by another adult who could also get the vaccine. A potential buddy also given vaccination information and encouraged to help the elder get to the vaccination site so they could both be vaccinated.
Community receives information, individual informed directly (arm (7))InformationIndividual elder given vaccination information.
Community receives buddy treatment, individual informed directly (arm (5))Information assigned in community(i) Individual elder given vaccination information. (ii) Individual elder encouraged to get vaccinated using "buddy system," whereby he/she is accompanied to the vaccination site by another adult who could also get the vaccine. A potential buddy also given vaccination information and encouraged to help the elder get to the vaccination site so they could both be vaccinated.
Community receives information, individual informed directly (arm (7))Information assigned in communityIndividual elder given vaccination information.
Community receives buddy treatment, individual not informed directly (arm (6))Information assigned in communityIndividual elder lives in community with elders in arm (5).
Primary Outcome Measures
NameTimeMethod
Received at least one shot8 weeks after intervention

Elders asked on phone call if they have received zero, one, or two doses of COVID-19 vaccine. Outcome takes the value of 1 if they received at least one shot, and 0 otherwise.

Received two shots8 weeks after intervention

Elders asked on phone call if they have received zero, one, or two doses of COVID-19 vaccine. Outcome takes the value of 1 if they received two shots, and 0 otherwise.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

JPAL SA at IFMR

🇮🇳

Chennai, Tamil Nadu, India

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