The order of a text message may decide whether someone gets a COVID test
NCT ID NCT05451511
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
Researchers in St. Louis are studying whether the order of offers in a text message changes how people respond to COVID-19 testing and vaccination help. Participants are adults applying for rent or utility assistance in St. Louis City or County. Each person gets a survey with two offers, and the order of those offers varies. The study tracks whether people accept a free at-home test kit or a call from a vaccine navigator, and follows up a month later to ask about their experience.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Sequential request strategies delivered by text message, including the door-in-the-face and foot-in-the-door techniques
- What this could lead to
- If one message order works better, health agencies could use it to pair COVID-19 testing and vaccination offers with the rent and utility help people already seek.
- What could go wrong
- The study measures whether people say yes to an offer, not whether they complete vaccination or testing. Text message wording may work differently in other cities or for other health services.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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526 people
The number who actually took part.
- Started
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Jul 2022
- Finished
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Sep 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Applicants for rent and utility assistance in St. Louis City or County * English language proficiency * Be willing to be contacted via text message or email * Resident of St. Louis City or County Exclusion Criteria: * N/A
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Washington University in St. Louis
St Louis, Missouri, 63130, United States
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