TY  - JOUR
AU  - Dennis, Alexander S
AU  - Moravec, Patricia L
AU  - Kim, Antino
AU  - Dennis, Alan R
PY  - 2021
DA  - 2021/4/13
TI  - Assessment of the Effectiveness of Identity-Based Public Health Announcements in Increasing the Likelihood of Complying With COVID-19 Guidelines: Randomized Controlled Cross-sectional Web-Based Study
JO  - JMIR Public Health Surveill
SP  - e25762
VL  - 7
IS  - 4
KW  - Amazon Mechanical Turk
KW  - compliance
KW  - COVID-19
KW  - custom
KW  - effectiveness
KW  - guideline
KW  - identity
KW  - public health
KW  - public health announcement
KW  - public service announcement
KW  - social media
KW  - web-based health information
AB  - Background: Public health campaigns aimed at curbing the spread of COVID-19 are important in reducing disease transmission, but traditional information-based campaigns have received unexpectedly extreme backlash. Objective: This study aimed to investigate whether customizing of public service announcements (PSAs) providing health guidelines to match individuals’ identities increases their compliance. Methods: We conducted a within- and between-subjects, randomized controlled cross-sectional, web-based study in July 2020. Participants viewed two PSAs: one advocating wearing a mask in public settings and one advocating staying at home. The control PSA only provided information, and the treatment PSAs were designed to appeal to the identities held by individuals; that is, either a Christian identity or an economically motivated identity. Participants were asked about their identity and then provided a control PSA and treatment PSA matching their identity, in random order. The PSAs were of approximately 100 words. Results: We recruited 300 social media users from Amazon Mechanical Turk in accordance with usual protocols to ensure data quality. In total, 8 failed the data quality checks, and the remaining 292 were included in the analysis. In the identity-based PSA, the source of the PSA was changed, and a phrase of approximately 12 words relevant to the individual’s identity was inserted. A PSA tailored for Christians, when matched with a Christian identity, increased the likelihood of compliance by 12 percentage points. A PSA that focused on economic values, when shown to individuals who identified as economically motivated, increased the likelihood of compliance by 6 points. Conclusions: Using social media to deliver COVID-19 public health announcements customized to individuals’ identities is a promising measure to increase compliance with public health guidelines. Trial Registration: ISRCTN Registry 22331899; https://www.isrctn.com/ISRCTN22331899. 
SN  - 2369-2960
UR  - https://publichealth.jmir.org/2021/4/e25762
UR  - https://doi.org/10.2196/25762
UR  - http://www.ncbi.nlm.nih.gov/pubmed/33819910
DO  - 10.2196/25762
ID  - info:doi/10.2196/25762
ER  -