Evidence map›Paper›PMID 40594178›Full record

Trial reportScientific reports2025

Tough talks COVID-19 (TT-C) digital health intervention: multistate randomized controlled trial.

Henna Budhwani, Marie C D Stoner, Jacob B Stocks, Erica Browne, Zachary Soberano, Christyenne L Bond, Jenna Michaels, Noah Mancuso, Margo Adams Larsen, Allysha C Maragh-Bass and 5 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05490329 (A Multidimensional Digital Approach to Address Vaccine Hesitancy and Increase COVID-19 Vaccine Uptake Among African American Young Adults in the South), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05490329 nacompletednot on this map

A Multidimensional Digital Approach to Address Vaccine Hesitancy and Increase COVID-19 Vaccine Uptake Among African American Young Adults in the South (Tough Talks COVID)

TypeinterventionalSponsorFlorida State UniversityRan2023 to 2024Enrolled360ConditionsCOVID-19, Vaccine UptakeArmsTough Talks COVID
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Henna BudhwaniInstitute on Digital Health and Innovation, College of Nursing, Florida State University (FSU), Tallahassee, FL, USA. hbudhwani@fsu.edu.
Marie C D StonerRTI, Research Triangle Park, Chapel Hill, NC, United States.
Jacob B StocksInstitute on Digital Health and Innovation, College of Nursing, Florida State University (FSU), Tallahassee, FL, USA.
Erica BrowneRTI, Research Triangle Park, Chapel Hill, NC, United States.
Zachary SoberanoInstitute on Digital Health and Innovation, College of Nursing, Florida State University (FSU), Tallahassee, FL, USA.
Christyenne L BondInstitute on Digital Health and Innovation, College of Nursing, Florida State University (FSU), Tallahassee, FL, USA.
Jenna MichaelsRTI, Research Triangle Park, Chapel Hill, NC, United States.
Noah MancusoRTI, Research Triangle Park, Chapel Hill, NC, United States.
Margo Adams LarsenVirtually Better, Inc, Decatur, GA, USA.
Allysha C Maragh-BassBehavioral, Epidemiological, Clinical Sciences Division, FHI 360, Durham, NC, England.
Elizabeth E TolleyBehavioral, Epidemiological, Clinical Sciences Division, FHI 360, Durham, NC, England.
Maria Leonora G ComelloHussman School of Journalism and Media, University of North Carolina at Chapel Hill (UNC), Chapel Hill, NC, USA.
Kathryn E MuessigInstitute on Digital Health and Innovation, College of Nursing, Florida State University (FSU), Tallahassee, FL, USA.
Audrey E PettiforSchool of Medicine, University of North Carolina at Chapel Hill (UNC), Chapel Hill, NC, USA.
Lisa B Hightow-WeidmanInstitute on Digital Health and Innovation, College of Nursing, Florida State University (FSU), Tallahassee, FL, USA.

Funding

A multidimensional Digital Approach to Address Vaccine Hesitancy and Increase COVID-19 Vaccine Uptake among African American Young Adults in the SouthR01MD016834 · NIMHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUDHWANI, HENNA, HIGHTOW-WEIDMAN, LISA B · 2021 to 2024
$2.9M
National Institute on Minority Health and Disparities R01MD016834NIMHD NIH HHS R01 MD016834
6 · The paper itself

Abstract

During the COVID-19 pandemic, rapid changes in variant virulence, limited personal protective equipment availability, and diminished hospital capacity necessitated aggressive vaccine distribution. To promote COVID-19 vaccination to historically underserved populations, the National Institutes of Health funded a small group of clinical trials, including the Tough Talks for COVID-19 vaccine (TT-C) digital health intervention (DHI) randomized controlled trial (RCT). Black young adults, 18-29 years, who were unvaccinated or insufficiently vaccinated against COVID-19 were recruited via social media in Alabama, Georgia, and North Carolina and randomized to the intervention or standard of care control (N = 360). Self-report data and vaccine cards were collected at baseline, 1- and 3-months post-randomization. Post-intervention, 6.4% received a new COVID-19 vaccine (8.4% intervention; 4.7% control). Odds of new COVID-19 vaccination were 1.88 (CI: 0.76, 4.69, p = 0.174) times higher in intervention compared to control participants adjusting for state. At 3 months post-randomziation, vaccine hesitancy was lower among intervention than control participants (CI:-0.34,-0.03, p = 0.02), and vaccine confidence and vaccine knowledge were higher in intervention versus control participants (CI:0.00,0.32, p = 0.05, CI:0.21,0.79, p = 0.01 respectively). Under rapidly changing conditions, the TT-C DHI produced promising results on vaccine attitudes but not behaviors among Southern Black young adults. The intervention could be adapted to address vaccine uptake among other minority populations.Trial registration: NCT05490329, registered on 03082022. https://clinicaltrials.gov/study/NCT05490329 .

Indexed as

COVID-19COVID-19 VaccinesAdolescentAdultAlabamaBlack or African AmericanDigital HealthFemaleGeorgiaHumansMaleNorth CarolinaSARS-CoV-2VaccinationYoung AdultCOVID-19 VaccinesAfrican AmericanBehavioral interventionDigital healthMHealthNIMHD research frameworkVaccine hesitancyYoung adults

Identifiers

PMID40594178
PMCPMC12217844

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.