Expectations of Who is in Recovery: How does the gender and race of an individual impact the effectiveness of a personal narrative at reducing stigma?

Last registered on June 23, 2023

Pre-Trial

Trial Information

General Information

Title
Expectations of Who is in Recovery: How does the gender and race of an individual impact the effectiveness of a personal narrative at reducing stigma?
RCT ID
AEARCTR-0011566
Initial registration date
June 12, 2023

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
June 23, 2023, 4:19 PM EDT

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Locations

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Primary Investigator

Affiliation
Fletcher Group, Inc.

Other Primary Investigator(s)

PI Affiliation
Fletcher Group, Inc
PI Affiliation
University of Wyoming
PI Affiliation
Fletcher Group, Inc
PI Affiliation
Fletcher Group, Inc
PI Affiliation
Fletcher Group, Inc

Additional Trial Information

Status
In development
Start date
2023-06-14
End date
2024-08-31
Secondary IDs
Prior work
This trial does not extend or rely on any prior RCTs.
Abstract
Substance use disorders (SUDs) impact millions of Americans ages 12 and older. In addition to individual suffering, SUDs impose substantial costs on society via health care costs, productivity losses, and increased crime rates. A resource that is particularly effective at assisting those in recovery from SUDs is recovery housing, a housing model designed to support individuals on their path to recovery with an emphasis on abstinence, peer support, and community building. One of the main obstacles to providing recovery housing, especially in rural communities, is stigma surrounding the house itself and the individuals within. Stigma may reduce the support for the establishment of recovery housing and associated recovery support services. Stigma has been defined as a misperception or misconception of risk or a situation in which negative emotions overwhelm any ability to rationally deliberate a decision.

The purpose of this study is two-fold. First, we will examine if the gender and race of an individual with a SUD affects support for recovery housing establishment, hypothetical support for policies, and social SUD stigma. Second, we will determine if a contact intervention, delivered via a written personal story of recovery can improve outcomes related to treatment support and SUD stigma, and reduce any gender or racial biases that may exist.
External Link(s)

Registration Citation

Citation
Ashworth, Madison et al. 2023. "Expectations of Who is in Recovery: How does the gender and race of an individual impact the effectiveness of a personal narrative at reducing stigma?." AEA RCT Registry. June 23. https://doi.org/10.1257/rct.11566-1.0
Sponsors & Partners

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Experimental Details

Interventions

Intervention(s)
Participants will be randomized into one of nine treatment conditions. If participants are randomized into the control condition, they receive no additional information and proceed to the next steps of the survey. If participants are randomized into one of the four picture conditions, they are shown an AI generated image of a person (either a white woman, black woman, white man, or black man) and asked a series of questions about how they feel about the person portrayed in the image. If the participants are randomized into one of the four story conditions, they are shown an AI generated image of a person (either a white woman, black woman, white man, or black man) and asked to read a personal story of SUD recovery. They are told that the personal story of recovery is real and that the person in the story looks similar to the AI generated picture provided.
Intervention Start Date
2023-06-14
Intervention End Date
2023-08-31

Primary Outcomes

Primary Outcomes (end points)
Participants will be asked if they support the establishment of a recovery housing in different locations, if they support different policies related to SUD and recovery housing, and how they feel towards those with SUDs. Participants are then asked a 20-item adapted version of the Community Attitudes towards Mental Illness scale to assess levels of social SUD stigma.
Primary Outcomes (explanation)

Secondary Outcomes

Secondary Outcomes (end points)
We will also examine the predicted racial and gender biases of the general public using the predicted outcomes in the first survey.
Secondary Outcomes (explanation)

Experimental Design

Experimental Design
In the first survey, a sample of 400 U.S. adults will be recruited via Prolific to take a 5-minute survey. In the survey, participants will be given information about the study and then asked if they consent to participate in the study. If they consent to participate, they will proceed with the rest of the survey. Participants will be shown brief background information about recovery housing and SUD. They will then be told that they are being asked to predict how people in another study will respond to four images of people pictured below.

They will then be shown four images of people that were AI generated. Images include one black man, one black woman, one white man, and one white woman. After seeing the images, participants will be asked to predict how many participants in the second study will support the establishment of recovery housing at the state and local level, will agree that the individuals pictured are likely to stay in recovery, and will support a licensing policy for recovery housing. Then participants will be asked a series of demographic questions including their age, gender, race, and experience with SUD. They will be told that they may earn an additional $100 from participating in the study. Specifically, they will be told that the study researcher will randomly select one of the prediction questions below, and the participant whose prediction is closest to the actual outcome of the second survey will get $100.

In the second survey, a separate sample of 4,000 U.S adults (3,500 main sample + 500 rural sample) will be recruited via Prolific to take a 12-minute survey. In the survey, participants will be given information about the study and then asked if they consent to participate in the study. If they consent to participate, they will proceed with the rest of the survey. Participants will be asked a series of demographic questions including their age, what state they live in, they zip code and residential county, and if they live in a rural or non-rural area. Participants will then be provided background information about SUD and recovery housing.

Participants will then be randomized into one of nine treatment conditions. If participants are randomized into the control condition, they receive no additional information and proceed to the next steps of the survey. If participants are randomized into one of the four picture conditions, they are shown an AI generated image of a person (either a white woman, black woman, white man, or black man) and asked a series of questions about how they feel about the person portrayed in the image. If the participants are randomized into one of the four story conditions, they are shown an AI generated image of a person (either a white woman, black woman, white man, or black man) and asked to read a personal story of SUD recovery. They are told that the personal story of recovery is real and that the person in the story looks similar to the AI generated picture provided. They are then asked to rate how they feel about the person portrayed in the image and story.

After being randomized into one of the treatment conditions, participants will be asked if they support the establishment of a recovery housing in different locations, if they support different policies related to SUD and recovery housing, and how they feel towards those with SUDs. Participants are then asked a 20-item adapted version of the Community Attitudes towards Mental Illness scale to assess levels of social SUD stigma. Finally, participants are asked a series of demographics questions including their gender, race, education, income, political leaning, employment profession, and religion.
Experimental Design Details
Not available
Randomization Method
Randomization will be done by a computer
Randomization Unit
Individual
Was the treatment clustered?
No

Experiment Characteristics

Sample size: planned number of clusters
There will be 9 treatment arms in the study.
Sample size: planned number of observations
We will recruit 400 U.S. adults for the first study and 4,000 U.S. adults (3,500 main sample + 500 rural sample) for the second study.
Sample size (or number of clusters) by treatment arms
We will have approximately 444 participants in each treatment arm.
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
IRB

Institutional Review Boards (IRBs)

IRB Name
Western Copernicus Group Institutional Review Board
IRB Approval Date
2023-06-09
IRB Approval Number
N/A