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Effects of debunking interventions on endorsement of alternative medicine: a randomized controlled experiment in Peru
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  • Published: 04 February 2026

Effects of debunking interventions on endorsement of alternative medicine: a randomized controlled experiment in Peru

  • Angelo Fasce1,2,
  • José Rosales-Trabuco3,
  • Itxaso Barberia4,
  • Elvis Pinedo-Yzaguirre5,
  • Juan Manuel Espinoza Nuñez6,
  • Wilson Marcos Ortiz-Treviños7,
  • Christian David Pizarro-Moncada6,
  • Mario Reyes-Bossio8,
  • Carlos Carbajal-León9 &
  • …
  • Javier Rodríguez-Ferreiro4 

Scientific Reports , Article number:  (2026) Cite this article

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Abstract

Debunking interventions to tackle misconceptions related to scientific issues have gained momentum, especially in the context of health care. In this randomized controlled experiment, we assessed the effectiveness of tailored (i.e., contrarian information addressing participants’ specific motives with an affirmation of their psychological profile) and non-tailored (i.e., general contrarian information regardless of participants’ psychological profile) debunking interventions in a sample of 167 Peruvian participants with positive attitudes toward egg cleanse, a popular local alternative medicine treatment. Our debunking interventions did not significantly correct attitudinal variables related to egg cleanse, such as belief in effectiveness, future use, and preference over conventional medicine. However, exploratory analyses showed significant reductions in endorsement of usage reasons within both the tailored debunk (d = 0.50) and non-tailored debunk (d = 0.62) groups. Moreover, a comparison between the two debunking groups indicated that participants who received a tailored debunk were more satisfied with the interaction with the physician than those who received a non-tailored debunk (d = 0.73). These results suggest that debunking interventions on misinformed health beliefs could have an impact also in the Peruvian cultural context and for alternative medicine, even though more direct attitudinal variables are particularly resistant to change. Strengths and weaknesses of tailored and non-tailored approaches to health misinformation, as well as future research pathways to shed light on the impact and pitfalls of debunking interventions, are discussed.

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Data availability

All data and codes used in the study are available at https://www.osf.io/9xbzq.

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Funding

Open Access funding enabled and organized by Projekt DEAL. A.F. received funding from the Alexander von Humboldt-Stiftung by means of a research fellowship for experienced researchers.

Author information

Authors and Affiliations

  1. Institute for Planetary Health Behaviour, Universität Erfurt, Erfurt, Germany

    Angelo Fasce

  2. Health Communication Working Group, Bernhard-Nocht-Institut für Tropenmedizin, Hamburg, Germany

    Angelo Fasce

  3. Programa de Estudios Generales, Universidad de Lima, Lima, Peru

    José Rosales-Trabuco

  4. Grup de Recerca en Cognició i Llenguatge, Departament de Cognició, Desenvolupament i Psicologia de l’Educació, Secció Processos Cognitius, Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain

    Itxaso Barberia & Javier Rodríguez-Ferreiro

  5. Departamento Académico de Cursos Básicos, Universidad Científica del Sur, Lima, Peru

    Elvis Pinedo-Yzaguirre

  6. Departamento de Humanidades, Universidad Privada del Norte, Trujillo, Peru

    Juan Manuel Espinoza Nuñez & Christian David Pizarro-Moncada

  7. Departamento de Educación, Facultad de Educación, Universidad Nacional Mayor de San Marcos, Lima, Peru

    Wilson Marcos Ortiz-Treviños

  8. Facultad de Psicología, Universidad Peruana de Ciencias Aplicadas, Lima, Peru

    Mario Reyes-Bossio

  9. Facultad de Ciencias de la Comunicación, Turismo y Psicología, Universidad de San Martín de Porres, Lima, Peru

    Carlos Carbajal-León

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Contributions

A.F: Conceptualization, data curation, formal analysis, funding acquisition, investigation, methodology, project administration, supervision, writing of the original draft, review and editing of the manuscript; J.R.T.: Conceptualization, data curation, funding acquisition, investigation, methodology, project administration, writing of the original draft, review and editing of the manuscript; I.B.: Conceptualization, data curation, formal analysis, investigation, methodology, review and editing of the manuscript; E.P.Y.: Conceptualization, funding acquisition, editing of the manuscript; J.M.E.N.: Conceptualization, funding acquisition, editing of the manuscript; W.M.O.T.: Conceptualization, funding acquisition, editing of the manuscript; C.D.P.M.: Conceptualization, funding acquisition, editing of the manuscript; M.R.B.: Conceptualization, funding acquisition, editing of the manuscript; C.C.L.: Conceptualization, funding acquisition, editing of the manuscript; J.R.F.: Conceptualization, data curation, formal analysis, investigation, methodology, supervision, review and editing of the manuscript.

Corresponding author

Correspondence to Angelo Fasce.

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Fasce, A., Rosales-Trabuco, J., Barberia, I. et al. Effects of debunking interventions on endorsement of alternative medicine: a randomized controlled experiment in Peru. Sci Rep (2026). https://doi.org/10.1038/s41598-026-38260-w

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  • Received: 22 September 2025

  • Accepted: 29 January 2026

  • Published: 04 February 2026

  • DOI: https://doi.org/10.1038/s41598-026-38260-w

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Keywords

  • Alternative medicine
  • CAM
  • Debunking intervention
  • Health misinformation
  • Empathetic-refutational interview
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Psychological approaches to health misinformation

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