How do you actually fix low CTR in PPC campaigns?

I’m running a few PPC campaigns and the problem I keep hitting is low CTR. Impressions are fine, but people just are not clicking.
I’ve tried changing ads and tweaking targeting, but nothing is really moving much.
What do you usually change first when CTR is low? Is it more about the creative, the angle, or the audience?
I’d begin by reviewing the audience and search intent, then try a more powerful ad angle and more obvious CTA; CTR tends to increase when the message more closely aligns with what people are looking for.
 
If it is runing for a while, I would compare mobile and desktop CTR seprately. one of them might have a low CTR.
 
If CTR dropped recently, compare it with the older period to see what changed before making more edits.
 
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