The SPOT Project : Motivational Interviewing in Conjunction With Rapid HIV Testing

NCT01931345 | Completed DMC

• 1 other identifier: SPOT
• Study Type: interventional
• Target: 900
• Locations: 1 country
• Sites: 1

Brief Summary

In 2009, a team of researchers from Montreal, Canada, implemented SPOT, an intervention aimed at reducing HIV transmission among men who have sex with men by offering rapid HIV testing in a community setting. During the first phase, counseling based on Quebec guidelines for rapid HIV testing was offered (standard counseling - SC) and in the second phase, counseling based on motivational interviewing (MIC) was developed and validated. The current phase of the project aims to strengthen the work undertaken during previous phases. The objective of the study is to assess the short and medium term effect of MIC on the occurrence of at-risk anal intercourse and its cognitive determinants. Participants will be randomly assigned to either SC or MIC, and will respond to a baseline questionnaire documenting their sexual behavior and psychosexual profile prior to the intervention at the start of their initial visit (T0). The effect of counseling will be assessed following the intervention at the end of the initial visit (T1), at 3 months after the initial visit (T2) and at 6 months after the initial visit (T3).

Conditions

High-risk Sex

Keywords

Rapid HIV testing; MSM; Motivational Interviewing; HIV prevention; HIV/AIDS; At-risk anal intercourse; Randomized trial

Outcome Measures

Primary Outcomes (1)

• Change from baseline occurrence of at-risk anal intercourse at 6 months

  Occurrence of at-risk anal intercourse will be assessed prior to pre-test counseling at the start of participants' initial visit (baseline, T0), after post-test counseling at the end of the initial visit (T1), at 3 months after the initial visit (T2), and at 6 months after the initial visit (T3).

  Prior to pre-test counseling at the start of participants' initial visit (baseline, T0), after post-test counseling at the end of the initial visit (T1), at 3 months after the initial visit (T2), and at 6 months after the initial visit (T3)

Secondary Outcomes (4)

• Change from baseline importance that participants accord to taking the necessary steps to protect themselves from HIV at 6 months

  Prior to pre-test counseling at the start of participants' initial visit (baseline, T0), after post-test counseling at the end of the initial visit (T1), at 3 months after the initial visit (T2), and at 6 months after the initial visit (T3)

• Change from baseline perceived personal efficacy in protecting themselves from HIV at 6 months

  Prior to pre-test counseling at the start of participants' initial visit (baseline, T0), after post-test counseling at the end of the initial visit (T1), at 3 months after the initial visit (T2), and at 6 months after the initial visit (T3)

• Change from baseline intention to protect themselves from HIV at 6 months

  Prior to pre-test counseling at the start of participants' initial visit (baseline, T0), after post-test counseling at the end of the initial visit (T1), at 3 months after the initial visit (T2), and at 6 months after the initial visit (T3)

• Change from baseline extent to which participants have planned to protect themselves from HIV at 6 months

  Prior to pre-test counseling at the start of participants' initial visit (baseline, T0), after post-test counseling at the end of the initial visit (T1), at 3 months after the initial visit (T2), and at 6 months after the initial visit (T3)

Study Arms (2)

Motivational Interviewing Counseling

EXPERIMENTAL

Counseling developed by the research team based on a motivational interviewing approach

Behavioral: Motivational Interviewing Counseling

Standard counseling

ACTIVE COMPARATOR

Counseling based on Quebec guidelines for rapid HIV testing

Behavioral: Standard counseling

Interventions

Motivational Interviewing Counseling BEHAVIORAL

Counseling developed by the research team based on a motivational interviewing approach

Motivational Interviewing Counseling

Standard counseling BEHAVIORAL

Counseling based on Quebec guidelines for rapid HIV testing

Standard counseling

Eligibility Criteria

• Age: 18 Years+
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Male
• years of age or older
• Resident of Quebec
• Able to understand French or English
• Unprotected anal sex with a man on at least one occasion in the last 3 years
• HIV-negative or HIV status unknown

You may not qualify if:

• Symptoms of fever (over 38°C), headache, muscular pain, fatigue, and/or swollen lymp
• Previously tested at SPOT
• Enrolled as a participant in the IPERGAY study

Sponsors & Collaborators

• Université du Québec a Montréal: lead
• Canadian Institutes of Health Research (CIHR): collaborator

Study Sites (1)

SPOT, 1223-A rue Amherst

Montreal, Quebec, H2L 3K9, Canada

Location

Related Links

• Our website

MeSH Terms

Conditions

Unsafe Sex; Acquired Immunodeficiency Syndrome

Condition Hierarchy (Ancestors)

Sexual Behavior; Behavior; HIV Infections; Blood-Borne Infections; Communicable Diseases; Infections; Sexually Transmitted Diseases, Viral; Sexually Transmitted Diseases; Lentivirus Infections; Retroviridae Infections; RNA Virus Infections; Virus Diseases; Slow Virus Diseases; Genital Diseases; Urogenital Diseases; Immunologic Deficiency Syndromes; Immune System Diseases

Study Officials

• Joanne Otis, Ph.D.

  Université du Québec a Montréal

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Agent

Study Record Dates

• First Submitted: August 6, 2013
• First Posted: August 29, 2013
• Study Start: July 1, 2013
• Primary Completion: March 1, 2016
• Study Completion: April 1, 2016
• Last Updated: October 25, 2016

Record last verified: 2016-10

Locations

CA (1)