Client-Centered Counseling During Routine/Opt-Out HIV-Testing in Uganda
2 other identifiers
interventional
333
1 country
1
Brief Summary
This study pilot tests and intervention to help individuals reduce their risk for acquiring or transmitting HIV. The intervention is implemented when people are tested for HIV in an outpatient clinic in rural Uganda. Approximately half of participants will receive the intervention and the other half will receive the usual counseling provided during HIV counseling and testing.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable hiv
Started May 2008
Typical duration for not_applicable hiv
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2012
CompletedFirst Submitted
Initial submission to the registry
May 6, 2015
CompletedFirst Posted
Study publicly available on registry
May 8, 2015
CompletedMay 8, 2015
May 1, 2015
3.8 years
May 6, 2015
May 7, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Sexual risk behavior
Unprotected sex with serodiscordant or unknown HIV status partners
6 months
Secondary Outcomes (1)
Uptake of partner testing
6 months
Study Arms (2)
Motivational interviewing counseling
EXPERIMENTALThe brief intervention is adapted from the OPTIONS project, which is a brief client-centered risk reduction intervention for HIV-positive patients in clinical care. The OPTIONS intervention content is based upon the IMB model of health behavior change, and uses motivational interviewing techniques to create client-centered discussions in which HIV counselors and patients collaborate to identify patients' HIV transmission risk behaviors and to mutually identify strategies and goals for reducing the patient's risky behavior. The brief intervention will be facilitated by health care providers (nurses, lab technicians) specifically trained in the intervention protocol and will consist of 2 brief counseling sessions occurring during the same-day rapid HIV-testing procedure
Standard of care counseling
ACTIVE COMPARATORParticipants in this study condition will receive standard-of-care counseling that is usually implemented during HIV testing.
Interventions
Eligibility Criteria
You may qualify if:
- at least 18 years of age,
- have come to the outpatient clinic for a medical concern (e.g., cough, malaria, but not those seeking voluntary HIV-counseling and testing,
- sexually active within the prior 3-months,
- not currently pregnant,
- no confirmed HIV-positive test result prior to the present HIV-test, and
- live not more than 30km from Gombe Hospital in Uganda (to facilitate follow-up)
You may not qualify if:
- less than 18 years of age,
- having come to the clinic seeking voluntary HIV-counseling and testing,
- not sexually active in prior 3 months,
- currently pregnant,
- confirmed prior HIV positive test,
- live more than 30km from the hospital
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Susan M. Kienelead
- Makerere Universitycollaborator
- National Institute of Mental Health (NIMH)collaborator
- Rhode Island Hospitalcollaborator
Study Sites (1)
Gombe Hospital
Gombe, Uganda
Related Publications (1)
Kiene SM, Sileo K, Wanyenze RK, Lule H, Bateganya MH, Jasperse J, Nantaba H, Jayaratne K. Barriers to and acceptability of provider-initiated HIV testing and counselling and adopting HIV-prevention behaviours in rural Uganda: a qualitative study. J Health Psychol. 2015 Feb;20(2):173-87. doi: 10.1177/1359105313500685. Epub 2013 Sep 20.
PMID: 24058127BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Susan M Kiene, PhD
UConn Health
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
May 6, 2015
First Posted
May 8, 2015
Study Start
May 1, 2008
Primary Completion
February 1, 2012
Study Completion
March 1, 2012
Last Updated
May 8, 2015
Record last verified: 2015-05