NCT02752152

Brief Summary

Counseling intervention: Primary objective: to evaluate and compare, in at-risk populations, the efficacy of three different counseling methods in terms of propensity to come back for a HIV re-test. Secondary objectives: to evaluate and compare the efficacy of the counseling methods in terms of reported risk behavior and HIV knowledge as well as their acceptability and cost-effectiveness; describe the distribution of duration from HIV primary infection to detection; and estimate the prevalence of chronic hepatitis B and C, and syphilis in HIV-uninfected participants of targeted populations. Reminder intervention Primary objective: to evaluate and compare, in at-risk individuals who require frequent testing, the efficacy of reminders in terms of propensity to come back for a HIV re-test within 7 months. Secondary objective: to assess the cost-effectiveness of reminders. The interim analyses have shown that that some strategies are better than the others and the Advisory Committee recommended to use only the most efficient strategies (Computer assisted counseling and Scheduling an appointment and sending reminder to clients). In addition, CD4 cell count normal ranges in 30 HIV uninfected individuals in Thailand will be assessed. Transient elastometry (FibroScan) will be used to assess liver fibrosis in participants with and without viral hepatitis.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,961

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2015

Longer than P75 for not_applicable

Geographic Reach
1 country

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 9, 2015

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

April 22, 2016

Completed
4 days until next milestone

First Posted

Study publicly available on registry

April 26, 2016

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2018

Completed
2.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

October 18, 2020

Completed
Last Updated

February 16, 2021

Status Verified

February 1, 2021

Enrollment Period

2.6 years

First QC Date

April 22, 2016

Last Update Submit

February 14, 2021

Conditions

Keywords

CounselingReminderEarly diagnosis

Outcome Measures

Primary Outcomes (1)

  • Percentage of participants from at-risk populations coming for a HIV re-test

    Number of participants having a re-test divided by number of at-risk participants

    Within 7 months following the first visit

Study Arms (6)

Computer-assisted counseling

EXPERIMENTAL

Computer-assisted informational/educational interactive session followed by an interactive face-to-face session to discuss personal issues with a counselor as needed

Behavioral: Computer-assisted counselingBehavioral: Appointment + reminderBehavioral: ReminderBehavioral: No appointment and no reminder

On-demand counseling

EXPERIMENTAL

The counselor asks whether the participant has any questions

Behavioral: On-demand counselingBehavioral: Appointment + reminderBehavioral: ReminderBehavioral: No appointment and no reminder

Standard counseling

ACTIVE COMPARATOR

Interactive face-to-face counseling session

Behavioral: Standard counselingBehavioral: Appointment + reminderBehavioral: ReminderBehavioral: No appointment and no reminder

Appointment + reminder

EXPERIMENTAL

Make appointment and send SMS reminder

Behavioral: Computer-assisted counselingBehavioral: On-demand counselingBehavioral: Standard counselingBehavioral: Appointment + reminder

Reminder only

EXPERIMENTAL

Send SMS reminder only

Behavioral: Computer-assisted counselingBehavioral: On-demand counselingBehavioral: Standard counselingBehavioral: Reminder

No appointment and no reminder

ACTIVE COMPARATOR

No appointment and no SMS reminder sent

Behavioral: Computer-assisted counselingBehavioral: On-demand counselingBehavioral: Standard counselingBehavioral: No appointment and no reminder

Interventions

The counselor opens the computer-assisted information/educational interactive counseling program on the tablet computer and invites the participant to use the program.

Appointment + reminderComputer-assisted counselingNo appointment and no reminderReminder only

The counselor only invites the participants to ask questions about HIV and other STIs.

Appointment + reminderNo appointment and no reminderOn-demand counselingReminder only

The counselor gives face-to-face general information/education

Appointment + reminderNo appointment and no reminderReminder onlyStandard counseling

Has an appointment and receive reminders for further testing

Appointment + reminderComputer-assisted counselingOn-demand counselingStandard counseling
ReminderBEHAVIORAL

Only receive reminders for further testing

Computer-assisted counselingOn-demand counselingReminder onlyStandard counseling

No appointment and no reminders for further testing

Computer-assisted counselingNo appointment and no reminderOn-demand counselingStandard counseling

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Residing or working in Thailand
  • Able to communicate with the counselor
  • Adults (\>= 18 years old)

You may not qualify if:

  • Foreigners staying in Thailand for vacation or retirement, except if they are presenting together with their partner staying permanently in Thailand or working in Thailand
  • Couples requesting a couple counseling session
  • HIV-positive participants (based on the client declaration)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Faculty of Associated Medical Sciences, Chiang Mai University

Chiang Mai, 50100, Thailand

Location

MAP Foundation testing facility

Chiang Mai, Thailand

Location

Special clinic of Chiangrai Prachanukroh Hospital

Chiang Rai, Thailand

Location

Related Publications (1)

  • Salvadori N, Decker L, Ngo-Giang-Huong N, Mary JY, Chevret S, Arunothong S, Adam P, Khamduang W, Samleerat T, Luangsook P, Suksa-Ardphasu V, Achalapong J, Rouzioux C, Sirirungsi W, Jourdain G. Impact of Counseling Methods on HIV Retesting Uptake in At-Risk Individuals: A Randomized Controlled Study. AIDS Behav. 2020 May;24(5):1505-1516. doi: 10.1007/s10461-019-02695-2.

Related Links

MeSH Terms

Conditions

Hepatitis BHepatitis CDisease

Interventions

Appointments and Schedules

Condition Hierarchy (Ancestors)

Blood-Borne InfectionsCommunicable DiseasesInfectionsHepadnaviridae InfectionsDNA Virus InfectionsVirus DiseasesHepatitis, Viral, HumanHepatitisLiver DiseasesDigestive System DiseasesFlaviviridae InfectionsRNA Virus InfectionsPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Organization and AdministrationHealth Services Administration

Study Officials

  • Gonzague Jourdain, MD. PhD

    IRD

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PHPT research Team

Study Record Dates

First Submitted

April 22, 2016

First Posted

April 26, 2016

Study Start

December 9, 2015

Primary Completion

July 1, 2018

Study Completion

October 18, 2020

Last Updated

February 16, 2021

Record last verified: 2021-02

Locations