Manicaland PrEP Uptake Through Interactive Counselling Trial
Improving Risk Perception and Uptake of Pre-exposure Prophylaxis (PrEP) Through Interactive Feedback Based Counselling (and Community Engagement) in Young Women in Manicaland
2 other identifiers
interventional
1,055
1 country
8
Brief Summary
Primary Objective: The purpose of this trial is to evaluate the impact of an interactive tablet based counselling session correcting risk perception and addressing ambiguity around availability, usability and effectiveness of PrEP on PrEP uptake within 6 months in adolescent girls and young women (AGYW) aged 18-24 years. Hypothesis: Correcting misperceptions of risks of HIV infection and off-setting ambiguity effects about the availability, usability and efficacy of PrEP, through localized, interactive, tablet-based counselling, will increase uptake of PrEP in HIV-negative AGYW. Study outcomes: The primary outcomes for the study will be risk perception measured in a follow-up survey at 6 months and proportion of women taking up PrEP within 6 months measured with biomarkers of plasma antiretroviral (ARV) drug presence.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2018
Typical duration for not_applicable
8 active sites
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
First Submitted
Initial submission to the registry
June 11, 2018
CompletedFirst Posted
Study publicly available on registry
June 21, 2018
CompletedStudy Start
First participant enrolled
July 7, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
January 30, 2021
CompletedSeptember 28, 2023
September 1, 2023
2.6 years
June 11, 2018
September 26, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Uptake of Pre-exposure prophylaxis for HIV
The proportion of women taking up PrEP within 6 months measured with biomarkers of plasma ARV presence.
6 months
Secondary Outcomes (1)
Changes in perception of risk of HIV from age-disparate partnerships
6 months
Study Arms (2)
Interactive tablet-based quiz
EXPERIMENTALIndividuals participate in an interactive tablet-based risk perception and PrEP counselling information session.
Control arm
NO INTERVENTIONNo intervention will be administered to the control arm
Interventions
Intervention participants play an interactive tablet based quiz including the following information components: 1. Risks of HIV infection under different scenarios such as between two hypothetical individuals and with different behaviours. 2. Interactive counselling on key facts around PrEP, its usability and local availability All individuals will have the option to sign up for contact by a nurse from the health clinic to discuss PrEP further and make an appointment for a visit. Participants will also be given a PrEP referral letter which they can present directly at one of the participating study clinics to begin PrEP. In two sites a community-led intervention will also be implemented to address social obstacles and to increase support from peers, families and social structures.
Eligibility Criteria
You may qualify if:
- Women
- Age 18-24 years
You may not qualify if:
- Participants testing HIV-positive at baseline
- Self-reporting taking PrEP at baseline
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Simon Gregsonlead
- Biomedical Research and Training Institute, Zimbabwecollaborator
- University of Copenhagencollaborator
- London School of Economics and Political Sciencecollaborator
- National Institute of Mental Health (NIMH)collaborator
Study Sites (8)
Manicaland Centre for Public Health Research
Bonda, Manicaland Province, Zimbabwe
Manicaland Centre for Public Health Research
Eastern Highlands, Manicaland Province, Zimbabwe
Manicaland Centre for Public Health Research
Hobhouse, Manicaland Province, Zimbabwe
Manicaland Centre for Public Health Research
Honde, Manicaland Province, Zimbabwe
Manicaland Centre for Public Health Research
Nyazura, Manicaland Province, Zimbabwe
Manicaland Centre for Public Health Research
Sakubva, Manicaland Province, Zimbabwe
Manicaland Centre for Public Health Research
Selbourne, Manicaland Province, Zimbabwe
Manicaland Centre for Public Health Research
Nyanga, Zimbabwe
Related Publications (1)
Thomas R, Skovdal M, Galizzi MM, Schaefer R, Moorhouse L, Nyamukapa C, Maswera R, Mandizvidza P, Hallett TB, Gregson S. Improving risk perception and uptake of pre-exposure prophylaxis (PrEP) through interactive feedback-based counselling with and without community engagement in young women in Manicaland, East Zimbabwe: study protocol for a pilot randomized trial. Trials. 2019 Dec 2;20(1):668. doi: 10.1186/s13063-019-3791-8.
PMID: 31791405DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Simon Gregson, PhD
Imperial College London
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Professor of Demography and Behavioural Science
Study Record Dates
First Submitted
June 11, 2018
First Posted
June 21, 2018
Study Start
July 7, 2018
Primary Completion
January 30, 2021
Study Completion
January 30, 2021
Last Updated
September 28, 2023
Record last verified: 2023-09