Innovative Tools to Expand HIV Self-Testing
I-TEST
2 other identifiers
interventional
388
1 country
1
Brief Summary
The I-TEST study builds upon two participatory approaches, open challenge contests and entrepreneurship training. The study utilizes open challenge contest to generate youth-driven interventions on strategies to promote HIV self-testing and other testing for other sexually transmitted infections (STIs) among young people in Nigeria. Open challenge contests involves leveraging on the knowledge and strengths of the crowd (in this case young people) to generate solutions to an issue. Following completion of one of the open challenge contest, was the Designathon contest where young people in Nigeria collaborated to develop new services and products for promoting self-testing for HIV and other sexually transmitted diseases, guided by human-centered, design thinking framework. After which, six teams from the Designathon were selected to move onto an Innovation bootcamp. The Innovation bootcamp was a 4-week long accelerated training program for young people to delve into the world of entrepreneurial and innovation management skills, while applying basic research principles. At the end of the course, 5 finalist teams were selected to pilot test their innovation plan in the community for a duration of 6 months, beginning July 2019. This study is focused on evaluating the effectiveness of these five youth participatory interventions on HIV testing and other key prevention among at risk youth (14-24 years old in Nigeria).This research study will involve undertaking a prospective one-year assessment of these five pilot interventions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for early_phase_1
Started Jul 2019
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
July 1, 2019
CompletedFirst Submitted
Initial submission to the registry
July 20, 2019
CompletedFirst Posted
Study publicly available on registry
August 28, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2020
CompletedResults Posted
Study results publicly available
September 14, 2021
CompletedDecember 21, 2023
December 1, 2023
1.1 years
July 20, 2019
July 27, 2021
December 19, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Uptake of HIV Self-testing Over the 3 Months Follow-up
Proportion of participants who reported to have self-tested for HIV at 3-month after baseline.
3 months following the first encounter
Secondary Outcomes (5)
Uptake of HIV Testing Over the 6 Months Follow-up
6-month
Uptake of Syphilis Testing
6-month
Uptake of Gonorrhea Testing
6-month
Uptake of Hepatitis b Testing
6-month
Uptake of Chlamydia Testing
6-month
Study Arms (5)
SMART Pack
ACTIVE COMPARATORThis involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers.
Luv Box
ACTIVE COMPARATORThe intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people.
Bili Vibes
ACTIVE COMPARATORThe intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people.
BeterDoc
ACTIVE COMPARATORThis intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people.
IUNGO
ACTIVE COMPARATORThis intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people.
Interventions
The SMART pack is a re-branded and repackaged box for HIV self-testing kits. The intervention aims to promote distribution of HIVST kits through in institutions, vocational centers, and social media platforms. The intervention would also include a referral systems, where participants provided with the HIV self-testing kits are provided with information with youth-friendly health facilities for uptake of testing for sexually transmitted infections. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the SMART pack and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Yaba local government area in Lagos state.
The Luv box is packaged in two colors: blue and pink. The LUVBox would be made available in supermarkets, on-line stores, mini-marts, pharmacies, neighborhood stores and markets, for easy accessibility in hard to reach areas. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "Luv Box" and the location where the pack can be obtained for individuals who are interested.For this pilot study, the intervention will be implemented in Yaba in Lagos state.
The HIV self-testing kits will be available for interested individuals at the community youth events. These events and information the HIV self-testing kits will be on flyers that would be promoted at community centers and schools. For this pilot study, the intervention will be implemented in Ngenevu/Bunker communities in Enugu state.
The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "BeterDoc Safety Kits" and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Ibadan, Dugbe and Agbowo in Oyo state.
The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the HIV self-testing kits and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Akure South, Orita-Obele, Ipinsa, Ilara Mokin and Ijare in Ondo state.
Eligibility Criteria
You may qualify if:
- Age 14-24
- Self-reported HIV negative or unknown HIV status
- Current resident of Lagos, Ondo, Oyo, and Enugu with plans to stay in city for the next 6 months
- Able to complete survey in English (the national language of Nigeria)
- All participants must agree to an informed consent and provide their cell mobile number for follow-up and retention
You may not qualify if:
- Younger than 14 and older than 24
- Inability to comply with study protocol
- Illness, cognitive impairment or threatening behavior with acute risk to self or others
- No informed consent
- No contact phone number
- Do not reside in Lagos, Ondo, Oyo, and Enugu
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Nigerian Institute of Medical Research
Yaba, Lagos, 00000, Nigeria
Related Publications (23)
Nigeria Framework. National HIV and AIDS Strategic Framework. 2017-2021.
BACKGROUNDNACA. Federal Republic of Nigeria, Global AIDS Report: Country Progress Report. 2015. Accessed Novembner, 2015.
BACKGROUNDNDHS. National Population Commision; Nigerian Demographic and Health Survey Reports. 2013.
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PMID: 26956074BACKGROUNDOzer EJ, Piatt AA, Holsen I, Larsen T, Lester J, Ozer EM. INNOVATIVE APPROACHES TO PROMOTING POSITIVE YOUTH DEVELOPMENT IN DIVERSE CONTEXTS. Positive Youth Development in Global Contexts of Social and Economic Change. 2016:12.
BACKGROUNDOzer EJ. Youth-led participatory action research. Handbook of methodological approaches to community-based research: Qualitative, quantitative, and mixed methods. 2016:263-272. 15.Cammarota J, Fine M. Revolutionizing education : youth participatory action research in motion. New York, NY: Routledge; 2008.
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PMID: 23251106BACKGROUNDSayles JN, Pettifor A, Wong MD, MacPhail C, Lee SJ, Hendriksen E, Rees HV, Coates T. Factors associated with self-efficacy for condom use and sexual negotiation among South african youth. J Acquir Immune Defic Syndr. 2006 Oct 1;43(2):226-33. doi: 10.1097/01.qai.0000230527.17459.5c.
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PMID: 39334111DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Juliet Iwelunmor
- Organization
- Saint Louis University
Study Officials
- PRINCIPAL INVESTIGATOR
Juliet Iwelunmor, PhD
Washington University School of Medicine
- PRINCIPAL INVESTIGATOR
Joseph Tucker, MD
University of North Carolina, Chapel Hill
- PRINCIPAL INVESTIGATOR
Oliver Ezechi, MD
Nigerian Institute of Medical Research
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Medicine Washington University School of Medicine
Study Record Dates
First Submitted
July 20, 2019
First Posted
August 28, 2019
Study Start
July 1, 2019
Primary Completion
July 31, 2020
Study Completion
September 1, 2020
Last Updated
December 21, 2023
Results First Posted
September 14, 2021
Record last verified: 2023-12