NCT04349748

Brief Summary

Men who have sex with men (MSM) have become a focus of HIV and other sexually transmitted diseases (STD) control in China. Most of MSM who seek causal partners through online dating platforms do not know their sexual partners' real HIV and STDs infection status, which leads to more high risk status, especially for sexual behaviors. Effective Internet-based partner notification is urgently warranted to increase their risk awareness and prevent HIV and STDs transmission. This study developed an app which can help MSM to query recent HIV and other STDs statuses each other from the testing platform in order that they can find a relatively safety sexual partners and reduce risk of HIV infection.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
6,172

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jul 2020

Typical duration for not_applicable

Status
unknown

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

First Submitted

Initial submission to the registry

April 10, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 16, 2020

Completed
3 months until next milestone

Study Start

First participant enrolled

July 1, 2020

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2022

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2023

Completed
Last Updated

May 27, 2020

Status Verified

May 1, 2020

Enrollment Period

2.5 years

First QC Date

April 10, 2020

Last Update Submit

May 25, 2020

Conditions

Keywords

HIV/AIDSsexually transmitted disease (STD)men who have sex with men (MSM)partner notificationmHealth applicationstepped wedge cluster randomized controlled trial

Outcome Measures

Primary Outcomes (2)

  • HIV positive seroconversion rate (HIV incidence)

    The number of HIV positive seroconversions divided by the total number of person-years.

    through study completion, an average of six months

  • Additional cost of the intervention

    The total cost and average cost for per participant of the integrated intervention model and each additional intervention/service based on the existing HIV prevention measures provided as before.

    through study completion, an average of six months

Secondary Outcomes (14)

  • Syphilis positive seroconversion rate (Syphilis incidence)

    through study completion, an average of six months

  • Hepatitis B positive seroconversion rate (Hepatitis B incidence)

    through study completion, an average of six months

  • Hepatitis C positive seroconversion rate (Hepatitis C incidence)

    through study completion, an average of six months

  • HIV and related diseases transmission among social networks

    through study completion, an average of 1 year

  • Testing adherence

    through study completion, an average of 1 year

  • +9 more secondary outcomes

Study Arms (4)

Group 1

EXPERIMENTAL

The group is given health education, regular HIV and STDs testing prompting service in the whole study, and permission to query health status (partner notification) through app from the second observation period. HIV and STDs testing and questionnaire are given to the participants when they receive the testing service.

Behavioral: Health education, and regular HIV and STDs testing prompting serviceBehavioral: Health status inquiry through app (partner notification)

Group 2

EXPERIMENTAL

The group is given health education, regular HIV and STDs testing prompting service in the whole study, and permission to query health status (partner notification) through app from the third observation period. HIV and STDs testing and questionnaire are given to the participants when they receive the testing service.

Behavioral: Health education, and regular HIV and STDs testing prompting serviceBehavioral: Health status inquiry through app (partner notification)

Group 3

EXPERIMENTAL

The group is given health education, regular HIV and STDs testing prompting service in the whole study, and permission to query health status (partner notification) through app from the fourth observation period. HIV and STDs testing and questionnaire are given to the participants when they receive the testing service.

Behavioral: Health education, and regular HIV and STDs testing prompting serviceBehavioral: Health status inquiry through app (partner notification)

Group 4

EXPERIMENTAL

The group is given health education, regular HIV and STDs testing prompting service in the whole study, and permission to query health status (partner notification) through app from the fifth observation period. HIV and STDs testing and questionnaire are given to the participants when they receive the testing service.

Behavioral: Health education, and regular HIV and STDs testing prompting serviceBehavioral: Health status inquiry through app (partner notification)

Interventions

Health education through app for once a week, and regular HIV and STDs testing prompting service (every month through app) are given to the participants at the beginning of the study and last for the whole five observation periods.

Group 1Group 2Group 3Group 4

The permission to query health status through app (partner notification) is given to participants (participants can query their potential sexual partner's status of HIV, syphilis, hepatitis B, and hepatitis C respectively through app) at the specific observation period,and the permission is retained until the end of study.

Group 1Group 2Group 3Group 4

Eligibility Criteria

Age15 Years+
Sexmale
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • biologically male,
  • had oral or anal sex with men at least once during their lifetime,
  • years of age or older,
  • had no difficulty using a mobile phone,
  • willing to provide their mobile phone numbers to serve as the unique identification numbers of the app's self-query and partner notification functions,
  • willing to use the app's function modules,
  • willing to complete the questionnaire for the research,
  • willing to continuously receive HIV and STDs testing and consulting services provided by the CBO our research setting at,
  • willing to complete the informed consent document.

You may not qualify if:

  • had serious physical disabilities or mental diseases.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (5)

  • Brown LB, Miller WC, Kamanga G, Nyirenda N, Mmodzi P, Pettifor A, Dominik RC, Kaufman JS, Mapanje C, Martinson F, Cohen MS, Hoffman IF. HIV partner notification is effective and feasible in sub-Saharan Africa: opportunities for HIV treatment and prevention. J Acquir Immune Defic Syndr. 2011 Apr 15;56(5):437-42. doi: 10.1097/qai.0b013e318202bf7d.

    PMID: 22046601BACKGROUND
  • Tsega A, Udeagu CC, Begier EM. A comparison of partner notification effectiveness in African-, Caribbean-, and United States-born HIV-infected Blacks in New York City. AIDS Patient Care STDS. 2012 Jul;26(7):406-10. doi: 10.1089/apc.2011.0313. Epub 2012 Jun 4.

    PMID: 22663166BACKGROUND
  • Rosenberg NE, Mtande TK, Saidi F, Stanley C, Jere E, Paile L, Kumwenda K, Mofolo I, Ng'ambi W, Miller WC, Hoffman I, Hosseinipour M. Recruiting male partners for couple HIV testing and counselling in Malawi's option B+ programme: an unblinded randomised controlled trial. Lancet HIV. 2015 Nov;2(11):e483-91. doi: 10.1016/S2352-3018(15)00182-4. Epub 2015 Oct 22.

    PMID: 26520928BACKGROUND
  • Yan X, Lu Z, Zhang B, Li Y, Tang W, Zhang L, Jia Z. Protecting Men Who Have Sex With Men From HIV Infection With an mHealth App for Partner Notification: Observational Study. JMIR Mhealth Uhealth. 2020 Feb 19;8(2):e14457. doi: 10.2196/14457.

    PMID: 32130147BACKGROUND
  • Yan X, Li Y, Su H, Xing Y, Zhang B, Lu Z, Jia Z. Protect MSM from HIV and other sexually transmitted diseases by providing mobile health services of partner notification: protocol for a pragmatic stepped wedge cluster randomized controlled trial. BMC Public Health. 2020 Jul 14;20(1):1107. doi: 10.1186/s12889-020-09162-x.

MeSH Terms

Conditions

Acquired Immunodeficiency SyndromeSexually Transmitted DiseasesHomosexuality

Interventions

Contact Tracing

Condition Hierarchy (Ancestors)

HIV InfectionsBlood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesSlow Virus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsSexualitySexual BehaviorBehavior

Intervention Hierarchy (Ancestors)

Epidemiologic MethodsInvestigative TechniquesPublic HealthEnvironment and Public HealthCommunicable Disease ControlPublic Health Practice

Study Officials

  • Zhongwei Jia, Prof. PhD

    National Institute on Drug Dependence, Peking University,China

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Zhongwei Jia, Prof. PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Because partner notification is a kind of behavioral intervention, participants know what intervention they receive. However, we take efforts to reduce the bias caused by the non-blind design. At the beginning of the research, participants, care providers, and researchers who participate in participants management will not know the randomized scheme. The partner notification will be opened to participants sequentially by the predetermined computer program, and does not need care providers and researchers to implement the intervention manually. The care providers and researchers do not know the implementation of partner notification unless the participants tell them whether they can use the function on their own initiative. Even the care providers know that, the operation and results of the HIV and STDs testing will not be affected. At last, the outcomes assessors do not know the randomized scheme in data analysis.
Purpose
PREVENTION
Intervention Model
CROSSOVER
Model Details: This study is not a conventional crossover design,we use a pragmatic stepped-wedge cluster-randomised design.The study lasts for 2.5 years, which is divided to five continuous observation periods (every six months).The sixteen districts are assigned to four arms randomly.Four arms began recruiting participants at the same time,and at the first observation period,all groups were given health education and regular HIV and STDs testing prompting service,the two services above are given continuously for five observation periods.At the second observation period,the first group is given permission to query health status (partner notification) through app,but the other three groups do not.At every observation period after that (the third to fifth observation period),the three groups will be given permission to query health status one by one.Once a group is given the permission,it is retained until the end of study.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, Director of Center for Drug Abuse Control and Prevention

Study Record Dates

First Submitted

April 10, 2020

First Posted

April 16, 2020

Study Start

July 1, 2020

Primary Completion

December 31, 2022

Study Completion

June 30, 2023

Last Updated

May 27, 2020

Record last verified: 2020-05

Data Sharing

IPD Sharing
Will share

1. Study Protocol,part of study report and data will be published in journals; 2. Researchers can contact the principal investigator(PI:ZhongweiJia) for IPD through email two years after the end of the trial.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
Time Frame
Two years after the end of the trial
Access Criteria
Data applicants should send email to PI. Real personal basic information (name, unit, title, etc.), detailed description of required data (required variables,etc.), and research plan should be included in the email. Our team will discuss the research proposal and reply as soon as possible