Behavioral and Psychosocial Characteristics of Clients Accessing Services at IHRI

NCT06741319 | Recruiting

• 1 other identifier: IHRI009
• Study Type: observational
• Target: 300,000
• Locations: 1 country
• Sites: 1

Brief Summary

This protocol describes a 20-year prospective cohort study, gathering behavioral and psychosocial information on clients who access services of the Institute of HIV Research and Innovation (IHRI) and the Thai Red Cross AIDS Research Centre through the Thai Red Cross Anonymous Clinic, the Thai Red Cross Mobile Clinics, Affiliated Health Clinics, The gender and immunity clinic and Pribta Tangerine Polyclinic. Services provided through these sites include VCT, STD screening and treatment, anal and cervical Pap smears, general health checkups, sexual health education, and sexual health communication, gender-affirmative hormone therapy (GAHT) and risk-reduction via web boards and chat rooms. Behavioral and psychosocial information will be collected using validated questionnaires and from data collection forms routinely used when providing services in different service sites of IHRI and the TRC-ARC. The information will be collected anonymously at baseline and at follow-up visits, according to type of services each client receives. Clients at the Thai Red Cross Anonymous Clinic, Thai Red Cross Mobile Health Clinics, Affiliated Health Clinics and Pribta Tangerine Polyclinic will be given an identification number. Qualitative methods, including focus group discussions (FGD) and in-depth interviews (IDI) will be conducted with clients and healthcare providers to examine the facilitators, barriers, feasibility and acceptability of service implementation.

Conditions

HIV

Outcome Measures

Primary Outcomes (1)

• Primary Outcome Measure

  1. Demographic characteristics 2. Social and sexual behaviors 3. Psychosocial characteristics 4. Clinical characteristics 5. Referral and linkage to care for HIV-positive clients 6. Characteristics associated with service implementation

  20 years

Interventions

Demographic characteristics BEHAVIORAL

* Gender identity * Sex assigned at birth * Age * Address * History of study enrollment(s)

Social and sexual behaviors BEHAVIORAL

* Places where clients go for shopping, dining out, exercise, entertainment * Places where clients meet their sexual partner(s) * Places where clients obtain condoms and lubricants * Social networking and other online services clients regularly use and purposes of using * Lifetime and current sexual practices and condom use * Number and types of sexual partners * Self-perceived HIV risk level * Disclosure of HIV or sexual orientation status

Psychosocial characteristics BEHAVIORAL

* Sexual orientation * Educational level * Occupation and income * Attitude towards and use of HIV testing and sexual health services * Use of injecting drugs, recreational drugs, and alcohol

Clinical characteristics BEHAVIORAL

* Medical history, including gender dysphoria and hormone therapy * HIV counseling and testing * Diagnosis and treatment of sexually transmitted diseases (STD) * Sample collection information * Laboratory results * Gender dysphoria and mental health history * Body hair pattern * Bridging therapy * Fertility and reproductive issues * Gender transition effects

Referral and linkage to care for HIV-positive clients BEHAVIORAL

* Health insurance scheme * Initiation and continuation of antiretroviral treatment

Characteristics associated with service implementation BEHAVIORAL

\- Facilitators, barriers, feasibility and acceptability of and satisfaction with service implementation as identified by clients and healthcare providers

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Study population: Clients accessing services of the Pribta Tangerine Polyclinic, the Thai Red Cross Anonymous Clinic, the Thai Red Cross Mobile Clinics and Affiliated Health Clinics.

You may qualify if:

• years or 16 and 17 years of age with parental or guardian consent In non- or pre-SRS cases
• Recommendation1 by counsellor based on:
• A) Presence of GD history B) Understanding of risks and benefits of GAHT D) Practice and readiness for gender transition E) Availability of social support F) Ability to take hormones as instructed
• Verbal informed consent or signed informed consent on file
• Approved by physician
• In SRS- and post-SRS cases2
• Verbal informed consent or signed informed consent on file
• Approved by physician

You may not qualify if:

• None

Sponsors & Collaborators

• Institute of HIV Research and Innovation Foundation, Thailand: lead

Study Sites (1)

Tangerine Clinic, Institute of HIV Research and Innovation

Pathum Wan, Bangkok, 10330, Thailand

RECRUITING

MeSH Terms

Interventions

Sex; Referral and Consultation

Intervention Hierarchy (Ancestors)

Reproductive Physiological Phenomena; Reproductive and Urinary Physiological Phenomena; Professional Practice; Organization and Administration; Health Services Administration

Study Officials

• Siriporn Nonenoy, BNH,MPH

  Institute of HIV Research and Innovation

  STUDY CHAIR

Central Study Contacts

Nittaya Phanuphak, MD.,PhD

CONTACT

6681 825 3544; nittaya.p@ihri.org

Rena Janamnuaysook, MBA

CONTACT

6698 516 4562; rena.j@ihri.org

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 12, 2024
• First Posted: December 18, 2024
• Study Start: July 2, 2013
• Primary Completion (Estimated): July 2, 2030
• Study Completion (Estimated): July 2, 2035
• Last Updated: April 2, 2026

Record last verified: 2026-03

Locations

TH (1)