NCT07728370

Brief Summary

This multilevel randomized behavioral study evaluates participant- and provider-level stigma-reduction interventions in Zambia. Participant-level intervention: Women living with cervical cancer and HIV (WLC+H ) are randomized in a 2Ă—2 factorial design of storytelling versus neutral videos and storytelling versus neutral disclosure interventions to assess effects on quality of life, anxiety, and depressive symptoms. Provider-level intervention: Healthcare workers are randomized to storytelling or neutral videos to assess changes in stigma and compassion. The study also evaluates participant -reported stigma and satisfaction with care before and after implementation of the provider intervention.

Trial Health

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Trial Health Score

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

Enrollment
440

participants targeted

Target at P50-P75 for not_applicable hiv

Timeline
48mo left

Started Sep 2026

Longer than P75 for not_applicable hiv

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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 Progress2%
Sep 2026Aug 2030

First Submitted

Initial submission to the registry

July 10, 2026

Completed
17 days until next milestone

First Posted

Study publicly available on registry

July 27, 2026

Completed
1 month until next milestone

Study Start

First participant enrolled

September 1, 2026

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2030

Expected
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2030

Last Updated

July 27, 2026

Status Verified

June 1, 2026

Enrollment Period

3.7 years

First QC Date

July 10, 2026

Last Update Submit

July 24, 2026

Conditions

Keywords

HIVStigmaCervical CancerStorytellingSelf-disclosureVideosHealthcare ProvidersMultilevel

Outcome Measures

Primary Outcomes (2)

  • Quality of Life (Cancer)

    Quality of life (cancer) will be assessed using the Functional Assessment of Cancer Therapy - General (FACT-G). The FACT-G contains 27 items that assess perceived quality of life of patients living with cancer over the past week.

    Baseline, immediately after the intervention, and 1-, 3-, 6-, and 12- month follow up

  • Patient-level: Quality of Life (HIV)

    Quality of life (HIV) will be assessed using a shortened version of the Patient-Reported Outcomes Quality of Life-HIV (PROQOL-HIV). The shortened PROQOL-HIV scale has four factors: physical health and symptoms; health concerns and mental distress, social and intimate relationships, and treatment impact.

    Baseline, immediately after the intervention, and 1-, 3-, 6-, and 12- month follow up

Secondary Outcomes (2)

  • Patient-level: Depressive Symptoms

    Baseline, immediately after the intervention, and 1-, 3-, 6-, and 12- month follow up

  • Patient-level: Anxiety Symptoms

    Baseline, immediately after the intervention, and 1-, 3-, 6-, and 12- month follow up

Other Outcomes (5)

  • Provider-level: Social Stigma

    Immediately before and immediately after the healthcare worker training session

  • Provider-level: Enacted Stigma

    Immediately before and immediately after the healthcare worker training session

  • Provider-level: Compassion

    Immediately before and immediately after the healthcare worker training session

  • +2 more other outcomes

Study Arms (6)

Patient control group - neutral videos

EXPERIMENTAL
Behavioral: Neutral Video

Patient storytelling group

EXPERIMENTAL
Behavioral: Storytelling

Patient self-disclosure group

EXPERIMENTAL
Behavioral: Self disclosure

Patient combination group - storytelling video and storytelling disclosure

EXPERIMENTAL
Behavioral: Combination

Provider Storytelling group

EXPERIMENTAL
Behavioral: Video

Provider waitlist control group

EXPERIMENTAL
Behavioral: Waitlist

Interventions

Neutral VideoBEHAVIORAL

Participants in the control group will watch neutral videos and describe objective, non-emotional objects/events

Patient control group - neutral videos
StorytellingBEHAVIORAL

The storytelling intervention group will watch the storytelling videos and then describe objective, non-emotional objects/events.

Patient storytelling group
Self disclosureBEHAVIORAL

Participants will watch neutral videos and then talk/write about their cancer/HIV-related experiences to themselves.

Patient self-disclosure group
CombinationBEHAVIORAL

The combination group will watch the storytelling videos and then talk/write about their cancer/HIV-related experiences to themselves.

Patient combination group - storytelling video and storytelling disclosure
VideoBEHAVIORAL

Participants (healthcare workers) will watch storytelling videos in a group setting, followed by a facilitated discussion and role-playing to enhance empathy and understanding.

Provider Storytelling group
WaitlistBEHAVIORAL

Participants will watch unrelated presentations in a group setting while on a waitlist. They will receive the intervention after completing the post-test.

Provider waitlist control group

Eligibility Criteria

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

You may qualify if:

  • Patient-level intervention
  • Women diagnosed with cervical cancer and HIV (stage I-IV)
  • Receiving cancer treatment at the Cancer Disease Hospital in Zambia
  • Aged 18 or above 4. Able to speak in English (the official language in Zambia) or one of four local languages (Bemba, Nyanja, Tonga, Lozi) for cultural inclusivity
  • Provider-level intervention
  • \. Employment at the Cancer Disease Hospital in Lusaka, Zambia

You may not qualify if:

  • Patient-level intervention
  • Inability to provide informed consent and presence of a major mental health disorder (e.g., schizophrenia or bipolar disorder), as determined by participant records or self-report.
  • Provider-level intervention
  • \. Inability to provide informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

UT MD Anderson

Houston, Texas, 77030, United States

Location

Related Links

MeSH Terms

Conditions

Social StigmaUterine Cervical Neoplasms

Interventions

Videotape RecordingWaiting Lists

Condition Hierarchy (Ancestors)

Social BehaviorBehaviorUterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Diseases

Intervention Hierarchy (Ancestors)

Tape RecordingAudiovisual AidsEducational TechnologyTechnologyTechnology, Industry, and AgricultureTelevisionAppointments and SchedulesOrganization and AdministrationHealth Services Administration

Study Officials

  • Qian Lu, MD, PHD

    UT MD Anderson

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Qian Lu, MD, PHD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Masking Details
Participants and outcomes assessors
Purpose
SUPPORTIVE CARE
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 10, 2026

First Posted

July 27, 2026

Study Start

September 1, 2026

Primary Completion (Estimated)

May 31, 2030

Study Completion (Estimated)

August 31, 2030

Last Updated

July 27, 2026

Record last verified: 2026-06

Locations