Tests financial and social support for people during tuberculosis treatment in Vietnam
Tests cash support and peer meetings for adults with tuberculosis in Vietnam.
Plain-language title generated from the registry record
Registry title: Examining Psycho-Socioeconomic Linkages in TB Care: The UPLIFT Trial
Key facts
- Where
- Ba Ria Vung Tau, Can Tho, Da Nang, Điện Bàn, Hanoi, Ho Chi Minh City, and Long An, VietnamSee the 12 sites
Where in Vietnam
- Long Dien District TB UnitBa Ria Vung Tau, VietnamTaking people
- O Mon District TB UnitCan Tho, VietnamTaking people
- Lien Chieu District TB UnitDa Nang, VietnamTaking people
- Son Tra District TB UnitDa Nang, VietnamTaking people
- Thang Binh District TB UnitĐiện Bàn, VietnamTaking people
- Phuc Tho District TB UnitHanoi, VietnamTaking people
- Binh Chanh District TB UnitHo Chi Minh City, VietnamTaking people
- District 04 District TB UnitHo Chi Minh City, VietnamTaking people
- District 5 District TB UnitHo Chi Minh City, VietnamTaking people
- Hoc Mon District TB UnitHo Chi Minh City, VietnamTaking people
- Can Duoc District TB UnitLong An, VietnamTaking people
- Tan Hung District TB UnitLong An, VietnamTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Freundeskreis Für Internationale Tuberkulosehilfe e.V
- Trial code
- NCT06916962
- Record updated
- 8 April 2025
- Original description
Introduction: Tuberculosis (TB) remains an ongoing public health and socioeconomic challenge worldwide, especially in low- and middle-income countries such as Vietnam. Despite improvements in healthcare, TB still causes significant problems to those infected, especially within marginalized populations, including financial hardship, stigma, and mental health issues. This study aims to assess the effectiveness of a psycho-socioeconomic support intervention intended to improve treatment outcomes and reduce financial hardship faced by TB-affected households in Vietnam, measured through catastrophic costs.Read full original descriptionShow less
Understanding Psycho-socioeconomic Linkages Through an Intervention Providing Enhanced Financial and Social Support During Tuberculosis Treatment
Introduction: Tuberculosis (TB) remains an ongoing public health and socioeconomic challenge worldwide, especially in low- and middle-income countries such as Vietnam. Despite improvements in healthcare, TB still causes significant problems to those infected, especially within marginalized populations, including financial hardship, stigma, and mental health issues. This study aims to assess the effectiveness of a psycho-socioeconomic support intervention intended to improve treatment outcomes and reduce financial hardship faced by TB-affected households in Vietnam, measured through catastrophic costs.
Methods: A hybrid type II effectiveness implementation study using a randomized control trial study design will be employed to evaluate the effectiveness and implementation of the intervention. The study will be conducted in 12 Vietnamese provinces across Northern, Central, and Southern regions, targeting areas with lower TB treatment success rates. Participants will be randomly assigned to either a control group, which will receive standard care, or an intervention group, which will receive cash transfers conditioned on participation in TB Club peer-support meetings. Data will be collected on the individual, household and district levels. Individual outcomes will include treatment success, health-related quality of life, TB-related stigma, and anxiety and depression. Household outcomes will include catastrophic cost incurrence, changes in financial capital and livelihoods, and TB service and universal health coverage (UHC) uptake. Implementation outcomes, by district, will include fidelity, satisfaction, participation, acceptability, and quality.
Hypothesis: The study hypothesizes that providing financial and enhanced psychosocial support to people with TB will improve their treatment success and reduce the financial burden on TB-affected households.
Inclusion: Diagnosed with drug-sensitive, pulmonary, new, or relapse TB; Initiated on TB treatment and reported/notified in VITIMES; Residing in one of the implementation districts for the past 1 month; First member of the household to enroll in the study.
Exclusion: Not enrolled in VITIMES within 1 month of treatment initiation; Household registration in another province; Plans to relocate in the next 6 months; Additional family members living in the same household with someone enrolled in the study.