IBIS Megastudy of Interventions to Encourage HIV Retesting

MI-összefoglaló

A vizsgálat saját részvételi feltételeiből. Gép olvasta ki az oldalon álló regiszterszövegből, ezért tévedhet. Hogy ki vehet részt, azt a lenti regiszterszöveg és a vizsgálat csapata dönti el.

A vizsgálat olyan, vidéki Kenyában és Ugandában élő, 15 éves vagy idősebb embereket keres, akiknek nagyobb az HIV-kockázata, és a tesztjük HIV-negatív lett. Üzenetekkel segítik az újratesztelést.

Életkor

15 év vagy idősebb

Nem

Mindkét nem részt vehet

Biomarker vagy leletérték

Dokumentált negatív HIV-antitesttest a felvételkor

A részvétel fő kizáró okai

• HIV-pozitív a felvételkor
• A következő 3 hónapban elköltözne a közösségből
• Nincs napi hozzáférése mobiltelefonhoz

A regiszter feltételei, szó szerint

Mit akar kideríteni a vizsgálat

In this study, the investigators will test the effectiveness of multiple low-cost behavioral interventions, designed with end-user input, to promote HIV retesting among adults in rural Kenya and Uganda who have higher risk of HIV exposure.

A vizsgálat 12 csoportja

• HIV risk assessmentA vizsgált kezelés

  A message that adheres to the following core concepts: - Emphasize that a negative test doesn't mean that previous behavior(s) weren't high-risk - Enable people to re-assess their own personal risk at a later/future date - Suggest risk behaviors to reflect on - If participant has engaged in one or more behaviors, emphasize their need to re-test

  Kezelés: Risk assessment messaging

• U=U messagingA vizsgált kezelés

  A message that adheres to the following core concepts: Explain benefits of finding out your HIV-positive status as early after infection as possible and start treatment as soon as possible. These benefits include: -Prevent transmission of HIV to anyone -Live a normal life, with freedom in sexual choices and ability to start a family

• Community benefitsA vizsgált kezelés

  A message that adheres to the following core concepts: - Emphasize that regular testing keeps the participant's community safe and healthy by reducing chances of transmitting HIV unknowingly - Call for responsibility- the participant to do their part for the community; they are an integral part of the solution

  Kezelés: Community benefits messaging

• Fresh start effectA vizsgált kezelés

  A message that adheres to the following core concepts: - Using a specific moment in time (in this case, a negative HIV test) to motivate a healthy behavior (i.e. a "fresh start" moment) - emotional unburdening of resolving uncertainty (not knowing one's status is more stressful than knowing one's status, whether positive or negative, and being able to take healthy steps after knowing if the status is negative or positive)

• Education-basedA vizsgált kezelés

  A message that adheres to the following core concepts: -Increase attention to HIV re-testing reminder through interactive trivia questions -Correct or reinforce understanding about HIV prevention, transmission, and retesting

  Kezelés: Education-based messaging

• Default appointmentA vizsgált kezelés

  A message that adheres to the following core concepts: - Having a set appointment will reduce uncertainty about availability for retest visit - Having an opt-out option for the future retesting appointment - A planning prompt to be specific about the participant's future plan for retesting - Gentle/soft commitment: by picking a date, mentally agree to come back to retest

  Kezelés: Default appointment messaging

• "Reserved for you"A vizsgált kezelés

  A message that adheres to the following core concepts: - Make participant aware that the test is available, and the clinic is welcoming the participant to receive it - "VIP status-" the participant is lucky/special to have this opportunity

  Kezelés: Reserved for you messaging

• Social norms- default messengerA vizsgált kezelés

  A message that adheres to the following core concepts: - Reduce stigma and normalize retesting by explaining that it is a common practice for people to be aware of their HIV status and get tested - Leverages social pressure to participate in retesting - Uses a relatable community member to deliver the message. Message delivered by the default avatar.

  Kezelés: Social norms (default) messaging

• Social norms- varied messengerA vizsgált kezelés

  A message that adheres to the following core concepts: - Reduce stigma and normalize retesting by explaining that it is a common practice for people to be aware of their HIV status and get tested often when they are at risk - Leverages social pressure to participate in retesting - Uses a relatable community member to deliver the message. Message delivered by avatar that approximately matches the participant's age and sex

  Kezelés: Social norms (varied) messaging

• Goal-settingA vizsgált kezelés

  A message that adheres to the following core concepts: -Encouraging motivation of participants to set a goal for follow-up testing -Empowering individuals through promotion of HIV retesting

  Kezelés: Goal-setting messaging

• IncentiveA vizsgált kezelés

  Participants receive a small financial incentive for returning for a repeat HIV test within 3-6 months from enrollment

• Standard of care (Control)Nincs vizsgálati kezelés, összehasonlításként

  Participants will receive standard of care messaging provided by Ministry of Health (MoH) HIV testing counselors.