Developing an HIV Disclosure Intervention for Men in Uganda

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexMale
Age18+
SponsorBrigham and Women's Hospital

About this trial

The goal of this clinical trial is to test an HIV disclosure intervention that the investigators are developing focused on men living with HIV in Uganda. The main questions the investigators are trying to answer is whether the HIV disclosure intervention the investigators develop will help men who receive this intervention to disclose their HIV status to a greater extent than men who receive standard care.

Participants assigned to the intervention group will likely participate in the following:

* Sexual health education * Cognitive behavioral therapy strategies * Problem-solving skills building * Motivational interviewing * Developing a personalized HIV disclosure plan * Communication skills building * Role-playing disclosure strategies

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

men living with HIV

with sexually transmitted infection symptoms (e.g., urethral discharge, genital lesions)

either not accessing antiretroviral therapy (per self-report109 and/or clinic documentation) or accessing antiretroviral therapy without HIV viral suppression

age ≥18 years,

Disqualifiers

an inability to speak the local language (Runyankole) or English

an inability to provide informed consent

Trial design

Design model

Parallel

Treatments tested in this trial

  • HIV disclosure intervention

    Behavioral

    This will be a biobehavioral intervention focused on helping men with HIV to disclose their HIV status to a personal confidant inclusive with specific focus on sexual partners.

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: HIV disclosure interventionExperimental treatment 1 intervention
Group B: ControlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

HIV disclosure intervention acceptability

Of 35 intervention participants, ≥70% (25 participants) rate all 4 items on the Acceptability of Intervention Measure (a 5-point Likert scales) as "agree" or higher. I will also assess intervention acceptability through qualitative interviews with participants and counselors.

Time frame
6 months
2

HIV disclosure intervention feasibility

Feasibility is defined by the Feasibility of Intervention Measure, intervention fidelity, and session completion. A) Feasibility of Intervention Measure: Of 35 intervention participants, ≥70% (25 participants) rate all 4 items on the Feasibility of Intervention Measure (a 5-point Likert scale) as "agree" or higher, B) Fidelity: Assuming a five-session intervention with 25% English-transcribed (44/175 sessions), intervention fidelity is attained when ≥70% (31 sessions) achieve ≥90% fidelity to the protocol adherence checklist, C) Session completion: Of the 35 intervention participants, ≥70% attend ≥50% of sessions. I will also assess intervention acceptability through qualitative interviews with participants and counselors.

Time frame
6 months

Secondary outcomes

1

Index participant-reported disclosure

Index participant-reported disclosure (measured by an expanded disclosure measurement tool and a Center For AIDS Research-funded HIV Disclosure Processes Model Measurement Scale in development.

Time frame
6 months
2

Partner participant HIV study site/clinic testing and counseling

The investigators will measure the percentage of partners that participants bring to clinic for HIV testing.

Time frame
6 months
3

HIV viral suppression

Participant HIV viral suppression measured by nucleic acid amplification testing.

Time frame
6 months

Other outcomes

Sponsors and contacts

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Brigham and Women's Hospital

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator

Mbarara University of Science and Technology

Collaborator

This trial is not recruiting at the moment. You can still explore other options: