About this trial
The study is a feasibility pilot trial testing 2 types of training protocols on a single physician. The first training protocol is the current standard and was developed in high-income settings. The second training protocol will be developed so tailored to the Nigerian setting. Investigators will test if the physician performs differently in their ability to conduct anal cancer screening and treatment between the 2 training protocols.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Possess a medical degree in medical sciences (MBBS or equivalent)
At least 2-5 years of experience working with clinical HIV/AIDS community
Must be registered with the medical and dental council of Nigeria
Possess a current medical practicing license
Disqualifiers
None
Trial design
Sequential
Treatments tested in this trial
Enhanced Training on screening and treatment of HSIL (e-STH)
BehavioralTailored training developed to overcome key barriers and promote facilitators unique to implementing HSIL screening and treatment. The development will be driven by the implementation science committee over 3 iterations every 4 months for up to a year to refine the adoption of strategies with the greatest breadth to facilitate implementation.
Treatment groups
Trial outcomes
Primary outcomes
Change in HSIL detection
Evaluate change in HSIL detected between the pre and post period (standard vs e-STH)
Change in HSIL treatment
Evaluate change in HSIL treated between the pre and post period (standard vs e-STH)
Secondary outcomes
Change in Reach of intended population
Change in number screened per number eligible between the pre and post period
Change in Efficacy of conducting HSIL screening and treatment
Compare number needed to screen to reach a plateau in the detection of HSIL between the pre and post period
Change in Implementation of HSIL screening and treatment
Compare number of biopsies taken per screening between the pre and post period
Change in Maintenance of HSIL screening and treatment
Compare number who return for a 12-month screening between the pre and post period
Sponsors and contacts
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University of Maryland, Baltimore
Lead sponsor
National Cancer Institute (NCI)
Collaborator