About this trial
This study will have three components:
1. Discrete choice experiments 2. Analysis of routine service data 3. Impact and cost-effectiveness analyses using results from 1 and 2
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Minimum age of 18 years
Individual assigned male at birth reporting sex with men in the past 12 months
Self-reported HIV-negative MSM and TGW who either report interest in PrEP use, current PrEP use, or past PrEP use
Permit audio recording during the interview and/or discussion.
Disqualifiers
Not willing to participate in the study
Trial design
Single group
Treatments tested in this trial
In-depth interviews (IDI)
Other interventionIn-depth interviews (IDI) 20 MSM,20 TGW, current, previous PrEP users will assess which attributes are relevant each population. Posters will be used to recruit for IDIs. Self-reported HIV-negative who either report interest in current or past PrEP use will be eligible to participate in IDI. IDI will be conducted by a study by in-person, on-line interviews.
Focus group discussion (FGD)
Other interventionFocus group discussion (FGD) will discuss a interested information from IDIs. IDIs will be informed, invited to a FGD. FGD recruit 6-10 IDI. 10 random number will be generated using statistical if more 10 individuals show interest in participating in a FGD. If there are less than 6 accepted participants for a FGD, the backup list or new participant will be invited. Study will perform FGD by in-person, on-line conference. Data obtained during a process will be used to create a list of attributes for each population, their levels to include in the choice tasks, ensuring that a choices are plausible, exchangeable.
Treatment groups
Trial outcomes
Primary outcomes
The epidemiological impact of long-acting antiretrovirals for HIV prevention among Thai MSM and TGW at risk of HIV infection
Epidemiological impact analyses will compare a current scenario in which PrEP is only available as an oral formulation to a scenario in which long-acting PrEP is also available.
The cost-effectiveness of long-acting antiretrovirals for HIV prevention among Thai MSM and TGW at risk of HIV infection
The cost-effectiveness analysis will be based on previous HIV transmission models published by the Erasmus Medical Centre
Secondary outcomes
Proportion of MSM and TGW indicating uptake of PrEP in hypothetic scenarios, impact of sociodemographic and behavioral characteristics on projected uptake
The uptake of different PrEP modalities will be measured via a discrete choice experiment survey with clients in KP-led PrEP clinic
Preferred PrEP modalities among Thai MSM and TGW, trade-off of different PrEP attributes
To quantify preference for long-acting antiretrovirals as PrEP in Thai MSM and TGW using discrete choice experiments
Patterns of PrEP use
Patterns of PrEP use will analyze from the data such as discontinuation rates and restarts of oral PrEP in KP-led PrEP program
Sponsors and contacts
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Institute of HIV Research and Innovation Foundation, Thailand
Lead sponsor
Erasmus Medical Center
Collaborator