About this trial
This Hybrid Type 1 cluster randomized trial will test the Peer-led Dynamic Choice HIV Prevention (DCP) intervention compared to standard of care.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age >=15 years (with parent/guardian consent required for age 15 to <18 years)
Female sex at birth;
HIV negative by country-standard testing algorithm;
Elevated risk of HIV exposure, defined as at least 1 of the following: a) eligible for PrEP/PEP based on Uganda Ministry of Health Guidelines or b) work in bar or guesthouse
Disqualifiers
Contraindication to recommended PrEP/PEP regimen per Ministry of Health guidelines
Participation in another HIV prevention study
Aged 15 to <18 years with no parent or guardian to provide consent
Trial design
Parallel
Treatments tested in this trial
Peer-led Dynamic Choice HIV Prevention (DCP) intervention
Other interventionThe intervention consists of peer mentor training on patient-centered choice counseling and Peer-led DCP services, and will be delivered by the peer mentor with remote clinician support: 1) HIV prevention product choice, with the option to switch over time, 2) HIV testing, 3) Low-barrier PEP, 4) STI integration, 5) Travel kit, and 6) Phone/SMS contact and peer support.
Treatment groups
Trial outcomes
Primary outcomes
Biomedical HIV prevention coverage
Percentage of follow-up time that a participant uses a biomedical HIV prevention product.
Secondary outcomes
Biomedical HIV prevention coverage
Percentage of follow-up time that a participant uses a biomedical HIV prevention product.
Sponsors and contacts
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University of California, San Francisco
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator
Infectious Diseases Research Collaboration, Uganda
Collaborator
University of California, Berkeley
Collaborator
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