Innovative Tools to Expand HIV Self-Testing

Early Phase 1

Completed

• Conditions: HIV/AIDS; Sexually Transmitted Diseases
• Interventions: Combination Product: IUNGO; Combination Product: SMART Pack; Combination Product: Luv Box; Combination Product: Bili Vibes; Combination Product: BeterDoc

• Registration Number: NCT04070287
• Lead Sponsor: Washington University School of Medicine

Brief Summary

The I-TEST study builds upon two participatory approaches, open challenge contests and entrepreneurship training. The study utilizes open challenge contest to generate youth-driven interventions on strategies to promote HIV self-testing and other testing for other sexually transmitted infections (STIs) among young people in Nigeria. Open challenge contests involves leveraging on the knowledge and strengths of the crowd (in this case young people) to generate solutions to an issue. Following completion of one of the open challenge contest, was the Designathon contest where young people in Nigeria collaborated to develop new services and products for promoting self-testing for HIV and other sexually transmitted diseases, guided by human-centered, design thinking framework. After which, six teams from the Designathon were selected to move onto an Innovation bootcamp. The Innovation bootcamp was a 4-week long accelerated training program for young people to delve into the world of entrepreneurial and innovation management skills, while applying basic research principles. At the end of the course, 5 finalist teams were selected to pilot test their innovation plan in the community for a duration of 6 months, beginning July 2019.

This study is focused on evaluating the effectiveness of these five youth participatory interventions on HIV testing and other key prevention among at risk youth (14-24 years old in Nigeria).This research study will involve undertaking a prospective one-year assessment of these five pilot interventions.

Detailed Description

Step 1: Participant enrollment. This will involve recruiting youth to participate in the pilot study. Participant recruitment strategies will include: social media, online, event- and venue based, participant referral, and walk-ins at study clinics. Participant enrollment will be completed by study team.

Step 2: Intervention implementation. Following participant recruitment and enrollment in the study. Study participants will be assigned to one of the 5 youth participatory interventions focused on expanding the uptake of HIV self-testing and key HIV prevention services. The pilot intervention implementation would occur for 6 months. Nigerian Institute of Medical Research (NMIR) will provide local training on HIV prevention to the five participatory interventions following their existing guidelines.The participatory interventions will be conducted in the locations of the five teams who emerged as winners from the innovation boot-camp. These participatory interventions will only provide HIV self-testing kits and instructions of how to perform the test to participants. They will also provide referral coupons to youth friendly centers for sexually transmitted infections (STI) screening and treatment and pre-exposure prophylaxis (PrEP) awareness and initiation for at-risk youth. The referral coupons are intended to provide study participants information on trained youth friendly centers that are involved with the research. The referral coupons give the study participants access to other sexually transmitted infections (STI) screening and treatment and pre-exposure prophylaxis (PrEP) awareness and initiation at these health facilities. The intervention only provide participants with the HIV self-testing kits and then refer them to youth-friendly health facilities for other testing services. The intervention does not involve monitoring HIV self-testing procedure, the investigators will only be asking for self-reported HIV testing and other sexually transmitted diseases testing.

Step 3: Baseline data collection. After allocation of participants into the intervention, study team will collect baseline data on HIV testing history, sexual behavior history, youth participation experience, and other related outcomes will be collected (survey questionnaire attached) from recruited participants. Participants mobile phone numbers will also be collected as tracking information for follow-up and retention in a coupon format. The mobile phone numbers would be used to contact study participants through text messages and phone calls. These contacts would serve as reminders for participants to participate in follow-up data collection. The mobile phone service charge would be covered by the research. No other personal identifiers will be collected and no biological specimens will be collected at baseline. The investigators will obtain informed consent before proceeding with any data collection.

Step 4:Health facilities training. For the purposes of this research study, the Nigerian Institute of Medical Research team would provide training to youth-friendly health centers currently working with the Nigerian Institute of Medical Research based on the World Health Organization guidebook for youth-friendly health services (handbook is attached).The training would be to ensure that these health facilities are trained to provide youth friendly services to participants who be referred to receive STI screening, STI treatment and PrEP awareness and initiation. Following the training, the NIMR research team would in charge of collecting data to record record participants HIV self-testing uptake as well as uptake of STI screening, STI treatment and PrEP awareness and initiation.

Step 5: Follow up surveys at 3 and 6 months: At 3 and 6 months post intervention implementation, study team will collect similar baseline data from study participants. The follow-up survey will assess HIV testing, sexual behavior history, youth participation experience and other related outcomes will be collected (survey questionnaire attached) from recruited participants.

Basic Information
|
Recruitment & Eligibility
|
Study & Design
|
Trial Locations

Study Timeline

• Study Start: 2019-07-01
• Study First Submitted: 2019-07-20
• Study First Submitted QC: 2019-08-25
• Study First Posted: 2019-08-28
• Primary Completion: 2020-07-31
• Study Completion: 2020-09-01
• Results First Submitted: 2021-07-27
• Results First Submitted QC: 2021-09-13
• Results First Posted: 2021-09-14
• Status Verified: 2023-12
• Last Update Submitted: 2023-12-19
• Last Update Posted: 2023-12-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 388

Inclusion Criteria

1. Age 14-24
2. Self-reported HIV negative or unknown HIV status
3. Current resident of Lagos, Ondo, Oyo, and Enugu with plans to stay in city for the next 6 months
4. Able to complete survey in English (the national language of Nigeria)
5. All participants must agree to an informed consent and provide their cell mobile number for follow-up and retention

Read More

Exclusion Criteria

1. Younger than 14 and older than 24
2. Inability to comply with study protocol
3. Illness, cognitive impairment or threatening behavior with acute risk to self or others
4. No informed consent
5. No contact phone number
6. Do not reside in Lagos, Ondo, Oyo, and Enugu

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
IUNGO	IUNGO	This intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people.
SMART Pack	SMART Pack	This involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers.
Luv Box	Luv Box	The intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people.
Bili Vibes	Bili Vibes	The intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people.
BeterDoc	BeterDoc	This intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people.

Primary Outcome Measures

Name	Time	Method
Uptake of HIV Self-testing Over the 3 Months Follow-up	3 months following the first encounter	Proportion of participants who reported to have self-tested for HIV at 3-month after baseline.

Secondary Outcome Measures

Name	Time	Method
Uptake of Hepatitis b Testing	6-month	Proportion of participants who reported hepatitis B testing.
Uptake of Syphilis Testing	6-month	Proportion of participants who reported syphilis testing at baseline and 6-month.
Uptake of Gonorrhea Testing	6-month	Proportion of participants who reported gonorrhea testing at baseline and 6-month.
Uptake of Chlamydia Testing	6-month	Proportion of participants who reported chlamydia testing at baseline and 6-month.
Uptake of HIV Testing Over the 6 Months Follow-up	6-month	Proportion of participants who reported to have self-tested for HIV at 6-month after baseline.

Trial Locations

Locations (1)

Nigerian Institute of Medical Research; 🇳🇬 Yaba, Lagos, Nigeria