Welcoming by Design Pilot: Reducing Structural Stigma by Changing Clinic Systems and Architectural Design

Not Applicable

Not yet recruiting

• Conditions: Hiv
• Interventions: Other: Clinics remodeling

• Registration Number: NCT05642676
• Lead Sponsor: University of Minnesota

Brief Summary

The purpose of this study is to test the feasibility and acceptability of implementing clinic system changes and physical structures in Uganda to improve aesthetics, welcome, and privacy to reduce HIV stigma, improve retention-in-care, and improve the patient experience.

To evaluate pilot/implementation outcomes, the outcomes of fidelity, feasibility, and acceptability will be assessed prior to intervention. After the changes are done to two HIV interventions clinics, the outcome surveys will assess if the changes were disruptive or impeded the workings of the clinics.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-11-08
• Study First Submitted QC: 2022-11-29
• Study First Posted: 2022-12-08
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-15
• Last Update Posted: 2024-03-19
• Study Start: 2024-07-30
• Primary Completion: 2027-07-30
• Study Completion: 2027-07-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Adults 18 and older
• Enrolled in the HIV clinics where we are working
• Able to independently consent for interview, survey, or focus group.

Exclusion Criteria

• Unable to provide consent
• Does not speak English or Luganda (local language around Kampala and Entebbe)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Interventions clinics to be remodeled	Clinics remodeling	-

Primary Outcome Measures

Name	Time	Method
Feasibility	baseline	An assessment of the practicality of a proposed idea or project, by assessing recruitment capacity, and ability to complete proposed modifications in clinics. The intervention will be judged feasible if enrollment and metrics can be completed.
Acceptability survey	Baseline	How well an intervention will be received by the target population and the extent to which the intervention meets the needs of the target population and organizational setting. This will be assessed through qualitative evaluation and a quantitative survey from patients and staff.
Fidelity to the Intervention	6-months post intervention	Assesses whether the intervention was delivered as intended, using the intervention plan/checklist
Outcomes survey	6-months post intervention	assesses if the changes were disruptive or impeded the workings of the clinics.

Trial Locations

Locations (1)

University of Minnesota; 🇺🇸 Minneapolis, Minnesota, United States