Provider-Assisted HIV Partner Notification & Testing With Prisoners in Indonesia: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 55
- Locations
- 1
- Primary Endpoint
- Notified
Study Overview
Brief Summary
Researchers will conduct a 2-arm pilot randomized controlled trial with HIV-infected index patients recruited from two all-male prisons in Indonesia to assess the acceptability and feasibility of provider-assisted HIV partner notification (provider referral) and examine its potential to increase the number of partners who are tested for HIV and subsequently linked to prevention and treatment services.
Detailed Description
This study compares three options for partner notification:
- Option 1 (Self-tell): Participant is encouraged to disclose his HIV+ status to his partner(s) and given information about sites where his partner(s) can receive free HIV testing.
- Option 2 (Tell together): Participant discloses his HIV+ status to his partners with a counselor (project staff) present. Counselor refers the partner to HIV testing, including a study-affiliated HIV testing site.
- Option 3 (Provider referral): Project staff (nurse or peer educator) will notify the partner anonymously - without identifying the participant (index patient). Partners are offered immediate HIV testing in their home or at a study-affiliated HIV testing site.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Diagnostic
- Masking
- Single (Outcomes Assessor)
Masking Description
Outcomes assessor is blinded as to treatment allocation during analyses.
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •for HIV-positive Prisoners (N=65): Index patients must beat least 18 years of age, HIV-seropositive and aware of their HIV+ status; (HIV-infection documented by a rapid HIV test); sexually active and/or sharing needles in the 12 months before incarceration; incarcerated within the past 3 years and ≥6 months of their prison sentence remaining. We will limit enrollment to index patients who are willing to notify partners and have 1 or more partner(s) who have not yet been notified.
- •Inclusion Criteria for Partners: Eligible partners will be persons who participants (index patients) are able to identify by first and/or last name, residential address and/or mobile phone number, and physical descriptors (e.g., approximate height) and have given nurses permission to contact. No named partner will be excluded on the basis of religion, ethnicity, age, sex, or gender identity.
Exclusion Criteria
- Not provided
Arms & Interventions
Group A
Subjects are encouraged to disclose their HIV status to their partner(s) with or without a counselor present (Options 1 & 2).
Intervention: Standard Care (Behavioral)
Group B
Subjects may choose to notify their partners themselves, with or without a counselor present (Options 1 & 2), or choose to have one or more partners notified anonymously by project staff (Option 3).
Intervention: IMPART (Behavioral)
Outcomes
Primary Outcomes
Notified
Time Frame: 6 weeks from index patient enrollment
Number of partners who are notified of shared HIV exposure
Tested
Time Frame: 6 weeks from index patient enrollment
Number of partners who receive HIV testing subsequent to notification
Diagnosed
Time Frame: 6 weeks from index patient enrollment
Number of partners who are HIV diagnosed subsequent to testing
Secondary Outcomes
- Linked to Care(6 weeks from index patient enrollment)
- Initiated ART(6 weeks from index patient enrollment)
Investigators
Gabriel John Culbert
Assistant Professor
University of Illinois at Chicago