Implementing Stigma Reduction Tools Via a Popular Teletraining Platform to Reduce Clinician Stigma and Disparities in HIV Testing, Prevention, and Linkage to Care in Malaysia
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Delaware
- Enrollment
- 78
- Locations
- 1
- Primary Endpoint
- Acceptability of Intervention
Overview
Brief Summary
Key populations at risk of HIV (including men who have sex with men, people who inject drugs, transgender women, and female sex workers) are more likely to be infected with HIV but less likely than members of the general population to know of their HIV status, receive HIV prevention counseling, or be linked to HIV care services. Clinician stigma towards these groups remains a potent and persistent driver of these HIV disparities in many places of the world. The investigators propose to incorporate evidence-based stigma reduction tools into a popular teletraining platform for clinicians and pilot test the resulting intervention (Project ECHO® for HIV Prevention and Stigma Reduction) with clinicians in Malaysia, a context wherein clinician stigma and HIV disparities are substantial.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Screening
- Masking
- Double (Participant, Care Provider)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •practicing general practitioner or family medicine specialist in Malaysia
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Acceptability of Intervention
Time Frame: Month 9 Assessment
Measured with Acceptability of Intervention Measure. Theoretical or possible range of scores is 1-5, and actual range was 3.50-5. Higher scores indicate greater acceptability.
Feasibility of Intervention
Time Frame: Month 9 Assessment
Measured with Feasibility of Intervention Measure. Theoretical or possible range of scores is 1-5, and actual range was 3.25-5. Higher scores indicate greater feasibility.
Stigma Reduction: Prejudice
Time Frame: Month 9 Assessment
Measured with Feelings Thermometers. Positive/Negative affect is measured on 0-100 point scale, with higher scores indicating more prejudice.
Stigma Reduction: Stereotypes
Time Frame: Month 9 Assessment
Measured with subscale of Multidimensional HIV-Related Stigma Scale. Theoretical or possible range of scores is 1-5, and actual range was 1-3.44. Higher scores indicate greater stereotypes.
Stigma Reduction: Discrimination
Time Frame: Month 9 Assessment
Measured with subscale of Multidimensional HIV-Related Stigma Scale. Theoretical or possible range of scores is 1-5, and actual range was 1-5. Higher scores indicate greater discrimination.
Secondary Outcomes
- HIV Prevention Procedures: PrEP Prescriptions(Cumulative over 9 month intervention)
- HIV Prevention Procedures: HIV Testing(Cumulative over 9 month intervention)