Counseling and Reminders for Regular HIV and STIs Screening

Summary

Counseling intervention:

Primary objective: to evaluate and compare, in at-risk populations, the efficacy of three different counseling methods in terms of propensity to come back for a HIV re-test. Secondary objectives: to evaluate and compare the efficacy of the counseling methods in terms of reported risk behavior and HIV knowledge as well as their acceptability and cost-effectiveness; describe the distribution of duration from HIV primary infection to detection; and estimate the prevalence of chronic hepatitis B and C, and syphilis in HIV-uninfected participants of targeted populations.

Reminder intervention Primary objective: to evaluate and compare, in at-risk individuals who require frequent testing, the efficacy of reminders in terms of propensity to come back for a HIV re-test within 7 months.

Secondary objective: to assess the cost-effectiveness of reminders.

The interim analyses have shown that that some strategies are better than the others and the Advisory Committee recommended to use only the most efficient strategies (Computer assisted counseling and Scheduling an appointment and sending reminder to clients).

In addition, CD4 cell count normal ranges in 30 HIV uninfected individuals in Thailand will be assessed. Transient elastometry (FibroScan) will be used to assess liver fibrosis in participants with and without viral hepatitis.

Conditions

• HIV, Hepatitis B, Hepatitis C and Syphilis Infections

Interventions

BEHAVIORAL

Computer-assisted counseling

The counselor opens the computer-assisted information/educational interactive counseling program on the tablet computer and invites the participant to use the program.

BEHAVIORAL

On-demand counseling

The counselor only invites the participants to ask questions about HIV and other STIs.

BEHAVIORAL

Standard counseling

The counselor gives face-to-face general information/education

BEHAVIORAL

Appointment + reminder

Has an appointment and receive reminders for further testing

BEHAVIORAL

Reminder

Only receive reminders for further testing

BEHAVIORAL

No appointment and no reminder

No appointment and no reminders for further testing

Sponsors & Collaborators

• Chiang Mai University

  collaborator OTHER

• Expertise France

  collaborator OTHER

• Institut de Recherche pour le Developpement

  lead OTHER_GOV

Principal Investigators

• Gonzague Jourdain, MD. PhD · IRD

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2015-12-09

Primary Completion

2018-07-01

Completion

2020-10-18

Countries

• Thailand

Study Locations