MedTrace Logo

Home HIV Testing for Older Adults in South Africa

NCT04131465 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 3578

Last updated 2020-02-21

No results posted yet for this study

Summary

Many older adults in rural South Africa still lack knowledge of their HIV status despite a high probability of infection. Older adults tend to test less for HIV because most HIV testing and prevention programs have been targeted at younger age groups. Other reasons for failure to test for HIV include frailty and lack of financial resources to travel to HIV testing centers. Home-based testing is a powerful approach to bring HIV testing services -- and HIV status knowledge -- to older adults. In real-life health systems, community health workers, such as the South African community care givers, could potentially provide home-based HIV testing on a routine basis. In this study, the investigators are trying to establish the best 'form' for the 'function' home-based HIV testing.

Specifically, the investigators aim to

1. Establish the comparative effectiveness of three home-based HIV testing options among older adults in rural South Africa
2. Identify spill-over effects of the different home-based HIV testing options to other adults in the households and communities of the older adults receiving the testing options
3. Determine the comparative cost-effectiveness of the three home-based HIV testing options among older adults.

Conditions

  • HIV Infections
  • Knowledge, Attitudes, Practice

Interventions

DIAGNOSTIC_TEST

Home HIV self-testing

Offer of 3 OraQuick HIV self-test kits

DIAGNOSTIC_TEST

Home HIV rapid testing

Offer of HIV rapid testing with Alere Determine HIV-1/2

DIAGNOSTIC_TEST

Home HIV self-testing and rapid testing

Offer of 3 OraQuick HIV self-test kits and HIV rapid testing with Alere Determine HIV-1/2

Sponsors & Collaborators

  • University of Heidelberg Medical Center

    collaborator OTHER

  • University of Witwatersrand, South Africa

    collaborator OTHER

  • Harvard School of Public Health (HSPH)

    lead OTHER

Principal Investigators

  • Till Bärnighausen, MD · Harvard School of Public Health (HSPH)

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Model
PARALLEL

Eligibility

Min Age
40 Years
Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2019-05-15
Primary Completion
2020-05-15
Completion
2021-12-31

Countries

  • South Africa

More Related Trials

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT04131465 on ClinicalTrials.gov