Trial Outcomes & Findings for Efficacy Testing of a Culturally Relevant Stigma Intervention With WLWH in Tanzania (NCT NCT05033002)

NCT ID: NCT05033002

Last Updated: 2025-05-29

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

167 participants

Primary outcome timeframe

up to 6 months

Results posted on

2025-05-29

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment as Usual Group
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Overall Study
STARTED
80
87
Overall Study
COMPLETED
80
78
Overall Study
NOT COMPLETED
0
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy Testing of a Culturally Relevant Stigma Intervention With WLWH in Tanzania

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment as Usual Group
n=80 Participants
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
n=87 Participants
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Total
n=167 Participants
Total of all reporting groups
Age, Continuous
32.69 years
STANDARD_DEVIATION 14.10 • n=99 Participants
32.40 years
STANDARD_DEVIATION 12.73 • n=107 Participants
32.54 years
STANDARD_DEVIATION 13.36 • n=206 Participants
Sex: Female, Male
Female
80 Participants
n=99 Participants
87 Participants
n=107 Participants
167 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
80 Participants
n=99 Participants
87 Participants
n=107 Participants
167 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
80 Participants
n=99 Participants
87 Participants
n=107 Participants
167 Participants
n=206 Participants
Race (NIH/OMB)
White
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
Tanzania
80 participants
n=99 Participants
87 participants
n=107 Participants
167 participants
n=206 Participants

PRIMARY outcome

Timeframe: up to 6 months

Outcome measures

Outcome measures
Measure
Treatment as Usual Group
n=80 Participants
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
n=87 Participants
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Number of Participants Recruited as Measured by Enrollment Logs
80 Participants
87 Participants

PRIMARY outcome

Timeframe: 30, 90, and 180 days after intervention

Population: Analysis includes participants who completed the visit at the applicable time point.

Outcome measures

Outcome measures
Measure
Treatment as Usual Group
n=80 Participants
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
n=87 Participants
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Number of Study Participants Retained in Study as Measured by Enrollment Logs
30 days after intervention
77 Participants
77 Participants
Number of Study Participants Retained in Study as Measured by Enrollment Logs
90 days after intervention
79 Participants
76 Participants
Number of Study Participants Retained in Study as Measured by Enrollment Logs
180 days after intervention
76 Participants
76 Participants

PRIMARY outcome

Timeframe: baseline and 30, 90, and 180 days after intervention

Population: Analysis includes participants who completed surveys at the time point indicated.

Outcome measures

Outcome measures
Measure
Treatment as Usual Group
n=80 Participants
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
n=87 Participants
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Percent of Questions Left Blank on Study Instruments
baseline
0 percent of questions left blank
0 percent of questions left blank
Percent of Questions Left Blank on Study Instruments
30 days after intervention
0 percent of questions left blank
0 percent of questions left blank
Percent of Questions Left Blank on Study Instruments
90 days after intervention
0 percent of questions left blank
0 percent of questions left blank
Percent of Questions Left Blank on Study Instruments
180 days after intervention
0 percent of questions left blank
0 percent of questions left blank

PRIMARY outcome

Timeframe: baseline and 30, 90, and 180 days after intervention

Population: Analysis includes participants who completed surveys at the time point indicated.

Outcome measures

Outcome measures
Measure
Treatment as Usual Group
n=80 Participants
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
n=87 Participants
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Time it Takes in Minutes for Participants to Complete the Questionnaires
Baseline
48 minutes
Standard Deviation 8
49 minutes
Standard Deviation 8
Time it Takes in Minutes for Participants to Complete the Questionnaires
30 days
42 minutes
Standard Deviation 11
41 minutes
Standard Deviation 9
Time it Takes in Minutes for Participants to Complete the Questionnaires
90 days
44 minutes
Standard Deviation 9
42 minutes
Standard Deviation 8
Time it Takes in Minutes for Participants to Complete the Questionnaires
180 days
43 minutes
Standard Deviation 5
43 minutes
Standard Deviation 7

PRIMARY outcome

Timeframe: up to 5 weeks

Population: This outcome measure only applies to the intervention group

Outcome measures

Outcome measures
Measure
Treatment as Usual Group
n=87 Participants
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Number of Women Who Completed All 5 Sessions
76 Participants

SECONDARY outcome

Timeframe: baseline and 30, 90, and 180 days after intervention

Population: Analysis includes participants who completed surveys at the time point indicated.

Scores range from 0 to 100 with lower scores indicating less stigma and higher scores indicating more stigma

Outcome measures

Outcome measures
Measure
Treatment as Usual Group
n=80 Participants
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
n=87 Participants
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Change in Internalized Stigma, as Measured by the Swahili Version of the Multidimensional Measure of Internalized Stigma Scale
Baseline
36.72 score on a scale
Standard Deviation 21.59
40.18 score on a scale
Standard Deviation 23.85
Change in Internalized Stigma, as Measured by the Swahili Version of the Multidimensional Measure of Internalized Stigma Scale
30 days after intervention
24.89 score on a scale
Standard Deviation 19.59
6.01 score on a scale
Standard Deviation 11.24
Change in Internalized Stigma, as Measured by the Swahili Version of the Multidimensional Measure of Internalized Stigma Scale
90 days after intervention
23.58 score on a scale
Standard Deviation 14.92
5.21 score on a scale
Standard Deviation 11.27
Change in Internalized Stigma, as Measured by the Swahili Version of the Multidimensional Measure of Internalized Stigma Scale
180 days after intervention
21.93 score on a scale
Standard Deviation 13.82
4.61 score on a scale
Standard Deviation 11.46

SECONDARY outcome

Timeframe: baseline and 30, 90, and 180 days after intervention

Population: Analysis includes participants who completed surveys at the time point indicated.

Scores range from 0 to 26, with lower scores indicating lower coping self-efficacy and higher scores indicating greater coping self-efficacy.

Outcome measures

Outcome measures
Measure
Treatment as Usual Group
n=80 Participants
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
n=87 Participants
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Change in Coping Self-efficacy, as Measured by the Swahili Version of the Coping Self-Efficacy Scale
Baseline
13.28 score on a scale
Standard Deviation 4.76
13.17 score on a scale
Standard Deviation 5.41
Change in Coping Self-efficacy, as Measured by the Swahili Version of the Coping Self-Efficacy Scale
30 days after intervention
14.4 score on a scale
Standard Deviation 5.63
17.86 score on a scale
Standard Deviation 5.06
Change in Coping Self-efficacy, as Measured by the Swahili Version of the Coping Self-Efficacy Scale
90 days after intervention
14.9 score on a scale
Standard Deviation 5.28
18.00 score on a scale
Standard Deviation 5.02
Change in Coping Self-efficacy, as Measured by the Swahili Version of the Coping Self-Efficacy Scale
180 days after intervention
14.26 score on a scale
Standard Deviation 4.49
17.34 score on a scale
Standard Deviation 5.3

SECONDARY outcome

Timeframe: baseline and 30, 90, and 180 days after intervention

Population: Analysis includes participants who completed surveys at the time point indicated.

Scores range from 10 to 40, with lower scores indicating lower self-esteem and higher scores indicating higher self-esteem

Outcome measures

Outcome measures
Measure
Treatment as Usual Group
n=80 Participants
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
n=87 Participants
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Change in Self-esteem, as Measured by the Swahili Version of the Rosenberg Self-Esteem Scale
Baseline
28.30 score on a scale
Standard Deviation 4.32
28.17 score on a scale
Standard Deviation 4.31
Change in Self-esteem, as Measured by the Swahili Version of the Rosenberg Self-Esteem Scale
30 days after intervention
29.97 score on a scale
Standard Deviation 3.69
32.66 score on a scale
Standard Deviation 3.86
Change in Self-esteem, as Measured by the Swahili Version of the Rosenberg Self-Esteem Scale
90 days after intervention
29.57 score on a scale
Standard Deviation 4.51
32.26 score on a scale
Standard Deviation 3.19
Change in Self-esteem, as Measured by the Swahili Version of the Rosenberg Self-Esteem Scale
180 days after intervention
28.76 score on a scale
Standard Deviation 3.31
32.38 score on a scale
Standard Deviation 3.72

SECONDARY outcome

Timeframe: Baseline

Scores range from 6 to 24, with lower scores indicating less hope and higher scores indicating more hope

Outcome measures

Outcome measures
Measure
Treatment as Usual Group
n=80 Participants
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
n=87 Participants
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Hope, as Measured by the Swahili Version of the State of Hope Scale
15.48 score on a scale
Standard Deviation 3.24
15.82 score on a scale
Standard Deviation 3.36

SECONDARY outcome

Timeframe: baseline and 30, 90, and 180 days after intervention

Population: Analysis includes participants who completed surveys at the time point indicated.

Scores range from 0 to 27, with lower scores indicating less depressive symptoms and higher scores indicating more depressive symptoms

Outcome measures

Outcome measures
Measure
Treatment as Usual Group
n=80 Participants
This group will receive treatment as usual which means that no formal stigma reduction intervention will be provided. At the end of the follow-up period, this group will be invited to view the Labda Siku Moja stigma reduction intervention without follow-up.
Stigma Intervention Group
n=87 Participants
This group will participate in a 5 week intervention. Each week, intervention group participants will watch one ethnodrama segment of the Labda Siku Moja stigma reduction intervention followed by a guided debrief using motivational interviewing. Labda Siku Moja stigma reduction intervention: The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.
Change in Depressive Symptoms, as Measured by the Swahili Version of the Patient Health Questionnaire 9
Baseline
4.20 score on a scale
Standard Deviation 3.69
4.63 score on a scale
Standard Deviation 3.91
Change in Depressive Symptoms, as Measured by the Swahili Version of the Patient Health Questionnaire 9
30 days after intervention
3.05 score on a scale
Standard Deviation 3.69
2.09 score on a scale
Standard Deviation 2.84
Change in Depressive Symptoms, as Measured by the Swahili Version of the Patient Health Questionnaire 9
90 days after intervention
2.00 score on a scale
Standard Deviation 2.72
1.77 score on a scale
Standard Deviation 2.63
Change in Depressive Symptoms, as Measured by the Swahili Version of the Patient Health Questionnaire 9
180 days after intervention
2.84 score on a scale
Standard Deviation 3.51
1.84 score on a scale
Standard Deviation 2.76

Adverse Events

Treatment as Usual Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Stigma Intervention Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Michael Relf, Ph.D.

Duke University School of Nursing

Phone: 919-684-9219

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place