Client-Centered Counseling During Routine/Opt-Out HIV-Testing in Uganda

Susan M. Kiene

Status: Completed

Conditions: Sexual Behavior; HIV

Treatments: Behavioral: Standard-of-care counseling during HIV testing; Behavioral: Motivational interviewing intervention during HIV testing

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT02438930

SK_UG_K01

K01MH083536 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study pilot tests and intervention to help individuals reduce their risk for acquiring or transmitting HIV. The intervention is implemented when people are tested for HIV in an outpatient clinic in rural Uganda. Approximately half of participants will receive the intervention and the other half will receive the usual counseling provided during HIV counseling and testing.

Enrollment: 333 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. at least 18 years of age,
2. have come to the outpatient clinic for a medical concern (e.g., cough, malaria, but not those seeking voluntary HIV-counseling and testing,
3. sexually active within the prior 3-months,
4. not currently pregnant,
5. no confirmed HIV-positive test result prior to the present HIV-test, and
6. live not more than 30km from Gombe Hospital in Uganda (to facilitate follow-up)

Exclusion criteria

• less than 18 years of age,
• having come to the clinic seeking voluntary HIV-counseling and testing,
• not sexually active in prior 3 months,
• currently pregnant,
• confirmed prior HIV positive test,
• live more than 30km from the hospital

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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333 participants in 2 patient groups

Motivational interviewing counseling

Experimental group

Description:

The brief intervention is adapted from the OPTIONS project, which is a brief client-centered risk reduction intervention for HIV-positive patients in clinical care. The OPTIONS intervention content is based upon the IMB model of health behavior change, and uses motivational interviewing techniques to create client-centered discussions in which HIV counselors and patients collaborate to identify patients' HIV transmission risk behaviors and to mutually identify strategies and goals for reducing the patient's risky behavior. The brief intervention will be facilitated by health care providers (nurses, lab technicians) specifically trained in the intervention protocol and will consist of 2 brief counseling sessions occurring during the same-day rapid HIV-testing procedure

Treatment:

Behavioral: Motivational interviewing intervention during HIV testing

Standard of care counseling

Active Comparator group

Description:

Participants in this study condition will receive standard-of-care counseling that is usually implemented during HIV testing.

Treatment:

Behavioral: Standard-of-care counseling during HIV testing