Innovative Strategy to Offer Online Test and Treat for Thai MSM/TG

Thai Red Cross AIDS Research Centre

Status: Completed

Conditions: HIV/AIDS

Treatments: Other: Group A: Offline HTC; Other: Group B2: Online HIV testing and post-test counseling; Other: Group B1: Offline HIV testing and post-test counseling

Study type: Interventional

Funder types: Other

Identifiers

NCT03203265

amfAR Test and Treat

Details and patient eligibility

About

This study will ask Thai MSM and transgender women (TG) participants to self-select to participate in one of the 3 different study groups which provide various degrees of integrated online interventions and offline interventions for the Recruit-Test-Treat-Retain for HIV prevention and care among 3 groups (A, B1 and B2). All participants will be followed up either offline or online for 12 months. HIV-negative participants will be scheduled for repeat HTC at months 6 and 12. HIV-positive participants will be scheduled either offline or online to review their treatment history at months 6 and 12. HIV-negative participants in Group B1 and B2 can choose again at months 6 and 12 to switch from the online to offline, and vice versa, at the HIV testing/post-test counseling step and the referral to HIV treatment step

Enrollment: 600 patients

Sex: Male

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Thai national
2. Age >18 years
3. Men or transgender women who have at least 1 unprotected anal sex with men within the past 6 months
4. Live in the Bangkok Metropolitan Region (Bangkok, Pathumthani, Samutprakarn, Samutsakorn, Nakornpathom and Nonthaburi) or Pattaya
5. Not known to be HIV-positive, i.e., never tested for HIV or previous HIV test(s) negative
6. Willing to participate in the study for 12 months.
7. Provide verbal informed consent

Exclusion criteria

1. Known HIV-positive serostatus

Trial design

Primary purpose: Screening

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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600 participants in 3 patient groups

A:Offline HIV testing and counseling

Other group

Description:

Participants in Group A will be invited to come to the Thai Red Cross Anonymous Clinic, RSAT or SWING drop-in centers in Bangkok, or SWING or Sisters drop-in centers in Pattaya. After registration, they will receive standard HIV Testing and Counseling (HTC) services.

Treatment:

Other: Group A: Offline HTC

B1:Offline

Other group

Description:

participants will be guided to access services at the 'Adam's Love Offline Clinic,' a clinic set up specifically to provide private and fast HIV testing and post-test counseling only.

Treatment:

Other: Group B1: Offline HIV testing and post-test counseling

B2: Online

Other group

Description:

participants will be mailed a rapid HIV test kit. A trained online counselor will guide the participant through an online HIV testing process which includes quality checking of the test kit, obtaining blood through finger prick, performing the testing steps, and reading the test result.

Treatment:

Other: Group B2: Online HIV testing and post-test counseling