HepatitisNCT03482388
Crowdsourcing to Promote HBV and HCV Testing in China
A study testing Crowdsourced materials in people with Hepatitis and Hepatitis B, run by University of North Carolina, Chapel Hill at 1 site in China.
Trial summary
This is an online randomized controlled trial (RCT) comparing men who have sex with men (MSM) exposed to a crowdsourced intervention to MSM who did not receive the intervention to determine the effect on Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) testing. Read more about this study
- Who is it for?
- Ages 16 years and older, men onlyHealthy volunteers can take part
- Conditions the study is for
- Hepatitis, Hepatitis B, Hepatitis C
- What is being tested?
- Crowdsourced materials
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 700 participants
- Where
- 1 siteChina
- Study dates
- 9 May 2018to 9 Jun 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 16 years and older
- Men only
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- 16 years of age or older
- male
- report having had anal sex with another man at least once in the past
- currently reside in China
- willing to provide working mobile phone number and WeChat account
Who cannot join
- previous HBV vaccination
- previous HBV testing
- previous HCV testing
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Crowdsourced Intervention to Promote Hepatitis B and C Testing Among Men Who Have Sex With Men in China: a Nationwide Online Randomized Controlled Trial
This is an online randomized controlled trial (RCT) comparing men who have sex with men (MSM) exposed to a crowdsourced intervention to MSM who did not receive the intervention to determine the effect on Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) testing. Participants will be randomly assigned in a 1:1 ratio to intervention or control using a computer-based allocation system. Participants will be assessed for primary and secondary outcomes four weeks after randomization.
Read the detailed description
700 MSM will be recruited through social media operated by gay organizations in China. Eligible participants will be born biologically male, age 16 years or older, report previous anal sex with another man, and reside in China. Men self-reporting previous HBV vaccination, HBV testing, or HCV testing will be excluded. After completing a baseline online survey, participants will be randomly assigned to intervention or control arms with a 1:1 allocation ratio. The intervention will include two components: (1) a multimedia component will deliver two videos and two images promoting HBV and HCV testing developed through a crowdsourcing contest in China. (2) A participatory component will invite men to submit suggestions for how to improve crowdsourced videos and images. The control arm will not view any images or videos and will not be invited to submit suggestions. All participants will be offered reimbursement for HBV and HCV testing costs. The primary outcome is HBV and HCV test uptake confirmed through electronic submission of test report photos within four weeks of enrollment. Secondary outcomes include self-reported HBV and HCV test uptake, HBV vaccination uptake, and change in stigma toward people living with HBV measured through a follow-up survey after four weeks. Men with primary and secondary outcomes will be calculated using intention to treat and as-exposed analyses and compared using two-sided 95% confidence intervals.
- Conditions
- Hepatitis, Hepatitis B, Hepatitis C
- Being tested
- Crowdsourced materials, Control
- Keywords
- Hepatitis, Hepatitis B, Hepatitis C, Men who have sex with men, Crowdsourcing, China, Testing
- Medical subject headings
- Hepatitis, Hepatitis B, Hepatitis C, Homosexuality
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Crowdsourced materialsBehavioural
Among participants randomized to the intervention arm, intervention images and videos promoting HBV and HCV testing will be delivered through the WeChat platform. Men will also be invited to submit suggestions for how to improve intervention videos and images.
ControlOther
Participants will not view any images or videos promoting HBV and HCV testing.
| Study group | Role | What they receive |
|---|---|---|
| Crowdsourced intervention | Experimental | A multimedia component will deliver two videos and two images promoting HBV and HCV testing developed through a crowdsourcing contest in China. A participatory component will invite men to submit suggestions for how to improve crowdsourced videos and images. Receives: Behavioral: Crowdsourced materials |
| Control | Other | No images or videos will be viewed, and suggestions for improving hepatitis testing materials will not be collected. Receives: Other: Control |
What is being measured
The primary outcome is the main question the study is designed to answer.
Confirmed HBV and HCV test uptake
Defined as frequency of men who had both HBsAg test uptake and anti-HCV IgG test uptake confirmed through electronic submission of a test report photo showing serology results, age of tester, sex of tester, and date of test
Measured: enrollment - 4 weeks after enrollment
Secondary outcomes (12)
Confirmed HBV test uptake
Defined as frequency of men who had HBsAg test uptake through electronic submission of a test report photo showing serology results, age of tester, sex of tester, and date of test
Measured: enrollment - 4 weeks after enrollment
Confirmed HCV test uptake
Defined as frequency of men who had anti-HCV IgG test uptake confirmed through electronic submission of a test report photo showing serology results, age of tester, sex of tester, and date of test
Measured: enrollment - 4 weeks after enrollment
Self-reported HBV test uptake
Defined as frequency of men who had HBsAg uptake within four weeks of enrollment, self-reported in follow-up survey
Measured: enrollment - 4 weeks after enrollment
Self-reported HCV test uptake
Defined as frequency of men who had anti-HCV IgG uptake within four weeks of enrollment, self-reported in follow-up survey
Measured: enrollment - 4 weeks after enrollment
HBV vaccination uptake
Defined as frequency of men who had receipt of at least a one dose of the HBV vaccine within four weeks of enrollment, self-reported in follow-up survey
Measured: enrollment - 4 weeks after enrollment
HBV vaccination uptake among men with confirmed susceptibility to HBV infection
Defined as frequency of men with negative HBsAg and negative anti-HBs results confirmed through electronic submission of a test report photo showing serology results, who had receipt of at least a one dose of the HBV vaccine within four weeks of enrollment, self-reported in follow-up survey
Measured: enrollment - 4 weeks after enrollment
HIV test uptake
Defined as frequency of men who had HIV test uptake within four weeks of enrollment, self-reported in follow-up survey
Measured: enrollment - 4 weeks after enrollment
Chlamydia test uptake
Defined as frequency of men who had chlamydia test uptake within four weeks of enrollment, self-reported in follow-up survey
Measured: baseline - 4 weeks after enrollment
Gonorrhea test uptake
Defined as frequency of men who had gonorrhea test uptake within four weeks of enrollment, self-reported in follow-up survey
Measured: enrollment - 4 weeks after enrollment
Syphilis test uptake
Defined as frequency of men who had syphilis test uptake within four weeks of enrollment, self-reported in follow-up survey
Measured: enrollment - 4 weeks after enrollment
Change in stigma toward people living with HBV
Continuous variable, defined as difference between Toronto Chinese HBV Stigma Scale score assessed at follow-up and baseline. Stigma toward people living with HBV will be measured at baseline and follow-up using 20 survey items that are each on a five point Likert scale. The 20 items were originally developed as the Toronto Chinese HBV Stigma Scale (potential range of 20 - 100), which has been previously validated and correlated to HBV testing behaviors among Chinese populations. Decreased stigma toward people living with HBV will be defined as a mean composite score that is less at follow-up compared to baseline.
Measured: enrollment - 4 weeks after enrollment
Visit with a physician after hepatitis test uptake
Defined as frequency of men who had HBV and/or HCV test uptake and saw a physician to discuss hepatitis test results within four weeks of enrollment, self-reported in follow-up survey
Measured: enrollment - 4 weeks after enrollment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Mar 2018
- Study start9 May 2018
- Primary completion15 May 2018
- Study completion9 Jun 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for HepatitisStudies of the same condition, open and under way.
- More trials run by University of North Carolina, Chapel HillThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Screening
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants will be randomly assigned in a 1:1 ratio to the study intervention or control
- Masking
- None (open label)
- Enrolment
- 700 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of North Carolina, Chapel Hill
- Sponsor type
- University, hospital or other
- Collaborators
- Doris Duke Charitable Foundation
- Responsible party
- Sponsor
- Investigators
- Joseph Tucker, MD, PhD, MA, Study director, University of North Carolina, Chapel HillThomas Fitzpatrick, Principal investigator, Institute for Global Health and Infectious Diseases
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03482388
- Sponsor's protocol ID
- 18-0251
- Status last verified
- Jun 2018
- First submitted
- 22 Mar 2018
- Last updated
- 20 Jun 2018
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: All de-identified data generated or analyzed during this study will be included in published articles and supplementary information files.
Publications
Palmer MJ, Henschke N, Villanueva G, Maayan N, Bergman H, Glenton C, Lewin S, Fonhus MS, Tamrat T, Mehl GL, Free C. Targeted client communication via mobile devices for improving sexual and reproductive health. Cochrane Database Syst Rev. 2020 Jul 14;8(8):CD013680. doi: 10.1002/14651858.CD013680.
PubMed 32779730Fitzpatrick T, Zhou K, Cheng Y, Chan PL, Cui F, Tang W, Mollan KR, Guo W, Tucker JD. A crowdsourced intervention to promote hepatitis B and C testing among men who have sex with men in China: study protocol for a nationwide online randomized controlled trial. BMC Infect Dis. 2018 Sep 29;18(1):489. doi: 10.1186/s12879-018-3403-3.
PubMed 30268114
Study at a glance
From the registry record, last updated by the sponsor on 20 Jun 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Crowdsourced Intervention to Promote Hepatitis B and C Testing Among Men Who Have Sex With Men in China: a Nationwide Online Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT03482388
- Acronym / sponsor ID
- 18-0251
- Conditions
- Hepatitis, Hepatitis B, Hepatitis C
- Keywords
- Hepatitis, Hepatitis B, Hepatitis C, Men who have sex with men, Crowdsourcing, China, Testing
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 700 participants (actual)
- Lead sponsor
- University of North Carolina, Chapel HillUniversity, hospital or other
- Collaborators
- Doris Duke Charitable Foundation
- Study start
- 9 May 2018 (actual)
- Primary completion
- 15 May 2018 (actual)
- Study completion
- 9 Jun 2018 (actual)
- First posted
- 29 Mar 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an online randomized controlled trial (RCT) comparing men who have sex with men (MSM) exposed to a crowdsourced intervention to MSM who did not receive the intervention to determine the effect on Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) testing. Participants will be randomly assigned in a 1:1 ratio to intervention or control using a computer-based allocation system. Participants will be assessed for primary and secondary outcomes four weeks after randomization.
Detailed description
700 MSM will be recruited through social media operated by gay organizations in China. Eligible participants will be born biologically male, age 16 years or older, report previous anal sex with another man, and reside in China. Men self-reporting previous HBV vaccination, HBV testing, or HCV testing will be excluded. After completing a baseline online survey, participants will be randomly assigned to intervention or control arms with a 1:1 allocation ratio. The intervention will include two components: (1) a multimedia component will deliver two videos and two images promoting HBV and HCV testing developed through a crowdsourcing contest in China. (2) A participatory component will invite men to submit suggestions for how to improve crowdsourced videos and images. The control arm will not view any images or videos and will not be invited to submit suggestions. All participants will be offered reimbursement for HBV and HCV testing costs. The primary outcome is HBV and HCV test uptake confirmed through electronic submission of test report photos within four weeks of enrollment. Secondary outcomes include self-reported HBV and HCV test uptake, HBV vaccination uptake, and change in stigma toward people living with HBV measured through a follow-up survey after four weeks. Men with primary and secondary outcomes will be calculated using intention to treat and as-exposed analyses and compared using two-sided 95% confidence intervals.
Study design
- Primary purpose
- Screening
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants will be randomly assigned in a 1:1 ratio to the study intervention or control
| Arm | Type | Receives |
|---|---|---|
| Crowdsourced intervention | Experimental | Behavioral: Crowdsourced materialsA multimedia component will deliver two videos and two images promoting HBV and HCV testing developed through a crowdsourcing contest in China. A participatory component will invite men to submit suggestions for how to improve crowdsourced videos and images. |
| Control | Other | Other: ControlNo images or videos will be viewed, and suggestions for improving hepatitis testing materials will not be collected. |
Who may qualify
- Ages
- 16 years and older
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (5 listed)
- 16 years of age or older
- male
- report having had anal sex with another man at least once in the past
- currently reside in China
- willing to provide working mobile phone number and WeChat account
Key exclusion criteria (3 listed)
- previous HBV vaccination
- previous HBV testing
- previous HCV testing
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Crowdsourced materialsAmong participants randomized to the intervention arm, intervention images and videos promoting HBV and HCV testing will be delivered through the WeChat platform. Men will also be invited to submit suggestions for how to improve intervention videos and images. | Behavioural | Crowdsourced intervention |
| ControlParticipants will not view any images or videos promoting HBV and HCV testing. | Other | Control |
Primary outcome
Confirmed HBV and HCV test uptake
Time frame: enrollment - 4 weeks after enrollment
Defined as frequency of men who had both HBsAg test uptake and anti-HCV IgG test uptake confirmed through electronic submission of a test report photo showing serology results, age of tester, sex of tester, and date of test
12 secondary outcomes
Confirmed HBV test uptake
Time frame: enrollment - 4 weeks after enrollment
Confirmed HCV test uptake
Time frame: enrollment - 4 weeks after enrollment
Self-reported HBV test uptake
Time frame: enrollment - 4 weeks after enrollment
Self-reported HCV test uptake
Time frame: enrollment - 4 weeks after enrollment
HBV vaccination uptake
Time frame: enrollment - 4 weeks after enrollment
HBV vaccination uptake among men with confirmed susceptibility to HBV infection
Time frame: enrollment - 4 weeks after enrollment
HIV test uptake
Time frame: enrollment - 4 weeks after enrollment
Chlamydia test uptake
Time frame: baseline - 4 weeks after enrollment
Gonorrhea test uptake
Time frame: enrollment - 4 weeks after enrollment
Syphilis test uptake
Time frame: enrollment - 4 weeks after enrollment
Change in stigma toward people living with HBV
Time frame: enrollment - 4 weeks after enrollment
Visit with a physician after hepatitis test uptake
Time frame: enrollment - 4 weeks after enrollment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jun 2018.
- Derived from this study: PubMed 32779730Palmer MJ, Henschke N, Villanueva G, Maayan N, Bergman H, Glenton C, Lewin S, Fonhus MS, Tamrat T, Mehl GL, Free C. Targeted client communication via mobile devices for improving sexual and reproductive health. Cochrane Database Syst Rev. 2020 Jul 14;8(8):CD013680. doi: 10.1002/14651858.CD013680.
- Derived from this study: PubMed 30268114Fitzpatrick T, Zhou K, Cheng Y, Chan PL, Cui F, Tang W, Mollan KR, Guo W, Tucker JD. A crowdsourced intervention to promote hepatitis B and C testing among men who have sex with men in China: study protocol for a nationwide online randomized controlled trial. BMC Infect Dis. 2018 Sep 29;18(1):489. doi: 10.1186/s12879-018-3403-3.
- Individual participant dataSharing planned: Yes. All de-identified data generated or analyzed during this study will be included in published articles and supplementary information files.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Joseph Tucker, MD, PhD, MA study director
University of North Carolina, Chapel Hill
Thomas Fitzpatrick principal investigator
Institute for Global Health and Infectious Diseases
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Crowdsourced materials in people with Hepatitis and Hepatitis B, run by University of North Carolina, Chapel Hill at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Confirmed HBV and HCV test uptake (time frame: enrollment - 4 weeks after enrollment). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03482388, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jun 2018.