AzTrials
AzTrials

HIV/AIDSNCT04349748

MHealth Intervention of HIV and STDs Partner Notification for MSM

A study testing Health education, and regular HIV and STDs testing prompting service and Health status inquiry through app (partner notification) in people with HIV/AIDS and Sexually Transmitted Diseases, run by National Institute on Drug Dependence, China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

Men who have sex with men (MSM) have become a focus of HIV and other sexually transmitted diseases (STD) control in China. Most of MSM who seek causal partners through online dating platforms do not know their sexual partners' real HIV and STDs infection status, which leads to more high risk status, especially for… Read more about this study

Who is it for?
Ages 15 years and older, men onlyHealthy volunteers can take part
What is being tested?
Health education, and regular HIV and STDs testing prompting service and Health status inquiry through app (partner notification)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
6,172 participants
Where
No sites listed yet
Study dates
1 Jul 2020to 30 Jun 2023
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 15 years and older
  • Men only
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • biologically male,
  • had oral or anal sex with men at least once during their lifetime,
  • 15 years of age or older,
  • had no difficulty using a mobile phone,
  • willing to provide their mobile phone numbers to serve as the unique identification numbers of the app's self-query and partner notification functions,
  • willing to use the app's function modules,
Show all 9Show fewer
  • willing to complete the questionnaire for the research,
  • willing to continuously receive HIV and STDs testing and consulting services provided by the CBO our research setting at,
  • willing to complete the informed consent document.

Who cannot join

  • 1.had serious physical disabilities or mental diseases.

Trial locations and contacts

No sites are listed yet.

Zhongwei Jia, Prof. PhD contact

+86-10-82802457

urchinjj@163.com

About this study

Official title: The Effect of Providing mHealth Intervention of Partner Notification to Protect MSM From HIV and Sexually Transmitted Diseases Infection: a Pragmatic Stepped Wedge Cluster Randomized Controlled Trial

Men who have sex with men (MSM) have become a focus of HIV and other sexually transmitted diseases (STD) control in China. Most of MSM who seek causal partners through online dating platforms do not know their sexual partners' real HIV and STDs infection status, which leads to more high risk status, especially for sexual behaviors. Effective Internet-based partner notification is urgently warranted to increase their risk awareness and prevent HIV and STDs transmission. This study developed an app which can help MSM to query recent HIV and other STDs statuses each other from the testing platform in order that they can find a relatively safety sexual partners and reduce risk of HIV infection.

Read the detailed description

Because most of the recent "Partner Notification" methods are a kind of afterwards remedial measures and will fail to find some of the infected MSM, researchers propose a preventive measures before they meet together. For MSM who are seeking potential sexual partners through Internet, researchers will encourage them to query health status before they decide to meet each other in order to promote their healthy self-responsibility consciousnes including avoiding HIV and other STDs infection, which will form a real ,digital MSM cohort. Researchers designed a pragmatic stepped wedge cluster randomized controlled trial to evaluate the effect of an intervention paradigm that provides HIV, syphilis, hepatitis B, and hepatitis C status partner notification based on the existing HIV and STDs control methods through an mHealth application (app), to reduce HIV and STDs incidences among MSM in China. More than 6000 MSM of 16 districts in Beijing, China will be grouped into four arms, each arm will cover four indepednent districts of Beijing randomly. The four arms will be randomized to sequentially initiate partner notification intervention through the app at 6-month intervals. All participants will be provided informed consent in the app after a full explanation of the protocol design. Researchers expect that the HIV incidence will be significantly lower and the secondary outcomes will also be better after partner notification intervention. The feasible and affordable public health management paradigm will have implications for HIV and STDs prevention and control among MSM and other key populations.

Being tested
Health education, and regular HIV and STDs testing prompting service, Health status inquiry through app (partner notification)
Keywords
HIV/AIDS, sexually transmitted disease (STD), men who have sex with men (MSM), partner notification, mHealth application, stepped wedge cluster randomized controlled trial
Medical subject headings
Acquired Immunodeficiency Syndrome, Sexually Transmitted Diseases, Homosexuality

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Health education, and regular HIV and STDs testing prompting serviceBehavioural

    Health education through app for once a week, and regular HIV and STDs testing prompting service (every month through app) are given to the participants at the beginning of the study and last for the whole five observation periods.

  • Health status inquiry through app (partner notification)Behavioural

    The permission to query health status through app (partner notification) is given to participants (participants can query their potential sexual partner's status of HIV, syphilis, hepatitis B, and hepatitis C respectively through app) at the specific observation period,and the permission is retained until the end of study.

Study groups in NCT04349748
Study groupRoleWhat they receive
Group 1ExperimentalThe group is given health education, regular HIV and STDs testing prompting service in the whole study, and permission to query health status (partner notification) through app from the second observation period. HIV and STDs testing and questionnaire are given to the participants when they receive the testing service.
Receives: Behavioral: Health education, and regular HIV and STDs testing prompting service; Behavioral: Health status inquiry through app (partner notification)
Group 2ExperimentalThe group is given health education, regular HIV and STDs testing prompting service in the whole study, and permission to query health status (partner notification) through app from the third observation period. HIV and STDs testing and questionnaire are given to the participants when they receive the testing service.
Receives: Behavioral: Health education, and regular HIV and STDs testing prompting service; Behavioral: Health status inquiry through app (partner notification)
Group 3ExperimentalThe group is given health education, regular HIV and STDs testing prompting service in the whole study, and permission to query health status (partner notification) through app from the fourth observation period. HIV and STDs testing and questionnaire are given to the participants when they receive the testing service.
Receives: Behavioral: Health education, and regular HIV and STDs testing prompting service; Behavioral: Health status inquiry through app (partner notification)
Group 4ExperimentalThe group is given health education, regular HIV and STDs testing prompting service in the whole study, and permission to query health status (partner notification) through app from the fifth observation period. HIV and STDs testing and questionnaire are given to the participants when they receive the testing service.
Receives: Behavioral: Health education, and regular HIV and STDs testing prompting service; Behavioral: Health status inquiry through app (partner notification)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. HIV positive seroconversion rate (HIV incidence)

    The number of HIV positive seroconversions divided by the total number of person-years.

    Measured: through study completion, an average of six months

  2. Additional cost of the intervention

    The total cost and average cost for per participant of the integrated intervention model and each additional intervention/service based on the existing HIV prevention measures provided as before.

    Measured: through study completion, an average of six months

Secondary outcomes (14)
  1. Syphilis positive seroconversion rate (Syphilis incidence)

    The number of syphilis seroconversions divided by the total number of person-years.

    Measured: through study completion, an average of six months

  2. Hepatitis B positive seroconversion rate (Hepatitis B incidence)

    The number of hepatitis B seroconversions divided by the total number of person-years.

    Measured: through study completion, an average of six months

  3. Hepatitis C positive seroconversion rate (Hepatitis C incidence)

    The number of hepatitis C seroconversions divided by the total number of person-years.

    Measured: through study completion, an average of six months

  4. HIV and related diseases transmission among social networks

    Based on the partner notification information, we will construct the transmission networks of HIV and other STDs (syphilis, hepatitis B, and hepatitis C) among participants, and analyze the characteristics of these networks and factors associated with transmission of these diseases.

    Measured: through study completion, an average of 1 year

  5. Testing adherence

    The proportion of participants whose every adjacent testing interval is no more than 3 months as recommended by China CDC.

    Measured: through study completion, an average of 1 year

  6. Additional cost for finding per seroconversion

    The total additional cost of the integrated intervention model based on the existing HIV prevention measures provided as before divided by the total number of the HIV and STDs seroconversions.

    Measured: through study completion, an average of six months

  7. Frequency of utilization for each intervention/service

    The total frequency and average frequency for per participant of utilization for each intervention/service, such as health education, partner notification, HIV and STDs testing and so on.

    Measured: through study completion, an average of six months

  8. Satisfaction of the interventions and services

    This indicator is measured by the follow-up questionnaires as the degree of satisfaction for participants of HIV and STDs testing service, health education, partner notification and other app's functions.

    Measured: through study completion, an average of six months

  9. Knowledge of HIV and related STDs

    This indicator is measured by the baseline and follow-up questionnaires, and we use the score of knowledge questions in the questionnaires to represent participants' level of knowledge.

    Measured: through study completion, an average of six months

  10. Attitudes of HIV and STDs testing, safe sexual behaviors and partner notification

    The attitudes are collected by these questions in the baseline and follow-up questionnaires.

    Measured: through study completion, an average of six months

  11. Sexual behaviors

    They are measured by questionnaires, including questions about the number of different kinds of sexual partners, frequency of anal sex, condom use, and partner notification implementation.

    Measured: through study completion, an average of six months

  12. Substance use behaviors

    This indicator is measured by questionnaires about participants' usage about methamphetamine, heroin, ecstasy, and some other sex-promoting drugs.

    Measured: through study completion, an average of six months

  13. Psychological status

    SAS (self-rating anxiety) scale and SDS (self-rating depression) scale are used to measure participants' psychological status through questionnaires. The higher scores of the two scares mean the worse outcomes.

    Measured: through study completion, an average of six months

  14. Referral rate of HIV and related STDs

    The proportion of new HIV and STDs infections who have received treatment.

    Measured: through study completion, an average of six months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Apr 2020
  2. Study start1 Jul 2020 (estimated)
  3. Primary completion31 Dec 2022 (estimated)
  4. Study completion30 Jun 2023 (estimated)

Resources

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
Prevention
Allocation
Randomised
Intervention model
Crossover
Model description
This study is not a conventional crossover design,we use a pragmatic stepped-wedge cluster-randomised design.The study lasts for 2.5 years, which is divided to five continuous observation periods (every six months).The sixteen districts are assigned to four arms randomly.Four arms began recruiting participants at the same time,and at the first observation period,all groups were given health education and regular HIV and STDs testing prompting service,the two services above are given continuously for five observation periods.At the second observation period,the first group is given permission to query health status (partner notification) through app,but the other three groups do not.At every observation period after that (the third to fifth observation period),the three groups will be given permission to query health status one by one.Once a group is given the permission,it is retained until the end of study.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
6,172 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04349748
Sponsor's protocol ID
NIDD-HIV
Status last verified
May 2020
First submitted
10 Apr 2020
Last updated
27 May 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: 1. Study Protocol,part of study report and data will be published in journals; 2. Researchers can contact the principal investigator(PI:ZhongweiJia) for IPD through email two years after the end of the trial.

Publications

  • Brown LB, Miller WC, Kamanga G, Nyirenda N, Mmodzi P, Pettifor A, Dominik RC, Kaufman JS, Mapanje C, Martinson F, Cohen MS, Hoffman IF. HIV partner notification is effective and feasible in sub-Saharan Africa: opportunities for HIV treatment and prevention. J Acquir Immune Defic Syndr. 2011 Apr 15;56(5):437-42. doi: 10.1097/qai.0b013e318202bf7d.

    PubMed 22046601
  • Tsega A, Udeagu CC, Begier EM. A comparison of partner notification effectiveness in African-, Caribbean-, and United States-born HIV-infected Blacks in New York City. AIDS Patient Care STDS. 2012 Jul;26(7):406-10. doi: 10.1089/apc.2011.0313. Epub 2012 Jun 4.

    PubMed 22663166
  • Rosenberg NE, Mtande TK, Saidi F, Stanley C, Jere E, Paile L, Kumwenda K, Mofolo I, Ng'ambi W, Miller WC, Hoffman I, Hosseinipour M. Recruiting male partners for couple HIV testing and counselling in Malawi's option B+ programme: an unblinded randomised controlled trial. Lancet HIV. 2015 Nov;2(11):e483-91. doi: 10.1016/S2352-3018(15)00182-4. Epub 2015 Oct 22.

    PubMed 26520928
  • Yan X, Lu Z, Zhang B, Li Y, Tang W, Zhang L, Jia Z. Protecting Men Who Have Sex With Men From HIV Infection With an mHealth App for Partner Notification: Observational Study. JMIR Mhealth Uhealth. 2020 Feb 19;8(2):e14457. doi: 10.2196/14457.

    PubMed 32130147
  • Yan X, Li Y, Su H, Xing Y, Zhang B, Lu Z, Jia Z. Protect MSM from HIV and other sexually transmitted diseases by providing mobile health services of partner notification: protocol for a pragmatic stepped wedge cluster randomized controlled trial. BMC Public Health. 2020 Jul 14;20(1):1107. doi: 10.1186/s12889-020-09162-x.

    PubMed 32664934

Questions about this trial

What is this clinical trial studying?

A study testing Health education, and regular HIV and STDs testing prompting service and Health status inquiry through app (partner notification) in people with HIV/AIDS and Sexually Transmitted Diseases, run by National Institute on Drug Dependence, 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 9 inclusion and 1 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: status not confirmed, as of the sponsor's last update on 27 May 2020. Status can change between updates, so confirm with the study contact before making plans.

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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Zhongwei Jia, Prof. PhD (+86-10-82802457, urchinjj@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

HIV positive seroconversion rate (HIV incidence) (time frame: through study completion, an average of six months). The study lists 2 primary outcomes in all. 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 NCT04349748, which also lists 5 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 27 May 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in