Brief HIV Prevention Counseling for STI Patients in South Africa
| Status: | Completed |
|---|---|
| Conditions: | Infectious Disease |
| Therapuetic Areas: | Immunology / Infectious Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 10/14/2017 |
| Start Date: | August 2005 |
| End Date: | August 2010 |
Randomized Trial of a Brief HIV Risk Reduction Counseling Intervention for Sexually Transmitted Infections Clinic Patients in Cape Town, South Africa
This is a Phase IIB randomized trial to test a brief single session risk reduction counseling
intervention on HIV and STI behavioral outcomes in Cape Town South Africa.
intervention on HIV and STI behavioral outcomes in Cape Town South Africa.
This 5 year study will conduct a randomized clinical trial of a gender and culturally
tailored theory-based behavioral risk reduction intervention for men and women who are
receiving sexually transmitted infection (STI) diagnostic and treatment services from STI
treatment providers in South Africa. As many as one in five South Africans is HIV positive
and there are an estimated 1,500 new HIV infections in South Africa each day. The
experimental intervention in this study was developed by South African and US investigators
and pilot tested in South Africa. The intervention is grounded in the experience of South
African health service provider, empirical research on AIDS-related stigmas, and elements of
a social cognitive theory of health behavior change. The intervention consists of a single
60-minute risk reduction counseling session delivered within the context of STI services.
Participants will be STI clinic patients over age 18 that have been treated for a previous
STI. Participants will be baseline assessed and randomized to receive either (a) the 60 min
theory-based and culturally tailored risk reduction intervention or (b) a time and contact
matched standard of care HIV and health education session. Participants will be followed for
12 months post intervention. Assessments will be conducted using computer assisted interviews
(ACASI). The randomized trial will determine the efficacy of the risk reduction intervention
for South African men and women receiving STI clinic services. Outcome analyses will include
differences between conditions on new STI diagnoses over 12 months. We will also test the
mediating effects of attitudes and beliefs on intervention outcomes. Results of this research
will therefore test a clinic-based HIV prevention intervention model that is urgently needed
in South Africa.
tailored theory-based behavioral risk reduction intervention for men and women who are
receiving sexually transmitted infection (STI) diagnostic and treatment services from STI
treatment providers in South Africa. As many as one in five South Africans is HIV positive
and there are an estimated 1,500 new HIV infections in South Africa each day. The
experimental intervention in this study was developed by South African and US investigators
and pilot tested in South Africa. The intervention is grounded in the experience of South
African health service provider, empirical research on AIDS-related stigmas, and elements of
a social cognitive theory of health behavior change. The intervention consists of a single
60-minute risk reduction counseling session delivered within the context of STI services.
Participants will be STI clinic patients over age 18 that have been treated for a previous
STI. Participants will be baseline assessed and randomized to receive either (a) the 60 min
theory-based and culturally tailored risk reduction intervention or (b) a time and contact
matched standard of care HIV and health education session. Participants will be followed for
12 months post intervention. Assessments will be conducted using computer assisted interviews
(ACASI). The randomized trial will determine the efficacy of the risk reduction intervention
for South African men and women receiving STI clinic services. Outcome analyses will include
differences between conditions on new STI diagnoses over 12 months. We will also test the
mediating effects of attitudes and beliefs on intervention outcomes. Results of this research
will therefore test a clinic-based HIV prevention intervention model that is urgently needed
in South Africa.
Inclusion Criteria:
- 18 years and older
- STI clinic patient diagnosed with an STI at current visit
Exclusion Criteria:
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