Strengthening Families Living With HIV in Kenya
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Michael Goodman, DrPH
- Phone Number: 7132926588
- Email: migoodma@utmb.edu
Study Locations
-
-
Meru County
-
Maua, Meru County, Kenya
- Meru County Department of Health
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Criteria for inclusion of subjects include:
- testing positive for HIV, confirmed by the Ministry of Health clinics
- being at or older than 13 years of age
- initiating care at a qualified Ministry of Health clinic in the catchment area, or intending to initiate care at such a clinic (see below for definition)
- Any gender, age (13+ years), and comorbid disease states
- Provide informed consent if adult, emancipated minor or mature minor
- Provide assent if minor with guardian, who must provide informed consent
Qualified clinical locations include
- those with accessible and usable public land to convene weekly meetings,
- no current program targeting families with HIV known to the Ministry of Health
Exclusion Criteria:
- Refusal to participate
- Current participation in a similar program
- Residing in a location with a similar program targeting patients with HIV
- Not covered by inclusion criteria.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intervention Arm
Patients, adults and adolescents, will be recruited from patient registries at 7 government operated HIV clinics in Meru County, Kenya.
Patients will complete validated questionnaires at baseline, 1.5 year and 3 years into a novel adaptation of a community empowerment program.
The program utilizes savings- and internal-lending/group-based microfinance process to facilitate exchange of savings amongst patients and adolescent guardians.
A byproduct of this process is the development of social capital, which will be used to facilitate education, peer learning, and collective problem solving to improve determinants of well-being and clinical adherence among participants.
Expected outcomes include improved viral suppression, ART adherence, clinical attendance, and mental health.
|
Information has been provided in the treatment arm description.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Viral Suppression
Time Frame: Change from baseline to 3 years
|
Viral suppression is measured as an undetectable viral load using standard clinic procedures.
|
Change from baseline to 3 years
|
|
Anti-retroviral therapy Adherence
Time Frame: Change from baseline to 3 years
|
Anti-retroviral therapy (ART) adherence will be measured by patient report using the adherence portions of the AIDS Clinical Trial Group (ACTG) Adherence tool and by refill history.
|
Change from baseline to 3 years
|
|
Depression
Time Frame: Change from baseline to 3 years
|
Depression will be measured using the Beck's Depression Inventory.
Higher scores mean more depressive symptoms present.
|
Change from baseline to 3 years
|
|
Anxiety
Time Frame: Change from baseline to 3 years
|
Anxiety will be measured using the Generalized Anxiety Disorder (GAD7) instrument.
Higher score means more anxiety symptoms present.
|
Change from baseline to 3 years
|
|
Post-Traumatic Stress Disorder
Time Frame: Change from baseline to 3 years
|
Post-traumatic stress disorder (PTSD) will be measured using the PTSD symptom scale.
Higher scores mean more PTSD symptoms present.
|
Change from baseline to 3 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Group entitativity
Time Frame: Change from baseline to 3 years
|
Social cohesion (operationalized as group entitativity) will be measured using the Generalized Entitativity Measure (GEM).
Higher score on this visual analogue scale means higher group entitativity.
|
Change from baseline to 3 years
|
|
Intimate partner violence
Time Frame: Change from baseline to 3 years
|
Family violence will be measured using the Conflict Tactics Scale (CTS-2).
Higher scale scores mean more conflict present; higher violence/coercive subscale scores mean more violence and coercion present.
|
Change from baseline to 3 years
|
|
Food insecurity
Time Frame: Change from baseline to 3 years
|
Food security will be measured using the Household Food Insecurity Scale instrument.
Higher scale scores mean higher food insecurity.
|
Change from baseline to 3 years
|
|
Social trust
Time Frame: Change from baseline to 3 years
|
Social trust will be measured using a single validated item.
This is a binary outcome with 1=presence of trust between respondent and other similar aged people with HIV.
|
Change from baseline to 3 years
|
|
Expectations of mutual support
Time Frame: Change from baseline to 3 years.
|
Expectation of mutual support will be measured using the a single validated item.
Higher score means higher expectation of mutual support between respondent and other similar-aged people with HIV.
|
Change from baseline to 3 years.
|
|
Child-guardian conflict
Time Frame: Change from baseline to 3 years.
|
Child-guardian conflict will be measured using the Conflict Tactics Scale for children (CTS2-pc).
Higher scale score means more conflict present; higher violence subscale scores mean more violent conflicts used.
|
Change from baseline to 3 years.
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Michael L Goodman, DrPH, The University of Texas Medical Branch, Galveston
- Study Director: Stanley Gitari, MPH, Sodzo Kenya
Publications and helpful links
General Publications
- Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. B. (1996). The revised conflict tactics scales (CTS2) development and preliminary psychometric data. Journal of family issues, 17(3), 283-316.
- Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of traumatic stress, 6(4), 459-473.
- Gaertner, L., & Schopler, J. (1998). Perceived ingroup entitativity and intergroup bias: An interconnection of self and others. European Journal of Social Psychology, 28(6), 963-980.
- Chesney MA, Ickovics JR, Chambers DB, Gifford AL, Neidig J, Zwickl B, Wu AW. Self-reported adherence to antiretroviral medications among participants in HIV clinical trials: the AACTG adherence instruments. Patient Care Committee & Adherence Working Group of the Outcomes Committee of the Adult AIDS Clinical Trials Group (AACTG). AIDS Care. 2000 Jun;12(3):255-66. doi: 10.1080/09540120050042891.
- Knack, S., and Keefer, P. (1997) Does social capital have an economic payoff? A cross-country investigation. The Quarterly Journal of Economics, 112(4), 1251-1288.
- Poortinga W. Social relations or social capital? Individual and community health effects of bonding social capital. Soc Sci Med. 2006 Jul;63(1):255-70. doi: 10.1016/j.socscimed.2005.11.039. Epub 2006 Jan 19.
- Straus MA, Hamby SL, Finkelhor D, Moore DW, Runyan D. Identification of child maltreatment with the Parent-Child Conflict Tactics Scales: development and psychometric data for a national sample of American parents. Child Abuse Negl. 1998 Apr;22(4):249-70. doi: 10.1016/s0145-2134(97)00174-9.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Blood-Borne Infections
- Trauma and Stressor Related Disorders
- Urogenital Diseases
- Genital Diseases
- Mental Disorders
- Immune System Diseases
- Behavioral Symptoms
- Infections
- RNA Virus Infections
- Virus Diseases
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- Slow Virus Diseases
- HIV Infections
- Stress Disorders, Traumatic
- Behavior
- Treatment Adherence and Compliance
- Health Behavior
- Patient Compliance
- Patient Acceptance of Health Care
- Anxiety Disorders
- Depression
- Acquired Immunodeficiency Syndrome
- Stress Disorders, Post-Traumatic
- Medication Adherence
Other Study ID Numbers
Other Study ID Numbers
- 19-0241
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- ANALYTIC_CODE
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on PTSD
-
NCT01637584Completed
-
NCT03429166Completed
-
NCT03350360Completed
-
NCT05120674Terminated
Clinical Trials on Kuja Pamoja - HIV
-
NCT03243396CompletedDepression | Post Traumatic Stress Disorder | Grief
-
NCT06257927CompletedParent-Child Relations | Child Behavior | Domestic Violence | Adolescent Behavior | Family Conflict | Marital Conflict | Family Dysfunctional
-
NCT03360201CompletedChild Abuse | Parent-Child Relations | Parenting | Child Behavior | Mental Health | Child Mental Disorder | Domestic Violence | Family Relations | Family Conflict | Adolescent - Emotional Problem
-
NCT06417918CompletedChild Abuse | Parent-Child Relations | Parenting | Child Behavior | Child Mental Disorder | Domestic Violence | Family Relations | Family Conflict | Mental Health Issue | Adolescent - Emotional Problem
-
NCT01867177Completed
-
NCT01195220Withdrawn
-
NCT03252483CompletedHepatitis C | HIV/AIDS | Hiv | HCV Coinfection | HIV/AIDS and Infections