- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04442399
Family Connection: Pilot of Family-based Self-management for HIV-infected Adolescents
March 21, 2023 updated by: Johns Hopkins Bloomberg School of Public Health
Pilot of Family-based Self-management for HIV-infected Adolescents in Two Clinics in Ndola
The study design has two phases.
The first phase is the refinement of intervention manual for an adolescent living with HIV (ALHIV)and their caregiver intervention, followed by a second phase feasibility pilot study.
The study goals are to refine and pilot a feasible intervention that fosters resiliency and draws upon the strengths of adolescents and their families.
Specific aims include to: (1) Refine activities and an intervention manual for a family-focused group intervention for adolescents and their caregivers to improve HIV self-management among adolescents living with HIV; (2) conduct a pilot study to assess the acceptability and feasibility of the group intervention among 50 adolescent/caregiver pairs that are randomly assigned to the intervention or the comparison arms, and (sub aim 2a) examine preliminary trends in outcome measures, including Anti-Retroviral Therapy (ART) adherence, safer sex behaviors and stigma, comparing the intervention and comparison study arms.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The need for effective interventions to support adolescent HIV self-management is particularly pressing in Sub-Saharan Africa (SSA) where the majority of the 2.1 million ALHIV reside.
Highlighting the vulnerability of ALHIV is their increasing HIV-related mortality, up 50% in 2012 compared to 2005, while the global number of HIV-related deaths among all ages decreased by 30%.
In response to the disparate burden of HIV mortality among ALHIV, combined with the compelling evidence from HIV prevention and chronic illness literature and research on the influential role of families, the study team propose to refine and pilot test an ALHIV/caregiver group intervention.
This intervention will draw upon principles of Positive Youth Development (PYD) and Social Cognitive theory (SCT) to emphasize skills building, self-efficacy, youth participation, and strengthening adult relationships.
The intervention will build upon an existing ALHIV support group guide and utilize trained facilitators to hold group sessions with ALHIV and their caregivers to: 1) improve understanding of HIV among ALHIV and caregivers; 2) help ALHIV develop strategies for healthy living including adherence to ART; 3) build the capacity of ALHIV to make informed decisions about their sexual and reproductive health; 4) build the capacity of caregivers to support ALHIV; and 5) help ALHIV develop life skills to communicate their HIV diagnosis effectively, and to plan for their future.
The study design has two phases.
The first phase is the refinement of the ALHIV/caregiver intervention manual followed by a second phase feasibility pilot study.
The Study goals are to refine and pilot a feasible intervention that fosters resiliency and draws upon the strengths of adolescents and their families.
Specific aims include to: (1) Refine activities and an intervention manual for a family-focused group intervention for adolescents and their caregivers to improve HIV self-management among adolescents living with HIV; (2) conduct a pilot study to assess the acceptability and feasibility of the group intervention among 50 adolescent/caregiver pairs that are randomly assigned to the intervention or the comparison arms, and (sub aim 2a) examine preliminary trends in outcome measures, including ART adherence, safer sex behaviors and stigma, comparing the intervention and comparison study arms.
Study Type
Interventional
Enrollment (Actual)
50
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Ndola, Zambia
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
15 years and older (Child, Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Adolescents: 15 and 19 years old, aware of their HIV status, and had been on ART for at least six months
- Caregivers:nominated by the adolescents and were at least 20 years old
Exclusion Criteria:
- Caregiver: Being a biological parent is not an eligibility criterion
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
The intervention was based on the WHO-endorsed manual entitled Positive Connections: Leading Information and Support Groups for Adolescents Living with HIV.
For Family Connections, a caregiver companion guide was developed.
In brief, adolescent/caregiver pairs attended 10 intervention sessions held every other Saturday at their HIV clinic over a six-month period.
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Ten intervention sessions were covered, ranging form understanding HIV and to handling stigma and discrimination.
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No Intervention: Comparison
The comparison arm consisted of standard of care for adolescents as offered at the HIV clinics.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of adolescent/caregiver pairs who attend Family Connections (feasibility)
Time Frame: Attendance over the course of the 6 month intervention collected using attendance log.
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Feasibility was assessed based on attendance at the intervention sessions.We considered the intervention feasible if at least two-thirds of the pairs attended 80% or more of the intervention sessions.
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Attendance over the course of the 6 month intervention collected using attendance log.
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Proportion of participants who would recommend the Family Connections program (acceptability)
Time Frame: At the six-month endline data collection
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The proportion of participants who reported during the endline survey that they would recommend the intervention to others.
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At the six-month endline data collection
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Youth Participants' mean ART adherence over six months using daily medication electronic monitoring system (MEMS) caps data
Time Frame: Collected monthly over the course of the six month intervention
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Medication electronic monitoring system (MEMS) caps data recorded the date and time the pill bottle was opened.
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Collected monthly over the course of the six month intervention
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Proportion of participants with viral failure (1,000 copies or more per mL)
Time Frame: ~ 6 months (from baseline to endline)
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Defined as having 1,000 or more RNA copies per mL
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~ 6 months (from baseline to endline)
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Youth Participants' adolescent internalized stigma measures (yes/no)
Time Frame: ~ 6 months (from baseline to endline]
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Three agree/disagree statements from the Internalized AIDS Stigma Scale (IA-RSS) as adapted previously in Zambia - low chronbach's alpha resulted in the three measures being analyzed as separate indicators.
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~ 6 months (from baseline to endline]
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Julie A Denison, PhD, Johns Hopkins Bloomberg School of Public Health
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 1, 2016
Primary Completion (Actual)
December 1, 2016
Study Completion (Actual)
June 1, 2017
Study Registration Dates
First Submitted
June 18, 2020
First Submitted That Met QC Criteria
June 18, 2020
First Posted (Actual)
June 22, 2020
Study Record Updates
Last Update Posted (Actual)
March 22, 2023
Last Update Submitted That Met QC Criteria
March 21, 2023
Last Verified
June 1, 2020
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- IRB00006271
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
We did not get assent/consent from participants to make their data available to a third party, therefore we are not able to make the data publicly available, rather our consent forms specified the following "the study research team will have access to your data.
This team includes the study investigators, research assistants and data analysts".
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
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