- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04547413
STI/HIV Intervention Behavioral Intervention Program
Prospective Cohort Trial To Assess Acceptability and Efficacy of an Adapted STI/HIV Intervention Behavioral Intervention Program in a Population of US Army Personnel and Their Medical Beneficiaries - Execution Phase
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is the Execution Phase which will be conducted as a multi-site randomized controlled trial. A previous Formative Phase study was conducted under a separate protocol which has been completed with preliminary data indicating positive outcomes. Participants in both arms will meet the same inclusion/exclusion criteria and will be randomized into the intervention and control arms at a ratio of 1:1.
The intervention arm will receive the KISS (Knocking out Infections through Safer sex and Screening) intervention program in addition to standard STI prevention counselling routinely provided by military medical treatment facilities. The control arm will receive only standard STI prevention counselling. Both arms will receive follow-up educational messages via short message service (SMS)/text messaging monthly for 10 months, and have follow-up study visits at 6 months and 12 months.
The KISS intervention is a 2-hour, small group (6-12 individuals) class-based interactive, educational session based on Social Cognitive Theory and the Theory of Gender and Power. The intervention is an adaptation of the HORIZONS intervention, which has shown efficacy are reducing sexual risk behavior and incident STIs among adolescents in the USA. HORIZONS has been reviewed by the U.S. Centers for Disease Control (CDC) Prevention Synthesis Research team and designated a CDC top-tier (Tier I) evidence-based intervention (EBI).
To enroll in the study, participants must be categorized as "high risk" as determined by a positive test for an STI within the previous 180 days or has had STI screening during this time frame (specifically gonorrhea (GC), chlamydia (CT), M. genitalium, syphilis and/or HIV).
Study subjects will be recruited from Madigan Army Medical Center (Madigan) Preventive Medicine Clinic and the Womack Army Medical Center (Womack) Preventive Medicine Clinic in Ft. Bragg, North Carolina (NC). In addition, promotional flyers for recruitment will be placed in public areas on both bases, and will be promoted through approved social media channels. Subjects may also refer up to 5 friends or colleagues for screening.
Participants enrolled in the intervention arm will complete a total of four visits and those in the control arm will complete a total of three visits. Over the course of the study, participants in both groups will be asked to provide biological specimens and complete knowledge/behavioral surveys three times (at baseline, 6 and at 12 months). Those in the intervention group will also attend the KISS EBI (Evidence Based Intervention) program. Both arms will receive monthly (months 2-11) follow up text messages, but the content will defer between the two arms. Those in the intervention arm, will receive SMS/text messages targeting prevention maintenance interventions (PMI) messages reiterating information received during the EBI session. Those in the control arm, will receive SMS/text messages that will contain general health information.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Heather Follen, CCRC
- Phone Number: 253.320.4397
- Email: heather.l.follen.ctr@health.mil
Study Locations
-
-
North Carolina
-
Fayetteville, North Carolina, United States, 28310
- Recruiting
- Ft. Bragg
-
Contact:
- Shannon Clark
- Phone Number: 910-907-8438
- Email: shannon.clark8.ctr@mail.mil
-
Principal Investigator:
- Maureen Sevilla, PAC
-
-
Washington
-
Tacoma, Washington, United States, 98431
- Recruiting
- Madigan Army Medical Center
-
Contact:
- Heather Follen, AA
- Phone Number: 253-320-4397
- Email: heather.l.follen.ctr@mail.mil
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 18 - 30 years
- Army active duty or Army medical beneficiary
- Eligible to receive care at a military healthcare clinic for at least 12 months from enrollment
- HIV negative
- Not scheduled for military deployment or transfer within 3 months of enrolment
- Not pregnant, regardless of marital status
- Not trying to become pregnant or impregnate a partner, regardless of marital status
- Be classified as "high risk" either through a positive STI diagnosis in the last 180 days or has had STI screening during this timeframe.
- Self reports vaginal, oral, and/or anal sexual contact in the last 30 days.
Exclusion Criteria:
- Under 18 or over 30 years of age
- Not Army active duty or Army medical beneficiary
- Not eligible to receive care at a military healthcare clinic for study duration (next 12 months)
- HIV positive
- Military deployment or transfer scheduled within 3 months of enrollment
- Are pregnant, regardless of marital status
- Are trying to become pregnant or impregnate someone, regardless of marital status
- Has not had a positive STI diagnosis or STI screening within the last 180 days
- Does not self-report vaginal, anal, and/or oral sexual contact in the last 30 days
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Control Arm
Control Arm will will complete a total of three visits: Visit 1 (Day 1): Recruitment/Baseline Biological Testing, if needed; completion of baseline study surveys including Knowledge Assessment Monthly: Prevention Maintenance Intervention Messages from months 2-11 Visit 3 (Day 180): 6 Month Follow-up biological testing and study survey Visit 4 (Day 365): 12 Month Follow-up biological testing and study surveys |
|
Active Comparator: Intervention Arm
Intervention Arm will will complete a total of four visits: Visit 1 (Day 1): Recruitment/Baseline Biological Testing, if needed; completion of baseline study surveys including Knowledge Assessment Visit 2 (Day 2-30): Group Intervention Session, Feedback form, and post-intervention knowledge assessment (for intervention arm only) Monthly: Prevention Maintenance Intervention Messages from months 2-11 Visit 3 (Day 180): 6 Month Follow-up biological testing and study survey Visit 4 (Day 365): 12 Month Follow-up biological testing and study surveys |
In addition to standard of care STi/HIV counselling, participants in the intervention arm will also attend a 2-hour educational class and will receive monthly SMS/text messages to reinforce the content of the class.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incident sexually transmitted infections
Time Frame: 12 months
|
Biological testing for syphilis, chlamydia trachomatis, neisseria gonorrhea, mycoplasma genitalium, and HIV
|
12 months
|
Acceptability of the intervention
Time Frame: immediately after the intervention
|
participant feedback and rating of the intervention session
|
immediately after the intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of sexual partners
Time Frame: 12 months
|
self-report by questionnaire
|
12 months
|
Proportion of sexual encounters protect by condom use
Time Frame: 12 months
|
self-report by questionnaire
|
12 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Knowledge about STIs, HIV and prevention: post-intervention
Time Frame: Baseline and immediately after the intervention
|
Completion of a 20-item standardized questionnaire on STI/HIV transmission, symptoms, and prevention methods
|
Baseline and immediately after the intervention
|
Change in Knowledge about STIs, HIV and prevention: retention at 6 months
Time Frame: Baseline, immediately after the intervention, and at 6 months
|
Completion of a 20-item standardized questionnaire on STI/HIV transmission, symptoms, and prevention methods
|
Baseline, immediately after the intervention, and at 6 months
|
Change in Knowledge about STIs, HIV and prevention: retention at 12 months
Time Frame: Baseline, immediately after the intervention, and at 12 months
|
Completion of a 20-item standardized questionnaire on STI/HIV transmission, symptoms, and prevention methods
|
Baseline, immediately after the intervention, and at 12 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Tatjana Calvano, MD, Madigan Army Medical Center
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- RV567
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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 Sexually Transmitted Infections
-
Chinese University of Hong KongRecruitingGonorrhea | Sexually Transmitted InfectionHong Kong
-
Centre Hospitalier Régional d'OrléansRecruiting
-
National Institute of Allergy and Infectious Diseases...Terminated
-
Boston Medical CenterCompletedSexually Transmitted InfectionUnited States
-
University of ChicagoCompletedSexually Transmitted InfectionUnited States
-
Sagami Rubber Industries Co., Ltd.Essential Access HealthCompletedContraception | Prevention of Sexually Transmitted InfectionsUnited States
-
Assistance Publique Hopitaux De MarseilleCompletedSexually Transmitted InfectionFrance
-
Columbia UniversityNational Institute of Allergy and Infectious Diseases (NIAID)RecruitingSTI | Sexually Transmitted Disease (STD) | Sexually Transmitted Infection (STI)United States
-
The Miriam HospitalBoston University; National Institute of Allergy and Infectious Diseases (NIAID)Active, not recruitingHIV | Sexually Transmitted Infections (STI)United States
-
University of California, San FranciscoNational Institute of Mental Health (NIMH); MRC/UVRI and LSHTM Uganda Research... and other collaboratorsCompletedSexually Transmitted InfectionUganda
Clinical Trials on STI/HIV Intervention Behavioral Intervention Program
-
Lianne UradaNational Institute on Drug Abuse (NIDA); San Diego State University; University... and other collaboratorsCompleted
-
University of PennsylvaniaNational Institute of Mental Health (NIMH); Centers for Disease Control and...CompletedHIV | Mental Disorder | STI | Emotional DisturbancesUnited States
-
Columbia UniversityCompletedSexually Transmitted InfectionsUnited States
-
Massachusetts General HospitalNational Institute of Mental Health (NIMH); Indian Council of Medical Research and other collaboratorsCompletedHIV Infection | Sexual Behavior | Health BehaviorUnited States, India
-
Universidad de GranadaCompletedStress, Psychological | Vision Disorders | Self Efficacy | PsychopathySpain
-
Johns Hopkins UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development...Active, not recruitingExposure to Sexually Transmissible Disorder (Event)United States
-
Columbia UniversityCompleted
-
Mercy Medical CenterSusan G. Komen Breast Cancer FoundationCompletedFatigue After Adjuvant Breast Cancer TreatmentUnited States
-
Mayo ClinicCompletedTobacco Smoking | Tobacco Use Cessation | Perioperative/Postoperative ComplicationsUnited States
-
The Miriam HospitalNational Institute on Minority Health and Health Disparities (NIMHD)Completed