- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04781400
Bidirectional, Upbeat Communication and Differentiated, Distanced Care for Young People (BUDDY)
Study Overview
Status
Intervention / Treatment
Detailed Description
The primary objectives of this study are to examine the feasibility, acceptability, and preliminary efficacy of a remote service delivery model for young people living with HIV aged 13-24 years that will include a monthly service needs assessment and optional delivery of HIV treatment services. YPLWH will also be randomized to receive (or not receive) mobile check-ins from study staff and access to two-way messaging capabilities to obtain continuous support for adherence to ART and COVID-19 prevention guidelines.
Investigators will also assess the impact of the COVID-19 lock-down orders on multi-level factors (individual, socio-behavioral, structural) over time among young people aged 13-24 years living with HIV (same cohort as above) and without HIV. Particular focus will be given to experience and perpetration of gender based violence. In addition, investigators will assess the impact of multi-level factors on compliance with COVID-19 prevention guidelines, health service utilization, and engagement in HIV care (YPLWH only). Findings will be examined overall and stratified by HIV status and gender.
Ultimately investigators hope to: (i) determine whether a remote service delivery model will help retain young people in HIV care and (ii) Inform the development of an intervention for young people in the study communities who may be experiencing GBV and associated outcomes in the wake of the pandemic.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Western Cape
-
Cape Town, Western Cape, South Africa, 7806
- Gugulethu Community Health Centre
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Young people living with HIV who meet all of the following criteria will be eligible for inclusion into this study:
- Speak isiXhosa and or English, residing in the Khayelitsha /Mitchell's Plain area
- 13-24 years (inclusive)
- Willing and able to provide informed telephonic or in person consent
- Initiated ART at one of two health facilities and are currently in HIV care (i.e. received ART and had a viral load measurement in the past six months)
- Regular access to a mobile phone with SMS or WhatsApp capacity (can include the phone of a parent/caregiver if the participant is <18 years or does not have their own phone)
Young people living without HIV from the same communities who meet all of the following criteria will be eligible for inclusion into this study:
- Speak isiXhosa and or English, residing in the Khayelitsha / Mitchell's Plain area
- 13-24 years (inclusive)
- Willing and able to provide informed telephonic or in person consent
- Has not previously tested positive for HIV and self-reports being HIV negative (i.e., not known to be living with HIV).
- Regular access to a mobile phone (can include the phone of a parent/caregiver if the participant is <18 years or does not have their own phone)
Exclusion Criteria:
Young people living with HIV who meet any of the following criteria will be excluded from this study:
- Not 13-24 years (inclusive)
- Unwilling or unable to provide informed telephonic or in person consent
- Not currently receiving ART care at a Desmond Tutu Health Foundation health facility
- No regular access to a mobile phone with SMS or WhatsApp capacity
- Planning to relocate in the next 6 months
Young people living without HIV from the same communities who meet any of the following criteria will be excluded this study:
- Not 13-24 years (inclusive)
- Unwilling or unable to provide informed telephonic or in person consent
- Previously tested positive for HIV or is known to be living with HIV
- No regular access to a mobile phone
- Planning to relocate in the next 6 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: HEALTH_SERVICES_RESEARCH
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Remote service delivery model PLUS mobile phone support
Remote service delivery plus mobile intervention via SMS will include weekly check-ins from study staff, calls from a trained counsellor on request, and access to a two-way messaging feature.
|
Mobile phone support (SMS)
ART treatment delivery via a courier service
|
ACTIVE_COMPARATOR: Remote service delivery model
Remote service delivery model.
|
ART treatment delivery via a courier service
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Acceptability of a remote service delivery and mobile support intervention assessed by the number of participants opting in to receive courier delivery of ART.
Time Frame: 6 months
|
Program evaluation of a remote service delivery including mobile support intervention and courier delivery of ART amongst young people living with HIV.
|
6 months
|
Engagement in HIV care assessed by serial measurements of HIV Viral load.
Time Frame: 6 months
|
Measurement of HIV viral load will be done at baseline, month three and month six to determine whether adherence to ART has been met (decrease or increase in HIV Viral load)
|
6 months
|
Changes in Gender Based Violence (GBV) incidence as a result of COVID lock-down measures as assessed by self reported surveys.
Time Frame: 6 months
|
Investigate changes in self-reported GBV experience or perpetration, and other individual, social-behavioral, and structural factors that have been impacted by COVID-19 lock down orders.
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of COVID-19 infection by assessing participant IgG antibody levels.
Time Frame: 6 months
|
Retrospective COVID-19 antibody testing at baseline and month
|
6 months
|
Qualitative themes assessed from in-depth individual interview data
Time Frame: 6 months
|
Qualitative interviews will be used to inform intervention utility and the development of an intervention to reduce GBV
|
6 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Linda-Gail Bekker, Desmond Tutu HIV Foundation
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
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
- 448/2020
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
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