Promoting Male Involvement to Improve Prevention of Mother to Child Transmission (PMTCT) Uptake and Reduce Antenatal Infection
2014年1月20日 更新者：Deborah Jones、University of Miami
University of Miami Developmental Center for AIDs Research Promoting Male Involvement to Improve PMTCT Uptake and Reduce Antenatal Infection
This study will evaluate the impact of combining two evidence-based interventions: a couples risk reduction intervention with an evidence based medication adherence intervention designed to enhance male participation in combination with improving medication and prevention of mother to child transmission (PMTCT) adherence in antenatal clinics (ANCs).
Clinics will be randomly assigned to experimental and control conditions and effectiveness of the combined intervention to enhance PMTCT as well as reduce antenatal seroconversion by both individuals and clinics will be examined.
It is hypothesized that community clinics implementing PartnerPlus will have more effective PMTCT program adherence, as measured by total participant 1) maternal and paternal ANC and PartnerPlus visits, 2) maternal and paternal human immunodeficiency virus (HIV) Counseling & Testing (HCT) uptake, 3) maternal and infant antiretroviral (ARV) prophylaxis uptake, 4) maternal highly active antiretroviral therapy (HAART) uptake, 5) infant polymerase chain reaction (PCR) for HIV, and 5) maternal and infant HIV serostatus and that community clinics implementing PartnerPlus will have reduced sexual risk behavior, as measured by participant sexual barrier use.
研究概览
详细说明
This study is a group-randomized controlled trial using a 2 x 6 comparison (Clinic, Experimental, Control x Time, Baseline, Post-Intervention, Pre-delivery 32 weeks, Pre-delivery day, Delivery, Post Partum).
Twelve community health centers (CHCs) in communities within the Gert Sibande and Nkangala Districts in Mpumalanga, South Africa (SA) will be randomly assigned to condition in a 1:1 ratio.
Six usual care condition clinics will provide the standard of care, PMTCT; six experimental condition clinics will offer PartnerPlus to mothers completing HIV testing, regardless of serostatus, who are willing to enroll with their male partners and participate in the integrated PartnerPlus intervention.
This study will recruit 240 couples (n = 480 individuals); community clinics will recruit 2 cohort per clinic over 3 months (10 couples per cohort, n = 40, 120 individuals per condition).
研究类型
介入性
注册 (实际的)
478
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
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Gauteng
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Pretoria、Gauteng、南非
- Human Sciences Research Council
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-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
是的
有资格学习的性别
全部
描述
Inclusion Criteria:
- pregnant women age 18 and older who have received HCT (HIC Counseling & Testing) at the antenatal clinic (ANC),
- willing to attend PartnerPlus or prevention of mother to child transmission (PMTCT) visits with their male partners,
- male partners must also be available to participate and
- both partners must be willing to participate in the study.
- All participants will be current adult residents of Mpumalanga Province and agree to be attend four group sessions, 2 psychosocial assessments and 1 three day post-delivery assessment (maternal and infant blood sample).
Exclusion Criteria:
- Single mothers not being tested for HIV at the ANC
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：阶乘赋值
- 屏蔽：三倍
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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其他：Usual Care
Participation in 4 time matched sessions on health education topics
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4 time matched sessions focused on health education
其他名称：
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实验性的：PartnerPlus intervention
Four group counseling sessions focused on prevention of mother to child transmission (PMTCT) sexual risk reduction & adherence.
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The intervention employs a closed, structured, group intervention limited to 10 participants (women or men).
Four weekly, 11/2-2 hour sessions are led by a trained gender-congruent counselor and a peer facilitator and emphasize group participation, cognitive-behavioral skill building, sexual negotiation and experimentation with products.
其他名称：
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研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
Change in number of ANC visits by mother and father from baseline to one month post intervention to 32 weeks to 3 days post partum
大体时间：Baseline, one month, 32 weeks, 3 days post partum
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Baseline, one month, 32 weeks, 3 days post partum
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次要结果测量
结果测量 |
大体时间 |
|---|---|
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Change in Mother, father, infant HIV VCT from baseline to one month to 3 days post partum
大体时间：Baseline, one month, 3 days post partum
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Baseline, one month, 3 days post partum
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Mother and infant ARV prophylaxis
大体时间：3 days post partum
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3 days post partum
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Change in Maternal PMTCT ARV uptake from baseline to 32 weeks to 3 days post partum
大体时间：Baseline, 32 weeks, 3 days post partum
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Baseline, 32 weeks, 3 days post partum
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Infant PCR
大体时间：6 weeks
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6 weeks
|
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Change in rate of condom use from baseline to one month to 3 days post partum
大体时间：Baseline, one month, 3 days post partum
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Baseline, one month, 3 days post partum
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 研究主任：Karl Peltzer, PhD、Human Sciences Research Council
- 首席研究员：Deborah Jones, PhD、University of Miami
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2010年9月1日
初级完成 (实际的)
2012年8月1日
研究完成 (实际的)
2012年8月1日
研究注册日期
首次提交
2011年9月26日
首先提交符合 QC 标准的
2011年10月6日
首次发布 (估计)
2011年10月7日
研究记录更新
最后更新发布 (估计)
2014年1月22日
上次提交的符合 QC 标准的更新
2014年1月20日
最后验证
2014年1月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.