N/A N=24 Randomized Health Services Research

Patient Actor Training to Improve HIV Services for Adolescents in Kenya

HIV/AIDS

Bottom Line

View on ClinicalTrials.gov: NCT02928900 ↗

Enrolled (actual)

Serious AEs

0.0%

Results posted

Dec 2024

Primary outcome: Primary: Retention in HIV Care — 1570; 1855 Participants

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Clinician training intervention (Behavioral)
Age: Pediatric, Adult, Older Adult · 10+ yrs
Sex: All
Sponsor: University of Washington
Primary completion: Nov 2020

Outcome Measures

Outcome	Result	p-value
PRIMARY Retention in HIV Care	1570; 1855	—
SECONDARY Proportion of HCWs With Pass/Fail Scores	—	—
SECONDARY Numeric Scores From SP Actors	—	—
SECONDARY Health Care Worker Competency	—	—
SECONDARY Health Care Workers' Satisfaction With Skills	—	—
SECONDARY Adolescent Patients' Satisfaction With Care	—	—
SECONDARY Retention in HIV Care (Secondary)	—	—

Summary

The goal of this study is to develop and evaluate a clinical training intervention utilizing standardized patient actors to improve communication and interpersonal skills of health care workers who serve HIV-infected adolescents and youth in Kenya, resulting in increased engagement in HIV care. The effect of the intervention on retention in care will be evaluated in a stepped-wedge randomized controlled trial at 24 HIV care and treatment facilities.

Eligibility Criteria

Inclusion Criteria: Listed by population

Facilities:

HIV care and treatment facilities in Kenya with ≥40 adolescents currently in HIV care
EMR data systems
No concurrent adolescent interventions

Adolescent patient records:

Records of adolescents and youth ages 10-24
Enrollment in HIV care and treatment at one of the study facilities

Adolescent satisfaction surveys:

Patients ages 10-24 seeking counseling or treatment services at trial site who are HIV-infected
Willing and able to provide informed consent or assent based on age and presence of a caregiver.
Reside in Kenya

Health care workers:

>18 years of age
Employed at trial site in clinical care for at least three months and/or have a 1 year contract (i.e. not temporary staff)
Provide clinical services to adolescents
Reside in Kenya

Exclusion Criteria

Facilities:

If inclusion criteria are not met
If anything would prevent the complete conduct of the training intervention at that site and/or the collection of outcome measures

Adolescents and health care worker surveys:

If an individual has conditions that would place them at increased risk or preclude the individual's full compliance with or completion of the study

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02928900). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.