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N/A N=306 Randomized Single-blind Health Services Research

Package of Resources for Assisted Contact Tracing: Implementation, Costs, and Effectiveness

Human Immunodeficiency Virus

Enrolled (actual)
306
Serious AEs
0.1%
Results posted
Feb 2025
Primary outcome: Primary: Index Client Fidelity Assessment — 66.30; 45.70 score on a scale — p=<0.001

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Enhanced implementation package (Behavioral); Standard implementation package (Behavioral)
Age
Pediatric, Adult, Older Adult · 15+ yrs
Sex
All
Sponsor
University of North Carolina, Chapel Hill
Primary completion
Nov 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Index Client Fidelity Assessment
66.30; 45.70 <0.001 sig
PRIMARY
Contact Client Fidelity Assessment
63.70; 52.50 <0.001 sig
PRIMARY
Index Clients Who Participate in Assisted Contact Tracing
0.56; 0.46 0.14
PRIMARY
Contact Clients Elicited
0.19; 0.13 0.006 sig
PRIMARY
HIV Self-test Kits Distributed
0.016; 0.006 0.013 sig
PRIMARY
Contact Clients Tested
0.11; 0.08 0.01 sig
PRIMARY
Contact Clients Living With HIV Identified
0.005; 0.004 0.12
PRIMARY
Incremental Cost Per Contact Tested
114
PRIMARY
Incremental Cost Per Person Living With HIV Diagnosed
1977

Summary

Having health workers assist HIV-infected persons with the recruitment and testing of their sexual contacts and biological children is an effective and efficient way of identifying additional HIV-infected persons in need of HIV treatment and HIV-uninfected persons in need of HIV prevention. However, in Malawi, a country with a generalized HIV epidemic, health workers lack the counseling and coordination skills to routinely assist their HIV-infected clients with these services. This study will determine how to help health workers to effectively and efficiently provide these services to their patients through a set of digital capacity-building tools.

Eligibility Criteria

Health worker inclusion criteria:

  • 18 years of age or older
  • working full-time at one of the health facilities included in the study
  • staff in Malawi's Assisted Contact Tracing program.

Health worker exclusion criteria:

  • conditions that would compromise ability of participant to provide informed consent, undergo study procedures safely, or prevent proper conduct of study

Patient (index or contact) inclusion criteria:

->=15 years

-potential index, contact, or parent or guardian of a potential index or contact

Patient (index or contact) exclusion criteria:

  • conditions that would compromise ability of individual to provide informed consent, undergo study procedures safely, or prevent proper conduct of study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05343390). 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.

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