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Anti-Stigma Interventions to Encourage HIV Testing in Vulnerable Households in Mozambique

Last registered on October 18, 2019

Pre-Trial

Trial Information

General Information

Title
Anti-Stigma Interventions to Encourage HIV Testing in Vulnerable Households in Mozambique
RCT ID
AEARCTR-0004120
Initial registration date
April 21, 2019

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
April 22, 2019, 11:20 AM EDT

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Last updated
October 18, 2019, 12:27 PM EDT

Last updated is the most recent time when changes to the trial's registration were published.

Locations

Region

Primary Investigator

Affiliation
Peking University

Other Primary Investigator(s)

Additional Trial Information

Status
In development
Start date
2019-05-06
End date
2019-11-17
Secondary IDs
Abstract
This study aims to test whether providing information that intends to relieve individuals concerns about HIV-related social stigma improves HIV testing rates in vulnerable households in Mozambique. Based on a local social opinion survey before this study, the treatment group will receive individually-tailored information indicating supportive social opinions about HIV in their neighborhood. The primary outcome of interest is the usage of HIV-testing coupons, which will be distributed to all study participants and redeemable upon taking an HIV test in the local clinic.
External Link(s)

Registration Citation

Citation
Yu, Hang. 2019. "Anti-Stigma Interventions to Encourage HIV Testing in Vulnerable Households in Mozambique." AEA RCT Registry. October 18. https://doi.org/10.1257/rct.4120-1.1
Former Citation
Yu, Hang. 2019. "Anti-Stigma Interventions to Encourage HIV Testing in Vulnerable Households in Mozambique." AEA RCT Registry. October 18. https://www.socialscienceregistry.org/trials/4120/history/55439
Experimental Details

Interventions

Intervention(s)
Before this study, a social opinion survey was conducted in the study communities to collect local residents' attitudes about HIV. The survey suggests that the public usually holds very supportive views towards people living with HIV and that the HIV-related stigma is less than many people had believed. Participants in this study will be asked to guess the results of the social opinion survey, and those in the treatment group will be informed of the results after that if they overestimate the HIV-related stigma in their neighborhood.
Intervention Start Date
2019-05-06
Intervention End Date
2019-10-31

Primary Outcomes

Primary Outcomes (end points)
The indicator of HIV-testing coupon redemption within 14 days, individual level
Primary Outcomes (explanation)

Secondary Outcomes

Secondary Outcomes (end points)
The indicator of HIV-testing coupon redemption within 14 days, household level; Willingness-to-Accept (WTA) for an HIV-testing coupon
Secondary Outcomes (explanation)

Experimental Design

Experimental Design
The potential participating households will be assigned to different study groups (treatment and control) randomly by computer before being recruited. The group assignment will be blind to enumerators. A household's group status will only be revealed at the end of the household survey. Only individuals from a treatment household will receive the intervention. All eligible individuals will receive HIV-testing coupons for themselves and for their children, regardless of which study group they are in. Instructions on how to redeem a coupon will be given at the end of the household visit.

Each coupon will be linked to an individual by a unique barcode printed on it. The study team will redeem the coupons at the collaborating clinics during a 14-day window and scan the coupons redeemed to determine usage.
Experimental Design Details
At the end of the household survey, the study team will distribute one HIV-testing coupon to each eligible adult survey respondent and each eligible children. (Adult coupons will be distributed in person, child coupons will be distributed to the primary guardian). Each coupon has a value of 50 Mts (~$0.83) and is valid 14 days. A coupon is redeemable at the designated health center when someone presents proof of HIV-testing with the coupon to the research staff on site. The payment will be made in digital cash through MPesa . There is a unique barcode on each coupon that allows the researcher to link the use of the coupon to one’s survey responses.
Randomization Method
Randomization done in office by a computer
Randomization Unit
household
Was the treatment clustered?
Yes

Experiment Characteristics

Sample size: planned number of clusters
1500 households
Sample size: planned number of observations
3000 individual adults
Sample size (or number of clusters) by treatment arms
750 households control; 750 households treatment
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
IRB

Institutional Review Boards (IRBs)

IRB Name
University of Michigan Health Sciences and Behavioral Sciences Institutional Review Board
IRB Approval Date
2018-12-20
IRB Approval Number
HUM00113011
Analysis Plan

Analysis Plan Documents

PAP Stigma and HIV Testing

MD5: 57b1e203107eb674368a64119109c6a6

SHA1: 9593f0f63d0696917bcf43804f8c15c6a0345bfa

Uploaded At: April 21, 2019

Post-Trial

Post Trial Information

Study Withdrawal

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Intervention

Is the intervention completed?
No
Data Collection Complete
Data Publication

Data Publication

Is public data available?
No

Program Files

Program Files
Reports, Papers & Other Materials

Relevant Paper(s)

Reports & Other Materials