Topics

Promoting Reductions in Intersectional StigMa (PRISM) - GHANA

2019-10-03 07:54:43 | BioPortfolio

Summary

The goal of this study is to determine the feasibility, acceptability and preliminary estimate of effect size of a multi-level intersectional stigma-reduction intervention on HIV testing among men who have sex with men (MSM) in Ghana through a time-compressed, budget-limited study. The eight-step ADAPT-ITT framework will guide our approach to enhancing the interventions' content to address intersectional stigma and combine the three separate interventions into one multi-level approach.

Description

Three theory-based interventions will be combined that were previously implemented separately in Ghana for reducing stigma at Health Care Facility (HCF) level, increasing HIV testing at the peer group-level, and increasing peer social support at the individual-level. The Convergence Framework will be used for combining interventions. The ADAPT-ITT framework guides this approach to enhancing the interventions' content on intersectional stigma. To achieve these aims, a systematic adaptation is planned that will refine the individually developed HCF, peer- and individual-level interventions to produce a comprehensive multi-level intersectional stigma reduction intervention. This will consist of focus groups and in-depth interviews with HCF staff and men who have sex with men (MSM) to sharpen content on drivers and manifestations of HIV, same-sex and gender non-conforming stigmas within HCFs and peer groups and how these intersecting stigmas undermine HIV testing. This information will be used to refine the content of the interventions which will then be reviewed by a workgroup of HCF and Ghanaian MSM. The trial involves 8 HCFs, matched on HCF staff size. Matched pairs will each be randomized to have an intervention and a control arm. Before assignment to HCFs, 216 MSM, recruited through Starfish Sampling (combined time-location and peer-referral sampling), will be randomized to receive the intervention or usual care. Each arm of MSM will have members randomized to one of the four clinics per city and asked to stay in the assigned community-clinic pipeline.

The specific aims are:

1. To evaluate the feasibility and acceptability of a novel multi-component, multi-level intervention to address intersectional stigma.

2. To estimate the effect size of the intervention for scale up to a definitive efficacy trial.

Study Design

Conditions

HIV

Intervention

A multi-level stigma-reduction intervention

Status

Not yet recruiting

Source

Yale University

Results (where available)

View Results

Links

Published on BioPortfolio: 2019-10-03T07:54:43-0400

Clinical Trials [1503 Associated Clinical Trials listed on BioPortfolio]

Reducing Intersectional Stigma Among High-Risk Women in Brazil to Promote Uptake of HIV Testing and PrEP

This is a randomized controlled trial of a multi-level intervention to prevent HIV acquisition among transgender women (N=400) in São Paulo, Brazil. The intervention will be evaluated usi...

Evaluation the Impact of Self-Stigma Reduction Program on Psychosocial Outcomes Among People Diagnosed With Schizophrenia

Backgrounds: Research evidence suggests that people diagnosed with schizophrenia (PDwS) experience higher level of stigma compared with other forms of mental illness, and they are prone to...

A Narrative Intervention to Decrease Abortion Stigma

Abortion stigma is pervasive in the United States. It operates across multiple levels, including the individual, community, and structural. While abortion itself does not cause mental heal...

Measurement of Individual Level of Abortion Stigma Study

This study is a randomized controlled trial designed to measure abortion stigma related to the Pennsylvania Abortion Control Act. Women seeking abortion will be randomized to receive the v...

Reduce Stigma and Improve Treatment Adherence in HIV+ Pregnant Women

The goal of this proposal is to use a theoretically grounded approach to culturally-tailor a stigma intervention among just identified, pregnant HIV+ women in Botswana. This project will u...

PubMed Articles [17645 Associated PubMed Articles listed on BioPortfolio]

Efficacy of a combined intervention program for the reduction of internalized stigma in people with severe mental illness.

Internalized stigma (IS) is a key factor in the recovery, quality of life and functioning of people with severe mental illness (SMI), and effective intervention programs are needed to reduce IS in all...

Gendered relationship between HIV stigma and HIV testing among men and women in Mozambique: a cross-sectional study to inform a stigma reduction and male-targeted HIV testing intervention.

Increasing and sustaining engagement in HIV care for people living with HIV are critical to both individual therapeutic benefit and epidemic control. Men are less likely to test for HIV compared with ...

Strategies to reduce stigma related to visible chronic skin diseases A systematic review.

Many patients with a visible chronic skin disease experience discrimination and stigmatisation. This results in psychosocial impairments in addition to the burden of disease and emphasises the urgency...

Characterizing Multi-level Determinants of HIV Prevalence Among Female Sex Workers in Maseru and Maputsoe, Lesotho.

Lesotho has a broadly generalized HIV epidemic with nearly one in three reproductive-aged women living with HIV. Given this context, there has been limited research on specific HIV risks. In respon...

The relationship between an electronic mental health stigma campaign and suicidal thoughts and behaviours: a two-arm randomized controlled trial in the Australian construction industry.

Males employed in the construction industry are at greater risk of suicide than other employed males. It is plausible that a high level of stigma against mental health problems explains the elevated r...

Medical and Biotech [MESH] Definitions

An armed intervention involving multi-national forces in the country of IRAQ.

An armed intervention involving multi-national forces in the country of IRAQ.

A study in which observations are made before and after an intervention, both in a group that receives the intervention and in a control group that does not.

A perceived attribute that is deeply discrediting and is considered to be a violation of social norms.

Planning for health resources at a regional or multi-state level.

More From BioPortfolio on "Promoting Reductions in Intersectional StigMa (PRISM) - GHANA"

Quick Search

Relevant Topic

Human Immuno Deficiency Virus (HIV)
Human Immunodeficiency Virus (HIV), the causative agent of AIDS. The Human Immunodeficiency Virus, more commonly known as HIV, is a member of the lentivirus sub-set of the retrovirus family of pathogens. It causes AIDS, or Acquired Immuno Deficiency Sy...


Searches Linking to this Trial