Welcoming by Design Pilot: Reducing Structural Stigma by Changing Clinic Systems and Architectural Design

Sponsor
University of Minnesota (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05642676
Collaborator
(none)
100
1
36

Study Details

Study Description

Brief Summary

The purpose of this study is to test the feasibility and acceptability of implementing clinic system changes and physical structures in Uganda to improve aesthetics, welcome, and privacy to reduce HIV stigma, improve retention-in-care, and improve the patient experience.

To evaluate pilot/implementation outcomes, the outcomes of fidelity, feasibility, and acceptability will be assessed prior to intervention. After the changes are done to two HIV interventions clinics, the outcome surveys will assess if the changes were disruptive or impeded the workings of the clinics.

Condition or Disease Intervention/Treatment Phase
  • Other: Clinics remodeling
N/A

Study Design

Study Type:
Interventional
Anticipated Enrollment :
100 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Supportive Care
Official Title:
Welcoming by Design Pilot: Reducing Structural Stigma by Changing Clinic Systems and Architectural Design to Make HIV Clinics More Friendly, Private, and Patient-Centric
Anticipated Study Start Date :
Jan 1, 2023
Anticipated Primary Completion Date :
Jan 1, 2026
Anticipated Study Completion Date :
Jan 1, 2026

Arms and Interventions

Arm Intervention/Treatment
Experimental: Interventions clinics to be remodeled

Other: Clinics remodeling
changes to the clinics will be planned based on baseline surveys

Outcome Measures

Primary Outcome Measures

  1. Acceptability survey [Baseline]

    How well an intervention will be received by the target population and the extent to which the intervention meets the needs of the target population and organizational setting. This will be assessed through qualitative evaluation and a quantitative survey from patients and staff.

  2. Feasibility [baseline]

    An assessment of the practicality of a proposed idea or project, by assessing recruitment capacity, and ability to complete proposed modifications in clinics. The intervention will be judged feasible if enrollment and metrics can be completed.

  3. Fidelity to the Intervention [6-months post intervention]

    Assesses whether the intervention was delivered as intended, using the intervention plan/checklist

  4. Outcomes survey [6-months post intervention]

    assesses if the changes were disruptive or impeded the workings of the clinics.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Adults 18 and older

  • Enrolled in the HIV clinics where we are working

  • Able to independently consent for interview, survey, or focus group.

Exclusion Criteria:
  • Unable to provide consent

  • Does not speak English or Luganda (local language around Kampala and Entebbe)

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • University of Minnesota

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
University of Minnesota
ClinicalTrials.gov Identifier:
NCT05642676
Other Study ID Numbers:
  • Design
First Posted:
Dec 8, 2022
Last Update Posted:
Dec 8, 2022
Last Verified:
Nov 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No

Study Results

No Results Posted as of Dec 8, 2022