Welcoming by Design Pilot: Reducing Structural Stigma by Changing Clinic Systems and Architectural Design
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 |
---|---|---|
|
N/A |
Study Design
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
- 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.
- 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.
- Fidelity to the Intervention [6-months post intervention]
Assesses whether the intervention was delivered as intended, using the intervention plan/checklist
- Outcomes survey [6-months post intervention]
assesses if the changes were disruptive or impeded the workings of the clinics.
Eligibility Criteria
Criteria
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.- Design