I-TEST: Innovative Tools to Expand HIV Self-Testing

Sponsor
St. Louis University (Other)
Overall Status
Completed
CT.gov ID
NCT04070287
Collaborator
National Institutes of Health (NIH) (NIH), Nigerian Institute of Medical Research (Other), University of North Carolina, Chapel Hill (Other), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (NIH)
388
1
5
14.1
27.6

Study Details

Study Description

Brief Summary

The I-TEST study builds upon two participatory approaches, open challenge contests and entrepreneurship training. The study utilizes open challenge contest to generate youth-driven interventions on strategies to promote HIV self-testing and other testing for other sexually transmitted infections (STIs) among young people in Nigeria. Open challenge contests involves leveraging on the knowledge and strengths of the crowd (in this case young people) to generate solutions to an issue. Following completion of one of the open challenge contest, was the Designathon contest where young people in Nigeria collaborated to develop new services and products for promoting self-testing for HIV and other sexually transmitted diseases, guided by human-centered, design thinking framework. After which, six teams from the Designathon were selected to move onto an Innovation bootcamp. The Innovation bootcamp was a 4-week long accelerated training program for young people to delve into the world of entrepreneurial and innovation management skills, while applying basic research principles. At the end of the course, 5 finalist teams were selected to pilot test their innovation plan in the community for a duration of 6 months, beginning July 2019.

This study is focused on evaluating the effectiveness of these five youth participatory interventions on HIV testing and other key prevention among at risk youth (14-24 years old in Nigeria).This research study will involve undertaking a prospective one-year assessment of these five pilot interventions.

Condition or Disease Intervention/Treatment Phase
  • Combination Product: SMART Pack
  • Combination Product: Luv Box
  • Combination Product: Bili Vibes
  • Combination Product: BeterDoc
  • Combination Product: IUNGO
Early Phase 1

Detailed Description

Step 1: Participant enrollment. This will involve recruiting youth to participate in the pilot study. Participant recruitment strategies will include: social media, online, event- and venue based, participant referral, and walk-ins at study clinics. Participant enrollment will be completed by study team.

Step 2: Intervention implementation. Following participant recruitment and enrollment in the study. Study participants will be assigned to one of the 5 youth participatory interventions focused on expanding the uptake of HIV self-testing and key HIV prevention services. The pilot intervention implementation would occur for 6 months. Nigerian Institute of Medical Research (NMIR) will provide local training on HIV prevention to the five participatory interventions following their existing guidelines.The participatory interventions will be conducted in the locations of the five teams who emerged as winners from the innovation boot-camp. These participatory interventions will only provide HIV self-testing kits and instructions of how to perform the test to participants. They will also provide referral coupons to youth friendly centers for sexually transmitted infections (STI) screening and treatment and pre-exposure prophylaxis (PrEP) awareness and initiation for at-risk youth. The referral coupons are intended to provide study participants information on trained youth friendly centers that are involved with the research. The referral coupons give the study participants access to other sexually transmitted infections (STI) screening and treatment and pre-exposure prophylaxis (PrEP) awareness and initiation at these health facilities. The intervention only provide participants with the HIV self-testing kits and then refer them to youth-friendly health facilities for other testing services. The intervention does not involve monitoring HIV self-testing procedure, the investigators will only be asking for self-reported HIV testing and other sexually transmitted diseases testing.

Step 3: Baseline data collection. After allocation of participants into the intervention, study team will collect baseline data on HIV testing history, sexual behavior history, youth participation experience, and other related outcomes will be collected (survey questionnaire attached) from recruited participants. Participants mobile phone numbers will also be collected as tracking information for follow-up and retention in a coupon format. The mobile phone numbers would be used to contact study participants through text messages and phone calls. These contacts would serve as reminders for participants to participate in follow-up data collection. The mobile phone service charge would be covered by the research. No other personal identifiers will be collected and no biological specimens will be collected at baseline. The investigators will obtain informed consent before proceeding with any data collection.

Step 4:Health facilities training. For the purposes of this research study, the Nigerian Institute of Medical Research team would provide training to youth-friendly health centers currently working with the Nigerian Institute of Medical Research based on the World Health Organization guidebook for youth-friendly health services (handbook is attached).The training would be to ensure that these health facilities are trained to provide youth friendly services to participants who be referred to receive STI screening, STI treatment and PrEP awareness and initiation. Following the training, the NIMR research team would in charge of collecting data to record record participants HIV self-testing uptake as well as uptake of STI screening, STI treatment and PrEP awareness and initiation.

Step 5: Follow up surveys at 3 and 6 months: At 3 and 6 months post intervention implementation, study team will collect similar baseline data from study participants. The follow-up survey will assess HIV testing, sexual behavior history, youth participation experience and other related outcomes will be collected (survey questionnaire attached) from recruited participants.

Study Design

Study Type:
Interventional
Actual Enrollment :
388 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
Intervention Pilot This study protocol will involve undertaking a prospective one-year assessment of five youth participatory interventions. These interventions are focused on promoting HIV self-testing and referrals to health facilities for other sexually transmitted infections test.Intervention Pilot This study protocol will involve undertaking a prospective one-year assessment of five youth participatory interventions. These interventions are focused on promoting HIV self-testing and referrals to health facilities for other sexually transmitted infections test.
Masking:
None (Open Label)
Primary Purpose:
Prevention
Official Title:
Innovative Tools to Expand HIV Self-Testing
Actual Study Start Date :
Jul 1, 2019
Actual Primary Completion Date :
Jul 31, 2020
Actual Study Completion Date :
Sep 1, 2020

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: SMART Pack

This involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers.

Combination Product: SMART Pack
The SMART pack is a re-branded and repackaged box for HIV self-testing kits. The intervention aims to promote distribution of HIVST kits through in institutions, vocational centers, and social media platforms. The intervention would also include a referral systems, where participants provided with the HIV self-testing kits are provided with information with youth-friendly health facilities for uptake of testing for sexually transmitted infections. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the SMART pack and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Yaba local government area in Lagos state.
Other Names:
  • The OraQuick®ADVANCERapid HIV-1/2 Antibody Test
  • Active Comparator: Luv Box

    The intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people.

    Combination Product: Luv Box
    The Luv box is packaged in two colors: blue and pink. The LUVBox would be made available in supermarkets, on-line stores, mini-marts, pharmacies, neighborhood stores and markets, for easy accessibility in hard to reach areas. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "Luv Box" and the location where the pack can be obtained for individuals who are interested.For this pilot study, the intervention will be implemented in Yaba in Lagos state.
    Other Names:
  • The OraQuick®ADVANCERapid HIV-1/2 Antibody Test
  • Active Comparator: Bili Vibes

    The intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people.

    Combination Product: Bili Vibes
    The HIV self-testing kits will be available for interested individuals at the community youth events. These events and information the HIV self-testing kits will be on flyers that would be promoted at community centers and schools. For this pilot study, the intervention will be implemented in Ngenevu/Bunker communities in Enugu state.
    Other Names:
  • The OraQuick®ADVANCERapid HIV-1/2 Antibody Test
  • Active Comparator: BeterDoc

    This intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people.

    Combination Product: BeterDoc
    The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "BeterDoc Safety Kits" and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Ibadan, Dugbe and Agbowo in Oyo state.
    Other Names:
  • The OraQuick®ADVANCERapid HIV-1/2 Antibody Test
  • Active Comparator: IUNGO

    This intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people.

    Combination Product: IUNGO
    The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the HIV self-testing kits and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Akure South, Orita-Obele, Ipinsa, Ilara Mokin and Ijare in Ondo state.
    Other Names:
  • The OraQuick®ADVANCERapid HIV-1/2 Antibody Test
  • Outcome Measures

    Primary Outcome Measures

    1. Uptake of HIV Self-testing Over the 3 Months Follow-up [3 months following the first encounter]

      Proportion of participants who reported to have self-tested for HIV at 3-month after baseline.

    Secondary Outcome Measures

    1. Uptake of HIV Testing Over the 6 Months Follow-up [6-month]

      Proportion of participants who reported to have self-tested for HIV at 6-month after baseline.

    2. Uptake of Syphilis Testing [6-month]

      Proportion of participants who reported syphilis testing at baseline and 6-month.

    3. Uptake of Gonorrhea Testing [6-month]

      Proportion of participants who reported gonorrhea testing at baseline and 6-month.

    4. Uptake of Hepatitis b Testing [6-month]

      Proportion of participants who reported hepatitis B testing.

    5. Uptake of Chlamydia Testing [6-month]

      Proportion of participants who reported chlamydia testing at baseline and 6-month.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    14 Years to 24 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    1. Age 14-24

    2. Self-reported HIV negative or unknown HIV status

    3. Current resident of Lagos, Ondo, Oyo, and Enugu with plans to stay in city for the next 6 months

    4. Able to complete survey in English (the national language of Nigeria)

    5. All participants must agree to an informed consent and provide their cell mobile number for follow-up and retention

    Exclusion Criteria:
    1. Younger than 14 and older than 24

    2. Inability to comply with study protocol

    3. Illness, cognitive impairment or threatening behavior with acute risk to self or others

    4. No informed consent

    5. No contact phone number

    6. Do not reside in Lagos, Ondo, Oyo, and Enugu

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Nigerian Institute of Medical Research Yaba Lagos Nigeria 00000

    Sponsors and Collaborators

    • St. Louis University
    • National Institutes of Health (NIH)
    • Nigerian Institute of Medical Research
    • University of North Carolina, Chapel Hill
    • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

    Investigators

    • Principal Investigator: Juliet Iwelunmor, PhD, St. Louis University
    • Principal Investigator: Joseph Tucker, MD, University of North Carolina, Chapel Hill
    • Principal Investigator: Oliver Ezechi, MD, Nigerian Institute of Medical Research

    Study Documents (Full-Text)

    More Information

    Publications

    Responsible Party:
    Juliet Iwelunmor, PhD, Associate Professor in Global Health, Program Director, MPH Global Health Concentration, St. Louis University
    ClinicalTrials.gov Identifier:
    NCT04070287
    Other Study ID Numbers:
    • 30347
    • 1UG3HD096929-01
    First Posted:
    Aug 28, 2019
    Last Update Posted:
    Sep 14, 2021
    Last Verified:
    Sep 1, 2021
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    Yes
    Product Manufactured in and Exported from the U.S.:
    Yes
    Keywords provided by Juliet Iwelunmor, PhD, Associate Professor in Global Health, Program Director, MPH Global Health Concentration, St. Louis University
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Recruitment occurred through a combination of community-based events, social media platforms, and peer referral.
    Pre-assignment Detail
    Arm/Group Title SMART Pack Luv Box Bili Vibes BeterDoc IUNGO
    Arm/Group Description This involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers. SMART Pack: The SMART pack is a re-branded and repackaged box for HIV self-testing kits. The intervention aims to promote distribution of HIVST kits through in institutions, vocational centers, and social media platforms. The intervention would also include a referral systems, where participants provided with the HIV self-testing kits are provided with information with youth-friendly health facilities for uptake of testing for sexually transmitted infections. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the SMART pack and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Yaba local government area in Lagos state. The intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people. Luv Box: The Luv box is packaged in two colors: blue and pink. The LUVBox would be made available in supermarkets, on-line stores, mini-marts, pharmacies, neighborhood stores and markets, for easy accessibility in hard to reach areas. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "Luv Box" and the location where the pack can be obtained for individuals who are interested.For this pilot study, the intervention will be implemented in Yaba in Lagos state. The intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people. Bili Vibes: The HIV self-testing kits will be available for interested individuals at the community youth events. These events and information the HIV self-testing kits will be on flyers that would be promoted at community centers and schools. For this pilot study, the intervention will be implemented in Ngenevu/Bunker communities in Enugu state. This intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people. BeterDoc: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "BeterDoc Safety Kits" and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Ibadan, Dugbe and Agbowo in Oyo state. This intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people. IUNGO: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the HIV self-testing kits and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Akure South, Orita-Obele, Ipinsa, Ilara Mokin and Ijare in Ondo state.
    Period Title: Overall Study
    STARTED 114 86 81 11 96
    COMPLETED 103 44 75 7 95
    NOT COMPLETED 11 42 6 4 1

    Baseline Characteristics

    Arm/Group Title SMART Pack Luv Box Bili Vibes BeterDoc IUNGO Total
    Arm/Group Description This involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers. SMART Pack: The SMART pack is a re-branded and repackaged box for HIV self-testing kits. The intervention aims to promote distribution of HIVST kits through in institutions, vocational centers, and social media platforms. The intervention would also include a referral systems, where participants provided with the HIV self-testing kits are provided with information with youth-friendly health facilities for uptake of testing for sexually transmitted infections. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the SMART pack and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Yaba local government area in Lagos state. The intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people. Luv Box: The Luv box is packaged in two colors: blue and pink. The LUVBox would be made available in supermarkets, on-line stores, mini-marts, pharmacies, neighborhood stores and markets, for easy accessibility in hard to reach areas. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "Luv Box" and the location where the pack can be obtained for individuals who are interested.For this pilot study, the intervention will be implemented in Yaba in Lagos state. The intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people. Bili Vibes: The HIV self-testing kits will be available for interested individuals at the community youth events. These events and information the HIV self-testing kits will be on flyers that would be promoted at community centers and schools. For this pilot study, the intervention will be implemented in Ngenevu/Bunker communities in Enugu state. This intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people. BeterDoc: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "BeterDoc Safety Kits" and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Ibadan, Dugbe and Agbowo in Oyo state. This intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people. IUNGO: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the HIV self-testing kits and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Akure South, Orita-Obele, Ipinsa, Ilara Mokin and Ijare in Ondo state. Total of all reporting groups
    Overall Participants 114 86 81 11 96 388
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    21.0
    (2.8)
    21.3
    (2.3)
    21.1
    (1.5)
    20.7
    (2.1)
    21.1
    (2.1)
    21.1
    (2.3)
    Sex: Female, Male (Count of Participants)
    Female
    54
    47.4%
    40
    46.5%
    30
    37%
    4
    36.4%
    32
    33.3%
    160
    41.2%
    Male
    60
    52.6%
    46
    53.5%
    51
    63%
    7
    63.6%
    64
    66.7%
    228
    58.8%
    Race/Ethnicity, Customized (Count of Participants)
    Yoruba
    49
    43%
    57
    66.3%
    0
    0%
    10
    90.9%
    71
    74%
    187
    48.2%
    Igbo
    30
    26.3%
    20
    23.3%
    70
    86.4%
    0
    0%
    10
    10.4%
    130
    33.5%
    Other ethnicity (i.e. Hausa/Fulani)
    35
    30.7%
    9
    10.5%
    7
    8.6%
    1
    9.1%
    14
    14.6%
    66
    17%
    Missing
    0
    0%
    0
    0%
    4
    4.9%
    0
    0%
    1
    1%
    5
    1.3%

    Outcome Measures

    1. Primary Outcome
    Title Uptake of HIV Self-testing Over the 3 Months Follow-up
    Description Proportion of participants who reported to have self-tested for HIV at 3-month after baseline.
    Time Frame 3 months following the first encounter

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title SMART Pack Luv Box Bili Vibes BeterDoc IUNGO
    Arm/Group Description This involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers. SMART Pack: The SMART pack is a re-branded and repackaged box for HIV self-testing kits. The intervention aims to promote distribution of HIVST kits through in institutions, vocational centers, and social media platforms. The intervention would also include a referral systems, where participants provided with the HIV self-testing kits are provided with information with youth-friendly health facilities for uptake of testing for sexually transmitted infections. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the SMART pack and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Yaba local government area in Lagos state. The intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people. Luv Box: The Luv box is packaged in two colors: blue and pink. The LUVBox would be made available in supermarkets, on-line stores, mini-marts, pharmacies, neighborhood stores and markets, for easy accessibility in hard to reach areas. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "Luv Box" and the location where the pack can be obtained for individuals who are interested.For this pilot study, the intervention will be implemented in Yaba in Lagos state. The intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people. Bili Vibes: The HIV self-testing kits will be available for interested individuals at the community youth events. These events and information the HIV self-testing kits will be on flyers that would be promoted at community centers and schools. For this pilot study, the intervention will be implemented in Ngenevu/Bunker communities in Enugu state. This intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people. BeterDoc: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "BeterDoc Safety Kits" and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Ibadan, Dugbe and Agbowo in Oyo state. This intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people. IUNGO: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the HIV self-testing kits and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Akure South, Orita-Obele, Ipinsa, Ilara Mokin and Ijare in Ondo state.
    Measure Participants 114 86 81 11 96
    Count of Participants [Participants]
    19
    16.7%
    7
    8.1%
    24
    29.6%
    4
    36.4%
    22
    22.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection SMART Pack, Luv Box, Bili Vibes, BeterDoc, IUNGO
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.05
    Comments
    Method Chi-squared
    Comments
    2. Secondary Outcome
    Title Uptake of HIV Testing Over the 6 Months Follow-up
    Description Proportion of participants who reported to have self-tested for HIV at 6-month after baseline.
    Time Frame 6-month

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title SMART Pack Luv Box Bili Vibes BeterDoc IUNGO
    Arm/Group Description This involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers. SMART Pack: The SMART pack is a re-branded and repackaged box for HIV self-testing kits. The intervention aims to promote distribution of HIVST kits through in institutions, vocational centers, and social media platforms. The intervention would also include a referral systems, where participants provided with the HIV self-testing kits are provided with information with youth-friendly health facilities for uptake of testing for sexually transmitted infections. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the SMART pack and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Yaba local government area in Lagos state. The intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people. Luv Box: The Luv box is packaged in two colors: blue and pink. The LUVBox would be made available in supermarkets, on-line stores, mini-marts, pharmacies, neighborhood stores and markets, for easy accessibility in hard to reach areas. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "Luv Box" and the location where the pack can be obtained for individuals who are interested.For this pilot study, the intervention will be implemented in Yaba in Lagos state. The intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people. Bili Vibes: The HIV self-testing kits will be available for interested individuals at the community youth events. These events and information the HIV self-testing kits will be on flyers that would be promoted at community centers and schools. For this pilot study, the intervention will be implemented in Ngenevu/Bunker communities in Enugu state. This intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people. BeterDoc: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "BeterDoc Safety Kits" and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Ibadan, Dugbe and Agbowo in Oyo state. This intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people. IUNGO: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the HIV self-testing kits and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Akure South, Orita-Obele, Ipinsa, Ilara Mokin and Ijare in Ondo state.
    Measure Participants 114 86 81 11 96
    Count of Participants [Participants]
    98
    86%
    32
    37.2%
    64
    79%
    4
    36.4%
    91
    94.8%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection SMART Pack, Luv Box, Bili Vibes, BeterDoc, IUNGO
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.05
    Comments
    Method Chi-squared
    Comments
    3. Secondary Outcome
    Title Uptake of Syphilis Testing
    Description Proportion of participants who reported syphilis testing at baseline and 6-month.
    Time Frame 6-month

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title SMART Pack Luv Box Bili Vibes BeterDoc IUNGO
    Arm/Group Description This involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers. SMART Pack: The SMART pack is a re-branded and repackaged box for HIV self-testing kits. The intervention aims to promote distribution of HIVST kits through in institutions, vocational centers, and social media platforms. The intervention would also include a referral systems, where participants provided with the HIV self-testing kits are provided with information with youth-friendly health facilities for uptake of testing for sexually transmitted infections. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the SMART pack and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Yaba local government area in Lagos state. The intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people. Luv Box: The Luv box is packaged in two colors: blue and pink. The LUVBox would be made available in supermarkets, on-line stores, mini-marts, pharmacies, neighborhood stores and markets, for easy accessibility in hard to reach areas. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "Luv Box" and the location where the pack can be obtained for individuals who are interested.For this pilot study, the intervention will be implemented in Yaba in Lagos state. The intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people. Bili Vibes: The HIV self-testing kits will be available for interested individuals at the community youth events. These events and information the HIV self-testing kits will be on flyers that would be promoted at community centers and schools. For this pilot study, the intervention will be implemented in Ngenevu/Bunker communities in Enugu state. This intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people. BeterDoc: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "BeterDoc Safety Kits" and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Ibadan, Dugbe and Agbowo in Oyo state. This intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people. IUNGO: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the HIV self-testing kits and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Akure South, Orita-Obele, Ipinsa, Ilara Mokin and Ijare in Ondo state.
    Measure Participants 114 86 81 11 96
    Baseline
    3
    2.6%
    4
    4.7%
    8
    9.9%
    0
    0%
    3
    3.1%
    6-month
    47
    41.2%
    5
    5.8%
    25
    30.9%
    0
    0%
    73
    76%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection SMART Pack, Luv Box, Bili Vibes, BeterDoc, IUNGO
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.05
    Comments
    Method Chi-squared
    Comments
    4. Secondary Outcome
    Title Uptake of Gonorrhea Testing
    Description Proportion of participants who reported gonorrhea testing at baseline and 6-month.
    Time Frame 6-month

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title SMART Pack Luv Box Bili Vibes BeterDoc IUNGO
    Arm/Group Description This involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers. SMART Pack: The SMART pack is a re-branded and repackaged box for HIV self-testing kits. The intervention aims to promote distribution of HIVST kits through in institutions, vocational centers, and social media platforms. The intervention would also include a referral systems, where participants provided with the HIV self-testing kits are provided with information with youth-friendly health facilities for uptake of testing for sexually transmitted infections. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the SMART pack and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Yaba local government area in Lagos state. The intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people. Luv Box: The Luv box is packaged in two colors: blue and pink. The LUVBox would be made available in supermarkets, on-line stores, mini-marts, pharmacies, neighborhood stores and markets, for easy accessibility in hard to reach areas. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "Luv Box" and the location where the pack can be obtained for individuals who are interested.For this pilot study, the intervention will be implemented in Yaba in Lagos state. The intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people. Bili Vibes: The HIV self-testing kits will be available for interested individuals at the community youth events. These events and information the HIV self-testing kits will be on flyers that would be promoted at community centers and schools. For this pilot study, the intervention will be implemented in Ngenevu/Bunker communities in Enugu state. This intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people. BeterDoc: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "BeterDoc Safety Kits" and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Ibadan, Dugbe and Agbowo in Oyo state. This intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people. IUNGO: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the HIV self-testing kits and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Akure South, Orita-Obele, Ipinsa, Ilara Mokin and Ijare in Ondo state.
    Measure Participants 114 86 81 11 96
    Baseline
    5
    4.4%
    5
    5.8%
    3
    3.7%
    0
    0%
    5
    5.2%
    6-month
    46
    40.4%
    2
    2.3%
    23
    28.4%
    0
    0%
    64
    66.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection SMART Pack, Luv Box, Bili Vibes, BeterDoc, IUNGO
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.05
    Comments
    Method Chi-squared
    Comments
    5. Secondary Outcome
    Title Uptake of Hepatitis b Testing
    Description Proportion of participants who reported hepatitis B testing.
    Time Frame 6-month

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title SMART Pack Luv Box Bili Vibes BeterDoc IUNGO
    Arm/Group Description This involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers. SMART Pack: The SMART pack is a re-branded and repackaged box for HIV self-testing kits. The intervention aims to promote distribution of HIVST kits through in institutions, vocational centers, and social media platforms. The intervention would also include a referral systems, where participants provided with the HIV self-testing kits are provided with information with youth-friendly health facilities for uptake of testing for sexually transmitted infections. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the SMART pack and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Yaba local government area in Lagos state. The intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people. Luv Box: The Luv box is packaged in two colors: blue and pink. The LUVBox would be made available in supermarkets, on-line stores, mini-marts, pharmacies, neighborhood stores and markets, for easy accessibility in hard to reach areas. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "Luv Box" and the location where the pack can be obtained for individuals who are interested.For this pilot study, the intervention will be implemented in Yaba in Lagos state. The intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people. Bili Vibes: The HIV self-testing kits will be available for interested individuals at the community youth events. These events and information the HIV self-testing kits will be on flyers that would be promoted at community centers and schools. For this pilot study, the intervention will be implemented in Ngenevu/Bunker communities in Enugu state. This intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people. BeterDoc: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "BeterDoc Safety Kits" and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Ibadan, Dugbe and Agbowo in Oyo state. This intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people. IUNGO: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the HIV self-testing kits and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Akure South, Orita-Obele, Ipinsa, Ilara Mokin and Ijare in Ondo state.
    Measure Participants 114 86 81 11 96
    Baseline
    3
    2.6%
    8
    9.3%
    31
    38.3%
    3
    27.3%
    8
    8.3%
    6-month
    46
    40.4%
    6
    7%
    45
    55.6%
    2
    18.2%
    75
    78.1%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection SMART Pack, Luv Box, Bili Vibes, BeterDoc, IUNGO
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.05
    Comments
    Method Chi-squared
    Comments
    6. Secondary Outcome
    Title Uptake of Chlamydia Testing
    Description Proportion of participants who reported chlamydia testing at baseline and 6-month.
    Time Frame 6-month

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title SMART Pack Luv Box Bili Vibes BeterDoc IUNGO
    Arm/Group Description This involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers. SMART Pack: The SMART pack is a re-branded and repackaged box for HIV self-testing kits. The intervention aims to promote distribution of HIVST kits through in institutions, vocational centers, and social media platforms. The intervention would also include a referral systems, where participants provided with the HIV self-testing kits are provided with information with youth-friendly health facilities for uptake of testing for sexually transmitted infections. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the SMART pack and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Yaba local government area in Lagos state. The intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people. Luv Box: The Luv box is packaged in two colors: blue and pink. The LUVBox would be made available in supermarkets, on-line stores, mini-marts, pharmacies, neighborhood stores and markets, for easy accessibility in hard to reach areas. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "Luv Box" and the location where the pack can be obtained for individuals who are interested.For this pilot study, the intervention will be implemented in Yaba in Lagos state. The intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people. Bili Vibes: The HIV self-testing kits will be available for interested individuals at the community youth events. These events and information the HIV self-testing kits will be on flyers that would be promoted at community centers and schools. For this pilot study, the intervention will be implemented in Ngenevu/Bunker communities in Enugu state. This intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people. BeterDoc: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "BeterDoc Safety Kits" and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Ibadan, Dugbe and Agbowo in Oyo state. This intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people. IUNGO: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the HIV self-testing kits and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Akure South, Orita-Obele, Ipinsa, Ilara Mokin and Ijare in Ondo state.
    Measure Participants 114 86 81 11 96
    Baseline
    1
    0.9%
    3
    3.5%
    1
    1.2%
    0
    0%
    0
    0%
    6-month
    45
    39.5%
    3
    3.5%
    21
    25.9%
    0
    0%
    73
    76%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection SMART Pack, Luv Box, Bili Vibes, BeterDoc, IUNGO
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.05
    Comments
    Method Chi-squared
    Comments

    Adverse Events

    Time Frame 6 months
    Adverse Event Reporting Description
    Arm/Group Title SMART Pack Luv Box Bili Vibes BeterDoc IUNGO
    Arm/Group Description This involves using "SMART Pack" a HIV self-testing kit to promote uptake of HIV self-testing among young people at community centers. SMART Pack: The SMART pack is a re-branded and repackaged box for HIV self-testing kits. The intervention aims to promote distribution of HIVST kits through in institutions, vocational centers, and social media platforms. The intervention would also include a referral systems, where participants provided with the HIV self-testing kits are provided with information with youth-friendly health facilities for uptake of testing for sexually transmitted infections. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the SMART pack and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Yaba local government area in Lagos state. The intervention involves using "Luv Box" a box that include personal hygiene products and HIV self-testing kit as strategy to promote uptake of HIV testing among young people. Luv Box: The Luv box is packaged in two colors: blue and pink. The LUVBox would be made available in supermarkets, on-line stores, mini-marts, pharmacies, neighborhood stores and markets, for easy accessibility in hard to reach areas. The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "Luv Box" and the location where the pack can be obtained for individuals who are interested.For this pilot study, the intervention will be implemented in Yaba in Lagos state. The intervention involves using a program program called "Bili" that leverages community youth events such as football matches as a strategy to promote the uptake of HIV self-testing among young people. Bili Vibes: The HIV self-testing kits will be available for interested individuals at the community youth events. These events and information the HIV self-testing kits will be on flyers that would be promoted at community centers and schools. For this pilot study, the intervention will be implemented in Ngenevu/Bunker communities in Enugu state. This intervention involve using "BeterDoc Safety kits" that includes HIV self-testing kit, location and phone number to the health centers in the community as a strategy to promote update of HIV self-testing among young people. BeterDoc: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the "BeterDoc Safety Kits" and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Ibadan, Dugbe and Agbowo in Oyo state. This intervention involves using a program utilizes community vocational skills training centers to promote uptake of HIV self-testing among young people. IUNGO: The intervention would be promoted using flyers at community events and schools. The flyers will provide information on the HIV self-testing kits and the location where the pack can be obtained for individuals who are interested. For this pilot study, the intervention will be implemented in Akure South, Orita-Obele, Ipinsa, Ilara Mokin and Ijare in Ondo state.
    All Cause Mortality
    SMART Pack Luv Box Bili Vibes BeterDoc IUNGO
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/114 (0%) 0/86 (0%) 0/81 (0%) 0/11 (0%) 0/96 (0%)
    Serious Adverse Events
    SMART Pack Luv Box Bili Vibes BeterDoc IUNGO
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/114 (0%) 0/86 (0%) 0/81 (0%) 0/11 (0%) 0/96 (0%)
    Other (Not Including Serious) Adverse Events
    SMART Pack Luv Box Bili Vibes BeterDoc IUNGO
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/114 (0%) 0/86 (0%) 0/81 (0%) 0/11 (0%) 0/96 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Dr. Juliet Iwelunmor
    Organization Saint Louis University
    Phone 2405280123
    Email juliet.iwelunmor@slu.edu
    Responsible Party:
    Juliet Iwelunmor, PhD, Associate Professor in Global Health, Program Director, MPH Global Health Concentration, St. Louis University
    ClinicalTrials.gov Identifier:
    NCT04070287
    Other Study ID Numbers:
    • 30347
    • 1UG3HD096929-01
    First Posted:
    Aug 28, 2019
    Last Update Posted:
    Sep 14, 2021
    Last Verified:
    Sep 1, 2021