Partner Notification Strategies for MSM in Peru
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Purpose
The goal of the proposed research is to assess new strategies for partner management and sexually transmitted infection (STI) control to reduce the spread of HIV-1 among men who have sex with men (MSM) in Latin America. The HIV epidemic in Peru remains concentrated within the core risk group of MSM. STI infection and re-infection are central to the continuation of the HIV epidemic among MSM in Peru. Development of improved strategies for partner notification and treatment will reduce the incidence and prevalence of STIs and ultimately reduce the incidence of HIV infection in this population. The first phase of this study used qualitative methods to explore attitudes and practices related to partner notification among MSM in Lima, Peru. Findings from the qualitative research were used to develop a quantitative survey instrument to assess partner notification decision-making processes and practices among MSM in Peru recently diagnosed with HIV or syphilis infection. Data from both quantitative and qualitative phases of the study have been used to develop a partner notification for MSM in Peru. Investigators plan to implement and assess the impact of the intervention on rates of partner notification following a diagnosis of syphilis among MSM in Lima, Peru. The investigators hypothesize that participants randomized to receive one or more partner notification tools will report a higher frequency of partner notification.
| Condition | Intervention |
|---|---|
|
Partner Notification Following STI Diagnosis |
Behavioral: Internet Behavioral: Referral Card Behavioral: Internet and Referral Card |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Partner Notification Strategies for STI Control in Urban Peru |
- Self-Reported Partner Notification [ Time Frame: 21 days ] [ Designated as safety issue: No ]Participant self-report of recent partner notification at 14-21 days of follow-up.
- Investigator-confirmed Partner Notification [ Time Frame: 21 Days ] [ Designated as safety issue: No ]Participants who report notifying one or more of their three most recent partners will be asked for permission for the investigators to contact one or more of these partners to confirm notification outcomes. Partners who are successfully contacted and confirm prior partner notification will be defined as confirmed notifications.
| Estimated Enrollment: | 400 |
| Study Start Date: | August 2012 |
| Estimated Primary Completion Date: | August 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: Control
Standardized partner notification counseling
|
|
|
Experimental: Internet Notification
Standardized partner notification counseling and referral to internet-based partner referral website.
|
Behavioral: Internet
Referral and user instructions for Peru section of www.inspot.org partner notification website
|
|
Experimental: Referral Card
Standardized partner notification counseling and provision of 5 printed partner referral cards.
|
Behavioral: Referral Card
5 printed referral cards with information on syphilis signs, symptoms, diagnosis, treatment, and local resources.
|
|
Experimental: Internet and Referral Card
Standardized partner notification counseling and referral to internet-based partner referral website and provision of 5 printed partner referral cards.
|
Behavioral: Internet and Referral Card
5 printed referral cards with information on syphilis signs, symptoms, diagnosis, treatment, and local resources; Referral and user instructions for Peru section of www.inspot.org partner notification website.
|
Show Detailed Description Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 18 years of age or older
- Male or biologically male at birth
- Sexual contact (oral or anal intercourse) with a male or male-to-female transgender partner in the past 12 months
- Diagnosis with syphilis infection
Exclusion Criteria:
- Under 18 years of age
- Unable to understand informed consent procedures
Contacts and Locations| Contact: Jesse L Clark, MD, MSc | 310-601-7798 | jlclark@mednet.ucla.edu |
| Contact: Eddy R Segura, MD, MPH | 3106017798 | eddysegura@gmail.com |
| Peru | |
| Asociacion Civil Impacta Salud y Educacion | Recruiting |
| Lima, Peru | |
| Contact: Jesica Rios 562 1600 | |
| Principal Investigator: Javier R Lama, MD, MPH | |
| Principal Investigator: | Jesse L Clark, MD, MSc | University of California, Los Angeles |
More Information
No publications provided
| Responsible Party: | Jesse Clark, Assistant Professor-in-Residence, University of California, Los Angeles |
| ClinicalTrials.gov Identifier: | NCT01720641 History of Changes |
| Other Study ID Numbers: | K23MH084611, IMP-478-2012, K23MH084611 |
| Study First Received: | October 29, 2012 |
| Last Updated: | October 31, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of California, Los Angeles:
|
MSM Transgender Women Partner Notification Syphilis Peru |
ClinicalTrials.gov processed this record on May 23, 2013