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Spurring Innovation to Promote HIV Testing: An RCT Evaluating Crowdsourcing

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ClinicalTrials.gov Identifier: NCT02248558
Recruitment Status : Completed
First Posted : September 25, 2014
Results First Posted : December 20, 2016
Last Update Posted : February 10, 2017
Sponsor:
Collaborators:
Social Entrepreneurship for Sexual Health (SESH)
University of California, San Francisco
London School of Hygiene and Tropical Medicine
Guangdong Provincial Centers for Skin Diseases and STI Control
Information provided by (Responsible Party):
Joseph Tucker, MD, PhD, MA, University of North Carolina, Chapel Hill

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor);   Primary Purpose: Screening
Condition HIV
Interventions Behavioral: Conventional Video
Behavioral: Crowdsourced Video
Enrollment 721
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Conventional Video Crowdsourced Video
Hide Arm/Group Description

This arm will receive a one-minute conventional video promoting HIV test uptake.

Conventional Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was created by a local CDC via direct CDC funding and internal guidance and development.

This arm will receive a one-minute crowdsourced video promoting HIV test uptake.

Crowdsourced Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was the winner in a crowdsourced video contest hosted in China. CBOs all submitted their own independently designed and funded videos.

Period Title: Overall Study
Started 369 352
Completed 317 307
Not Completed 52 45
Arm/Group Title Conventional Video Crowdsourced Video Total
Hide Arm/Group Description

This arm will receive a one-minute conventional video promoting HIV test uptake.

Conventional Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was created by a local CDC via direct CDC funding and internal guidance and development.

This arm will receive a one-minute crowdsourced video promoting HIV test uptake.

Crowdsourced Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was the winner in a crowdsourced video contest hosted in China. CBOs all submitted their own independently designed and funded videos.

Total of all reporting groups
Overall Number of Baseline Participants 369 352 721
Hide Baseline Analysis Population Description
[Not Specified]
Age, Customized  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 369 participants 352 participants 721 participants
16-20
114
  30.9%
120
  34.1%
234
  32.5%
21-25
130
  35.2%
136
  38.6%
266
  36.9%
26-30
62
  16.8%
50
  14.2%
112
  15.5%
31-35
38
  10.3%
28
   8.0%
66
   9.2%
>35
27
   7.3%
18
   5.1%
45
   6.2%
Sex/Gender, Customized  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 369 participants 352 participants 721 participants
Male
351
  95.1%
334
  94.9%
685
  95.0%
Transgender
18
   4.9%
18
   5.1%
36
   5.0%
Education  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 369 participants 352 participants 721 participants
High School or below
105
  28.5%
108
  30.7%
213
  29.5%
College
239
  64.8%
231
  65.6%
470
  65.2%
Graduate Education
25
   6.8%
13
   3.7%
38
   5.3%
Annual Income (SD)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 369 participants 352 participants 721 participants
<3000
128
  34.7%
113
  32.1%
241
  33.4%
3000-6000
102
  27.6%
104
  29.5%
206
  28.6%
6001-9500
85
  23.0%
84
  23.9%
169
  23.4%
9501-15000
38
  10.3%
37
  10.5%
75
  10.4%
>15000
16
   4.3%
14
   4.0%
30
   4.2%
Marital status  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 369 participants 352 participants 721 participants
Never married
304
  82.4%
311
  88.4%
615
  85.3%
Married/Engaged
50
  13.6%
39
  11.1%
89
  12.3%
Separated/divorced/Widowed
15
   4.1%
10
   2.8%
25
   3.5%
Sexual orientation disclosure  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 369 participants 352 participants 721 participants
Yes
210
  56.9%
199
  56.5%
409
  56.7%
No
159
  43.1%
153
  43.5%
312
  43.3%
Ever used gay mobile application  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 369 participants 352 participants 721 participants
Yes
267
  72.4%
275
  78.1%
542
  75.2%
No
97
  26.3%
71
  20.2%
168
  23.3%
Recent Condomless anal sex  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 369 participants 352 participants 721 participants
No recent sex
58
  15.7%
47
  13.4%
105
  14.6%
Condomless anal sex
23
   6.2%
28
   8.0%
51
   7.1%
Anal sex with a condom
57
  15.4%
58
  16.5%
115
  16.0%
1.Primary Outcome
Title First-Time HIV Testing
Hide Description All individuals enrolled in the study will receive a cell phone text message three weeks later asking if they have received an HIV test. Among those individuals who do not respond to the text message, another text will be sent at four weeks after the video. We anticipate the median duration of follow-up to be approximately 3.5 weeks following the video intervention.
Time Frame Up to 4 weeks following the video intervention
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Conventional Video Crowdsourced Video
Hide Arm/Group Description:

This arm will receive a one-minute conventional video promoting HIV test uptake.

Conventional Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was created by a local CDC via direct CDC funding and internal guidance and development.

111 of 317 (35%) in the health marketing arm reported testing for HIV

This arm will receive a one-minute crowdsourced video promoting HIV test uptake.

Crowdsourced Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was the winner in a crowdsourced video contest hosted in China. CBOs all submitted their own independently designed and funded videos.

In the crowdsourced intervention arm, 114 of 307 (37%) reported testing for HIV.

Overall Number of Participants Analyzed 317 307
Measure Type: Count of Participants
Unit of Measure: Participants
111
  35.0%
114
  37.1%
2.Secondary Outcome
Title Likelihood of HIV Testing
Hide Description All individuals will be asked how likely they are to test for HIV soon immediately before and after watching the videos (during enrollment). Likelihood of HIV testing will be measured on a 4-point numerical Likert scale rating scale. 0 will be "very unlikely", 1 will be "unlikely", 2 will be likely, and 3 will be very likely. The percentage of individuals who report increased likelihood of HIV testing will be reported.
Time Frame Up to one day
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Conventional Video Crowdsourced Video
Hide Arm/Group Description:

This arm will receive a one-minute conventional video promoting HIV test uptake.

Conventional Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was created by a local CDC via direct CDC funding and internal guidance and development.

This arm will receive a one-minute crowdsourced video promoting HIV test uptake.

Crowdsourced Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was the winner in a crowdsourced video contest hosted in China. CBOs all submitted their own independently designed and funded videos.

Overall Number of Participants Analyzed 369 352
Measure Type: Count of Participants
Unit of Measure: Participants
Yes
184
  49.9%
212
  60.2%
No
185
  50.1%
140
  39.8%
3.Secondary Outcome
Title Cost-effectiveness of Developing HIV Testing Promotional Videos
Hide Description Cost-effectiveness of developing the crowdsourced video compared to the conventional video
Time Frame Up to one year
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Conventional Video Crowdsourced Video
Hide Arm/Group Description:

This arm will receive a one-minute conventional video promoting HIV test uptake.

Conventional Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was created by a local CDC via direct CDC funding and internal guidance and development.

111 of 317 (35%) in the health marketing arm reported testing for HIV

This arm will receive a one-minute crowdsourced video promoting HIV test uptake.

Crowdsourced Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was the winner in a crowdsourced video contest hosted in China. CBOs all submitted their own independently designed and funded videos.

In the crowdsourced intervention arm, 114 of 307 (37%) reported testing for HIV.

Overall Number of Participants Analyzed 369 352
Measure Type: Number
Unit of Measure: USD
The incremental unit cost for promoting HIV testin 238 131
The incremental unit costs per newly diagnosed HIV 799 415
Time Frame [Not Specified]
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title Conventional Video Crowdsourced Video
Hide Arm/Group Description

This arm will receive a one-minute conventional video promoting HIV test uptake.

Conventional Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was created by a local CDC via direct CDC funding and internal guidance and development.

This arm will receive a one-minute crowdsourced video promoting HIV test uptake.

Crowdsourced Video: Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was the winner in a crowdsourced video contest hosted in China. CBOs all submitted their own independently designed and funded videos.

All-Cause Mortality
Conventional Video Crowdsourced Video
Affected / at Risk (%) Affected / at Risk (%)
Total   --/--   --/-- 
Show Serious Adverse Events Hide Serious Adverse Events
Conventional Video Crowdsourced Video
Affected / at Risk (%) Affected / at Risk (%)
Total   0/369 (0.00%)   0/352 (0.00%) 
Show Other (Not Including Serious) Adverse Events Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Conventional Video Crowdsourced Video
Affected / at Risk (%) Affected / at Risk (%)
Total   0/369 (0.00%)   0/352 (0.00%) 
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: Weiming Tang
Organization: UNC Project-China
Phone: +86-15920567132
Responsible Party: Joseph Tucker, MD, PhD, MA, University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier: NCT02248558     History of Changes
Other Study ID Numbers: 14-1865
First Submitted: September 17, 2014
First Posted: September 25, 2014
Results First Submitted: October 26, 2016
Results First Posted: December 20, 2016
Last Update Posted: February 10, 2017