Ignite Creation Date:
2024-05-06 @ 8:24 PM
Last Modification Date:
2024-10-26 @ 3:27 PM
Study NCT ID:
NCT06373952
Status:
RECRUITING
Last Update Posted:
2024-04-22
First Post:
2024-04-15
Brief Title:
Integrated Online-to-offline O2O Model of Care for HIV Prevention and Treatment Among Men Who Have Sex with Men
Sponsor:
University of Connecticut
Organization:
University of Connecticut
Study Overview
Official Title:
Integrated Online-to-offline O2O Model of Care for HIV Prevention and Treatment Among Men Who Have Sex with Men
Status:
RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
CINTAI
Brief Summary:
The proposed research focuses on developing and testing a web-based platform called Jom-TestPlus that will incorporate HIV self-testing HIVST with real-time e-counseling eHIVST with online-to-offline O2O linkage to HIV prevention and treatment services while simultaneously co-addressing chemsex-related needs for men who have sex with men MSM in Malaysia This model represents a potentially impactful strategy for reaching marginalized populations like MSM and allows immediate engagement in the post-test linkage process to prevention or treatment services
Detailed Description:
Malaysias HIV epidemic is rapidly expanding with recent evidence suggesting increasing sexual transmission especially in MSM HIV prevalence among MSM is now at an all-time high of 216 and is concentrated in the countrys capital Kuala Lumpur where prevalence among MSM is 43 in 2020 up from 22 just four years before Insights into Malaysias expanding HIV epidemic are multi-factorial Both homosexuality and substance use are criminalized in Malaysia MSM are therefore often hesitant to disclose their sexuality or risk behaviors primarily due to fear of stigma discrimination or criminalization Further evidence suggests the widespread use 24 of psychoactive substances eg amphetamine-type stimulants before or during a sexual encounter also known as sexualized drug use chemsex among Malaysian MSM which leads to high-risk sexual practices eg condomless sex Stigma and discrimination are also enacted on MSM by healthcare providers which foster a hostile environment toward MSM complicating efforts to scale-up of HIV testing and subsequent linkage to HIV prevention pre-exposure prophylaxis and treatment antiretroviral therapy services HIV testing jumpstarts entry into the HIV prevention and treatment cascades New HIV testing guidelines recommend MSM test every 3 to 6 months as early HIV testing is a cost-effective strategy for stemming the HIV epidemic Yet HIV testing rates remain low among Malaysian MSM ever tested 703 and last year tested 309 HIV selftesting HIVST may be particularly impactful among MSM in Malaysia Although willingness to use HIVST is high in this group its use is still minimal due to lack of access to HIVST kits concerns related to misinterpreting results and missed opportunities for counseling and linkage to care In this context eHealth represents an innovative platform to transform the face of HIV service delivery ie testing and linkage to care Leveraging eHealth platforms for HIV services delivery in Malaysia is ideal given that nearly all 99 MSM use some form of communication technology eg smartphone laptop and has a strong preference for web-based platforms for HIVST Therefore a web-based HIVST platform called Jom-Test was developed to promote HIV testing by providing free anonymous HIVST The results demonstrated high feasibility and acceptability for the platform but low post-test linkage to treatment and prevention services The findings further indicated the need for real-time online access to counselors for pre- and post-test counseling and support for linkage to HIV and chemsex-related harm reduction services offline To address this evidence gap this application proposes to jump-start the broader HIV care continuum by adapting expanding and refining an existing Jom-Test platform The enhanced version to be called Jom-TestPlus will include real-time e-counseling eHIVST with integrated O2O linkage to HIV prevention and treatment services while simultaneously co-addressing chemsex-related needs for Malaysian MSM This model represents a potentially impactful strategy for reaching marginalized populations like MSM and allows immediate engagement in the post-test linkage process to prevention or treatment services
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None