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CompletedNCT02386215Updated Jun 6, 2016

The Use of HIV Self-tests to Promote Partner and Couples Testing: a Randomized Trial

An interventional study of HIV self-test in HIV, sponsored by University of North Carolina, Chapel Hill. Completed. Open to female participants aged 18 Years to 39 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-06-06.

Sponsored by University of North Carolina, Chapel Hill · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
18 Years to 39 Years
Sex
Female
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Study summary

This randomized controlled trial will explore whether the provision of oral HIV self-test kits to women can increase HIV testing among their male partners. The study will recruit adult women from antenatal care and post-partum clinics in Kisumu. Each participant will be randomized to either receive two HIV self-tests or to receive counseling referring their partner to HIV testing (standard of care). Over a 3 month period, we will obtain information from study participants on how many sexual partners they offered the tests to, the receptivity of their sexual partners to using self-tests, and the incidence of any adverse events. We will compare partner testing rates in intervention and control groups.

Read the detailed description

This randomized controlled trial will enroll women, ages 18-39, attending antenatal care (ANC) and post-partum care (PPC) at 3 sites in Kisumu, Kenya. The study's purpose is to investigate whether offering multiple HIV self-tests to women can increase the likelihood that either partner or couples HIV testing takes place.

Women who are randomized to the intervention group will be provided with multiple oral self-tests as well as information about how to use the tests and where to seek care if necessary. These women will be encouraged to give the self-tests to their sexual partners and encourage those partners to take a self-test. Women who are randomized to the control group will be offered the standard counseling to refer their partners for clinic-based HIV counseling and testing. Our hypothesis is that the intervention group will have higher uptake of HIV testing by women's partners within 3 months of enrollment in the study than the control group. Participants in the study will complete a baseline interview and a follow-up interview at 3 months post-enrollment. Qualitative in-depth interviews will be conducted with a subset of participants in the intervention group.

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Conditions studied

  • HIV

Keywords

  • HIV self-testing
  • randomized controlled trial
  • Kenya
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In context

Lead sponsor

University of North Carolina, Chapel Hill is the lead sponsor of 1,366 studies on the registry; 133 are open to participants now.

Of its 158 completed or terminated interventional studies of FDA-regulated products, 139 (88%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 39 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Primarily resides in or near Kisumu
  • Reports having a current, primary partner (someone that the woman has been in a relationship with for at least 6 months and is identified as her primary partner)
  • Reports that primary partner has not tested for HIV in past 6 months
  • Have undergone the opt-out HIV testing at the ANC or PPC clinic
  • Intends to continue living in or around Kisumu for the next 3 months (follow-up period).

Exclusion criteria

Exclusion Criteria:

  • Believes that her partner will hurt her if she gives him an HIV self-test and encourages him to use it
  • Reports having an HIV+ partner
  • Intends to relocate from Kisumu area within the next 3 months
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Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
600 participants (actual)

Study arms

  • Experimental
    HIV Self-test

    Following a baseline interview, participants in the intervention group will be shown how to correctly use the self-tests and given two HIV self-tests. Subsequently, we will contact participants periodically over a 3 month period to see if they have used the test(s) with their sexual partners and conduct a follow-up interview.

    Behavioral: HIV self-test

  • No intervention
    Control

    Following the baseline interview, participants in the control group will be given referral vouchers for themselves and their partners to obtain HIV testing at Voluntary Counseling \& Testing (VCT) centers. We will contact the participants at the end of 3 months to see if they and/or their partner(s) have sought HIV testing.

Interventions

  • BehavioralHIV self-test

    Two self-test kits will be distributed to women, each containing the following: * One standard OraQuick ADVANCE I/II test kit * Written pre-test information including test instructions in written and pictorial form * A phone number that participants can call to obtain additional information * Two vouchers with unique identifying numbers which can be redeemed at confirmatory testing

    Also known as: Oraquick

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What researchers measure

Primary outcomes

  1. Proportion of partners that uptake HIV testing (questionnaire)

    The primary outcome for the study will be uptake of HIV testing by women's partners within 3 months of enrollment in the study. For each participant, the investigators will record whether the participant's partner underwent HIV testing. The investigators will test for differences in the primary outcome variable between the intervention and control group.

    Time frame: 3 months

Secondary outcomes

  1. Proportion of participants who discussed HIV testing with partner (questionnaire)

    Proportion of participants who report that they discussed HIV testing with their partner

    Time frame: 3 months

  2. Proportion of participants whose partners undergo HIV testing individually (questionnaire)

    Proportion of participants whose partners undergo HIV testing individually (partner testing)

    Time frame: 3 months

  3. Proportion of participants who undergo Couples HIV testing with their partners (questionnaire)

    Proportion of participants who undergo HIV testing with their partners (Couples testing)

    Time frame: 3 months

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Masters SH, Agot K, Obonyo B, Napierala Mavedzenge S, Maman S, Thirumurthy H. Promoting Partner Testing and Couples Testing through Secondary Distribution of HIV Self-Tests: A Randomized Clinical Trial. PLoS Med. 2016 Nov 8;13(11):e1002166. doi: 10.1371/journal.pmed.1002166. eCollection 2016 Nov. PubMed 27824882 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 6, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02386215
Collaborators
Impact Research & Development Organization
Responsible party
Harsha Thirumurthy, PhD (Associate Professor, University of North Carolina, Chapel Hill) — Principal investigator
First posted
Mar 11, 2015
Start date
Jun 2015
Primary completion
Dec 2015
Completion
Dec 2015
Last update
Jun 6, 2016

Study contacts

Harsha Thirumurthy, PhD
principal investigator · University of North Carolina, Chapel Hill

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2016. You cannot join it, but the record below documents what was studied.

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