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CompletedNCT04379206Updated Jan 11, 2022

Social Network Approach for Increasing Testing Coverage Among Men Who Have Sex With Men

An observational study in HIV Infections, sponsored by Chinese University of Hong Kong. Completed at 1 site in Hong Kong. Open to male participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-01-11.

Sponsored by Chinese University of Hong Kong · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
463
Ages
18 Years and older
Sex
Male
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Study summary

HIV testing is essential in shortening the time to identify a new infection, the first 90 of the UNAIDS 90-90-90 targets. However, over one-third of the men who have sex with men (MSM) had never been tested for HIV; even if they did, one-fifth had their tests done more than a year ago. Assortative mixing pattern observed in the HIV-positive MSM group shaped the transmission dynamics and could be leveraged for intervention. Barriers to access HIV testing services could, on the other hand, be hurdled by self-tests. A network approach for intervention could therefore be promising in delivering effective HIV self-tests. To experiment with such an approach, a 2-phase study was conceptualised incorporating actual network-based referred HIV self-tests and an agent-based simulation evaluating its impact. Sixty-four MSM would be recruited as seeds for promoting HIV self-tests within their network and those being referred could refer their friends for the same after passing online training. To facilitate the process, an online platform would be developed offering information, collecting informed consent, requesting HIV self-test kits, returning results, performing online training, and referring peers. Participants could opt to receive self-tests by delivery or to conduct it on-site with staff assistance. A hotline with video conferencing support would be maintained to assist those who self-test at home. They could also choose between blood and oral fluid tests. Two user interfaces, namely gamification and neumorphism, would be randomly assigned. Primary outcomes to measure are number and proportion of MSM who had never or not tested within 12 months and the associating factors, and usability of the two user interfaces. Data collected in the empirical study would be used for parameterising the agent-based simulation to evaluate the impact of the approach in increasing testing coverage and shortening time to diagnosis. Its economic assessment would also be performed to cost each new infection to be identified. The approach could be feasible and effective to be adopted for future broader implementation for peer-led HIV self-test kit or HIV prevention message distribution.

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Conditions studied

  • HIV Infections

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Keywords

  • men who have sex with men
  • self-testing
  • social network
  • agent-based model
  • HIV
  • Gamification
  • Neumorphism
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In context

HIV Infections

4,258 studies on the registry are indexed under HIV Infections; 240 are open to participants now.

This study's enrollment of 463 is above the median of 200 across 713 observational studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

Chinese University of Hong Kong is the lead sponsor of 1,419 studies on the registry; 487 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Adult men who have sex with men in Hong Kong

Inclusion criteria

  • male
  • had sex with another male in the preceding year
  • able to communicate in written Chinese or English
  • normally resided in Hong Kong

Exclusion criteria

Exclusion Criteria:

  • prisoners
  • having mental illnesses that informed consent cannot be obtained
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Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
463 participants (actual)
Patient registry
No

Groups and cohorts

  • Men who have sex with men

    MSM receiving a self-test kit with optional assistance

    Diagnostic Test: HIV self-test kit · Other: Graphical User Interface

Interventions

  • Diagnostic testHIV self-test kit

    fingerprick and oral fluid HIV self-tests with optional on-site or hotline staff assistance

  • OtherGraphical User Interface

    Gamification or neumorphism user interface

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What researchers measure

Primary outcomes

  1. effectiveness of the approach in reaching MSM who have never or not recently tested for HIV

    proportion of testers who have never or not recently tested for HIV

    Time frame: Through study completion, at year 2

  2. Usability and acceptability of two user interfaces

    System Usability Scores (SUS) and proportion of testers giving a score of at least 71

    Time frame: Through study completion, at year 2

Secondary outcomes

  1. Determinants of key actors in the social network

    Network metrics predicting important actors in the referral network

    Time frame: Through study completion, at year 2

  2. Preference of two forms of HIV self-testing

    Proportion of testers favouring each form of self-testing

    Time frame: Through study completion, at year 2

  3. Effect of network-based HIV self-test promotion in controlling transmission among MSM

    Number of infections identified from the agent-based model

    Time frame: Through study completion, at year 2

  4. Proportion and characteristics of promoters

    Promoters are testers giving an SUS score of at least 80

    Time frame: Through study completion, at year 2

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Study locations

1 site
  • Stanley Ho Centre for Emerging Infectious Diseases
    Sha Tin, Hong Kong
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References and documents

Publications

  • Kwan TH, Lee SS. Predictors of HIV Testing and Their Influence on PrEP Acceptance in Men Who Have Sex with Men: A Cross-Sectional Study. AIDS Behav. 2018 Apr;22(4):1150-1157. doi: 10.1007/s10461-017-1978-0. PubMed 29127535 ↗
  • Valente TW. Network interventions. Science. 2012 Jul 6;337(6090):49-53. doi: 10.1126/science.1217330. PubMed 22767921 ↗
  • Kwan TH, Lee SS. Bridging Awareness and Acceptance of Pre-Exposure Prophylaxis Among Men Who Have Sex With Men and the Need for Targeting Chemsex and HIV Testing: Cross-Sectional Survey. JMIR Public Health Surveill. 2019 Jul 3;5(3):e13083. doi: 10.2196/13083. PubMed 31271148 ↗
  • Cao B, Saffer AJ, Yang C, Chen H, Peng K, Pan SW, Durvasula M, Liu C, Fu H, Ong JJ, Tang W, Tucker JD. MSM Behavior Disclosure Networks and HIV Testing: An Egocentric Network Analysis Among MSM in China. AIDS Behav. 2019 May;23(5):1368-1374. doi: 10.1007/s10461-019-02404-z. PubMed 30680538 ↗
  • Song Y, Li X, Zhang L, Fang X, Lin X, Liu Y, Stanton B. HIV-testing behavior among young migrant men who have sex with men (MSM) in Beijing, China. AIDS Care. 2011 Feb;23(2):179-86. doi: 10.1080/09540121.2010.487088. PubMed 21259130 ↗
  • Philbin MM, Hirsch JS, Wilson PA, Ly AT, Giang LM, Parker RG. Structural barriers to HIV prevention among men who have sex with men (MSM) in Vietnam: Diversity, stigma, and healthcare access. PLoS One. 2018 Apr 3;13(4):e0195000. doi: 10.1371/journal.pone.0195000. eCollection 2018. PubMed 29614104 ↗
  • Kwan TH, Chan DPC, Lee SS. User Experience and Usability of Neumorphism and Gamification User Interface Designs in an HIV Self-Test Referral Program for Men Who Have Sex With Men: Prospective Open-Label Parallel-Group Randomized Controlled Trial. JMIR Serious Games. 2022 Jun 22;10(2):e35869. doi: 10.2196/35869. PubMed 35731564 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 11, 2022, 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
NCT04379206
Lead sponsor
Chinese University of Hong Kong
Responsible party
Tsz Ho Kwan (Postdoctoral Fellow, Chinese University of Hong Kong) — Principal investigator
First posted
May 7, 2020
Start date
Mar 1, 2021
Primary completion
May 12, 2021
Completion
May 12, 2021
Last update
Jan 11, 2022

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.

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