Efficacy Testing of a Culturally Relevant Stigma Intervention With WLWH in Tanzania

Duke University167 enrolled

Overview

This study will test a stigma reduction intervention with women living with HIV in Tanzania.

This study will test a culturally and linguistically relevant stigma reduction intervention, Labda Siku Moja, among women living with HIV in Tanzania.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

167

Conditions

HIV Stigma, Social Self Efficacy Self Esteem Hope Depressive Symptoms

Interventions

Labda Siku Moja stigma reduction interventionBEHAVIORAL

The Labda Siku Moja stigma reduction intervention is a tailored stigma reduction intervention for women living with HIV in Tanzania. It is comprised of five ethnodramas (video stories) culturally and linguistically relevant to the Tanzanian women living with HIV.

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: The inclusion criteria for this study are: * (1) women who are living with HIV; * (2) age 18 (age of adulthood as defined by the Tanzanian government); * (3) able and willing to voluntarily consent to participate in the study; * (4) able to travel to a data collection in their local community (as described above); * (5) demonstrate mental competence at time of informed consent; * (6) verbally indicate that they plan to reside in their current community for at least 6 months after enrollment (necessary to prevent attrition); * (7) score at the median or higher level on the Swahili Version of the Multidimensional Measure of Internalized HIV Stigma Scale. Exclusion Criteria: * (1) any acute psychological or physiological distress; if there is evidence of acute psychologic and/or physiologic, they will be excluded from this study and referred to an appropriate site for evaluation and treatment. * (2) Transgender women living with HIV will not be eligible to participate in this study to reduce the potential for confounding sources of stigma recognizing that a transgender identity is highly stigmatized and culturally sensitive in Tanzania. Further, it would be exceedingly difficult to recruit a sufficient sample of transgender women living with HIV to conduct an appropriate analysis. * (3) Participants may be enrolled in other HIV-related studies except cognitive-behavioral intervention studies addressing stigma, self-efficacy, self-esteem, and/or disclosure

Locations (1)

Muhimbili University of Health and Allied Sciences

Dar es Salaam, Tanzania

Outcomes

Primary Outcomes

Number of Participants Recruited as Measured by Enrollment Logs

Time frame: up to 6 months

Number of Study Participants Retained in Study as Measured by Enrollment Logs

Time frame: 30, 90, and 180 days after intervention

Percent of Questions Left Blank on Study Instruments

Time frame: baseline and 30, 90, and 180 days after intervention

Time it Takes in Minutes for Participants to Complete the Questionnaires

Time frame: baseline and 30, 90, and 180 days after intervention

Number of Women Who Completed All 5 Sessions

Time frame: up to 5 weeks

Secondary Outcomes

Change in Internalized Stigma, as Measured by the Swahili Version of the Multidimensional Measure of Internalized Stigma Scale

Scores range from 0 to 100 with lower scores indicating less stigma and higher scores indicating more stigma

Time frame: baseline and 30, 90, and 180 days after intervention

Change in Coping Self-efficacy, as Measured by the Swahili Version of the Coping Self-Efficacy Scale

Scores range from 0 to 26, with lower scores indicating lower coping self-efficacy and higher scores indicating greater coping self-efficacy.

Time frame: baseline and 30, 90, and 180 days after intervention

Change in Self-esteem, as Measured by the Swahili Version of the Rosenberg Self-Esteem Scale

Scores range from 10 to 40, with lower scores indicating lower self-esteem and higher scores indicating higher self-esteem

Data from ClinicalTrials.gov

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