Key populations at risk of HIV (including men who have sex with men, people who inject drugs, transgender women, and female sex workers) are more likely to be infected with HIV but less likely than members of the general population to know of their HIV status, receive HIV prevention counseling, or be linked to HIV care services. Clinician stigma towards these groups remains a potent and persistent driver of these HIV disparities in many places of the world. The investigators propose to incorporate evidence-based stigma reduction tools into a popular teletraining platform for clinicians and pilot test the resulting intervention (Project ECHO® for HIV Prevention and Stigma Reduction) with clinicians in Malaysia, a context wherein clinician stigma and HIV disparities are substantial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SCREENING
Masking
DOUBLE
Enrollment
78
online education and clinical skills
education and clinical skills
education, clinical skills and contact
University of Malaya
Kuala Lumpur, Malaysia
Acceptability of Intervention
Measured with Acceptability of Intervention Measure. Theoretical or possible range of scores is 1-5, and actual range was 3.50-5. Higher scores indicate greater acceptability.
Time frame: Month 9 Assessment
Feasibility of Intervention
Measured with Feasibility of Intervention Measure. Theoretical or possible range of scores is 1-5, and actual range was 3.25-5. Higher scores indicate greater feasibility.
Time frame: Month 9 Assessment
Stigma Reduction: Prejudice
Measured with Feelings Thermometers. Positive/Negative affect is measured on 0-100 point scale, with higher scores indicating more prejudice.
Time frame: Month 9 Assessment
Stigma Reduction: Stereotypes
Measured with subscale of Multidimensional HIV-Related Stigma Scale. Theoretical or possible range of scores is 1-5, and actual range was 1-3.44. Higher scores indicate greater stereotypes.
Time frame: Month 9 Assessment
Stigma Reduction: Discrimination
Measured with subscale of Multidimensional HIV-Related Stigma Scale. Theoretical or possible range of scores is 1-5, and actual range was 1-5. Higher scores indicate greater discrimination.
Time frame: Month 9 Assessment
HIV Prevention Procedures: HIV Testing
Measured with weekly diary of HIV tests performed. Number of HIV tests will be summed over duration of intervention.
Time frame: Cumulative over 9 month intervention
HIV Prevention Procedures: PrEP Prescriptions
Measured with weekly diary of PrEP prescriptions. Number of PrEP prescriptions will be summed over duration of intervention.
Time frame: Cumulative over 9 month intervention
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