Client-Centered Counseling During Routine/Opt-Out HIV-Testing in Uganda

Study Overview
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Brief Summary
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This study pilot tests and intervention to help individuals reduce their risk for acquiring or transmitting HIV. The intervention is implemented when people are tested for HIV in an outpatient clinic in rural Uganda. Approximately half of participants will receive the intervention and the other half will receive the usual counseling provided during HIV counseling and testing.

Official Title
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Client-Centered Counseling During Routine/Opt-Out HIV-Testing in Uganda

Conditions
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HIV, Sexual Behavior

Intervention / Treatment
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* Behavioral: Motivational interviewing intervention during HIV testing
* Behavioral: Standard-of-care counseling during HIV testing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: at least 18 years of age, have come to the outpatient clinic for a medical concern (e.g., cough, malaria, but not those seeking voluntary HIV-counseling and testing, sexually active within the prior 3-months, not currently pregnant, no confirmed HIV-positive test result prior to the present HIV-test, and live not more than 30km from Gombe Hospital in Uganda (to facilitate follow-up) Exclusion Criteria: less than 18 years of age, having come to the clinic seeking voluntary HIV-counseling and testing, not sexually active in prior 3 months, currently pregnant, confirmed prior HIV positive test, live more than 30km from the hospital

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Motivational interviewing counseling<br>The brief intervention is adapted from the OPTIONS project, which is a brief client-centered risk reduction intervention for HIV-positive patients in clinical care. The OPTIONS intervention content is based upon the IMB model of health behavior change, and uses motivational interviewing techniques to create client-centered discussions in which HIV counselors and patients collaborate to identify patients' HIV transmission risk behaviors and to mutually identify strategies and goals for reducing the patient's risky behavior. The brief intervention will be facilitated by health care providers (nurses, lab technicians) specifically trained in the intervention protocol and will consist of 2 brief counseling sessions occurring during the same-day rapid HIV-testing procedure | Behavioral: Motivational interviewing intervention during HIV testing<br> <br> |
| Active Comparator: Standard of care counseling<br>Participants in this study condition will receive standard-of-care counseling that is usually implemented during HIV testing. | Behavioral: Standard-of-care counseling during HIV testing<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sexual risk behavior | Unprotected sex with serodiscordant or unknown HIV status partners | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Uptake of partner testing | Partner uptake of HIV testing | 6 months |