Spurring Innovation to Promote HIV Testing: An RCT Evaluating Crowdsourcing

Study Overview
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Brief Summary
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Crowdsourcing may be a powerful tool to spur the development of innovative videos to promote HIV testing among key populations such as men who have sex with men (MSM) and transgender (TG) individuals. The purpose of this randomized controlled trial is to compare the effect of a crowdsourced video and a conventional video on first-time HIV testing among MSM and TG in China. The crowdsourced video was developed using an open contest, formal transparent judging, and an incentive of marketing promotion. The hypothesis is that a crowdsourced video will be equivalent (within a margin of 3%) to a conventional video in terms of self-reported first-time HIV testing within 3-4 weeks of watching the video.

Official Title
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Crowdsourcing Versus Conventional HIV Testing Promotion: A Noninferiority Randomized Controlled Trial to Evaluate Promoting First-Time HIV Testing Among MSM and Transgender Individuals in China

Conditions
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HIV

Intervention / Treatment
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* Behavioral: Conventional Video
* Behavioral: Crowdsourced Video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Born biologically male or identify as transgender 16 years or older Lifetime anal sex with another man Providing informed consent and active mobile phone number Exclusion Criteria: HIV-infected HIV-tested ever in the past

Ages Eligible for Study
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Minimum Age: 16 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: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Conventional video<br>This arm will receive a one-minute conventional video promoting HIV test uptake. | Behavioral: Conventional Video<br>* Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was created by a local CDC via direct CDC funding and internal guidance and development.<br>|
| Experimental: Crowdsourced video<br>This arm will receive a one-minute crowdsourced video promoting HIV test uptake. | Behavioral: Crowdsourced Video<br>* Participants will watch a one minute video whose purpose is to increase HIV testing uptake. This video was the winner in a crowdsourced video contest hosted in China. CBOs all submitted their own independently designed and funded videos.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| First-Time HIV Testing | All individuals enrolled in the study will receive a cell phone text message three weeks later asking if they have received an HIV test. Among those individuals who do not respond to the text message, another text will be sent at four weeks after the video. We anticipate the median duration of follow-up to be approximately 3.5 weeks following the video intervention. | Up to 4 weeks following the video intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Likelihood of HIV Testing | All individuals will be asked how likely they are to test for HIV soon immediately before and after watching the videos (during enrollment). Likelihood of HIV testing will be measured on a 4-point numerical Likert scale rating scale. 0 will be very unlikely, 1 will be unlikely, 2 will be likely, and 3 will be very likely. The percentage of individuals who report increased likelihood of HIV testing will be reported. | Up to one day | 
| Cost-effectiveness of Developing HIV Testing Promotional Videos | Cost-effectiveness of developing the crowdsourced video compared to the conventional video | Up to one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Contest, Crowdsourcing, Innovation, Randomized controlled trial, China, Social entrepreneurship