Clinical trial NCT06428058: Evaluating the Effects of Reproductive Health Training on Provider Behavior
Official title: Evaluating the Effects of Reproductive Health Training on Provider Behavior
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Health Knowledge, Attitudes, Practice
Training
Lead sponsor: University of Minnesota
Sponsor class: OTHER
Collaborators: name: Muhimbili University of Health and Allied Sciences
name: Johns Hopkins University
First posted: 2024-05-24
Enrollment: 310
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Testing of an Afrocentric sexual health curriculum for Midwifery, Nursing and Medical Students.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The goal of this randomized, controlled, single blinded trial is to evaluate the medium to long-term effects of an Afrocentric sexual health curriculum on health professional students' knowledge, attitudes, and clinical skills in providing sexual health in Tanzania.

Detailed description: All enrollees will be health students at MUHAS recruited through announcements in class, flyers on student noticeboards, and email. Students who are interested in learning more about the study can do so by asking questions of the recruiting faculty member, by going to, telephoning, or emailing the study office (at MUHAS). Students can also visit the study website. In addition, all students who contact the office will be given a copy of a flyer advertising the study and a copy of the consent documents to preview prior to participation. Students contacting the office by email will be sent electronic versions of the same documents.

Participants in Aim 1 are informed to schedule an appointment (in the month prior to the seminar) to complete a pre-evaluation. At the study site, participants complete pen and paper surveys, and are videotaped interviewing two standardized patients. Next, participants are randomized to either the intervention or waitlist control condition. Participants in the intervention will attend the 4-day sexual health seminar and complete a short post-test. In addition, at 6- and 12-month follow-up after the pre-test, participants in both arms complete surveys and two videotaped interviews (at each follow-up) and a final survey at 24-month follow-up. At the end of the study, participants assigned to the control condition can attend the seminar.

Eligibility criteria: Inclusion Criteria:

* A health student studying at MUHAS and verified by being registered as a pre-final year midwifery, nursing or medical student (or its equivalent).
* "Pre-final" year is defined as a student who is just about to enter year 3 of nursing, or year 4 of midwifery or medicine.
* Living or studying in Tanzania
* Experienced, operationalized as having worked at least 100 hours as a health worker in a clinic, hospital or community setting so students can discuss what happens in the clinical setting
* Able to speak English and Kiswahili.

Exclusion Criteria:

* Students who will not be able to attend all days of the seminar at their health institution or be on their campus for the follow-up.
* Students who express any reservations about attending (e.g., due to religious objections)
* Students who express a fear of violence due to attending (e.g., from a spouse or relative).
* Students who attended the sexual health seminar (e.g., during THP-1 or at another site). This is to prevent a student participating more than once.

Primary outcomes:
measure: Change in Sexual Health Knowledge Score
timeFrame: Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up.
measure: Change in Sexual Health Attitudes: Confidence in Ability to Discuss
timeFrame: Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up.
measure: Change in Sexual Health Attitudes: Confidence in Having Knowledge
timeFrame: Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up.
measure: Change in Sexual Counseling Skills: Interpersonal Communications
timeFrame: Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up.
measure: Change in Sexual Counseling Skills: Medical History Taking
timeFrame: Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up.
measure: Change in Sexual Health Beliefs
timeFrame: Baseline, 6-month follow-up, 12-month follow-up, and 24-month follow-up.
Secondary outcomes:
Other outcomes:
Locations:
city: Dar Es Salaam
country: Tanzania
facility: Muhimbili University of Health and Allied Sciences
Study officials:
affiliation: University of Minnesota
name: B.R. Simon Rosser, PhD
role: PRINCIPAL_INVESTIGATOR
References: