دورية أكاديمية

Todurujo na Kadurok (empowering youth): study protocol of an HIV self-testing and edutainment comic cluster randomised trial among refugee youth in a humanitarian setting in Uganda.

التفاصيل البيبلوغرافية
العنوان: Todurujo na Kadurok (empowering youth): study protocol of an HIV self-testing and edutainment comic cluster randomised trial among refugee youth in a humanitarian setting in Uganda.
المؤلفون: Logie CH; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada carmen.logie@utoronto.ca.; Women's College Research Institute, University of Toronto, Toronto, Ontario, Canada.; United Nations University Institute for Water, Environment and Health (UNU-INWEH), Hamilton, Ontario, Canada.; Centre for Gender & Sexual Health Equity, Vancouver, British Columbia, Canada., Okumu M; School of Social Work, University of Illinois-Champaign, Urbana, Illinois, USA.; School of Social Sciences, Uganda Christian University, Mukono, Uganda., Loutet MG; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., Coelho M; Department of Sociology, University of Toronto, Toronto, Ontario, Canada., Berry I; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., Gittings L; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.; University of Cape Town, Rondebosch, South Africa.; School of Health Studies, Faculty of Health Sciences, Western University, London, ON, Canada., Odong Lukone S; Uganda Refugee and Disaster Management Council, Yumbe, Uganda., Kisubi N; Uganda Refugee and Disaster Management Council, Yumbe, Uganda., Atama M; Yumbe Regional Referral Hospital, Yumbe, Uganda., Kyambadde P; Most at Risk Population Initiative, Mulago Hospital, Kampala, Uganda.
المصدر: BMJ open [BMJ Open] 2022 Nov 23; Vol. 12 (11), pp. e065452. Date of Electronic Publication: 2022 Nov 23.
نوع المنشور: Clinical Trial Protocol; Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: HIV Infections*/diagnosis , HIV Infections*/prevention & control , Refugees*, Adolescent ; Humans ; HIV Testing ; Power, Psychological ; Randomized Controlled Trials as Topic ; Self-Testing ; Uganda ; Young Adult
مستخلص: Introduction: Refugees experience HIV vulnerabilities due to the confluence of displacement, violence and poverty. HIV self-testing, understudied with refugees, is a promising method to increase testing uptake, yet challenges remain with linkages to confirmatory testing following a positive HIV self-test. This study aims to evaluate the effectiveness of HIV self-testing kits and 'edutainment' comics in increasing HIV testing and HIV status knowledge among refugee youth aged 16-24 years in Bidi Bidi Refugee Settlement, Uganda.
Methods and Analysis: This study will be conducted in Bidi Bidi. We conducted a qualitative formative phase with focus groups (n=40) to generate knowledge of barriers and facilitators of HIV prevention, testing and care among refugee youth (aged 16-24) in Bidi Bidi. These findings were used to create comic scenarios aligning with edutainment approaches to health promotion and inform a four-arm cluster randomised controlled trial in Bidi Bidi using a 2×2 factorial design: (1) HIV self-testing alongside edutainment comics, (2) HIV self-testing alone, (3) edutainment comic alone and (4) standard of care. The target sample size will be 120 youth (30 per arm), who will be enrolled in the trial and followed for 3 months. Data will be collected at baseline and 3 months after enrolment. The primary outcomes (HIV testing frequency, HIV status knowledge) and secondary outcomes (linkage to confirmatory HIV testing, HIV care linkage, HIV self-test kit use, HIV-related stigma, HIV knowledge, safer sex efficacy, condom use, adolescent sexual and reproductive health (SRH) stigma, sexual relationship power, access to SRH services) will be evaluated using descriptive statistics and regression analyses.
Ethics and Dissemination: This study was approved by the University of Toronto Research Ethics Board, Mildmay Uganda Research Ethics Committee and the Uganda National Council for Science and Technology. Results will be shared in peer-reviewed publications and community knowledge sharing.
Trial Registration Number: NCT05213689.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: HIV & AIDS; PREVENTIVE MEDICINE; PUBLIC HEALTH; Public health
سلسلة جزيئية: ClinicalTrials.gov NCT05213689
تواريخ الأحداث: Date Created: 20221123 Date Completed: 20221201 Latest Revision: 20221201
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC9685005
DOI: 10.1136/bmjopen-2022-065452
PMID: 36418143
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2022-065452