School Support as Structural HIV Prevention for Adolescent Orphans in Kenya

NCT ID: NCT01501864

Last Updated: 2017-09-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

835 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2017-03-31

Brief Summary

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The purpose of this study is to test whether school support can keep adolescent Kenyan orphans in school, reduce sexual risk behaviors, and prevent HIV /HSV-2 infection.

Detailed Description

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This study examines the impact of school support as a structural intervention, tested among adolescent orphans in Siaya District, Nyanza Province, Kenya.

Aims for the proposed study are: 1) To experimentally test whether providing comprehensive school support to Kenyan orphaned boys and girls will reduce school dropout, reduce sexual risk behaviors, and prevent HIV/HSV-2 infection; 2) To conduct a process evaluation of the implementation of the program; and 3) To conduct comparative cost effectiveness analyses, specifying the intervention's cost and return on investment as evidenced by cost per unit improvement in the primary outcomes of school enrollment, delay of sexual debut and prevention of risk behaviors and HIV/HSV-2 infection, as well as by gains in health-related quality of life.

Conditions

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HIV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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School Support Group

School Support Intervention

Group Type EXPERIMENTAL

School Support Intervention

Intervention Type BEHAVIORAL

Comprehensive school support is provided that includes payment of school fees, school uniform, and a nurse researcher who monitors attendance and addresses problems that may lead to school absence and dropout.

Control

No school support

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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School Support Intervention

Comprehensive school support is provided that includes payment of school fees, school uniform, and a nurse researcher who monitors attendance and addresses problems that may lead to school absence and dropout.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Orphan (one or both parents deceased)
* In Grade 7 or 8 in a primary school participating in the study
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Moi University

OTHER

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role collaborator

Pacific Institute for Research and Evaluation

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hyunsan Cho, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Pacific Institute for Research and Evaluation

Locations

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Pacific Institute for Research and Evaluation

Chapel Hill, North Carolina, United States

Site Status

Moi University, Department of Nursing Sciences

Eldoret, , Kenya

Site Status

Countries

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United States Kenya

References

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Cho H, Mbai I, Luseno WK, Hobbs M, Halpern C, Hallfors DD. School Support as Structural HIV Prevention for Adolescent Orphans in Western Kenya. J Adolesc Health. 2018 Jan;62(1):44-51. doi: 10.1016/j.jadohealth.2017.07.015. Epub 2017 Nov 6.

Reference Type DERIVED
PMID: 29107569 (View on PubMed)

Hallfors DD, Cho H, Mbai II, Millimo BW, Atieno C, Okumu D, Luseno WK, Hartman S, Halpern CT, Hobbs MM. Disclosure of HSV-2 serological test results in the context of an adolescent HIV prevention trial in Kenya. Sex Transm Infect. 2015 Sep;91(6):395-400. doi: 10.1136/sextrans-2015-052025. Epub 2015 Jul 2.

Reference Type DERIVED
PMID: 26139208 (View on PubMed)

Cho H, Luseno W, Halpern C, Zhang L, Mbai I, Milimo B, Hallfors DD. Discordance of HIV and HSV-2 biomarkers and self-reported sexual behaviour among orphan adolescents in Western Kenya. Sex Transm Infect. 2015 Jun;91(4):260-5. doi: 10.1136/sextrans-2014-051720. Epub 2014 Nov 6.

Reference Type DERIVED
PMID: 25378660 (View on PubMed)

Other Identifiers

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R01MH092215

Identifier Type: NIH

Identifier Source: secondary_id

View Link

PIRE-0580

Identifier Type: -

Identifier Source: org_study_id