Improving Consent and Survey Procedures for Young MSM in Web-based HIV Prevention

NCT ID: NCT02139566

Last Updated: 2016-01-15

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

NA

Total Enrollment

2405 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2015-09-30

Brief Summary

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A two-part study to test the efficacy of alternative consent procedures and the efficacy of alternative methods to improve survey completion.

Detailed Description

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Men who have sex with men are the risk population most heavily impacted by HIV in the United States by any measure; in 2009, at least 61% of new HIV infections were estimated to have occurred in MSM. MSM are experiencing an increase in HIV transmission that has been occurring since at least 1990, and accelerated in multiple North American and European countries from 2000-2005. The expansion of the HIV epidemic has been proposed to be attributable, in part, to the extent to which the internet has facilitated sexual connectivity among MSM.

Researchers have attempted to reach MSM for HIV prevention research and intervention on the internet. In the past 10 years, there has been a proliferation of internet surveys and HIV research studies among men who have sex with men that utilize the internet for data collection and, in some cases, the delivery of HIV prevention content. The development of internet-based interventions has been recently identified as especially promising because of its potential for scalability. However, there are also important limitations to internet-based data collections and prevention studies. The most important of these relate to representativeness and opportunities to introduce bias to data collections and differences in access to and use of internet among different subgroups of MSM. Equally important, although less discussed, are the unique ethical and human research protections challenges posed by online sexual health prevention studies.

The investigators will conduct a series of experiments that will result in improved knowledge of how to conduct internet-based HIV prevention research with MSM in ways that improve the protection of human subjects and decrease biases in data collections. The design will consist of preparatory online qualitative research with up to 100 MSM, followed by two cross-sectional randomized controlled trials of MSM recruited online; a total of 2440 MSM will be enrolled in the two randomized quantitative studies (1,440 in Study 1 to determine optimal methods to provide informed consent, online, and 1000 in Study 2 to determine how to best improve retention in online surveys). About 2440 men will be enrolled in the study in total. This summary describes Study 1; a separate submission will be completed for Study 2.

Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Hi-tech video consent

This group will be shown a professionally animated video that presents the major components of the informed consent document. Intervention is Video Consent (high-tech) PDF informed consent document.

Group Type EXPERIMENTAL

Video consent (high-tech)

Intervention Type BEHAVIORAL

Consent provided by an animated video with captions

PDF informed consent document

Intervention Type BEHAVIORAL

A PDF of the full consent document will be available for download, through hyperlink on the consent page. This is provided for video (low-tech), video (high-tech), FAQ format, and standard informed consent.

Low-tech video consent

Participants in this arm will be provided with informed consent information through viewing a "talking head" video produced by a non-professional presenter, with widely available and inexpensive video equipment. Intervention is "video consent (low-tech)", PDF informed consent document.

Group Type EXPERIMENTAL

Video consent (low-tech)

Intervention Type BEHAVIORAL

This consent is a video production of the informed consent information, taped using a staff member with basic video equipment.

PDF informed consent document

Intervention Type BEHAVIORAL

A PDF of the full consent document will be available for download, through hyperlink on the consent page. This is provided for video (low-tech), video (high-tech), FAQ format, and standard informed consent.

FAQ consent

Participants in this arm will be provided with informed consent content through an interactive "frequently asked questions" format, in which the participant will click on a question and be shown text that provides an answer to that question. Major informed consent topics will have one or more question and answer pairs. Intervention is "FAQ format consent", PDF informed consent document

Group Type EXPERIMENTAL

FAQ format consent

Intervention Type BEHAVIORAL

This consent modality will present the basic information from the informed consent in an interactive, "frequently asked questions" format. Upon clicking each question, the participant will be shown a short text response to that question.

PDF informed consent document

Intervention Type BEHAVIORAL

A PDF of the full consent document will be available for download, through hyperlink on the consent page. This is provided for video (low-tech), video (high-tech), FAQ format, and standard informed consent.

Standard consent process

Participants in this arm will be provided with informed consent content by being shown a standard informed consent document in a scrolling window within the browser window, PDF informed consent document

Group Type ACTIVE_COMPARATOR

Standard consent

Intervention Type BEHAVIORAL

The standard consent form will present the full informed consent document in a scrolling text window within the browser window. Participants will be asked to review the document online.

PDF informed consent document

Intervention Type BEHAVIORAL

A PDF of the full consent document will be available for download, through hyperlink on the consent page. This is provided for video (low-tech), video (high-tech), FAQ format, and standard informed consent.

Interventions

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Video consent (high-tech)

Consent provided by an animated video with captions

Intervention Type BEHAVIORAL

Video consent (low-tech)

This consent is a video production of the informed consent information, taped using a staff member with basic video equipment.

Intervention Type BEHAVIORAL

FAQ format consent

This consent modality will present the basic information from the informed consent in an interactive, "frequently asked questions" format. Upon clicking each question, the participant will be shown a short text response to that question.

Intervention Type BEHAVIORAL

Standard consent

The standard consent form will present the full informed consent document in a scrolling text window within the browser window. Participants will be asked to review the document online.

Intervention Type BEHAVIORAL

PDF informed consent document

A PDF of the full consent document will be available for download, through hyperlink on the consent page. This is provided for video (low-tech), video (high-tech), FAQ format, and standard informed consent.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* ages 18-34
* have had sex with another man in the past 12 months

Exclusion Criteria

* female, transgender
* younger than 18 years old
* older than 34 years old
* have not had sex with a man in the past 12 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

34 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

Emory University

OTHER

Sponsor Role lead

Responsible Party

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Patrick S Sullivan

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Patrick S Sullivan, PhD

Role: PRINCIPAL_INVESTIGATOR

Emory University

Locations

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Rollins School of Public Health, Emory University

Atlanta, Georgia, United States

Site Status

Countries

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United States

References

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Hall E, Sanchez T, Stephenson R, Stein AD, Sineath RC, Zlotorzynska M, Sullivan P. Randomised controlled trial of incentives to improve online survey completion among internet-using men who have sex with men. J Epidemiol Community Health. 2019 Feb;73(2):156-161. doi: 10.1136/jech-2018-211166. Epub 2018 Oct 31.

Reference Type DERIVED
PMID: 30381466 (View on PubMed)

Hall EW, Sanchez TH, Stein AD, Stephenson R, Zlotorzynska M, Sineath RC, Sullivan PS. Use of Videos Improves Informed Consent Comprehension in Web-Based Surveys Among Internet-Using Men Who Have Sex With Men: A Randomized Controlled Trial. J Med Internet Res. 2017 Mar 6;19(3):e64. doi: 10.2196/jmir.6710.

Reference Type DERIVED
PMID: 28264794 (View on PubMed)

Other Identifiers

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1R21HD074502-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00065333

Identifier Type: -

Identifier Source: org_study_id

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