Trial Outcomes & Findings for Training for Health Professionals In Tanzania (NCT NCT03923582)
NCT ID: NCT03923582
Last Updated: 2024-08-07
Results Overview
Sexual health knowledge was assessed using 16 multichoice items created by the research team. The items covered female sexual health concerns (2 items), sexual development and masturbation (3 items), sexual orientation (3 items), sexual violence (3 items), sexuality in middle age (3 items), sexual history taking and sexual counseling (2 items). Total scores were used for analysis (maximum total score of 16). Participants get one point for every item they answer correctly. Because there are 16 items in this section, participants can have a minimum total score of 0 and a maximum total score of 16. A higher score signifies better sexual health knowledge. A single value was calculated for the intervention arm and waitlist control from difference scores (calculated as follow-up minus baseline scores).
COMPLETED
NA
412 participants
At Baseline and 3-4 months Follow-up
2024-08-07
Participant Flow
Participant milestones
| Measure |
Intervention Arm
A four-day comprehensive sexual health curriculum tailored for Africa.
Comprehensive sexual health curriculum: This is a randomized, controlled, single blinded, trial, stratified by health profession, of the intervention versus waitlist control assessing knowledge, attitude change and skill development. At the end of the intervention as compared with waitlist controls.
The intervention was a 4-day, Afrocentric, comprehensive sexual health curriculum. Tanzanian faculty wrote the curriculum in English and Kiswahili to address the most common sexual health challenges clinicians experience in Tanzania. The 4-day curriculum covers sexual health across the lifespan, LGBT and sexual violence, clinical skills training, ethics and policy writing, and community resources and cultural considerations.
|
Waitlist Control
Participants in this arm completed a follow-up survey and were scheduled to receive the intervention after the end of the trial.
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|---|---|---|
|
Overall Study
STARTED
|
206
|
206
|
|
Overall Study
COMPLETED
|
203
|
205
|
|
Overall Study
NOT COMPLETED
|
3
|
1
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Training for Health Professionals In Tanzania
Baseline characteristics by cohort
| Measure |
Intervention Arm
n=206 Participants
A four-day comprehensive sexual health curriculum tailored for Africa.
Comprehensive sexual health curriculum: This is a randomized, controlled, single blinded, trial, stratified by health profession, of the intervention versus waitlist control assessing knowledge, attitude change and skill development. At the end of the intervention as compared with waitlist controls.
The intervention was a 4-day, Afrocentric, comprehensive sexual health curriculum. Tanzanian faculty wrote the curriculum in English and Kiswahili to address the most common sexual health challenges clinicians experience in Tanzania. The 4-day curriculum covers sexual health across the lifespan, LGBT and sexual violence, clinical skills training, ethics and policy writing, and community resources and cultural considerations.
|
Waitlist Control
n=206 Participants
Participants in this arm completed a follow-up survey and were scheduled to receive the intervention after the end of the trial.
|
Total
n=412 Participants
Total of all reporting groups
|
|---|---|---|---|
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Age, Continuous
|
23.90 years
STANDARD_DEVIATION 2.36 • n=5 Participants
|
24.05 years
STANDARD_DEVIATION 2.56 • n=7 Participants
|
24 years
STANDARD_DEVIATION 2.46 • n=5 Participants
|
|
Sex/Gender, Customized
Female
|
64 Participants
n=5 Participants
|
62 Participants
n=7 Participants
|
126 Participants
n=5 Participants
|
|
Sex/Gender, Customized
Male
|
137 Participants
n=5 Participants
|
139 Participants
n=7 Participants
|
276 Participants
n=5 Participants
|
|
Sex/Gender, Customized
Other/Prefer not to answer
|
5 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
10 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
206 Participants
n=5 Participants
|
206 Participants
n=7 Participants
|
412 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Sexual Health Knowledge
|
6.170 units on a scale
STANDARD_DEVIATION 2.113 • n=5 Participants
|
6.427 units on a scale
STANDARD_DEVIATION 2.091 • n=7 Participants
|
6.299 units on a scale
STANDARD_DEVIATION 2.103 • n=5 Participants
|
|
Sexual Health Knowledge: Confidence in Ability to Discuss
|
153.485 units on a scale
STANDARD_DEVIATION 20.632 • n=5 Participants
|
152.8452 units on a scale
STANDARD_DEVIATION 21.349 • n=7 Participants
|
153.165 units on a scale
STANDARD_DEVIATION 20.970 • n=5 Participants
|
|
Sexual Health Attitudes: Confidence in Having Knowledge
|
150.141 units on a scale
STANDARD_DEVIATION 24.430 • n=5 Participants
|
150.704 units on a scale
STANDARD_DEVIATION 24.511 • n=7 Participants
|
150.422 units on a scale
STANDARD_DEVIATION 24.442 • n=5 Participants
|
|
Sexual Counseling Skills: Interpersonal Communications
|
22.583 units on a scale
STANDARD_DEVIATION 4.198 • n=5 Participants
|
21.951 units on a scale
STANDARD_DEVIATION 4.403 • n=7 Participants
|
22.267 units on a scale
STANDARD_DEVIATION 4.308 • n=5 Participants
|
|
Sexual Counseling Skills: Medical History Taking
|
6.019 units on a scale
STANDARD_DEVIATION 2.419 • n=5 Participants
|
6.029 units on a scale
STANDARD_DEVIATION 2.397 • n=7 Participants
|
6.024 units on a scale
STANDARD_DEVIATION 2.405 • n=5 Participants
|
|
Sexual Health Belief
|
79.825 units on a scale
STANDARD_DEVIATION 9.292 • n=5 Participants
|
78.320 units on a scale
STANDARD_DEVIATION 9.555 • n=7 Participants
|
79.073 units on a scale
STANDARD_DEVIATION 9.443 • n=5 Participants
|
PRIMARY outcome
Timeframe: At Baseline and 3-4 months Follow-upSexual health knowledge was assessed using 16 multichoice items created by the research team. The items covered female sexual health concerns (2 items), sexual development and masturbation (3 items), sexual orientation (3 items), sexual violence (3 items), sexuality in middle age (3 items), sexual history taking and sexual counseling (2 items). Total scores were used for analysis (maximum total score of 16). Participants get one point for every item they answer correctly. Because there are 16 items in this section, participants can have a minimum total score of 0 and a maximum total score of 16. A higher score signifies better sexual health knowledge. A single value was calculated for the intervention arm and waitlist control from difference scores (calculated as follow-up minus baseline scores).
Outcome measures
| Measure |
Intervention Arm
n=198 Participants
A four-day comprehensive sexual health curriculum tailored for Africa.
Comprehensive sexual health curriculum: This is a randomized, controlled, single blinded, trial, stratified by health profession, of the intervention versus waitlist control assessing knowledge, attitude change and skill development. At the end of the intervention as compared with waitlist controls.
The intervention was a 4-day, Afrocentric, comprehensive sexual health curriculum. Tanzanian faculty wrote the curriculum in English and Kiswahili to address the most common sexual health challenges clinicians experience in Tanzania. The 4-day curriculum covers sexual health across the lifespan, LGBT and sexual violence, clinical skills training, ethics and policy writing, and community resources and cultural considerations.
|
Waitlist Control
n=198 Participants
Participants in this arm completed a follow-up survey and were scheduled to receive the intervention after the end of the trial.
|
|---|---|---|
|
Change in Sexual Health Knowledge Score From Baseline to Follow-up
|
3.551 score on a scale
Standard Deviation 2.310
|
0.086 score on a scale
Standard Deviation 2.341
|
PRIMARY outcome
Timeframe: At Baseline and 3-4 months Follow-upConfidence in their ability to discuss the sexual health of patients, and confidence in their ability to discuss their patients' sexual health concerns were assessed using the Sexual Health Education for Professionals Scale (SHEPS). This section consists of 37 items where participants rate their confidence from (1) very unconfident to (5) confident. Because there are 37 items in this section, participants can have a minimum total score of 37 and a maximum total score of 185. A higher value signifies better confidence in the ability to discuss sexual health topics. A single value was calculated for the intervention arm and waitlist control from difference scores (calculated as follow-up minus baseline scores).
Outcome measures
| Measure |
Intervention Arm
n=198 Participants
A four-day comprehensive sexual health curriculum tailored for Africa.
Comprehensive sexual health curriculum: This is a randomized, controlled, single blinded, trial, stratified by health profession, of the intervention versus waitlist control assessing knowledge, attitude change and skill development. At the end of the intervention as compared with waitlist controls.
The intervention was a 4-day, Afrocentric, comprehensive sexual health curriculum. Tanzanian faculty wrote the curriculum in English and Kiswahili to address the most common sexual health challenges clinicians experience in Tanzania. The 4-day curriculum covers sexual health across the lifespan, LGBT and sexual violence, clinical skills training, ethics and policy writing, and community resources and cultural considerations.
|
Waitlist Control
n=198 Participants
Participants in this arm completed a follow-up survey and were scheduled to receive the intervention after the end of the trial.
|
|---|---|---|
|
Change in Sexual Health Attitudes: Confidence in Ability to Discuss From Baseline to Follow-up
|
19.389 score on a scale
Standard Deviation 20.517
|
-2.449 score on a scale
Standard Deviation 19.036
|
PRIMARY outcome
Timeframe: At Baseline and 3-4 months Follow-upConfidence in their knowledge to assess the sexual health of patients, and confidence in their ability to discuss their patient's sexual health concerns were assessed using the Sexual Health Education for Professionals Scale (SHEPS). This section consists of 37 items where participants rate their confidence from (1) very unconfident to (5) confident. Because there are 37 items in this section, participants can have a minimum total score of 37 and a maximum total score of 185. A higher value signifies better confidence in having knowledge of sexual health topics. A single value was calculated for the intervention arm and waitlist control from difference scores (calculated as follow-up minus baseline scores).
Outcome measures
| Measure |
Intervention Arm
n=198 Participants
A four-day comprehensive sexual health curriculum tailored for Africa.
Comprehensive sexual health curriculum: This is a randomized, controlled, single blinded, trial, stratified by health profession, of the intervention versus waitlist control assessing knowledge, attitude change and skill development. At the end of the intervention as compared with waitlist controls.
The intervention was a 4-day, Afrocentric, comprehensive sexual health curriculum. Tanzanian faculty wrote the curriculum in English and Kiswahili to address the most common sexual health challenges clinicians experience in Tanzania. The 4-day curriculum covers sexual health across the lifespan, LGBT and sexual violence, clinical skills training, ethics and policy writing, and community resources and cultural considerations.
|
Waitlist Control
n=198 Participants
Participants in this arm completed a follow-up survey and were scheduled to receive the intervention after the end of the trial.
|
|---|---|---|
|
Change in Sexual Health Attitudes: Confidence in Having Knowledge From Baseline to Follow-up
|
22.768 score on a scale
Standard Deviation 23.983
|
-4.242 score on a scale
Standard Deviation 20.780
|
PRIMARY outcome
Timeframe: At Baseline and 3-4 months Follow-upSkills were assessed by faculty raters assessing two videos (per each time point) of student counseling blind to whether the participant was in the intervention or control group and whether the assessment was at baseline or follow-up. Each participant was rated on 10 items assessing their interpersonal communication (IC) abilities. Each item was on a 3-point scale (0=not done; 1=partially done; 2=done). The scale has a minimum score of 0 and a maximum score of 20 per video. We aggregated scores for each time point by summing the two videos at each time point. Therefore, the minimum total score is 0 and the maximum total score is 40. A higher score value signifies better interpersonal communication skills. A single value was calculated for the intervention arm and waitlist control from difference scores based on the sum of the scores at baseline and the sum of the scores at followup.
Outcome measures
| Measure |
Intervention Arm
n=198 Participants
A four-day comprehensive sexual health curriculum tailored for Africa.
Comprehensive sexual health curriculum: This is a randomized, controlled, single blinded, trial, stratified by health profession, of the intervention versus waitlist control assessing knowledge, attitude change and skill development. At the end of the intervention as compared with waitlist controls.
The intervention was a 4-day, Afrocentric, comprehensive sexual health curriculum. Tanzanian faculty wrote the curriculum in English and Kiswahili to address the most common sexual health challenges clinicians experience in Tanzania. The 4-day curriculum covers sexual health across the lifespan, LGBT and sexual violence, clinical skills training, ethics and policy writing, and community resources and cultural considerations.
|
Waitlist Control
n=198 Participants
Participants in this arm completed a follow-up survey and were scheduled to receive the intervention after the end of the trial.
|
|---|---|---|
|
Change in Sexual Counseling Skills: Interpersonal Communications From Baseline to Follow-up
|
6.890 score on a scale
Standard Deviation 6.247
|
-0.975 score on a scale
Standard Deviation 5.831
|
PRIMARY outcome
Timeframe: At Baseline and 3-4 months Follow-upSkills were assessed by faculty raters assessing the two videos (per time point) of student counseling blind to whether the participant was in the intervention or control group and whether the assessment was at baseline or follow-up. Medical history taking (MHT) was rated by six key pieces of information on a 2-point scale, where 0=not obtained information and 1=obtained information. The scale has a minimum score of 0 and a maximum score or 6 per video. We aggregated scores for each time point by summing the two videos at each time point. Therefore, the minimum total score is 0 and the maximum total score is 12. A higher score value signifies better medical history taking skills. A single value was calculated for the intervention arm and waitlist control from difference scores based on the sum of the scores at baseline and the sum of the scores at followup.
Outcome measures
| Measure |
Intervention Arm
n=198 Participants
A four-day comprehensive sexual health curriculum tailored for Africa.
Comprehensive sexual health curriculum: This is a randomized, controlled, single blinded, trial, stratified by health profession, of the intervention versus waitlist control assessing knowledge, attitude change and skill development. At the end of the intervention as compared with waitlist controls.
The intervention was a 4-day, Afrocentric, comprehensive sexual health curriculum. Tanzanian faculty wrote the curriculum in English and Kiswahili to address the most common sexual health challenges clinicians experience in Tanzania. The 4-day curriculum covers sexual health across the lifespan, LGBT and sexual violence, clinical skills training, ethics and policy writing, and community resources and cultural considerations.
|
Waitlist Control
n=198 Participants
Participants in this arm completed a follow-up survey and were scheduled to receive the intervention after the end of the trial.
|
|---|---|---|
|
Change in Sexual Counseling Skills: Medical History Taking From Baseline to Follow-up
|
1.828 score on a scale
Standard Deviation 2.905
|
-0.682 score on a scale
Standard Deviation 2.688
|
PRIMARY outcome
Timeframe: At Baseline and 3-4 months Follow-upThe SHEPS Attitudes section comprises 27 items. Participants rate their level of agreement (1=strongly agree; 5=strongly disagree), with 13 items being reverse coded. Because there are 27 items in this section, participants can have a minimum total score of 27 and a maximum total score of 135. Low scores correspond to "liberal" views and high scores correspond to "conservative" views. A single value was calculated for the intervention arm and waitlist control from difference scores (calculated as follow-up minus baseline scores).
Outcome measures
| Measure |
Intervention Arm
n=198 Participants
A four-day comprehensive sexual health curriculum tailored for Africa.
Comprehensive sexual health curriculum: This is a randomized, controlled, single blinded, trial, stratified by health profession, of the intervention versus waitlist control assessing knowledge, attitude change and skill development. At the end of the intervention as compared with waitlist controls.
The intervention was a 4-day, Afrocentric, comprehensive sexual health curriculum. Tanzanian faculty wrote the curriculum in English and Kiswahili to address the most common sexual health challenges clinicians experience in Tanzania. The 4-day curriculum covers sexual health across the lifespan, LGBT and sexual violence, clinical skills training, ethics and policy writing, and community resources and cultural considerations.
|
Waitlist Control
n=198 Participants
Participants in this arm completed a follow-up survey and were scheduled to receive the intervention after the end of the trial.
|
|---|---|---|
|
Change in Sexual Health Beliefs From Baseline to Follow-up
|
-11.106 score on a scale
Standard Deviation 11.595
|
-0.929 score on a scale
Standard Deviation 8.755
|
Adverse Events
Intervention Arm
Waitlist Control
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place