Strengthening Families Living With HIV in Kenya

NCT ID: NCT04588883

Last Updated: 2025-12-24

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

843 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-28

Study Completion Date

2025-07-15

Brief Summary

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This study seeks to use a group-based microfinance/internal lending model to develop social capital among people with HIV in Kenya. This will create a context to deliver validated curriculum targeting intimate partner violence, positive parenting, agriculture, small business entrepreneurship, group-interpersonal therapy, and other determinants of well-being and ART adherence among people with HIV. The primary outcomes are viral suppression, ART adherence, and common mental disorders.

Detailed Description

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It is anticipated that involvement in an internal savings and lending program will create social capital among people with HIV and their guardians (in case of adolescents w HIV). This social capital accrual will be leveraged to support and disseminate social skills (i.e. positive parenting, conflict resolution), economic skills (i.e. entrepreneurship, farming), and health skills (i.e. ART adherence, retention in care to produce viral suppression). The overall outcome is improved social, health, and economic well-being.

Conditions

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ART Hiv Trust Depression, Anxiety PTSD Adherence, Medication

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Intervention Arm

Patients, adults and adolescents, will be recruited from patient registries at 7 government operated HIV clinics in Meru County, Kenya. Patients will complete validated questionnaires at baseline, 1.5 year and 3 years into a novel adaptation of a community empowerment program. The program utilizes savings- and internal-lending/group-based microfinance process to facilitate exchange of savings amongst patients and adolescent guardians. A byproduct of this process is the development of social capital, which will be used to facilitate education, peer learning, and collective problem solving to improve determinants of well-being and clinical adherence among participants. Expected outcomes include improved viral suppression, ART adherence, clinical attendance, and mental health.

Group Type EXPERIMENTAL

Kuja Pamoja - HIV

Intervention Type BEHAVIORAL

Information has been provided in the treatment arm description.

Interventions

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Kuja Pamoja - HIV

Information has been provided in the treatment arm description.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Criteria for inclusion of subjects include:

* testing positive for HIV, confirmed by the Ministry of Health clinics
* being at or older than 13 years of age
* initiating care at a qualified Ministry of Health clinic in the catchment area, or intending to initiate care at such a clinic (see below for definition)
* Any gender, age (13+ years), and comorbid disease states
* Provide informed consent if adult, emancipated minor or mature minor
* Provide assent if minor with guardian, who must provide informed consent

Qualified clinical locations include

* those with accessible and usable public land to convene weekly meetings,
* no current program targeting families with HIV known to the Ministry of Health

Exclusion Criteria

* Refusal to participate
* Current participation in a similar program
* Residing in a location with a similar program targeting patients with HIV
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The University of Texas Medical Branch, Galveston

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael L Goodman, DrPH

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Medical Branch, Galveston

Stanley Gitari, MPH

Role: STUDY_DIRECTOR

Sodzo Kenya

Locations

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Meru County Department of Health

Maua, Meru County, Kenya

Site Status

Countries

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Kenya

References

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Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of traumatic stress, 6(4), 459-473.

Reference Type RESULT

Gaertner, L., & Schopler, J. (1998). Perceived ingroup entitativity and intergroup bias: An interconnection of self and others. European Journal of Social Psychology, 28(6), 963-980.

Reference Type RESULT

Chesney MA, Ickovics JR, Chambers DB, Gifford AL, Neidig J, Zwickl B, Wu AW. Self-reported adherence to antiretroviral medications among participants in HIV clinical trials: the AACTG adherence instruments. Patient Care Committee & Adherence Working Group of the Outcomes Committee of the Adult AIDS Clinical Trials Group (AACTG). AIDS Care. 2000 Jun;12(3):255-66. doi: 10.1080/09540120050042891.

Reference Type RESULT
PMID: 10928201 (View on PubMed)

Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. B. (1996). The revised conflict tactics scales (CTS2) development and preliminary psychometric data. Journal of family issues, 17(3), 283-316.

Reference Type RESULT

Knack, S., and Keefer, P. (1997) Does social capital have an economic payoff? A cross-country investigation. The Quarterly Journal of Economics, 112(4), 1251-1288.

Reference Type RESULT

Poortinga W. Social relations or social capital? Individual and community health effects of bonding social capital. Soc Sci Med. 2006 Jul;63(1):255-70. doi: 10.1016/j.socscimed.2005.11.039. Epub 2006 Jan 19.

Reference Type RESULT
PMID: 16427171 (View on PubMed)

Straus MA, Hamby SL, Finkelhor D, Moore DW, Runyan D. Identification of child maltreatment with the Parent-Child Conflict Tactics Scales: development and psychometric data for a national sample of American parents. Child Abuse Negl. 1998 Apr;22(4):249-70. doi: 10.1016/s0145-2134(97)00174-9.

Reference Type RESULT
PMID: 9589178 (View on PubMed)

Other Identifiers

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19-0241

Identifier Type: -

Identifier Source: org_study_id