Estamos Juntos (We Are Together): Improving HIV Care Delivery by Capacitating Health Care Providers

Sponsor
Vanderbilt University Medical Center
Study ID
NCT05938621
Status
Completed

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • behavioral therapy and education — BEHAVIORAL
    Sessions that focus on developing self-awareness and strategies to improve well-being will be the focus of the interventions.

Study Details

Health care workers' negative behavior towards patients (likely a reflection of low job satisfaction, frustration with delivering HIV care and treatment in extremely resource-limited settings, and burnout) is one of the primary reasons people living with HIV abandon treatment in Mozambique. The purpose of this proposal is to test the impact and implementation of a provider resilience intervention and an anti-stigma intervention, individually and in combination, using a randomized controlled trial design at four health facilities. This potentially high-impact intervention offers the opportunity to test a low-cost, provider-focused approach to improving HIV treatment that, if proven effective at increasing adherence and retention in care, could be tested in a fully powered R01 trial in Mozambique.

Key Dates

Start date
Dec 1, 2023
Status verified
Sep 2025
Primary completion
Feb 27, 2025
Completion
Feb 27, 2025

Study Design

Enrollment
28,448 participants (actual)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE

Arms

  • No Intervention: Standard of Care
    Health care providers in this arm will receive no intervention
  • Experimental: Resilience intervention
    Providers in this arm will receive training to improve their resilience and well-being
  • Experimental: Resilience and Stigma group
    Providers in this group will receive training to improve their resilience and well-being as well as receive sessions about the impact of stigmatizing their patients.
  • Experimental: Anti-stigma group
    Providers in this group will receive sessions focusing on the impact that stigmatizing patients can have on themselves and their patients. Strategies to minimize negative feelings will be developed.

Primary Outcome Measure

Burnout [ Time Frame: 6 months ]

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