Patient Actor Training to Improve HIV Services for Adolescents in Kenya (SPEED)
HIV/AIDS
About this trial
This is an interventional health services research trial for HIV/AIDS focused on measuring Adolescents, Clinical training, HIV care and treatment, Africa
Eligibility Criteria
Inclusion Criteria: Listed by population
Facilities:
- HIV care and treatment facilities in Kenya with ≥40 adolescents currently in HIV care
- EMR data systems
- No concurrent adolescent interventions
Adolescent patient records:
- Records of adolescents and youth ages 10-24
- Enrollment in HIV care and treatment at one of the study facilities
Adolescent satisfaction surveys:
- Patients ages 10-24 seeking counseling or treatment services at trial site who are HIV-infected
- Willing and able to provide informed consent or assent based on age and presence of a caregiver.
- Reside in Kenya
Health care workers:
- >18 years of age
- Employed at trial site in clinical care for at least three months and/or have a 1 year contract (i.e. not temporary staff)
- Provide clinical services to adolescents
- Reside in Kenya
Exclusion Criteria:
Facilities:
- If inclusion criteria are not met
- If anything would prevent the complete conduct of the training intervention at that site and/or the collection of outcome measures
Adolescents and health care worker surveys:
• If an individual has conditions that would place them at increased risk or preclude the individual's full compliance with or completion of the study
Sites / Locations
- HIV care facility 6
- HIV care facility 3
- HIV care facility 4
- HIV care facility 5
- HIV care facility 1
- HIV care facility 2
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention period
Control period
In this stepped-wedge trial design, the experimental arm refers to the time period when the study sites receive the clinician training intervention. The intervention is a clinician training using standardized patient actors to improve communication and empathy skills of health care providers who serve HIV-positive adolescents and youth.
In this stepped-wedge trial design, the no intervention arm refers to the time period before the study sites receive the clinician training intervention, during which standard of care is provided.