Evaluation of a health education program for improving uptake of HIV self-testing by men in Rwanda: a pilot pragmatic randomized control trial

Abstract Background Health education interventions tailored to suit men have the potential to improve health outcomes for this underserved population. HIV self-testing (HIVST) is a promising approach to overcoming challenges associated with low HIV testing rates among men. The primary objective of t...

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Autores principales:	Tafadzwa Dzinamarira, Claude Mambo Muvunyi, Tivani Phosa Mashamba-Thompson
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Health education Men HIV self-testing Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/778ffdcd1be64dc8a78d34271ade9162
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spelling	oai:doaj.org-article:778ffdcd1be64dc8a78d34271ade91622021-11-14T12:12:46ZEvaluation of a health education program for improving uptake of HIV self-testing by men in Rwanda: a pilot pragmatic randomized control trial10.1186/s40814-021-00940-x2055-5784https://doaj.org/article/778ffdcd1be64dc8a78d34271ade91622021-11-01T00:00:00Zhttps://doi.org/10.1186/s40814-021-00940-xhttps://doaj.org/toc/2055-5784Abstract Background Health education interventions tailored to suit men have the potential to improve health outcomes for this underserved population. HIV self-testing (HIVST) is a promising approach to overcoming challenges associated with low HIV testing rates among men. The primary objective of this study is to assess the feasibility of conducting a definitive trial to determine the effectiveness of a locally adapted and optimized health education program (HEP) on the uptake of HIVST among men in Kigali, Rwanda. Methods This study employs a pilot pragmatic randomized controlled trial to evaluate an HIVST HEP for men. Participants were randomized to the intervention (HEP) arm or to the control arm. In the intervention group, the adapted HEP was administered in addition to routine health education. In the non-intervention group, only routine health education was offered. Participant data was collected first upon recruitment and then after 3 months’ follow-up using interviewer-administered questionnaires. Results There was a 100% response rate at enrollment and no loss to follow-up at exit. There was significant association between the study arm and knowledge of HIVST. Participants in the control arm had a mean knowledge score of 67% compared to 92% among participants in the intervention arm. There was an association between the study arm and HIVST uptake: 67% of the study participants in the intervention arm self-reported HIVST uptake compared to 23% of the participants in the control arm. Discussion This pilot study demonstrates the feasibility of a larger trial to assess the effectiveness of an HEP intervention on uptake of HIVST among men. We found preliminary evidence of increased uptake of HIVST in the intervention group. Trial registration Pan African Clinical Trial Registry PACTR201908758321490 . Registered on 8 August 2019.Tafadzwa DzinamariraClaude Mambo MuvunyiTivani Phosa Mashamba-ThompsonBMCarticleHealth educationMenHIV self-testingMedicine (General)R5-920ENPilot and Feasibility Studies, Vol 7, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Health education Men HIV self-testing Medicine (General) R5-920
spellingShingle	Health education Men HIV self-testing Medicine (General) R5-920 Tafadzwa Dzinamarira Claude Mambo Muvunyi Tivani Phosa Mashamba-Thompson Evaluation of a health education program for improving uptake of HIV self-testing by men in Rwanda: a pilot pragmatic randomized control trial
description	Abstract Background Health education interventions tailored to suit men have the potential to improve health outcomes for this underserved population. HIV self-testing (HIVST) is a promising approach to overcoming challenges associated with low HIV testing rates among men. The primary objective of this study is to assess the feasibility of conducting a definitive trial to determine the effectiveness of a locally adapted and optimized health education program (HEP) on the uptake of HIVST among men in Kigali, Rwanda. Methods This study employs a pilot pragmatic randomized controlled trial to evaluate an HIVST HEP for men. Participants were randomized to the intervention (HEP) arm or to the control arm. In the intervention group, the adapted HEP was administered in addition to routine health education. In the non-intervention group, only routine health education was offered. Participant data was collected first upon recruitment and then after 3 months’ follow-up using interviewer-administered questionnaires. Results There was a 100% response rate at enrollment and no loss to follow-up at exit. There was significant association between the study arm and knowledge of HIVST. Participants in the control arm had a mean knowledge score of 67% compared to 92% among participants in the intervention arm. There was an association between the study arm and HIVST uptake: 67% of the study participants in the intervention arm self-reported HIVST uptake compared to 23% of the participants in the control arm. Discussion This pilot study demonstrates the feasibility of a larger trial to assess the effectiveness of an HEP intervention on uptake of HIVST among men. We found preliminary evidence of increased uptake of HIVST in the intervention group. Trial registration Pan African Clinical Trial Registry PACTR201908758321490 . Registered on 8 August 2019.
format	article
author	Tafadzwa Dzinamarira Claude Mambo Muvunyi Tivani Phosa Mashamba-Thompson
author_facet	Tafadzwa Dzinamarira Claude Mambo Muvunyi Tivani Phosa Mashamba-Thompson
author_sort	Tafadzwa Dzinamarira
title	Evaluation of a health education program for improving uptake of HIV self-testing by men in Rwanda: a pilot pragmatic randomized control trial
title_short	Evaluation of a health education program for improving uptake of HIV self-testing by men in Rwanda: a pilot pragmatic randomized control trial
title_full	Evaluation of a health education program for improving uptake of HIV self-testing by men in Rwanda: a pilot pragmatic randomized control trial
title_fullStr	Evaluation of a health education program for improving uptake of HIV self-testing by men in Rwanda: a pilot pragmatic randomized control trial
title_full_unstemmed	Evaluation of a health education program for improving uptake of HIV self-testing by men in Rwanda: a pilot pragmatic randomized control trial
title_sort	evaluation of a health education program for improving uptake of hiv self-testing by men in rwanda: a pilot pragmatic randomized control trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/778ffdcd1be64dc8a78d34271ade9162
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Evaluation of a health education program for improving uptake of HIV self-testing by men in Rwanda: a pilot pragmatic randomized control trial

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