Gonorrhea Male Clinical Trial
Official title:
Pay-it-forward Gonorrhea and Chlamydia Testing Among Men Who Have Sex With Men in China: a Cluster Randomized Controlled Trial
This is a randomized controlled trial which will evaluate dual gonorrhea/chlamydia test uptake and other outcomes in men who have sex with men (MSM) in three trial arms - 1) a pay-it-forward testing arm, 2) a pay-what-you-want testing arm, and 3) standard of care arm.
At both of the program sites, MSM partaking in HIV and syphilis testing will be offered dual
gonorrhea/chlamydia testing. First, all men will be provided a brief (5 minute) introduction
to gonorrhea and chlamydia testing using a pamphlet. Program organizers will then explain the
pay-it-forward program to each man separately. Briefly, men will be told that the hospital
list price of gonorrhea and chlamydia testing was 150 RMB ($24 USD), but previous men
attending the clinic had donated money to cover the cost of his test. Thus, each man could
receive a free gonorrhea and chlamydia test, then decide whether to donate money
(pay-it-forward) for future men to receive the same option. Men will be assured that donating
is completely optional and advised to pay any amount that is feasible for them. Each man's
gonorrhea and chlamydia test fees will be covered by a combination of the initial funding
pool from the program organizers and the donations from previous participants. Men will also
be shown a postcard with a message written by a previous pay-it-forward contributor. Messages
will contain information encouraging men to be tested/slogans to promote sexual health and
testing (i.e. taking ownership of their health). They will be told that they could also write
a postcard message for a future participant.
Men will then decide whether or not to receive combined urine gonorrhea/chlamydia testing.
Program organizers will inform participants of their test results via WeChat. Patients with
positive test results will be counseled and directed to the WeChat page of designated
hospitals where they could make an appointment to receive treatment and follow-up.
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