Welcoming by Design Pilot: Reducing Structural Stigma by Changing Clinic Systems and Architectural Design

Hiv Clinical Trial

Official title:

Welcoming by Design Pilot: Reducing Structural Stigma by Changing Clinic Systems and Architectural Design to Make HIV Clinics More Friendly, Private, and Patient-Centric

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05642676
• Other study ID #: Design
• Status: Not yet recruiting
• Phase: N/A
• Start date: July 30, 2024
• Est. completion date: July 30, 2027

Study information

• Verified date: March 2024
• Source: University of Minnesota
• Contact: Sarah Lofgren, MD
• Phone: 6126244171
• Email: lofg0020[@]umn.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to test the feasibility and acceptability of implementing clinic system changes and physical structures in Uganda to improve aesthetics, welcome, and privacy to reduce HIV stigma, improve retention-in-care, and improve the patient experience.

To evaluate pilot/implementation outcomes, the outcomes of fidelity, feasibility, and acceptability will be assessed prior to intervention. After the changes are done to two HIV interventions clinics, the outcome surveys will assess if the changes were disruptive or impeded the workings of the clinics.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 100
• Est. completion date: July 30, 2027
• Est. primary completion date: July 30, 2027
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adults 18 and older

• Enrolled in the HIV clinics where we are working

• Able to independently consent for interview, survey, or focus group.

Exclusion Criteria:

• Unable to provide consent

• Does not speak English or Luganda (local language around Kampala and Entebbe)

Related Conditions & MeSH terms

• Hiv

Intervention

Other:
• Clinics remodeling
changes to the clinics will be planned based on baseline surveys

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Minnesota

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Acceptability survey	How well an intervention will be received by the target population and the extent to which the intervention meets the needs of the target population and organizational setting. This will be assessed through qualitative evaluation and a quantitative survey from patients and staff.	Baseline
Primary	Feasibility	An assessment of the practicality of a proposed idea or project, by assessing recruitment capacity, and ability to complete proposed modifications in clinics. The intervention will be judged feasible if enrollment and metrics can be completed.	baseline
Primary	Fidelity to the Intervention	Assesses whether the intervention was delivered as intended, using the intervention plan/checklist	6-months post intervention
Primary	Outcomes survey	assesses if the changes were disruptive or impeded the workings of the clinics.	6-months post intervention