Reducing HIV-related stigma among young people attending school in Northern Uganda: study protocol for a participatory arts-based population health intervention and stepped-wedge cluster-randomized trial

Trials

Study Protocol

Gillian Strudwick¹  Joshua B. Mendelsohn²  Geoffrey Maina³  Hyun June Lim⁴  Carmen H. Logie⁵  Francis Akena Adyanga⁶  Olenka Bilash⁷  Jean Harrowing⁸  Susan Sommerfeldt⁹  Marcos Sanches^1,10  Bonnie Fournier^1,11  Stéphanie Caron-Roy^1,11  Candace Nykiforuk^1,12  Santo Ojok^1,13  Jussy Okello Hakiigaba^1,13 

[1] Centre for Addiction and Mental Health, 1001 Queen Street West, M6J 1H1, Toronto, Ontario, Canada;Institute of Health Policy, Management and Evaluation, University of Toronto, 4th Floor, 155 College Street, M5T 3M6, Toronto, Ontario, Canada;College of Health Professions, Pace University, 163 William Street, 10038, New York, NY, USA;College of Nursing, University of Saskatchewan, Health Science Building - 1A10, Box 6, 107 Wiggins Road, S7N 5E5, Saskatoon, Saskatchewan, Canada;Department of Community Health & Epidemiology, University of Saskatchewan, Health Science Building, 107 Wiggins Road, S7N 5E5, Saskatoon, Saskatchewan, Canada;Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, M5S 1V4, Toronto, Ontario, Canada;Women’s College Hospital, 76 Grenville Ave, M5S 1B2, Toronto, ON, Canada;Faculty of Education, Kabale University, Plot 364 Block 3 Kikungiri Hill, Kabale Municipality, Uganda;Faculty of Education, University of Alberta, 249 Education Centre – South, 11210 - 87 Ave NW, T6G 2G5, Edmonton, Alberta, Canada;Faculty of Health Sciences, University of Lethbridge, 4401 University Drive, T1K 3M4, Lethbridge, Alberta, Canada;Faculty of Nursing, University of Alberta, 11405 - 87 Ave, T6G 1C9, Edmonton, Alberta, Canada;Krembil Centre for Neuroinformatics, Centre for Addiction and Mental Health, 250 College Street, M5T 1R8, Toronto, Ontario, Canada;School of Nursing, Thompson Rivers University, 805 TRU Way, V2C 0C8, Kamloops, BC, Canada;School of Public Health, University of Alberta, 11405 – 87 Ave, T6G 1C9, Edmonton, Alberta, Canada;Tochi Youth Resource Centre, PO Box 416, Gulu, Uganda;

关键词: HIV;    Stigma;    Children;    Adolescents;    Young people;    Uganda;    Stepped-wedge cluster-randomized trial (SW-CRT);    Protocol;    Schools;    Arts-based intervention;   

DOI  :  10.1186/s13063-022-06643-9

 received in 2022-02-04, accepted in 2022-08-06,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundHIV-related stigma negatively impacts HIV prevention, treatment, and care, particularly among children and adolescents in sub-Saharan Africa. Interventions that are culturally grounded and relevant for addressing root causes may reduce the stigma experienced by HIV-positive and HIV-affected young people. This study, to be conducted in a post-conflict, rural setting in Omoro District, Uganda, will develop and evaluate a transformative  arts-based HIV-related stigma intervention rooted in local cultural knowledge to reduce stigma and improve HIV prevention and care for young people living with HIV. The intervention will be delivered to young people attending school by community Elders, with the support of teachers, through the transfer of local cultural knowledge and practices with the aim of re-establishing the important cultural and social role of Elders within a community that has suffered the loss of intergenerational transfer of cultural knowledge throughout a 25-year civil war.MethodsA formative research phase consisting of interviews with students, teachers, and Elders will inform the intervention and provide data for study objectives. Workshops will be delivered to Elders and teachers in participating schools to build capacity for arts-based, educational workshops to be conducted with students in the classroom. The intervention will be evaluated using a stepped-wedge cluster-randomized trial. Government-funded schools in Omoro District will be randomized into three blocks, each comprised of two primary and two secondary schools (n=1800 students). Schools will be randomly assigned to a crossover sequence from control to intervention condition in 8-week intervals. A process evaluation will be implemented throughout the study to evaluate pathways between intervention development, implementation, and effects.DiscussionThis study will generate comprehensive, in-depth participatory research and evaluation data to inform an effective and sustainable protocol for implementing arts-based HIV stigma interventions for young people in school settings. Findings will have widespread implications in post-conflict settings for HIV prevention, treatment, and care.Trial registrationClinicalTrials.gov NCT04946071. Registered on 30 June 2021.

【 授权许可】

CC BY   
© The Author(s) 2022

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