Evidence map›Paper›PMID 31973744›Full record

ArticleTrials2020

Improving risk perception and uptake of voluntary medical male circumcision with peer-education sessions and incentives, in Manicaland, East Zimbabwe: study protocol for a pilot randomised trial.

Ranjeeta Thomas, Morten Skovdal, Matteo M Galizzi, Robin Schaefer, Louisa Moorhouse, Constance Nyamukapa, Rufurwokuda Maswera, Phyllis Mandizvidza, Timothy B Hallett, Simon Gregson

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03565588 (Improving Risk Perception and Uptake of Voluntary Medical Male Circumcision), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03565588 nacompletednot on this map

Improving Risk Perception and Uptake of Voluntary Medical Male Circumcision (VMMC) With Education Sessions and Conditional Behavioural Incentives

TypeinterventionalSponsorSimon GregsonRan2018 to 2021Enrolled1,028ConditionsHIV/AIDSArmsEducation session with fixed incentive, Education session with lottery incentive
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Ranjeeta ThomasDepartment of Health Policy, London School of Economics and Political Science, Cowdray House, London, WC2 2AE, UK. r.a.thomas@lse.ac.uk.ORCID http://orcid.org/0000-0002-0947-4574
Morten SkovdalSection of Health Services Research, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5 opg, B, Postb 15, Building: 15.0.17, 1014, København K, Denmark.
Matteo M GalizziDepartment of Psychological and Behavioural Science, London School of Economics and Political Science, London, WC2 2AE, UK.
Robin SchaeferDepartment of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus Norfolk Place, London, W2 1PG, UK.
Louisa MoorhouseDepartment of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus Norfolk Place, London, W2 1PG, UK.
Constance NyamukapaDepartment of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus Norfolk Place, London, W2 1PG, UK.
Rufurwokuda MasweraBiomedical Research and Training Institute, 10 Seagrave, Avondale, Harare, Zimbabwe.
Phyllis MandizvidzaBiomedical Research and Training Institute, 10 Seagrave, Avondale, Harare, Zimbabwe.
Timothy B HallettDepartment of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus Norfolk Place, London, W2 1PG, UK.
Simon GregsonDepartment of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus Norfolk Place, London, W2 1PG, UK.
Imperial College London · GBBiomedical Research and Training Institute · ZWLondon School of Economics and Political Science · GBUniversity of Copenhagen · DK

Funding

Multi-Level Behavioral Economics and Community Psychology Approaches to Strengthen HIV Prevention Cascades in Adolescent Girls and Young Women in East ZimbabweR01MH114562 · NIMH · IMPERIAL COLLEGE OF SCIENCE, TECHNOLOGY AND MEDICINE · PI GREGSON, SIMON ANTHONY JOHN, HALLETT, TIMOTHY · 2017 to 2020
$2.6M
Bill and Melinda Gates Foundation OPP1161471Medical Research Council MR/R015600/1MRC Centre for Global Infectious Disease Analysis funding from the UK Medical Research Council and Department for International Development MR/R015600/1National Institutes of Mental Health R01MH114562-01NIMH NIH HHS R01 MH114562
6 · The paper itself

Abstract

backgroundVoluntary medical male circumcision (VMMC) is a key component of combination HIV-prevention programmes. Several high-HIV-prevalence countries in sub-Saharan Africa, including Zimbabwe, are looking to scale up VMMC activities. There is limited evidence on how a combination of social learning from peer education by a role model with different behavioural incentives influences demand for VMMC in such settings. METHODS/

designThis matched-cluster randomised controlled trial with 1740 participants will compare two behavioural incentives against a control with no intervention. In the intervention clusters, participants will participate in an education session delivered by a circumcised young male ("role model") on the risks of HIV infection and the benefits from medical male circumcision. All participants will receive contributions towards transport costs to access medical male circumcision at participating clinics. Via blocked randomisation, in the intervention clusters participants will be randomly assigned to receive one of two types of incentives - fixed cash payment or lottery payment - both conditional on undergoing surgical VMMC. In two sites, a community-led intervention will also be implemented to address social obstacles and to increase support from peers, families and social structures. Baseline measures of endpoints will be gathered in surveys. Follow-up assessment at 6 months will include self-reported uptake of VMMC triangulated with clinic data. DISCUSSION: This is the first trial to pilot-test social learning to improve risk perception and self-efficacy and to address the fear of pain associated with VMMC and possible present-biased preferences with front-loaded compensations as well as fixed or lottery-based cash payments. This study will generate important knowledge to inform HIV-prevention policies about the effectiveness of behavioural interventions and incentives, which could be easily scaled-up.

trial registrationThis trial has been registered on ClinicalTrials.gov (identifier: NCT03565588). Registered on 21 June 2018.

Indexed as

Attitude to HealthMotivationPatient Acceptance of Health CarePeer GroupAdolescentAdultCircumcision, MaleFearHIV InfectionsHumansMalePatient Education as TopicPilot ProjectsPostoperative PainRandomized Controlled Trials as TopicSelf EfficacyHIV preventionIncentivesMedical male circumcisionRandomised trialZimbabwe

Identifiers

PMID31973744
PMCPMC6979356
OpenAlexW3003377469

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.