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ArticleTrials2022

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.

Joshua B Mendelsohn, Bonnie Fournier, Stéphanie Caron-Roy, Geoffrey Maina, Gillian Strudwick, Santo Ojok, Hyun June Lim, Marcos Sanches, Carmen H Logie, Susan Sommerfeldt and 5 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04946071 (Reducing HIV-Related Stigma in School Children in Northern Uganda), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT04946071 nacompletednot on this map

Reducing HIV-Related Stigma in School Children in Northern Uganda: A Multi-level Arts-Based Population Health Intervention

TypeinterventionalSponsorThompson Rivers UniversityRan2021 to 2024Enrolled2,900ConditionsHIV-related Stigma, Health Risk Behaviors, Knowledge, Attitudes, PracticeArmsArts-based HIV stigma intervention
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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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

15 authors.

Joshua B MendelsohnCollege of Health Professions, Pace University, 163 William Street, New York, NY, 10038, USA. jmendelsohn@pace.edu.ORCID http://orcid.org/0000-0001-8500-1683
Bonnie FournierSchool of Nursing, Thompson Rivers University, 805 TRU Way, Kamloops, BC, V2C 0C8, Canada.
Stéphanie Caron-RoySchool of Nursing, Thompson Rivers University, 805 TRU Way, Kamloops, BC, V2C 0C8, Canada.
Geoffrey MainaCollege of Nursing, University of Saskatchewan, Health Science Building - 1A10, Box 6, 107 Wiggins Road, Saskatoon, Saskatchewan, S7N 5E5, Canada.
Gillian StrudwickCentre for Addiction and Mental Health, 1001 Queen Street West, Toronto, Ontario, M6J 1H1, Canada.
Santo OjokTochi Youth Resource Centre, PO Box 416, Gulu, Uganda.
Hyun June LimDepartment of Community Health & Epidemiology, University of Saskatchewan, Health Science Building, 107 Wiggins Road, Saskatoon, Saskatchewan, S7N 5E5, Canada.
Marcos SanchesKrembil Centre for Neuroinformatics, Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario, M5T 1R8, Canada.
Carmen H LogieFactor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street W, Toronto, Ontario, M5S 1V4, Canada.
Susan SommerfeldtFaculty of Nursing, University of Alberta, 11405 - 87 Ave, Edmonton, Alberta, T6G 1C9, Canada.
Candace NykiforukSchool of Public Health, University of Alberta, 11405 - 87 Ave, Edmonton, Alberta, T6G 1C9, Canada.
Jean HarrowingFaculty of Health Sciences, University of Lethbridge, 4401 University Drive, Lethbridge, Alberta, T1K 3M4, Canada.
Francis Akena AdyangaFaculty of Education, Kabale University, Plot 364 Block 3 Kikungiri Hill, Kabale Municipality, Uganda.
Jussy Okello HakiigabaTochi Youth Resource Centre, PO Box 416, Gulu, Uganda.
Olenka BilashFaculty of Education, University of Alberta, 249 Education Centre - South, 11210 - 87 Ave NW, Edmonton, Alberta, T6G 2G5, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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. DISCUSSION: This 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.

Indexed as

HIV InfectionsStudentsAdolescentAgedChildHumansRandomized Controlled Trials as TopicSchoolsUgandaAdolescentsArts-based interventionChildrenHIVProtocolSchoolsStepped-wedge cluster-randomized trial (SW-CRT)StigmaUgandaYoung people

Identifiers

PMID36564802
PMCPMC9782285

What OpenQuestion holds

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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.