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HIV/AIDSNCT04021953

The People Like Us Evaluation Study

A study testing People Like Us Online Video Series Intervention in people with HIV/AIDS and Sexually Transmitted Infection, run by National University of Singapore at 1 site in Singapore.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study is a pragmatic, randomized controlled trial design to evaluate an online video series developed by a community-based organization in Singapore for gay, bisexual and queer men. Read more about this study

Who is it for?
Ages 18 to 29 yearsHealthy volunteers can take part
What is being tested?
People Like Us Online Video Series Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
1 siteSingapore
Study dates
13 Oct 2019to 6 Jul 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 29 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Self-reported HIV-negative status, or unsure of HIV status
  • Self-reported gay, bisexual or queer sexual orientation
  • Self-reported male gender, regardless of sex assigned at birth
  • Self-reported age of 18 to 29 years old at point of recruitment
  • Singapore citizen or permanent resident at the point of recruitment
  • Self-reported as never having watched an online video drama series by Gayhealth.sg or Action for AIDS in the last year

Who cannot join

  • Participants who have watched the People Like Us Series prior to study
  • Participants who have self-reported being HIV-positive
  • Participants who are not English-literate
  • Participants aged below 18 or above 29 at baseline recruitment

Trial locations and contacts

1 site in 1 country.

Singapore1 site

  • National University of Singapore

    Singapore

Other trials in Singapore

About this study

Official title: Evaluation of eHealth Videos for the Singaporean Gay, Bisexual and Queer Male Community

The study is a pragmatic, randomized controlled trial design to evaluate an online video series developed by a community-based organization in Singapore for gay, bisexual and queer men.

A total of 300 HIV-negative, gay, bisexual and queer men in Singapore aged 18 to 29 years old will be recruited with the assistance of the partner community-based organization (CBO), Action for AIDS Singapore. Recruitment will utilize both online and offline channels, and with the help of other CBOs in Singapore. Participants should also not have watched the video prior to their participation in this study, which will be ascertained through a questionnaire.

Participants will subsequently be randomized into the intervention arm (n=150) and the control arm (n=150). The treatment group (n=150) will be assigned the intervention along with sexual health information via a pamphlet, while the control group (n=150) will be assigned only the sexual health information via a pamphlet. This will be conducted through block randomization.

Being tested
People Like Us Online Video Series Intervention, Sexual Health Pamphlet (Standard of Care)
Keywords
HIV Testing, STI Testing, Homophobia, eHealth, Singapore
Medical subject headings
Acquired Immunodeficiency Syndrome, Sexually Transmitted Diseases, Homosexuality, Health Behavior, Social Stigma, Patient Acceptance of Health Care, Homophobia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • People Like Us Online Video Series InterventionBehavioural

    People Like Us miniseries incorporates key sexual health messages to:

    1. Increase viewers' knowledge and perceptions of HIV and other STI risk;
    2. Address homophobia and sexual orientation disclosure;
    3. Increase safer-sex negotiation self-efficacy;
    4. Promote positive attitudes towards condom use and other safe sex behaviors;
    5. Build skills and self-efficacy for practicing safer sex;
    6. Provide information on HIV and other STI testing and its benefits;
    7. Provide information on resources for HIV/STI testing and other mental health services;
    8. Model appropriate behaviors around practicing safer sex.

    Each video in the six-part series ends with an educational video segment featuring the managers of Action for AIDS and Gayhealth.sg, who provide a brief synopsis of the episode and cover key points relevant to mental and sexual health for GBQ men.

  • Sexual Health Pamphlet (Standard of Care)Behavioural

    The control group will be provided with an e-pamphlet on sexual wellness catered to GBMSM. This e-pamphlet has been developed by the National Skin Centre and Department of Sexually Transmitted Infections Clinic specifically for information on sexual wellness among GBMSM. It comprises segments on HIV/STI symptoms, etiology, information on how to seek help for HIV/STI, behavioral and biomedical methods of HIV prevention.

Study groups in NCT04021953
Study groupRoleWhat they receive
Intervention GroupExperimentalThe online intervention comprises a series of six videos, each about 10-minutes in length, entitled the People Like Us series. The intervention was developed by gayhealth.sg and Action for AIDS Singapore in 2018. The series follow the love and sex lives of four ethnically-diverse GBQ men of varying socioeconomic backgrounds, as they negotiate issues of sexual health, mental health, and relationships throughout the six-part miniseries. The intervention group will also be provided with an e-pamphlet on sexual wellness catered to GBMSM. This e-pamphlet has been developed by the National Skin Centre and Department of Sexually Transmitted Infections Clinic specifically for information on sexual wellness among GBMSM. It comprises segments on HIV/STI symptoms, etiology, information on how to seek help for HIV/STI, behavioral and biomedical methods of HIV prevention.
Receives: Behavioral: People Like Us Online Video Series Intervention; Behavioral: Sexual Health Pamphlet (Standard of Care)
Control GroupActive comparatorThe control group will be provided with an e-pamphlet on sexual wellness catered to GBMSM. This e-pamphlet has been developed by the National Skin Centre and Department of Sexually Transmitted Infections Clinic specifically for information on sexual wellness among GBMSM. It comprises segments on HIV/STI symptoms, etiology, information on how to seek help for HIV/STI, behavioral and biomedical methods of HIV prevention.
Receives: Behavioral: Sexual Health Pamphlet (Standard of Care)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in intention to test for HIV at 3 months

    Participants are asked: "How likely are you to get tested for HIV in the next three months?"; to which they may respond:

    1. Extremely unlikely to get tested
    2. Very unlikely to get tested
    3. Somewhat unlikely to get tested
    4. Somewhat likely to get tested
    5. Very likely to get tested
    6. Extremely likely to get tested

    Measured: 3 months

  2. Change in intention to test for HIV at 6 months

    Participants are asked: "How likely are you to get tested for HIV in the next three months?"; to which they may respond:

    1. Extremely unlikely to get tested
    2. Very unlikely to get tested
    3. Somewhat unlikely to get tested
    4. Somewhat likely to get tested
    5. Very likely to get tested
    6. Extremely likely to get tested

    Measured: 6 months

  3. Change in intention to test for Syphilis at 3 months

    Participants are asked: "How likely are you to get tested for Syphilis in the next three months?"; to which they may respond:

    1. Extremely unlikely to get tested
    2. Very unlikely to get tested
    3. Somewhat unlikely to get tested
    4. Somewhat likely to get tested
    5. Very likely to get tested
    6. Extremely likely to get tested

    Measured: 3 months

  4. Change in intention to test for Syphilis at 6 months

    Participants are asked: "How likely are you to get tested for Syphilis in the next three months?"; to which they may respond:

    1. Extremely unlikely to get tested
    2. Very unlikely to get tested
    3. Somewhat unlikely to get tested
    4. Somewhat likely to get tested
    5. Very likely to get tested
    6. Extremely likely to get tested

    Measured: 6 months

  5. Change in intention to test for Chlamydia and Gonorrhea at 3 months

    Participants are asked: "How likely are you to get tested for Chlamydia and Gonorrhea in the next three months?"; to which they may respond:

    1. Extremely unlikely to get tested
    2. Very unlikely to get tested
    3. Somewhat unlikely to get tested
    4. Somewhat likely to get tested
    5. Very likely to get tested
    6. Extremely likely to get tested

    Measured: 3 months

  6. Change in intention to test for Chlamydia and Gonorrhea at 6 months

    Participants are asked: "How likely are you to get tested for Chlamydia and Gonorrhea in the next three months?"; to which they may respond:

    1. Extremely unlikely to get tested
    2. Very unlikely to get tested
    3. Somewhat unlikely to get tested
    4. Somewhat likely to get tested
    5. Very likely to get tested
    6. Extremely likely to get tested

    Measured: 6 months

  7. HIV testing at 3 months

    Participants are asked: "When did you go for you last (most recent) voluntary HIV test?"; to which they may respond:

    1. Never
    2. In the last 3 months
    3. In the last 6 months
    4. 6 to 12 months ago
    5. More than 1 year ago

    Measured: 3 months

  8. HIV testing at 6 months

    Participants are asked: "When did you go for you last (most recent) voluntary HIV test?"; to which they may respond:

    1. Never
    2. In the last 3 months
    3. In the last 6 months
    4. 6 to 12 months ago
    5. More than 1 year ago

    Measured: 6 months

  9. Syphilis testing at 3 months

    Participants are asked: "When did you go for you last (most recent) voluntary Syphilis test?"; to which they may respond:

    1. Never
    2. In the last 3 months
    3. In the last 6 months
    4. 6 to 12 months ago
    5. More than 1 year ago

    Measured: 3 months

  10. Syphilis testing at 6 months

    Participants are asked: "When did you go for you last (most recent) voluntary Syphilis test?"; to which they may respond:

    1. Never
    2. In the last 3 months
    3. In the last 6 months
    4. 6 to 12 months ago
    5. More than 1 year ago

    Measured: 6 months

  11. Chlamydia and Gonorrhea testing at 3 months

    Participants are asked: "When did you go for you last (most recent) voluntary Chlamydia or Gonorrhea test?"; to which they may respond:

    1. Never
    2. In the last 3 months
    3. In the last 6 months
    4. 6 to 12 months ago
    5. More than 1 year ago

    Measured: 3 months

  12. Chlamydia and Gonorrhea testing at 6 months

    Participants are asked: "When did you go for you last (most recent) voluntary Chlamydia or Gonorrhea test?"; to which they may respond:

    1. Never
    2. In the last 3 months
    3. In the last 6 months
    4. 6 to 12 months ago
    5. More than 1 year ago

    Measured: 6 months

  13. Self-reported regularity of HIV testing at 3 months

    Participants are asked: "On average, how regularly do you test for HIV?"; to which they may respond:

    1. I do not test regularly
    2. Once every few years
    3. Once a year
    4. Once every 6 months
    5. Once every 3 months
    6. Once a month

    Measured: 3 months

  14. Self-reported regularity of HIV testing at 6 months

    Participants are asked: "On average, how regularly do you test for HIV?"; to which they may respond:

    1. I do not test regularly
    2. Once every few years
    3. Once a year
    4. Once every 6 months
    5. Once every 3 months
    6. Once a month

    Measured: 6 months

  15. Self-reported regularity of Syphilis testing at 3 months

    Participants are asked: "On average, how regularly do you test for Syphilis?"; to which they may respond:

    1. I do not test regularly
    2. Once every few years
    3. Once a year
    4. Once every 6 months
    5. Once every 3 months
    6. Once a month

    Measured: 3 months

  16. Self-reported regularity of Syphilis testing at 6 months

    Participants are asked: "On average, how regularly do you test for Syphilis?"; to which they may respond:

    1. I do not test regularly
    2. Once every few years
    3. Once a year
    4. Once every 6 months
    5. Once every 3 months
    6. Once a month

    Measured: 6 months

  17. Self-reported regularity of Chlamydia and Gonorrhea testing at 3 months

    Participants are asked: "On average, how regularly do you test for Chlamydia and Gonorrhea?"; to which they may respond:

    1. I do not test regularly
    2. Once every few years
    3. Once a year
    4. Once every 6 months
    5. Once every 3 months
    6. Once a month

    Measured: 3 months

  18. Self-reported regularity of Chlamydia and Gonorrhea testing at 6 months

    Participants are asked: "On average, how regularly do you test for Chlamydia and Gonorrhea?"; to which they may respond:

    1. I do not test regularly
    2. Once every few years
    3. Once a year
    4. Once every 6 months
    5. Once every 3 months
    6. Once a month

    Measured: 6 months

Secondary outcomes (13)

  1. Risk perception for HIV

    Risk perception is measures through a questions (slider scale) that asks participants: "How much risk do you think you are at of getting HIV?". Participants will rate this from 0 to 10 (0=no risk at all; 10=very high risk)

    Measured: 3 months and 6 months

  2. Risk perception for other sexually transmitted infections

    Risk perception is measures through a questions (slider scale) that asks participants: "How much risk do you think you are at of getting other sexually transmitted infections?". Participants will rate this from 0 to 10 (0=no risk at all; 10=very high risk)

    Measured: 3 months and 6 months

  3. Knowledge of HIV Pre-Exposure Prophylaxis

    Participants are tested on their knowledge of HIV Pre-Exposure Prophylaxis by providing a response (1=True; 2=False; 3=I do not know) to two questions:

    "HIV Pre-Exposure Prophylaxis is an effective means of preventing HIV infection". The correct answer is "True".

    "HIV Pre-Exposure Prophylaxis can also reduce the chances of acquiring other STIs". The correct answer is "False".

    Each correct answer provides a score of 1 point.

    Measured: 3 months and 6 months

  4. Knowledge of risks associated with acquiring other sexually transmitted infections

    Participants are tested on their knowledge of other sexually transmitted infections by providing a response (1=True; 2=False; 3=I do not know) to three questions:

    "Gonorrhea can be transmitted through oral sex". The correct answer is "True".

    "Chemsex, or the use of substances during sex, often increases a person's risk of engaging in risky sexual behavior and acquiring HIV or other STIs" The correct answer is "True".

    "There is a/are clinics in Singapore where I can test anonymously for HIV and Syphilis". The correct answer is "True".

    Each correct answer provides a score of 1 point.

    Measured: 3 months and 6 months

  5. Knowledge of HIV

    Participants are tested on their knowledge of HIV by providing a response (1=True; 2=False; 3=I do not know) to two questions:

    "An HIV-positive individual who has achieved viral suppression or an 'undetectable' viral load has almost zero chances of transmitting the virus to someone else through sexual intercourse". The correct answer is "True".

    "An HIV-positive individual on effective treatment can live a long, healthy, and productive life". The correct answer is "True".

    Each correct answer provides a score of 1 point.

    Measured: 3 months and 6 months

  6. Connectedness to LGBT Community

    This is an 8-item scale adapted from Frost \& Meyer (2012) that measures a participant's self-perceived connectedness to the LGBT community on a 4-point Likert Scale. The measure is a sum score of all 8 items.

    Measured: 3 months and 6 months

  7. Modified Self-Concealment Scale

    This is a 7-item scale adapted from Scrimshaw (2013) that measures a participant's self-concealment of their sexual orientation on a 5-point Likert Scale. The measure is a sum score of all 7 items.

    Measured: 3 months and 6 months

  8. Consistent condom use for anal sex with casual partners or sex workers

    This is assessed by the question, "In the last 3 months, how often did you use a condom when having anal sex with a casual partner?" or "In the last 3 months, how often did you use a condom when having anal sex with a sex worker/money boy?" (Options are always, more than half the time, about half the time, less than half the time, never used a condom). Participants who give the answer 'Always' are classified as having consistent condom usage for anal sex with causal partners or sex workers.

    Measured: 3 months and 6 months

  9. Incidence of sexually transmitted infections

    This is defined as self-reporting a diagnosis of Syphilis, Chlamydia, Genital Herpes, Genital Warts, Hepatitis C, or Gonorrhea at the 3-month or 6-month follow-up.

    Measured: 3 months and 6 months

  10. Perceived Homophobia

    This is a 6-item scale adapted from Smolenski, Ross, Risser, and Rosser (2009) that measures a participant's self-concealment of their sexual orientation. The measure is a sum score of all 6 items.

    Measured: 3 months and 6 months

  11. Internalized Homophobia

    This is a 5-item scale adapted from Frost and Meyer (2013) that measures a participant's internalized homophobia on a 4-point Likert Scale. The measure is a sum score of all 5 items.

    Measured: 3 months and 6 months

  12. HIV testing self-efficacy

    This is a 10-item scale adapted from Jamil and colleagues (2015) that measures a participant's self-efficacy in HIV testing on a 5-point Likert Scale. The measure is a sum score of all 10 items.

    Measured: 3 months and 6 months

  13. HIV testing social norms

    This is a 9-item scale adapted from Pettifor and colleagues (2010) that measures a participant's perceptions on norms around HIV testing on a 4-point Likert Scale. The measure is a sum score of all 9 items.

    Measured: 3 months and 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jul 2019
  2. Study start13 Oct 2019
  3. Primary completion6 Jul 2020
  4. Study completion6 Jul 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
300 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04021953
Sponsor's protocol ID
S-19-059
Status last verified
Aug 2021
First submitted
12 Jul 2019
Last updated
1 Sep 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Tan RKJ, Koh WL, Le D, Banerjee S, Chio MT, Chan RKW, Wong CM, Tai BC, Wong ML, Cook AR, Chen MI, Wong CS. Effect of a Popular Web Drama Video Series on HIV and Other Sexually Transmitted Infection Testing Among Gay, Bisexual, and Other Men Who Have Sex With Men in Singapore: Community-Based, Pragmatic, Randomized Controlled Trial. J Med Internet Res. 2022 May 6;24(5):e31401. doi: 10.2196/31401.

    PubMed 35522470

  • Tan RKJ, Koh WL, Le D, Tan A, Tyler A, Tan C, Banerjee S, Wong CS, Wong ML, Chio MT, Chen MI. Effect of a web drama video series on HIV and other sexually transmitted infection testing among gay, bisexual and queer men: study protocol for a community-based, pragmatic randomised controlled trial in Singapore: the People Like Us (PLU) Evaluation Study. BMJ Open. 2020 Apr 7;10(4):e033855. doi: 10.1136/bmjopen-2019-033855.

    PubMed 32269026

Questions about this trial

What is this clinical trial studying?

A study testing People Like Us Online Video Series Intervention in people with HIV/AIDS and Sexually Transmitted Infection, run by National University of Singapore at 1 site in Singapore.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Singapore. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in intention to test for HIV at 3 months (time frame: 3 months). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04021953, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Sep 2021.

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