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Health BehaviorNCT06246058

Measuring Anticipated Attitudes and Behavior Towards a New Medical Treatment in Lesotho

An observational study of Health Behavior and Motivation, run by University Hospital, Basel, Switzerland at 1 site in Lesotho.

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 primary research objective is to examine how uncertainty towards a new medical treatment changes in patients when a partner (can be any close other, i.e. romantic partner, family member, or a close friend) supports the new treatment choice and is willing to be involved in the patient's treatment. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Partner support, Formal recruiter attire and Without Partner support
How many people
475 participants
Where
1 siteLesotho
Study dates
15 Feb 2024to 13 Sep 2024
Phase
Observational
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Recruitment will occur in the Butha Buthe district hospital and health centers in the Butha Buthe district.

Who may be able to join

  • Adults over 18 years of age
  • Are comfortable reading and writing in Sesotho or English
  • Attending as a patient in Butha Buthe-area hospital or health center for a known clinical diagnosis or standard health screening related to one of these illness categories:
  • HIV
  • Other sexually-transmitted infection (i.e. gonorrhea, syphilis, hepatitis)
  • Breathing problem/ tuberculosis
Show all 14Show fewer
  • Heart issues/ blood pressure
  • Diabetes/ sugar level
  • Bone/ muscle problem
  • Mental health
  • Memory/ thinking problem
  • Teeth/ mouth problem
  • Cancer
  • Maternal health (i.e. pregnancy, post-partum care)

Who cannot join

  • Have participated in this study before
  • Visible intoxication and/or distress, as deemed by trained research assistant
  • Unable to make independent decisions; unable to complete informed consent
  • Warrants emergency medical care
  • Visiting the hospital for another person (i.e. their child, relative, partner)

Trial locations and contacts

1 site in 1 country.

Lesotho1 site
  • Butha Buthe Government Hospital

    Butha-Buthe

Other trials in Lesotho

About this study

The primary research objective is to examine how uncertainty towards a new medical treatment changes in patients when a partner (can be any close other, i.e. romantic partner, family member, or a close friend) supports the new treatment choice and is willing to be involved in the patient's treatment. I hypothesize that when the patients know that their partner supports uptake of the new medical treatment and will physically accompany them to the visit, patients will (1) experience lower levels of uncertainty and (2) report a higher likelihood of participating in a new treatment in the future, as compared to patients who face the decision about the new treatment alone.

Read the detailed description

Host trial: Uncertainty survey experiment

This study uses a survey experiment with a hypothetical scenario (vignette) to test the concept of uncertainty and the impact of partner involvement in a hypothetical new medical treatment in patients seeking healthcare in the Butha Buthe district hospital. Specifically, this host trial will be a single-blinded randomized survey experimental design. This means that there will be two versions of the vignette and participants will be randomly given only one version (1:1 allocation). The participants will not be made aware that there is a different version of the vignette but the researchers will be aware of which version the participant receives. The difference between the vignettes (called behavioral manipulation) is whether or not the partner endorses the hypothetical new medical treatment related to the patient's current illness. See the Study measures Section for the specific vignettes.

Study Within a Trial (SWAT): Impact of the researcher's attire on recruitment rates

Within the host trial, the nested study on researcher's attire will take place as a "Study Within A Trial" or SWAT. SWAT is an increasingly recognized method of research that aims to improve the research methodology within an existing trial. The SWAT on researcher attire will take place in the recruitment phase of the host experiment with day-based cluster randomization between white coat versus casual attire assignment. These attire assignments will be given along with the given week's recruitment assignments to the two Basotho research assistants who will work on the host trial. The nested study does not impact the procedures of the survey experiment. Researcher's attire during recruitment will remain the same throughout the survey delivery until the end of the participant's study visit.

Being tested
Partner support, Formal recruiter attire, Without Partner support, Casual recruiter attire
Keywords
Social support, Uncertainty, Low-resource setting, Ambiguity aversion, Behavioral economics, Research administration, Recruitment success
Medical subject headings
Health Behavior, Patient Acceptance of Health Care, Consumer Behavior, Social Behavior

What participants receive

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

  • Partner supportBehavioural

    The intervention group's survey vignette will include a component of partner support which serves as the key behavioral manipulation tested for this study's primary outcome.

  • Formal recruiter attireBehavioural

    The SWAT will separately test recruitment rates - as measured by rate of survey completion divided by total number of individuals approached - based on how the recruiters are dressed.

    FORMAL dress code of the recruiter is the intervention in this case, defined as clinical attire alluding to some clinical authority.

  • Without Partner supportBehavioural

    The intervention group's survey vignette will NOT include a component of partner support which serves as the key behavioral manipulation tested for this study's primary outcome.

  • Casual recruiter attireBehavioural

    The SWAT will separately test recruitment rates - as measured by rate of survey completion divided by total number of individuals approached - based on how the recruiters are dressed.

    CASUAL dress code of the recruiter is the intervention in this case.

Study groups in NCT06246058
Study groupRoleWhat they receive
Survey Group 1 - SupportReceives a vignette with partner support component before answering AA-Med response items.
Receives: Behavioral: Partner support
Survey Group 2 - ControlReceives a vignette without partner support component before answering AA-Med response items.
Receives: Behavioral: Without Partner support
Recruitment Group 1 - CasualRecruited by staff wearing casual attire.
Receives: Behavioral: Casual recruiter attire
Recruitment Group 2 - FormalRecruited by staff wearing formal (clinical) attire
Receives: Behavioral: Formal recruiter attire

What is being measured

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

  1. AA-Med score

    Ambiguity aversion score difference between two survey groups; AA-Med contains 6 response items, each scored from 1 to 4 (1=disagree completely; 4=agree completely)

    Measured: 1 time measurement immediately after intervention

Secondary outcomes (1)
  1. Recruitment rate

    Recruitment success rate (fully participated/ approached) difference between two recruitment attire groups

    Measured: 1 time measurement immediately after intervention

Timeline

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

  1. First posted7 Feb 2024
  2. Study start15 Feb 2024
  3. Primary completion13 Sep 2024
  4. Study completion13 Sep 2024

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Cross-sectional
Enrolment
475 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06246058
Sponsor's protocol ID
ID213-2023; ub23Belus
Status last verified
Nov 2024
First submitted
8 Jan 2024
Last updated
18 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data obtained through this study may be provided to qualified researchers with academic interest. Data shared will be completely anonymized. Study components, aggregate data and results will be disseminated on OSF. Any additional data sharing is subject to approval of the request and execution of all applicable agreements (i.e. a material transfer agreement).

Publications

  • Han PK, Reeve BB, Moser RP, Klein WM. Aversion to ambiguity regarding medical tests and treatments: measurement, prevalence, and relationship to sociodemographic factors. J Health Commun. 2009 Sep;14(6):556-72. doi: 10.1080/10810730903089630.

    PubMed 19731127
  • Yoon GH, Stoffel S, Aghlmandi S, Lesaoana N, Mahlatsi P, Chakela M, Belus JM, Briel M. Effect of different recruiter attire on trial participation in Lesotho: a randomized study within a trial. Trials. 2026 Mar 20;27(1):290. doi: 10.1186/s13063-026-09638-y.

    PubMed 41862952

Questions about this trial

What is this clinical trial studying?

An observational study of Health Behavior and Motivation, run by University Hospital, Basel, Switzerland at 1 site in Lesotho.

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 14 inclusion and 5 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 18 Nov 2024. 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 Lesotho. 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?

AA-Med score (time frame: 1 time measurement immediately after intervention). 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 NCT06246058, 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 18 Nov 2024.

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