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Intensified primary health care at the workplace: investigating the impact on human immunodeficiency virus associated morbidity and tuberculosis epidemiology
ISRCTN ISRCTN44114250
ClinicalTrials.gov identifier
Public title Intensified primary health care at the workplace: investigating the impact on human immunodeficiency virus associated morbidity and tuberculosis epidemiology
Scientific title
Acronym N/A
Serial number at source 060983 LSHTM ITCR BA59
Study hypothesis 1. To compare the acceptability of two Voluntary Counselling and Testing (VCT) strategies at the workplace
2. To test whether on-site availability of VCT linked to intensified primary health care at the workplace reduces HUman Immunodeficiency Virus (HIV)-associated morbidity, and if so, to an extent that is cost effective for businesses in high HIV prevalence areas
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment Zimbabwe
Disease/condition/study domain Human immunodeficiency virus
Participants - inclusion criteria Site:
1. Has HIV prevention policy in place
2. Willing to supply access to workforce and to absenteeism data
3. Agreement of Workers Committee

Individuals within sites:
1. Based at the study site (not alternative workplace)
2. On a contract of six months or longer
Participants - exclusion criteria Individual:
1. Declined consent to participate
2. Sub-contracted or casual contract employee
Anticipated start date 01/09/2001
Anticipated end date 01/07/2005
Status of trial Completed
Patient information material
Target number of participants 6440 - recruitment ends on the 1st July 2004
Interventions Cluster-randomised trial of Small and Medium size Enterprises (SMEs) in Zimbabwe.
Randomisation unit: each participating business site
Number of sites: 22

The randomisation was to provide Voluntary Counselling and Testing (VCT) through either:
1. On-site rapid HIV testing at occupational clinics
2. Use of free vouchers to an off-site testing centre
Open cohort, with active recruitment of all eligible new employees until the end of follow-up
Stratified randomisation according to pre-intervention absenteeism rates (low/medium/high).

The trial will provide the framework for an observational study of Tuberculosis (TB) epidemiology (impact of HIV on incidence, prevalence and duration of TB disease before diagnosis).
Primary outcome measure(s) 1. Proportion of workers accepting VCT
2. Incidence rates of severe morbidity (composite: death, medical retirement, hospitalisation, TB, illness requiring five days or more off work) according to the VCT strategy allocated
Secondary outcome measure(s) No secondary outcome measures
Sources of funding The Wellcome Trust (UK) (grant ref: 060983)
Trial website
Publications http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=17199408
Contact name Dr  E  Corbett
  Address London School of Hygiene and Tropical Medicine
Department of Infectious and Tropical Diseases
Keppel Street
  City/town London
  Zip/Postcode WC1E 7HT
  Country United Kingdom
  Tel +44 (0)20 7927 2116
  Fax +44 (0)20 7637 4314
  Email elizabeth.corbett@lshtm.ac.uk
Sponsor London School of Hygiene and Tropical Medicine (UK)
  Address Keppel Street
  City/town London
  Zip/Postcode WC1E 7HT
  Country United Kingdom
  Tel +44 (0)20 7636 8636
  Fax +44 (0)20 7637 4314
  Email Penny.Ireland@lshtm.ac.uk
  Sponsor website: http://www.lshtm.ac.uk/
Date applied 14/10/2005
Last edited 13/12/2007
Date ISRCTN assigned 14/10/2005
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