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ISRCTN
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ISRCTN44114250
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ClinicalTrials.gov identifier
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Public title
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Intensified primary health care at the workplace: investigating the impact on human immunodeficiency virus associated morbidity and tuberculosis epidemiology
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Scientific title
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Acronym
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N/A
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Serial number at source
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060983 LSHTM ITCR BA59
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Study hypothesis
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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
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Lay summary
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Ethics approval
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Not provided at time of registration
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Study design
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Randomised controlled trial
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Countries of recruitment
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Zimbabwe
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Disease/condition/study domain
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Human immunodeficiency virus
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Participants - inclusion criteria
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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
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Participants - exclusion criteria
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Individual:
1. Declined consent to participate
2. Sub-contracted or casual contract employee
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Anticipated start date
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01/09/2001
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Anticipated end date
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01/07/2005
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Status of trial
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Completed |
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Patient information material
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Target number of participants
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6440 - recruitment ends on the 1st July 2004
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Interventions
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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).
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Primary outcome measure(s)
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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
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Secondary outcome measure(s)
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No secondary outcome measures
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Sources of funding
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The Wellcome Trust (UK) (grant ref: 060983)
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Trial website
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Publications
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http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=17199408
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Contact name
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Dr
E
Corbett
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Address
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London School of Hygiene and Tropical Medicine
Department of Infectious and Tropical Diseases
Keppel Street
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City/town
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London
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Zip/Postcode
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WC1E 7HT
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Country
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United Kingdom
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Tel
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+44 (0)20 7927 2116
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Fax
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+44 (0)20 7637 4314
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Email
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elizabeth.corbett@lshtm.ac.uk
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Sponsor
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London School of Hygiene and Tropical Medicine (UK)
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Address
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Keppel Street
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City/town
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London
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Zip/Postcode
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WC1E 7HT
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Country
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United Kingdom
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Tel
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+44 (0)20 7636 8636
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Fax
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+44 (0)20 7637 4314
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Email
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Penny.Ireland@lshtm.ac.uk
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Sponsor website:
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http://www.lshtm.ac.uk/
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Date applied
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14/10/2005
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Last edited
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13/12/2007
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Date ISRCTN assigned
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14/10/2005
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