None listed
Conditions
Brief summary
This is a randomised control study to compare the efficacy of the PAUSE© flip chart tool (PAUSE©) against the conventional method of premarital HIV counselling among clients attending public primary health care centres in rural regions in Johor. The authors also undertake to evaluate the understandability of this tool among the participants. Better efficacy and understandability of this tool would help extend its use nationwide as a more structured and standardised method of delivering pre-marital HIV counselling.This study(data collection) will be conducted from 15/4/2024 till 30/6/2024.The list of premarital clients scheduled for each day at the selected clinic will be obtained from the EPRS system and clients will be randomly assigned for premarital counselling using the PAUSE© flipchart (Intervention group) and the conventional method (Control group). Participants will not be aware of the grouping assigned to them (single blind). Clients from both arms interventional and control arms will first fill the HIV knowledge questionnaire (pre-test). Then the control arm clients will receive counselling by the doctors who service the premarital clinic using the conventional method of counselling which is the current practice. This is usually done by using a non-structured approach where information is delivered adhoc based on the knowledge and experience of the doctor. The clients in the intervention arm will be counselled using a structured approach based on the PAUSE© flipchart and will be carried out by the primary researcher. Next, clients from both arms will fill the HIV knowledge question again (post-test) and their scores will be analysed. Clients who are in the interventional arm will also fill the Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) which assesses understandability of the PAUSE© flipchart tool. The researcher will also record the duration of counselling using the PAUSE© flipchart.
Interventions
For participants in the interventional arm, counseling is provided using a structured approach with the PAUSE© flipchart, which is designed to standardize the delivery of HIV knowledge. The counseling sessions for this group are conducted by the primary researcher, ensuring consistency in the presentation of information. These sessions are documented in terms of their duration, which typically lasts about 30 minutes. Clients in the interventional arm participate in one counseling session only. F
For participants in the interventional arm, counseling is provided using a structured approach with the PAUSE© flipchart, which is designed to standardize the delivery of HIV knowledge. The counseling sessions for this group are conducted by the primary researcher, ensuring consistency in the presentation of information. These sessions are documented in terms of their duration, which typically lasts about 30 minutes. Clients in the interventional arm participate in one counseling session only. Following the session, clients complete the HIV knowledge questionnaire (post-test) to assess the impact of the counseling. Additionally, these clients complete the Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) to evaluate the understandability of the PAUSE© flipchart. The content of the PAUSE© flipchart includes comprehensive information on HIV transmission, prevention, and treatment, adhering to current guidelines and best practices. This approach aims to enhance clients' understanding of HIV, equipping them with the knowledge necessary to prevent its spread effectively.
Sponsors
Magaletchumi a/p Chelladorai
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
• Premarital clients registered for HIV testing • Age greater than or equal to 18 years • Able to understand and read Malay
Exclusion criteria
• Already received premarital HIV counselling before •Already tested for HIV infection before • Health care personnel • Clients with hearing or vision impairment
Outcome results
None listed