Welcoming by Design Pilot: Reducing Structural Stigma by Changing Clinic Systems and Architectural Design

Welcoming by Design Pilot: Reducing Structural Stigma by Changing Clinic Systems and Architectural Design to Make HIV Clinics More Friendly, Private, and Patient-Centric

Status

Withdrawn

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05642676

Enrollment

Registered

2022-12-08

Start date

2024-07-30

Completion date

2027-07-30

Last updated

2025-09-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hiv

Brief summary

The purpose of this study is to test the feasibility and acceptability of implementing clinic system changes and physical structures in Uganda to improve aesthetics, welcome, and privacy to reduce HIV stigma, improve retention-in-care, and improve the patient experience. To evaluate pilot/implementation outcomes, the outcomes of fidelity, feasibility, and acceptability will be assessed prior to intervention. After the changes are done to two HIV interventions clinics, the outcome surveys will assess if the changes were disruptive or impeded the workings of the clinics.

Interventions

OTHERClinics remodeling

changes to the clinics will be planned based on baseline surveys

Study design

Allocation

NON_RANDOMIZED

Intervention model

SINGLE_GROUP

Primary purpose

SUPPORTIVE_CARE

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Adults 18 and older * Enrolled in the HIV clinics where we are working * Able to independently consent for interview, survey, or focus group.

Exclusion criteria

* Unable to provide consent * Does not speak English or Luganda (local language around Kampala and Entebbe)

Design outcomes

Primary

Measure	Time frame	Description
Acceptability survey	Baseline	How well an intervention will be received by the target population and the extent to which the intervention meets the needs of the target population and organizational setting. This will be assessed through qualitative evaluation and a quantitative survey from patients and staff.
Feasibility	baseline	An assessment of the practicality of a proposed idea or project, by assessing recruitment capacity, and ability to complete proposed modifications in clinics. The intervention will be judged feasible if enrollment and metrics can be completed.
Fidelity to the Intervention	6-months post intervention	Assesses whether the intervention was delivered as intended, using the intervention plan/checklist
Outcomes survey	6-months post intervention	assesses if the changes were disruptive or impeded the workings of the clinics.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026