Adaptation of an Intervention Addressing Barriers to PrEP Use Among Pregnant Women in Zimbabwe
Recruiting now · Not applicable
Conditions studied: HIV Infections, Pregnancy Related, Depression, Anxiety
In brief
The purpose of this study is to develop a multi-level PrEP adherence and persistence intervention as an adaptation of the TENDAI ('grateful' in Shona) program, a problem-solving approach to reduce depression and increase HIV treatment adherence among people living with HIV in Zimbabwe. The new intervention, TENDAI4PrEP, will be designed to improve PrEP uptake and persistence among pregnant persons in Zimbabwe. If feasibility, acceptability, and preliminary efficacy are demonstrated, the intervention will be ready for large-scale effectiveness/implementation testing. This program will has the potential to address a critical public health challenge impacting pregnant and postpartum persons in Zimbabwe: the prevention of HIV acquisition and transmission.
Key facts
- Study ID
- NCT06226155
- Run by
- Massachusetts General Hospital
- People needed
- 132
- Starts
- 2024-10-21
- Expected to finish
- 2027-03-31
- Last updated by the study team
- 2026-03-31
Who can join
Age: 15 and older, up to 55. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Across all aims participants must be
- Pregnant
- Presenting at the Chitungwiza Central Hospital ANC
- Aged 15+
- Willing to provide informed consent or assent
- Have HIV negative status
- At risk for HIV acquisition (defined as having a male partner of unknown HIV status, suspicions of partner infidelity, reporting multiple partners, or history of STI and/or recent condomless sexual activity)
- Score >5 on the Shona Symptom Questionnaire
- For the RCT, eligible participants must also be willing to
- Initiate PrEP prior to randomization
- Bring their pregnancy partner (if they are safe doing so).
You may not qualify if…
- Inability to provide informed consent/assent and/or complete procedures in Shona or English
- Current interfering untreated or unstable mental health condition that precludes functional involvement in the study (e.g., active psychosis, untreated bipolar disorder)
Where it is running
- University of Zimbabwe — Harare, Zimbabwe (enrolling)
Full record on ClinicalTrials.gov
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