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mHealth Intervention for TB/HIV Patient Outcomes (LEAP-TB-SA Trial)
N/A
Waitlist Available
Led By Jason E Farley, PhD, MPH
Research Sponsored by Johns Hopkins University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Any person 18 years of age or older with pulmonary TB
Outpatient TB treatment (including short course RR-TB treatment) or admission < 30 days is expected
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 12 months
Awards & highlights
LEAP-TB-SA Trial Summary
This trial will test the effect of an mHealth solution, vDOT, on improving patient outcomes in TB/HIV patients in South Africa.
Who is the study for?
This trial is for adults over 18 with HIV who are outpatient TB patients or expected to be admitted for less than 30 days. They must be able to give informed consent in an approved language and have pulmonary TB, not requiring hospitalization at treatment start, without severe clinical issues like a BMI under 18 or inability to stand/walk.Check my eligibility
What is being tested?
The study tests a mobile health (mHealth) intervention by community health workers (CHWs) aimed at improving patient outcomes for those with TB/HIV in South Africa. It leverages smartphone and tablet apps designed to enhance screening, linkage to care, treatment initiation, and adherence.See study design
What are the potential side effects?
Since this trial focuses on mHealth interventions rather than medications, traditional side effects are not applicable. However, participants may experience issues related to technology use such as privacy concerns or stress from frequent monitoring.
LEAP-TB-SA Trial Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 18 or older and have pulmonary TB.
Select...
I am on or expect to start outpatient TB treatment soon.
LEAP-TB-SA Trial Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 12 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 12 months
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Number of deaths among participants
Number of participants lost to follow-up
Number of participants with treatment failure
+1 moreSecondary outcome measures
Time to linkage to care
Time to treatment initiation
LEAP-TB-SA Trial Design
2Treatment groups
Active Control
Group I: mHealth interventionActive Control1 Intervention
Individuals randomized to the intervention arm will receive the same standardized adherence education, followed by an orientation session to the study intervention. This orientation will include education on basic smartphone operations and use. The CHW will set up appointment reminders for clinic visits as well as daily adherence reminders for submission of the video DOT sessions and symptom reports. A smartphone capable of downloading apps, receiving short message service (SMS) and access wifi and cellular connectivity will be provided to intervention patients. All patients are seen face-to-face monthly for adherence monitoring, monthly symptom reports and laboratory evaluations per standard of care treatment guidelines. All research participants will also receive a clinic visit quality checklist to ensure completeness of standard of care procedures.
Group II: Standard of CareActive Control1 Intervention
Individuals randomized to standard of care will receive a standardized adherence education session and provided with a paper-based diary to track appointments and adherence. Instructions will be provided on the importance of daily adherence in the primary health care facility closest to patients' residence, as per standard of care. Directly observed therapy (DOT) is recommended for all patients at patients' nearest clinic. All patients are seen face-to-face monthly for adherence monitoring, monthly symptom reports and laboratory evaluations per standard of care treatment guidelines. All research participants will also receive a clinic visit quality checklist to ensure completeness of standard of care procedures.
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Who is running the clinical trial?
University of Witwatersrand, South AfricaOTHER
98 Previous Clinical Trials
9,944,274 Total Patients Enrolled
Johns Hopkins UniversityLead Sponsor
2,256 Previous Clinical Trials
14,820,009 Total Patients Enrolled
Jason E Farley, PhD, MPHPrincipal InvestigatorJohns Hopkins University School of Nursing
1 Previous Clinical Trials
68 Total Patients Enrolled
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Eligibility Criteria:
This trial includes the following eligibility criteria:- My TB has spread beyond my lungs.My BMI is under 18, or I cannot stand or walk.I am 18 or older and have pulmonary TB.I am on or expect to start outpatient TB treatment soon.I am willing and able to give informed consent in one of the approved languages.I need to be hospitalized to start my TB treatment.
Research Study Groups:
This trial has the following groups:- Group 1: mHealth intervention
- Group 2: Standard of Care
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
How many individuals are being enrolled in this experiment?
"Affirmative. According to records on clinicaltrials.gov, this medical study is presently enrolling participants with the initial posting occurring on March 10th 2022 and a recent update also taking place then. The trial aims to include 200 patients from 1 site in total."
Answered by AI
Are there any opportunities for enrolment in this trial right now?
"Per the information presented on clinicaltrials.gov, this investigation is open to volunteers. It was initially submitted to the platform on March 10th 2022 and has since been modified accordingly."
Answered by AI
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