[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"uptake-of-hiv-prevention\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:uptake-of-hiv-prevention":30},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":20,"enrollmentInfo":21,"targetDuration":4,"studyType":24,"phases":25,"briefSummary":27,"conditions":28,"keywords":32,"overallStatus":46,"whyStopped":4,"lastUpdateSubmitDate":47,"lastUpdatePostDateStruct":48,"startDateStruct":51,"completionDateStruct":53,"leadSponsor":55,"locationsCount":5},"100623952","mobile-health-supported-self-care-among-tertiary-education-students-in-zimbabwe-100623952",false,"NCT07403318","Mobile Health Supported Self-care Among Tertiary Education Students in Zimbabwe","mHealth Supported Self-care Among Tertiary Education Students in Zimbabwe","MASCOT","Work package 1: Formative research\n\n1. Focus Group Discussions\n\n   * Aged 16 years old or over;\n   * Currently enrolled at a college\u002Funiversity where the research is being done;\n   * Willing and able to provide written informed consent.\n\n   Exclusion Criteria:\n\n   \\- None stated\n2. Key informant interviews\n\n   * Staff from MoHCC responsible for implementing or supervising implementation of HIV or sexual and reproductive health services, or for policy planning on the same topics,\n   * Staff from Ministry of Higher and Tertiary Education responsible for student health, staff from Ministry of Health implementing partners working on HIV and sexual and reproductive health services in Zimbabwe,\n   * Willing and able to provide written informed consent.\n\nExclusion Criteria:\n\n\\- None stated\n\nWork package 3: Adaptation of the parent mHealth tool\n\n1\\. Hackathon\n\n1a. Students\n\nInclusion criteria:\n\n* Enrolled in the specific institutions; in these disciplines: public health, information technology and computer science; and\n* Willing to take part in the hackathon\n\nExclusion criteria:\n\nNone stated\n\n1b. Multi-disciplinary experts\n\nInclusion criteria:\n\n* Representatives in any of the following disciplines, Digital health experts, MoHCC, HIV and SRH services, other key stakeholders; and\n* Willing to take part in the hackathon.\n\nExclusion criteria:\n\nNone stated\n\n2\\. Alpha testing\n\n2a. Students\n\nInclusion criteria:\n\n• Recruited from the same colleges\u002Funiversities that participated in formative research\n\n• Willing and able to provide written informed consent.\n\nExclusion criteria:\n\nNone stated\n\n2b. Health workers\n\nInclusion criteria:\n\n* Staff from MoHCC responsible for implementing or supervising the implementation of HIV and sexual and reproductive health services,\n* Willing and able to provide written informed consent.\n\nExclusion criteria:\n\nNone stated\n\n3\\. Beta testing\n\n3a. Students\n\nInclusion criteria:\n\n* Students who have used the mHealth tool and decision aids\n* Willing and able to provide written informed consent.\n\nExclusion Criteria:\n\n\\- None stated\n\n4\\. Pilot of mHealth supported self-care in two colleges\u002Funiversities\n\n4a. Institutions\n\nInclusion criteria:\n\n* Less than 3500 students\n* Comparable male and female ratio\n* Participated in formative research\n\nExclusion criteria:\n\nInstitutions that participated in the formative research\n\n4b. Peer distributors\n\nInclusion criteria:\n\n* Aged \\>18 years;\n* Currently enrolled at the participating colleges\u002Funiversities\n* Willing to be a peer distributor,\n* Willing to conduct study activities according to the protocol.\n\nExclusion criteria:\n\n\\- Students who were away from college for industrial attachment during intervention implementation\n\n4c. Pilot survey\n\nInclusion criteria:\n\n* Students enrolled at the colleges\u002Funiversities for at least 6 months.\n* Willing to provide written informed consent for the survey.\n\nExclusion criteria:\n\n\\- Students who were away from college for industrial attachment during intervention implementation\n\n4d. In-depth interviews with students\n\nInclusion criteria:\n\n* Students enrolled at the colleges\u002Funiversities for at least 6 months.\n* Willing to provide written informed consent for the in-depth interviews\n\nExclusion criteria:\n\nNone defined\n\n4e. In depth interviews with Peer Distributors\n\nInclusion Criteria:\n\n* Student peer distributor at a tertiary education institution where the research is being done; and\n* Willing and able to provide written consent for the interview.\n\nExclusion criteria:\n\nNone defined\n\n4f. FGDs with students\n\nInclusion criteria:\n\n* Enrolled at the colleges\u002Funiversities for at least 6 months.\n* Willing to provide informed consent for the FGD.\n\nExclusion criteria:\n\nNone defined\n\n4g. In depth interviews with health workers\n\n* Health worker at participating college\u002Funiversity supporting the MASCOT intervention.\n* Willing and able to provide written informed consent.\n\nExclusion criteria:\n\nNone defined\n\n5\\. Cluster Randomised trial\n\n5a. Institutions\n\nInclusion criteria:\n\n* Located in 10 provinces: Harare, Mashonaland Central, West and East, Masvingo, Manicaland, Midlands Bulawayo and Matabeleland North and South\n* Maximum enrolment of 3500 students\n\nExclusion criteria:\n\nNone defined\n\n5b. Surveys, in-depth interviews with students, peer distributors and health workers and FDGs with students will be the same as for work package 4 above.\n\n5c. Costing interviews with distributors\n\nInclusion criteria:\n\n* Student peer distributor at a tertiary education institution where the research is being done; and\n* Willing and able to provide written consent for the costing interview.\n\nExclusion criteria:\n\nNone defined\n\n5d. Costing - Valuing distributor time\n\nInclusion criteria:\n\n* Student peer distributor at a tertiary institution where the research is being done.\n* Willing and able to provide written consent\n\nExclusion criteria:\n\nNone defined",true,"ALL","16 Years","60 Years",{"count":22,"type":23},16000,"ESTIMATED","INTERVENTIONAL",[26],"NA","Young people of ages 15-24 years, particularly those in Sub-Saharan Africa, do not optimally take up HIV services (HIV testing, HIV prevention and HIV treatment) and contraception. The number of new HIV infections in this group is disturbingly high and they suffer a lot of illness and death related to HIV. Research has found that four out of five sexually active adolescents in Africa are not using contraception. This means that millions of young people are exposed to unintended pregnancy and the associated negative effects such as unsafe abortions, school drop-out and reduced opportunities for both mother and baby. World Health Organisation have issued new guidelines for a new strategy, self-care, where an individual takes care of their own health and manages their illness with or without the support of a health worker. Self-care has potential to increase the number of young people who use HIV and contraception services. There is not enough information on how self-care can be done in a way that supports people to use services and maintain this use over time. Self-care can be made easier by mobile phone-based digital systems called mHealth, which may work by supporting access of services, for example where products are ordered online, or creating enabling conditions for self-care, for example through facilitating correct information-giving.\n\nWith various options for HIV prevention and contraception available, young people may need support\u002Fguidance choosing options that suit them. Health workers in overburdened health systems may be too overwhelmed to clearly present all options to guide informed decisions. Decision aids (tools that support patients\u002Fusers to make informed choices that suit their values and preferences) can enhance self-care by enabling informed decisions. Decision aids for HIV prevention and contraception need to be developed for use in self-care settings. Combining decision aids with mHealth tools can enhance self-care.\n\nThis study will be co-developed with students enrolled in colleges\u002Funiversities in Zimbabwe to develop a self-care strategy that includes mHealth together with decision aids and enables students to optimally use HIV and contraception services.\n\nThe study is divided into five stages, and builds on another study where a self-care strategy supported by an mHealth tool (without decision aids) was developed. In the first stage of the current study, preferences for decision aids and attributes to include in the mHealth tool will be obtained using qualitative research and a scoping literature review. In the second stage, findings from the first stage will be used to develop blueprints for two decision aids: one for contraception and the other for HIV prevention. In the third stage, the decision aids will be integrated with the existing mHealth tool through a crowdsourcing activity including students, and experts in health and mHealth. In the fourth stage the self-care strategy supported by mHealth and decision aids will be tested in a pilot at 2 colleges\u002Funiversities. Finally, the fifth stage be a randomised control trial, across college\u002Funiversities in Zimbabwe, to see whether the self-care strategy supported by mHealth and decision aids will be effective to promote self-care, and therefore, results in an increase in the uptake of HIV and contraception services. This study will also be applied to make recommendations on how the strategy can be provided outside of college\u002Funiversity contexts.",[29,30,31],"Unmet Need for Contraception","Uptake of HIV Prevention","Healthy Participants",[33,34,35,36,37,38,39,40,41,42,43,44,45],"contraception","decision aid","young people","community-led","mHealth","adolescent girls and young women","adolescent boys and young men","HIV prevention","HIV post-exposure prophylaxis","HIV PEP","Emergency Contraception","peer-led interventions","student-led interventions","NOT_YET_RECRUITING","2026-02-16",{"date":49,"type":50},"2026-02-19","ACTUAL",{"date":52,"type":23},"2026-09-01",{"date":54,"type":23},"2029-06-30",{"name":56,"class":57},"Liverpool School of Tropical Medicine","OTHER"]