Pay-it-forward gonorrhea and chlamydia testing among men who have sex with men and male STD patients in China: the PIONEER pragmatic, cluster randomized controlled trial protocol

Marley, Gifty; Tan, Rayner Kay Jin; Wu, Dan; Wang, Tong; Sun, Maxine; Sheng, Qi; Holly, Margaret; Hlatshwako, Takhona Grace; Wang, Cheng; Tang, Weiming; Ramaswamy, Rohit; Yang, Ligang; Luo, Danyang; Sylvia, Sean; Duin, David van; Zheng, Heping; Tucker, Joseph D.

doi:10.1186/s12889-023-16095-8

Cited by 3 publications

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Co-creation and community engagement in implementation research with vulnerable populations: a co-creation process in China

Zhang,

Li,

Wang

et al. 2024

Sex. Health

View full text Add to dashboard Cite

Background Top-down implementation strategies led by researchers often generate limited or tokenistic community engagement. Co-creation, a community engagement methodology, aims to create a shared leadership role of program beneficiaries in the development and implementation of programs, and encourages early and deep involvement of community members. We describe our experience using a four-stage co-creation approach to adapt and implement a sexually transmitted diseases (STD) testing intervention among men who have sex with men (MSM) in China. Methods We adapted a four-stage approach to co-creation. First, we conducted a needs assessment based on our prior work and discussions with community members. Second, we planned for co-creation by establishing co-creator roles and recruiting co-creators using both stratified convenience and opportunistic sampling. Third, we conducted co-creation via hybrid online/in-person focus groups (four multistakeholder groups and four MSM-only groups). Finally, we evaluated validity of the co-creation process through qualitative observations by research staff, analyzed using rapid qualitative analysis, and evaluated co-creator experience through post-discussion survey Likert scales and open-ended feedback. Results Needs assessment identified the needs to adapt our STD intervention to be independently run at community-based and public clinics, and to develop explanations and principles of co-creation for our potential co-creators. In total, there were 17 co-creation members: one co-creation lead (researcher), two co-chairs (one gay influencer and one research assistant), eight MSM community members, four health workers (two health professionals and two lay health workers) and two research implementers and observers. Co-created contents for the trial included strategies to decrease stigma and tailor interventions to MSM at public STD clinics, strategies to integrate STD testing services into existing community-led clinics, and intervention components to enhance acceptability and community engagement. Our evaluation of validity identified three main themes: challenges with representation, inclusivity versus power dynamics and importance of leadership. Surveys and free responses suggested that the majority of co-creators had a positive experience and desired more ownership. Conclusion We successfully adapted a structured co-creation approach to adapt and implement an STD testing intervention for a vulnerable population. This approach may be useful for implementation, and further research is needed in other contexts and populations.

show abstract

Co-creation and community engagement in implementation research with vulnerable populations: a co-creation process in China

Zhang,

Li,

Wang

et al. 2024

Sex. Health

View full text Add to dashboard Cite

show abstract

Sociodemographic characteristics, community engagement and stigma among Men who have Sex with Men (MSM) who attend MSM-led versus public sexual health clinics: A cross-sectional survey in China

Huon,

Marley,

Tan

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Community-based sexual health services are recommended to increase sexually transmitted disease (STD) testing among men who have sex with men (MSM). Pilot study data from multiple sites found that MSM in Guangzhou who use public STD clinics were found to have different sociodemographic characteristics, lower community engagement, and increased social cohesion, compared to MSM who use MSM-led clinics.

show abstract

Effectiveness of Pay It Forward Intervention Compared to Free and User-Paid Vaccinations on Seasonal Influenza Vaccination Among Older Adults across Seven Cities in China: Study Protocol of A Three-Arm Cluster Randomized Controlled Trial

Li,

Huang,

Chen

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Seasonal influenza poses an enormous burden worldwide, with older adults facing preventable morbidity and mortality. However, seasonal influenza vaccination coverage is poor among older populations in China. Pay-it-forward (giving a person a free vaccine and an opportunity to donate to support others) and financial incentives (e.g. free vaccination) could be effective in improving influenza vaccine uptake, but there are no prospective comparisons of these two strategies among older adults. The proposed study aims to compare the effectiveness of the pay-it-forward strategy in increasing influenza vaccination against free vaccination and user-paid vaccination among older adults in China. Methods This study is a three-arm cluster randomized controlled trial, which will be conducted in 21 community health centers across seven cities in China. A total of 1113 eligible older adults aged ≥ 60 years will be recruited. Three clusters in each city (total of 21 clusters in 7 cities) will be randomized into three arms in a 1:1:1 ratio, including (1) pay-it-forward arm: free vaccination and participants donate any amount of money to help other people; (2) free vaccination arm; and (3) standard-of-care arm (user-paid vaccination). The primary outcomes are influenza vaccination verified by administrative records, and cost-effectiveness calculated as incremental cost-effectiveness ratio. Secondary outcomes include willingness to be vaccinated, willingness to donate, and amount of donation. The primary outcome will be calculated for each arm and compared using one-way variance analysis. Discussion This study will examine the effectiveness of pay-it-forward strategy in comparison to the free vaccination and user-paid vaccination in improving influenza vaccination among older adults. Our findings will provide insights into better strategies for enhancing influenza vaccination, and support evidence-based policy decisions for promoting influenza vaccination. Trial registration: Chinese Clinical Trial Registry (No.ChiCTR2400086840). Registered on 11 July 2024.

show abstract

Pay-it-forward gonorrhea and chlamydia testing among men who have sex with men and male STD patients in China: the PIONEER pragmatic, cluster randomized controlled trial protocol

Cited by 3 publications

References 44 publications

Co-creation and community engagement in implementation research with vulnerable populations: a co-creation process in China

Co-creation and community engagement in implementation research with vulnerable populations: a co-creation process in China

Sociodemographic characteristics, community engagement and stigma among Men who have Sex with Men (MSM) who attend MSM-led versus public sexual health clinics: A cross-sectional survey in China

Effectiveness of Pay It Forward Intervention Compared to Free and User-Paid Vaccinations on Seasonal Influenza Vaccination Among Older Adults across Seven Cities in China: Study Protocol of A Three-Arm Cluster Randomized Controlled Trial

Contact Info

Product

Resources

About