NCT03923582: THP

Training for Health Professionals In Tanzania

Completed NA Results posted Last updated 7 August 2024

What this trial tests

NA trial testing Comprehensive sexual health curriculum in Health Knowledge, Attitudes, Practice in 412 participants. Completed in 20 September 2022.

Timeline

1 May 2021

Primary endpoint
7 September 2021

20 September 2022

Quick facts

Lead sponsor	University of Minnesota
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	health services research
Enrollment	412
Start date	1 May 2021
Primary completion	7 September 2021
Estimated completion	20 September 2022
Sites	2 locations across United States, Tanzania

Drugs / interventions tested

• Comprehensive sexual health curriculum

Conditions studied

• Health Knowledge, Attitudes, Practice — all drugs for Health Knowledge, Attitudes, Practice →
• Training — all drugs for Training →

Sponsor

University of Minnesota

Who can join

18 and older, any sex, with Health Knowledge, Attitudes, Practice or Training. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Sexual Health Knowledge Score From Baseline to Follow-up Primary · At Baseline and 3-4 months Follow-up

Sexual health knowledge was assessed using 16 multichoice items created by the research team. The items covered female sexual health concerns (2 items), sexual development and masturbation (3 items), sexual orientation (3 items), sexual violence (3 items), sexuality in middle age (3 items), sexual history taking and sexual counseling (2 items). Total scores were used for analysis (maximum total score of 16). Participants get one point for every item they answer correctly. Because there are 16 items in this section, participants can have a minimum total score of 0 and a maximum total score of 1

Group	Value	95% CI
Intervention Arm	3.551	± 2.310
Waitlist Control	0.086	± 2.341

Change in Sexual Health Attitudes: Confidence in Ability to Discuss From Baseline to Follow-up Primary · At Baseline and 3-4 months Follow-up

Confidence in their ability to discuss the sexual health of patients, and confidence in their ability to discuss their patients' sexual health concerns were assessed using the Sexual Health Education for Professionals Scale (SHEPS). This section consists of 37 items where participants rate their confidence from (1) very unconfident to (5) confident. Because there are 37 items in this section, participants can have a minimum total score of 37 and a maximum total score of 185. A higher value signifies better confidence in the ability to discuss sexual health topics. A single value was calculated

Group	Value	95% CI
Intervention Arm	19.389	± 20.517
Waitlist Control	-2.449	± 19.036

Change in Sexual Health Attitudes: Confidence in Having Knowledge From Baseline to Follow-up Primary · At Baseline and 3-4 months Follow-up

Confidence in their knowledge to assess the sexual health of patients, and confidence in their ability to discuss their patient's sexual health concerns were assessed using the Sexual Health Education for Professionals Scale (SHEPS). This section consists of 37 items where participants rate their confidence from (1) very unconfident to (5) confident. Because there are 37 items in this section, participants can have a minimum total score of 37 and a maximum total score of 185. A higher value signifies better confidence in having knowledge of sexual health topics. A single value was calculated f

Group	Value	95% CI
Intervention Arm	22.768	± 23.983
Waitlist Control	-4.242	± 20.780

Change in Sexual Counseling Skills: Interpersonal Communications From Baseline to Follow-up Primary · At Baseline and 3-4 months Follow-up

Skills were assessed by faculty raters assessing two videos (per each time point) of student counseling blind to whether the participant was in the intervention or control group and whether the assessment was at baseline or follow-up. Each participant was rated on 10 items assessing their interpersonal communication (IC) abilities. Each item was on a 3-point scale (0=not done; 1=partially done; 2=done). The scale has a minimum score of 0 and a maximum score of 20 per video. We aggregated scores for each time point by summing the two videos at each time point. Therefore, the minimum total score

Group	Value	95% CI
Intervention Arm	6.890	± 6.247
Waitlist Control	-0.975	± 5.831

Change in Sexual Counseling Skills: Medical History Taking From Baseline to Follow-up Primary · At Baseline and 3-4 months Follow-up

Skills were assessed by faculty raters assessing the two videos (per time point) of student counseling blind to whether the participant was in the intervention or control group and whether the assessment was at baseline or follow-up. Medical history taking (MHT) was rated by six key pieces of information on a 2-point scale, where 0=not obtained information and 1=obtained information. The scale has a minimum score of 0 and a maximum score or 6 per video. We aggregated scores for each time point by summing the two videos at each time point. Therefore, the minimum total score is 0 and the maximum

Group	Value	95% CI
Intervention Arm	1.828	± 2.905
Waitlist Control	-0.682	± 2.688

Change in Sexual Health Beliefs From Baseline to Follow-up Primary · At Baseline and 3-4 months Follow-up

The SHEPS Attitudes section comprises 27 items. Participants rate their level of agreement (1=strongly agree; 5=strongly disagree), with 13 items being reverse coded. Because there are 27 items in this section, participants can have a minimum total score of 27 and a maximum total score of 135. Low scores correspond to "liberal" views and high scores correspond to "conservative" views. A single value was calculated for the intervention arm and waitlist control from difference scores (calculated as follow-up minus baseline scores).

Group	Value	95% CI
Intervention Arm	-11.106	± 11.595
Waitlist Control	-0.929	± 8.755

Sponsor's own description

The goal of this randomized, controlled, single blinded trial is to evaluate the effectiveness of an Afrocentric sexual health curriculum on health professional students' knowledge, attitudes, and clinical skills in providing sexual health care in Tanzania.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

1. Tailoring a sexual health curriculum to the sexual health challenges seen by midwifery, nursing and medical providers and students in Tanzania.
   Rosser BRS, Mkoka DA, Rohloff CT, Mgopa LR, et al · · 2022 · cited 11× · PMID 35695444 · DOI 10.4102/phcfm.v14i1.3434
2. Does sexual rehabilitation work for gay and bisexual prostate cancer patients? Acceptability, feasibility, and efficacy results from the Restore-2 randomized controlled trial.
   Rosser BRS, Kohli N, Bates AJ, Talley KMC, et al · · 2026 · cited 3× · PMID 39266938 · DOI 10.1007/s11764-024-01672-6
3. Effects of an Afrocentric Sexual Health Education Curriculum for Medical, Nursing, and Midwifery Students in Tanzania: A Single-Blinded Randomized Controlled Phase 3 Trial.
   Rosser BRS, Mkoka DA, Trent M, Kohli N, et al · · 2025 · cited 1× · PMID 40789797 · DOI 10.1007/s10508-025-03207-1
4. The need for and acceptability of a cancer training course for medical and nursing students in Tanzania: a convergent mixed methods study.
   Mushy SE, Mkoka DA, Lukumay GG, Massae AF, et al · · 2024 · cited 1× · PMID 38831409 · DOI 10.1186/s12909-024-05497-w
5. Knowledge of Mandatory Reporting Laws and Recording of Clients' Abuse Data: Effects of a Sexual Health Curriculum Training for Health Students in Tanzania.
   Mushy SE, Lukumay GG, Massae AF, Mkoka DA, et al · · 2025 · PMID 39817664 · DOI 10.1080/10538712.2025.2450404