Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu
Trial record 1 of 1 for:    NCT02410434
Previous Study | Return to List | Next Study

Reducing Lesbian, Gay , Bisexual and Transgender (LGBT) Stigma in Swaziland and Lesotho

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02410434
Recruitment Status : Completed
First Posted : April 7, 2015
Last Update Posted : April 13, 2016
Sponsor:
Information provided by (Responsible Party):
Carmen Logie, MSW, PhD, University of Toronto

Brief Summary:
The specific objectives of this study are reduce stigma towards lesbian, gay, bisexual, and transgender persons in Swaziland and Lesotho, using performance ethnography at community roundtables.

Condition or disease Intervention/treatment Phase
Social Stigma Other: LGBT Stigma Reduction Intervention Not Applicable

Detailed Description:

This project aims to develop performance ethnography approaches to reduce stigma towards lesbian, gay, bisexual and transgender (LGBT) persons in Swaziland and Lesotho by holding performance ethnography at community roundtables in Swaziland and Lesotho.

This project involved a critical ethnography with in-depth individual interviews conducted with LGBT communities in Swaziland and Lesotho. Following this, the investigators conducted a performance ethnography that involved: a) presenting theatre specialists and PRAs with the qualitative data; b) working together to highlight narratives, themes and visual images from this data; c) developing scripts for participatory theatre performances; d) implementing the theatre performances at community roundtables, with participants completing a pre and post-test and 6 week follow up.

The investigators will implement 2 interconnected KTE strategies in each location (Swaziland, Lesotho): (1) participatory theatre (PT) training/development and (2) community roundtables. (1) Participatory theatre (PT) training with SGM: The investigators will engage 6 SGMY (2 MSM, 2 WSW, 2 transgender) as PRA in each location. PRA will work with a theatre specialist to develop 3 short plays to highlight lived experiences of a) stigma and discrimination and b) resilience among MSM, WSW and trans persons. PRA will undertake a 4-week PT training program, including: PT processes; assessing. Phase 1 data; developing scenes; and production. PRA will work with community animators who will perform the scenarios to protect the privacy of the PR.

The investigators will implement community roundtables are to: a) raise awareness of SGM issues and b) reduce stigma. Purposive sampling will be employed to engage diverse stakeholders. Roundtables, 2 hours in duration, will be cofacilitated by PRA. The aim is to conduct 2 meetings in Swaziland and 2 in Lesotho, each with 20-25 participants, including groups identified as key to SGM wellbeing in Phase 1 (e.g. educators; law enforcement; civil society; LGBTQ groups). Community animators will enact the 3 plays developed by SGM using PT techniques. Plays will address narratives of stigma and discrimination that emerge in Phase 1 among SGM participants. Community animators will perform each play once to illustrate the situation and problem; the story will culminate in a crisis with no solution offered. Each play will be performed a second time, and roundtable participants can 'stop' the action at any point where there is a challenge. The participant that 'stops' the play will come up and replace the character and depict a possible solution or 'intervention.

To evaluate the project's outcomes the investigators will conduct cross-sectional surveys with roundtable participants (n=100) who will complete a pre/post-test evaluation and 6 week follow up. The primary outcome will be measured using the 'Attitudes Towards Lesbians and Gay Men Scale' (ATLG-R) to assess changes in phobia, stigma and knowledge regarding SGM issues following the participatory theatre event. The survey will also include questions about attitudes towards HIV related stigma. Socio-demographic information will be collected from all survey participants including age, gender, highest level of education, nationality, marital status, current household income, type of work, number of children, and religion. MANOVA will be used to assess pre/post-test differences across variables.


Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 106 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Official Title: Examining Performance Ethnography as a Lesbian, Gay , Bisexual and Transgender (LGBT) Stigma Reducing Strategy in Swaziland and Lesotho
Study Start Date : February 2015
Actual Primary Completion Date : June 2015
Actual Study Completion Date : June 2015

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: LGBT Stigma Reduction Intervention
Participants will complete a pre-test, followed by a performance ethnography where they will watch theatre performances that illustrate stigma experienced by LGBT persons in Swaziland and Lesotho. They will have the opportunity to participate in these theatre performances to demonstrate reduced stigma and increased acceptance of LGBT persons. They will then complete a post-test, followed by a 6 week follow up survey.
Other: LGBT Stigma Reduction Intervention
Participants will complete a pre-test, followed by a performance ethnography where they will watch theatre performances that illustrate stigma experienced by LGBT persons in Swaziland and Lesotho. They will have the opportunity to participate in these theatre performances to demonstrate reduced stigma and increased acceptance of LGBT persons. They will then complete a post-test, followed by a 6 week follow up survey.




Primary Outcome Measures :
  1. Attitudes towards lesbian and gay men scale [ Time Frame: 3 months ]
    assesses attitudes and stereotypes regarding LGBT persons


Secondary Outcome Measures :
  1. HIV-related stigma [ Time Frame: 3 months ]
    attitudes towards people living with HIV

  2. Civic participation [ Time Frame: 3 months ]


Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Participants must be 18 years of age or older for being able to give informed consent and be willing to complete a follow up survey.

Exclusion Criteria:

  • Participants who are 17 years of age or younger were exuded for not being able to give informed consent.
  • Participants who were unwilling to complete a follow up survey were also excluded.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02410434


Locations
Layout table for location information
Lesotho
Maluti School of Nursing
Maseru, Lesotho
Swaziland
Southern Africa Nazarene University
Manzini, Swaziland, M200
Sponsors and Collaborators
University of Toronto
Investigators
Layout table for investigator information
Principal Investigator: Carmen Logie, PhD University of Toronto, Factor-Inwentash Faculty of Social Work

Layout table for additonal information
Responsible Party: Carmen Logie, MSW, PhD, Assistant Professor, University of Toronto
ClinicalTrials.gov Identifier: NCT02410434     History of Changes
Other Study ID Numbers: #30344
First Posted: April 7, 2015    Key Record Dates
Last Update Posted: April 13, 2016
Last Verified: April 2016
Keywords provided by Carmen Logie, MSW, PhD, University of Toronto:
Stigma
lesbian
gay
bisexual
transgender