Outcome of the cRCT: PrEP/ART linkage rate
A: Primary outcome: intention to treat analysis among women aged 18–24 | |||||
Number of clients linked | Geometric mean linkage per peer navigator month of working (/pnm) | Rate ratio (95% CI) | P value* | K† | |
Incentivise peer navigation | 26 | 0.54 | 0.68 (0.28 to 1.66) | 0.40‡ | 0.69 |
Peer navigation direct | 45 | 0.80 | 1.01 | ||
Incentivise peer navigation | 26 | 0.54 | 0.64 (0.26 to 1.62) | 0.30§ | 0.69 |
Standard of care | 49 | 0.85 | 0.96 | ||
Peer navigation direct | 45 | 0.80 | 0.95 (0.38 to 2.36) | 0.90¶ | 1.01 |
Standard of care | 49 | 0.85 | 0.96 |
B: Primary outcome: per protocol analysis of linkage among women aged 18–24, accounting for difference in hours spent distributing referral packs by arm | |||||
Number of clients linked | Geometric mean linkage per 100 hours of peer navigator (/100pnh) | Rate ratio (95% CI) | P value* | K† | |
Incentivise peer navigation | 26 | 0.40 | 1.93 (0.95 to 3.89) | 0.07 | 1.31 |
Peer navigation direct | 45 | 0.21 | 0.20 | ||
Incentivise peer navigation | 26 | 0.40 | 1.66 (0.75 to 3.69) | 0.19 | 1.31 |
Standard of care | 49 | 0.24 | 0.66 | ||
Peer navigation direct | 45 | 0.21 | 0.86 (0.43 to 1.74) | 0.66 | 0.20 |
Standard of care | 49 | 0.24 | 0.66 |
C: Linkage rate among men and women aged 18–30 per peer navigator month of work (ITT) | |||||
Number of clients linked | Geometric mean linkage rate (/pnm) | Rate ratio | P value* | K† | |
Incentivise peer navigation | 50 | 0.88 | 0.42 (0.18 to 0.98) | 0.04 | 0.74 |
Peer navigation direct | 111 | 2.11 | 0.62 | ||
Incentivise peer navigation | 50 | 0.88 | 0.42 (0.18 to 1.02) | 0.06 | 0.74 |
Standard of care | 111 | 2.07 | 0.59 | ||
Peer navigation direct | 111 | 2.11 | 1.02 (0.52 to 2.01) | 0.95 | 0.62 |
Standard of care | 111 | 2.07 | 0.59 |
D: Linkage rate among all men and women aged 18–30 per 100 referral packs distributed | |||||
Number of clients linked | Geometric mean linkage rate (/100 referrals) | Rate ratio | P value* | K† | |
Incentivise peer navigation | 50 | 3.23 | 0.44 (0.21 to 0.92) | 0.03 | 0.76 |
Peer navigation direct | 111 | 7.36 | 0.60 | ||
Incentivise peer navigation | 50 | 3.23 | 0.34 (0.14 to 0.78) | 0.01 | 0.76 |
Standard of care | 111 | 9.62 | 0.95 | ||
Peer navigation direct | 111 | 7.36 | 0.76 (0.35 to 1.68 | 0.48 | 0.60 |
Standard of care | 111 | 9.62 | 0.95 |
*P-values calculated from a t-test with a pairwise comparison of the log-transformed cluster-level means.39
†k=intercluster coefficient of variation.
‡Permutation p value 0.33.
§Permutation p value 0.28.
¶Permutation p value 0.89.
ART, antiretroviral therapy; cRCT, cluster-randomised controlled trial; ITT, intention-to-treat; PrEP, pre-exposure prophylaxis.