A Spanish-Language Intervention to Enhance Routine HIV Patient Care Delivery [CARE+ Spanish]
CARE+ Spanish
1 other identifier
interventional
556
1 country
1
Brief Summary
The purpose of this study is to see if a computer counseling tool helps Spanish-speaking people living with HIV to have safer sex and to do well on their HIV medicines.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable hiv-infections
Started Jun 2010
Typical duration for not_applicable hiv-infections
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 13, 2009
CompletedFirst Posted
Study publicly available on registry
November 16, 2009
CompletedStudy Start
First participant enrolled
June 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2013
CompletedOctober 28, 2022
September 1, 2018
3.1 years
November 13, 2009
October 26, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
ART adherence
Every 3 months up to 12 months
HIV-1 viral load
Every 3 months up to 12 months
Sexual risks
Every 3 months up to 12 months
Clinic visit adherence
Every 3 months up to 12 months
Secondary Outcomes (2)
Qualitative exit interviews with patients (n=75) to assess technology uptake factors, cultural/linguistic acceptability, and suggestions for ongoing use among older vs. younger, and US-born vs. foreign-born Latino groups
At end of study
Two focus groups with providers (n≤30) to assess perceived technology barriers/facilitators
End of the study
Study Arms (2)
Full CARE+ Spanish computer-counseling group
ACTIVE COMPARATORBrief risk assessment study group only (control)
ACTIVE COMPARATORInterventions
The computer will ask patients questions about taking HIV medicine. The computer will also ask patients questions about sexual and substance use activities. The computer will let patients look at short videos on various HIV medicine and HIV risk reduction topics and will then help patients create a health plan. Patients will get an anonymous print out at the end of the session and can choose to share with health care provider. There are questions about depression, suicide, or domestic violence. If a patient's answers indicate that they may be depressed, suicidal, or currently in an abusive relationship, we will refer them to a health worker at the clinic. We will repeat the session every 3 months up to 12 months total.
The computer will ask patients questions about taking HIV medicine. The computer will also ask patients questions about sexual and substance use activities. We will repeat the session every 3 months up to 12 months total.
Eligibility Criteria
You may qualify if:
- Hispanic birth or ancestry
- Speaks Spanish (mono- or multi-lingual)
You may not qualify if:
- Lack of fluency in Spanish
- Thought disorder that precludes participation
- Inability to give informed consent due to altered mentation at time of enrollment (e.g., visibly inebriated or high).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- New York Universitylead
- St. Luke's-Roosevelt Hospital Centercollaborator
Study Sites (1)
St. Luke's Roosevelt
New York, New York, 10011, United States
Related Publications (1)
Kurth AE, Chhun N, Cleland CM, Crespo-Fierro M, Pares-Avila JA, Lizcano JA, Norman RG, Shedlin MG, Johnston BE, Sharp VL. Linguistic and Cultural Adaptation of a Computer-Based Counseling Program (CARE+ Spanish) to Support HIV Treatment Adherence and Risk Reduction for People Living With HIV/AIDS: A Randomized Controlled Trial. J Med Internet Res. 2016 Jul 13;18(7):e195. doi: 10.2196/jmir.5830.
PMID: 27417531DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ann Kurth, PhD
NYU
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 13, 2009
First Posted
November 16, 2009
Study Start
June 1, 2010
Primary Completion
July 1, 2013
Study Completion
July 1, 2013
Last Updated
October 28, 2022
Record last verified: 2018-09