NCT01279421

Brief Summary

This project will first increase the accessibility and acceptability of rapid HIV testing in health clinics located in or near four low-income communities in San Salvador, El Salvador. The investigators will use crack users' social networks and small incentives, as recommended by the CDC, in collaboration with the Salvadoran Ministry of Public Health and Social Assistance (MSPAS) to encourage crack users to receive HIV testing. The second part of the intervention consists of training 8 Peer Leaders to recruit and lead a Peer Network Intervention among 400 crack users to change norms supporting HIV protective behaviors. The intervention will include monthly meetings open to crack using and non-crack using community residents to reinforce HIV risk reduction skills, and discussion of other topics related to HIV such as illicit drug use and interpersonal violence and community-wide HIV awareness events. Our hypothesis is that these two intervention features will singly, and in combination, reduce HIV risk behaviors among Salvadoran crack users.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
4,382

participants targeted

Target at P75+ for not_applicable hiv

Timeline
Completed

Started Nov 2010

Longer than P75 for not_applicable hiv

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2010

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

January 17, 2011

Completed
2 days until next milestone

First Posted

Study publicly available on registry

January 19, 2011

Completed
5.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2016

Completed
4.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2020

Completed
Last Updated

May 14, 2021

Status Verified

May 1, 2021

Enrollment Period

5.6 years

First QC Date

January 17, 2011

Last Update Submit

May 12, 2021

Conditions

HIVSexually Transmitted Diseases

Outcome Measures

Primary Outcomes (2)

  • Increased HIV testing rates among crack users

    24 months

  • Decreased number of sexual risk behaviors among crack users

    12 months

Secondary Outcomes (1)

  • Community and organizational factors associated with successful implementation of multi-level, community-based HIV prevention intervention

    12 months

Study Arms (2)

Social Network HIV Testing

EXPERIMENTAL

Participants in this arm will be recruited through social networks and will receive an HIV test.

Behavioral: Social Network HIV Testing

Peer Network Intervention

EXPERIMENTAL

Eight (8) current or former crack users will be recruited to facilitate small networks of crack users in a three-day intervention. They will also facilitate monthly meetings open to all community members regarding HIV prevention and interpersonal violence.

Behavioral: Peer Network Intervention

Interventions

Social Network HIV TestingBEHAVIORAL

Crack users will be recruited for HIV testing and receive 3 coupons to recruit other crack users for HIV testing.

Social Network HIV Testing
Peer Network InterventionBEHAVIORAL

Peer leaders will recruit small networks of crack users and facilitate a three-day prevention intervention.

Peer Network Intervention

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years or older
  • used crack cocaine in the last 2 weeks

You may not qualify if:

  • not giving informed consent
  • under 18 years of age
  • considered by research staff to be unfit or unable to give informed consent
  • engages in continued disruptive behavior while participating in the project
  • not using crack or cocaine in the last month

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Fundasalva

San Salvador, El Salvador

Location

Related Publications (8)

  • Dickson-Gomez J, Bodnar G, Petroll A, Johnson K, Glasman L. HIV Treatment for Alcohol and Non-Injection Drug Users in El Salvador. Qual Health Res. 2015 Dec;25(12):1719-32. doi: 10.1177/1049732314568322. Epub 2015 Jan 16.

    PMID: 25595149BACKGROUND

  • Dickson-Gomez J, Corbett AM, Bodnar G, Zuniga MO, Guevara CE, Rodriguez K, Navas V. Context and group dynamics in a CBPR-developed HIV prevention intervention. Health Promot Int. 2016 Mar;31(1):93-105. doi: 10.1093/heapro/dau058. Epub 2014 Jul 28.

    PMID: 25070835BACKGROUND

  • Dickson-Gomez J. Substance abuse disorders treatment in El Salvador: analysis of policy-making-related failure. Subst Use Misuse. 2012 Nov-Dec;47(13-14):1546-51. doi: 10.3109/10826084.2012.705698.

    PMID: 23186469BACKGROUND

  • Dickson-Gomez J, McAuliffe T, Rivas de Mendoza L, Glasman L, Gaborit M. The relationship between community structural characteristics, the context of crack use, and HIV risk behaviors in San Salvador, El Salvador. Subst Use Misuse. 2012 Feb;47(3):265-77. doi: 10.3109/10826084.2011.635325.

    PMID: 22217125BACKGROUND

  • Dickson-Gomez J, Bodnar G, Guevara CE, Rodriguez K, De Mendoza LR, Corbett AM. With God's help i can do it: crack users? Formal and informal recovery experiences in El Salvador. Subst Use Misuse. 2011;46(4):426-39. doi: 10.3109/10826084.2010.495762. Epub 2010 Aug 24.

    PMID: 20735191BACKGROUND

  • Dickson-Gomez J. Structural factors influencing patterns of drug selling and use and HIV risk in the San Salvador metropolitan area. Med Anthropol Q. 2010 Jun;24(2):157-81. doi: 10.1111/j.1548-1387.2010.01095.x.

    PMID: 20550091BACKGROUND

  • Dickson-Gomez J, Corbett AM, Bodnar G, Rodriguez K, Guevara CE. Resources and obstacles to developing and implementing a structural intervention to prevent HIV in San Salvador, El Salvador. Soc Sci Med. 2010 Feb;70(3):351-359. doi: 10.1016/j.socscimed.2009.10.029. Epub 2009 Nov 10.

    PMID: 19910099BACKGROUND

  • Glasman LR, Dickson-Gomez J, Lechuga J, Tarima S, Bodnar G, de Mendoza LR. Using Peer-Referral Chains with Incentives to Promote HIV Testing and Identify Undiagnosed HIV Infections Among Crack Users in San Salvador. AIDS Behav. 2016 Jun;20(6):1236-43. doi: 10.1007/s10461-015-1267-8.

    PMID: 26687093RESULT

MeSH Terms

Conditions

Sexually Transmitted Diseases

Condition Hierarchy (Ancestors)

Communicable DiseasesInfectionsGenital DiseasesUrogenital DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Julia B. Dickson-Gomez, Ph.D.

    Medical College of Wisconsin

    PRINCIPAL INVESTIGATOR

  • Gloria Bodnar, Ph.D.

    Fundacion Antidrogas de El Salvador (FUNDASALVA)

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

January 17, 2011

First Posted

January 19, 2011

Study Start

November 1, 2010

Primary Completion

June 1, 2016

Study Completion

December 1, 2020

Last Updated

May 14, 2021

Record last verified: 2021-05

Locations

EL(1)