Minority AIDS Initiative Retention and Re-Engagement Project
1 other identifier
interventional
348
2 countries
4
Brief Summary
The purpose of this study is to determine whether an enhanced peer intervention is effective in retaining and re-engaging at-risk people of color living with HIV/AIDS into care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2011
Typical duration for not_applicable
4 active sites
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
Study Start
First participant enrolled
September 1, 2011
CompletedFirst Submitted
Initial submission to the registry
June 7, 2012
CompletedFirst Posted
Study publicly available on registry
June 12, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2014
CompletedMarch 22, 2017
March 1, 2017
2.5 years
June 7, 2012
March 21, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Number of participants retained continuously in quality HIV care
"In HIV care" is defined as having a medical visit with a provider with prescribing privileges in an HIV care setting two or more times at least 3 months apart during the measurement year (HAB Performance Measure and National AIDS Strategy).
1 year
Number of participants who are virally suppressed
1 year
Secondary Outcomes (3)
Change from Baseline in Health-related Quality of Life
1 year
Change from Baseline in Self-Efficacy
1 year
Change from Baseline in HIV knowledge
1 year
Study Arms (2)
Standard-of-care
NO INTERVENTIONStandard-of-care at 3 demonstration sites includes: HIV medical care, medical case management, and referral to substance abuse, mental health, and housing services.
Enhanced Peer Intervention
EXPERIMENTALProvides emotional, informational, and instrumental peer support, in addition to Standard-of-Care.
Interventions
Eight 30-60 minute educational sessions with peer will occur in-person bi-weekly once participant is randomized to intervention: * Introduction and Assessment * HIV Transmission \& Viral Life Cycle * Effective Communication and Self-Advocacy * Understanding Lab Values * HIV Medications * Drug Resistance \& Adherence, and Understanding \& Managing Side Effects * Disclosure and Stigma * Harm \& Risk Reduction Weekly check-ins will be by phone or in-person over 12 months. Check-in questions/tasks: * Are any services needed? * Have referrals or appointments been made? * Does patient need accompaniment to a visit? * Connect patient with services as needed. * Appointment reminders. * Overall well-being? * Schedule next peer contact.
Eligibility Criteria
You may qualify if:
- HIV-positive; AND
- Age 18 years or older; AND
- Identifies as belonging to one or more of the following racial/ethnic groups: American Indian or Alaskan Native, Asian, Black or African-American, Hispanic or Latino, native Hawaiian or other Pacific Islander; AND
- New patient to clinic (including newly-diagnosed) whose initial assessment or intake form indicates a need for substance abuse treatment, mental health or housing services, or a past history of substance abuse or mental health services; OR
- The individual has been out of medical care at your clinic for 4 months or more.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Boston Universitylead
- Care Resourcecollaborator
- The Brooklyn Hospital Centercollaborator
- Puerto Rico Community Network for Clinical Research on AIDScollaborator
- Justice Resource Institutecollaborator
- Kansas City Free Health Cliniccollaborator
Study Sites (4)
Care Resource
Miami, Florida, 33137, United States
Center for Advancing Health Policy and Practice
Boston, Massachusetts, 02118, United States
PATH Center, The Brooklyn Hospital
Brooklyn, New York, 11226, United States
Puerto Rico Community Network for Clinical Research on AIDS
San Juan, 00928-0850, Puerto Rico
Related Publications (1)
Cabral HJ, Davis-Plourde K, Sarango M, Fox J, Palmisano J, Rajabiun S. Peer Support and the HIV Continuum of Care: Results from a Multi-Site Randomized Clinical Trial in Three Urban Clinics in the United States. AIDS Behav. 2018 Aug;22(8):2627-2639. doi: 10.1007/s10461-017-1999-8.
PMID: 29306990DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jane Fox, MPH
Center for Advancing Health Policy and Practice, Boston University School of Public Health
- PRINCIPAL INVESTIGATOR
Serena Rajabiun, MA, MPH
Center for Advancing Health Policy and Practice, Boston University School of Public Health
- PRINCIPAL INVESTIGATOR
Howard Cabral, MPH, PhD
Department of Biostatistics, Boston University School of Public Health
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 7, 2012
First Posted
June 12, 2012
Study Start
September 1, 2011
Primary Completion
March 1, 2014
Study Completion
March 1, 2014
Last Updated
March 22, 2017
Record last verified: 2017-03