Technology-Enhanced Peer Navigation to Improve IDUs' Engagement in HIV Care

NCT01941108 | Completed

• 2 other identifiers: IRB00004654R34DA033181-01A1
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the mPeer2Peer Study (mP2P) is to see if we can use a smartphone and a Peer Navigator (PN) to improve medical care for HIV-positive people who have been out of HIV care for over one year.

Conditions

HIV; Drug Use

Keywords

AIDS; peer navigation; ecological momentary assessment; eMOCHA; Baltimore; IDU

Outcome Measures

Primary Outcomes (1)

• antiretroviral treatment (primary)

  patient initiated ART 6 months after randomization

  6 months

Secondary Outcomes (3)

• viral suppression

  6 months & 9 months

• antiretroviral treatment (secondary)

  9 months

• frequency of HIV care visits

  1 year

Study Arms (2)

Standard HIV Care Arm

NO INTERVENTION

Patients in the standard HIV care arm will be escorted to their first HIV care appointment at the Moore Clinic at Johns Hopkins University Hospital. They will not receive any additional intervention regarding their care after that. Participants in this arm will be followed up by the study coordinator every 3 months for 9 months.

Peer Navigation Arm

EXPERIMENTAL

Patients in the peer navigation arm will be escorted to their first HIV care appointment at the Moore Clinic at Johns Hopkins University Hospital. They will be assigned to a peer navigator who can assist them in overcoming obstacles to their HIV care. They will be given a smartphone with specialized software to help with their navigation. Participants in this arm will be followed up by the study coordinator every 3 months for 9 months and interact with their navigator when necessary.

Behavioral: Peer Navigation Arm

Interventions

Peer Navigation Arm BEHAVIORAL

Patients randomized to this arm receive regular contact with a peer navigator and a smartphone running eMOCHA software to aid in navigation.

Also known as: eMOCHA, smartphone, PN

Peer Navigation Arm

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• History of current or former injection drug use
• No clinic visits with an HIV provider in the preceding 12 months
• Not taking ART
• HIV RNA level of greater than 1,000 copies/mL
• Agree to attend at least one HIV care visit at the Johns Hopkins Moore clinic

You may not qualify if:

• Any medical or psychiatric condition that would interfere with the participant's ability to comply with study procedures or make participation unsafe
• Current enrollment in another HIV retention-in-care study

Sponsors & Collaborators

• Johns Hopkins Bloomberg School of Public Health: lead
• National Institute on Drug Abuse (NIDA): collaborator
• University of Wisconsin, Madison: collaborator

Study Sites (1)

Johns Hopkins University

Baltimore, Maryland, 21205, United States

Location

Related Publications (1)

• Westergaard RP, Genz A, Panico K, Surkan PJ, Keruly J, Hutton HE, Chang LW, Kirk GD. Acceptability of a mobile health intervention to enhance HIV care coordination for patients with substance use disorders. Addict Sci Clin Pract. 2017 Apr 26;12(1):11. doi: 10.1186/s13722-017-0076-y.

  PMID: 28441962 DERIVED

MeSH Terms

Conditions

Acquired Immunodeficiency Syndrome

Condition Hierarchy (Ancestors)

HIV Infections; Blood-Borne Infections; Communicable Diseases; Infections; Sexually Transmitted Diseases, Viral; Sexually Transmitted Diseases; Lentivirus Infections; Retroviridae Infections; RNA Virus Infections; Virus Diseases; Slow Virus Diseases; Genital Diseases; Urogenital Diseases; Immunologic Deficiency Syndromes; Immune System Diseases

Study Officials

• Gregory Kirk, MD, PhD, MPH

  Johns Hopkins Bloomberg School of Public Health

  PRINCIPAL INVESTIGATOR

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: September 4, 2013
• First Posted: September 13, 2013
• Study Start: September 1, 2013
• Primary Completion: August 1, 2015
• Study Completion: August 1, 2015
• Last Updated: October 6, 2022

Record last verified: 2015-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)