Mobile Application to Improve Care Coordination Among HIV Clinic and Substance Use Treatment Providers

NCT02906215 | Completed

• 1 other identifier: R34DA041237
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

Many people living with HIV use illicit drugs and require treatment for both HIV and drug use, however, many barriers exist which prevent integration of dual care services. This study will develop a novel intervention aimed at the provider-level which will combine an evidence-based training model with use of mobile technology to improve care coordination between providers at HIV clinics and substance use treatment facilities. If proven effective, this intervention may be widely disseminated and easily implemented into existing clinic structures, thereby improving care coordination among providers and linkage to dual treatment for HIV-infected people who use drugs.

Conditions

HIV; Substance Use; Care Coordination

Keywords

mHealth; implementation; PrEP; digital health

Outcome Measures

Primary Outcomes (1)

• Change in Interagency Collaboration as measured by the "Levels of Collaboration" scale

  1-, 3-, and 6-months

Secondary Outcomes (6)

• Acceptability of the Care Coordination Intervention

  6-months

• Usability of the Mobile Application

  6-months

• Change in frequency and quantity of communication

  1-, 3-, and 6-months

• Provider Perception Inventory will assess change in provider-related stigma

  1-, 3-, and 6-months

• Implementation Climate Scale

  Baseline

Study Arms (1)

Care Coordination Intervention

EXPERIMENTAL

The care coordination intervention will consist of a mobile application designed for treatment providers, an interagency communication protocol, and a series of cross-training in HIV and addiction issues.

Behavioral: Care Coordination Intervention

Interventions

Care Coordination Intervention BEHAVIORAL

cross-training in HIV/PrEP and substance use, plus a digital health tool to improve evidence-based screening, brief intervention, referral to treatment, and patient management across HIV, PrEP, and addiction treatment providers

Care Coordination Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants must:
• be at least 18 years of age,
• provide either HIV care or substance abuse treatment \[e.g., physicians, residents, psychologists, mid-level providers\],
• be employed at a participating recruitment site, and (d) able to provide informed consent.

You may not qualify if:

• Physical impairments that prevent completion of the intervention, cognitive impairments that jeopardize informed consent, active psychosis, and not fluent in English.

Sponsors & Collaborators

• University of Texas at Austin: lead

Study Sites (1)

The University of Texas Dell Medical School

Austin, Texas, 78712, United States

Location

Related Publications (1)

• Claborn K, Becker S, Ramsey S, Rich J, Friedmann PD. Mobile technology intervention to improve care coordination between HIV and substance use treatment providers: development, training, and evaluation protocol. Addict Sci Clin Pract. 2017 Mar 14;12(1):8. doi: 10.1186/s13722-017-0073-1.

  PMID: 28288678 DERIVED

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Officials

• Kasey Claborn, PhD

  The University of Texas

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: August 23, 2016
• First Posted: September 20, 2016
• Study Start: September 1, 2017
• Primary Completion: June 30, 2021
• Study Completion: December 30, 2021
• Last Updated: July 25, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)