Motivational Interviewing for HCV Elimination

NCT03804814 | Terminated

• 1 other identifier: SAIL-003
• Study Type: interventional
• Target: 2
• Locations: 1 country
• Sites: 1

Brief Summary

This study addresses a difficult barrier to hepatitis C elimination, specifically development and maintenance of a productive relationship between the health care provider and patient to ensure both treatment success and engagement in harm reduction services. Improvements in these domains may be observed through the use of a technique called "Motivational Interviewing" (MI). The aim of this study is to determine whether a customized motivational interviewing curriculum by general primary care and addictions medicine primary care providers changes rates of curative hepatitis C therapy completion.

Conditions

Hepatitis C

Keywords

Motivational Interviewing; Healthcare delivery

Outcome Measures

Primary Outcomes (1)

• HCV Treatment Completion

  To measure the number of patients who complete HCV therapy

  Through study completion, an average of 2 years

Secondary Outcomes (7)

• Time from care engagement to treatment initiation

  Through study completion, an average of 2 years

• Number of unique Hepatitis C related and unrelated health system visits

  Through study completion, an average of 2 years

• Number of scheduled and attended medical care appointments

  Through study completion, an average of 2 years

• Self-reported intent to initiate and maintain HCV treatment assessed by questionnaire

  Through study completion, an average of 2 years

• Healthcare provider knowledge, attitudes, and behavior about motivational interviewing and training assessed by questionnaire

  Through study completion, an average of 2 years

Study Arms (2)

Motivational Interviewing Training

ACTIVE COMPARATOR

Health care providers will be trained in motivational interviewing for use in Hepatitis C patient encounters.

Behavioral: Motivational Interviewing Training

Standard Clinical Encounter

NO INTERVENTION

Health care providers will not be trained in motivational interviewing for use in Hepatitis C patient encounters.

Interventions

Motivational Interviewing Training BEHAVIORAL

Motivational Interviewing is a directive, client-centered counselling style intended to elicit behavior change by helping patients reach health goals through their own desires and actions. A certified and experienced Motivational Interviewing trainer will develop and deliver the curriculum to healthcare providers.

Motivational Interviewing Training

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Willingness to participate and provide informed consent
• Positive HCV RNA Result
• ≥18 years of age

You may not qualify if:

• Unwilling or unable to provide consent
• Willingness to participate and provide informed consent
• Has a hepatitis C care experience
• Unwilling or unable to provide consent

Sponsors & Collaborators

• Nova Scotia Health Authority: lead

Study Sites (1)

Nova Scotia Health Authority

Halifax, Nova Scotia, B3H 1V7, Canada

Location

MeSH Terms

Conditions

Hepatitis C

Condition Hierarchy (Ancestors)

Blood-Borne Infections; Communicable Diseases; Infections; Hepatitis, Viral, Human; Virus Diseases; Flaviviridae Infections; RNA Virus Infections; Hepatitis; Liver Diseases; Digestive System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: December 6, 2018
• First Posted: January 15, 2019
• Study Start: May 21, 2019
• Primary Completion: October 4, 2021
• Study Completion: October 4, 2021
• Last Updated: February 10, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)