VA Video Connect in HIV Care

NCT04055207 | Completed Results

• 2 other identifiers: IIR 18-077I01HX002645
• Study Type: interventional
• Target: 306
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this research study is to see how effective the addition of video to home telehealth services is in helping patients with HIV to remain in care, which is vital to management of their illness. The investigators also want to understand how to best put the video to home services into practice.

Conditions

HIV

Keywords

HIV; Telemedicine

Outcome Measures

Primary Outcomes (1)

• Constancy Retention in Care Measure

  Completion of at least 1 visit with a primary care or Infectious Disease provider in each 6 months of the year at least 60 days apart.

  From enrollment to the end of follow-up at 12 months

Secondary Outcomes (4)

• Adherence Retention in Care Measure

  12 months

• Completed Visits for Adherence Counseling

  12 months

• HIV Suppression

  12 months

• Percent ART Medication Dispensed (as a Proxy for Medication Adherence)

  12 months

Other Outcomes (1)

• CD4 Cell Count Greater Than or Equal to 200

  12 months

Study Arms (2)

VVC

EXPERIMENTAL

Option to receive VA Video Connect (VVC) delivery of HIV care.

Other: VVC

Usual Care

NO INTERVENTION

All HIV care available at MEDVAMC will be delivered as usual.

Interventions

VVC OTHER

Telehealth treatment is delivered via VA-approved technology to a patient's computer or mobile device.

Also known as: VA Video Connect

VVC

Eligibility Criteria

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

You may qualify if:

• Patient in the Infectious Diseases clinic at Michael E. DeBakey VA Medical Center (MEDVAMC), Houston, TX, with HIV infection
• At least 18 years of age
• Able to speak English
• Able to consent to the use of VVC

You may not qualify if:

• Unable to use or consent to use VVC, due to either significant physical or mental disability
• Incarcerated (though MEDVAMC does not generally provide care for prisoners)

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

Michael E. DeBakey VA Medical Center, Houston, TX

Houston, Texas, 77030-4211, United States

Location

Related Publications (4)

• Thompson JL, Matchanova A, Beltran-Najera I, Ridgely NC, Mustafa A, Babicz MA, Hasbun R, Giordano TP, Woods SP. Preliminary Validity of a Telephone-Based Neuropsychological Battery in a Consecutive Series of Persons with HIV Disease Referred for Clinical Evaluation. Arch Clin Neuropsychol. 2023 May 22;38(4):570-585. doi: 10.1093/arclin/acac104.

  PMID: 36566509 BACKGROUND

• Sheinfil AZ, Day G, Walder A, Hogan J, Giordano TP, Lindsay J, Ecker A. Rural Veterans with HIV and Alcohol Use Disorder receive less video telehealth than urban Veterans. J Rural Health. 2024 Jun;40(3):419-429. doi: 10.1111/jrh.12799. Epub 2023 Sep 27.

  PMID: 37759376 BACKGROUND

• Sheinfil AZ, Amspoker AB, Guajardo E, Day G, Walder A, Chen L, Hogan J, Giordano TP, Lindsay J, Ecker A. Telemental Healthcare and HIV Care: A National Study of US Veterans with HIV during COVID-19. AIDS Behav. 2026 May;30(5):1554-1567. doi: 10.1007/s10461-025-04988-1. Epub 2025 Dec 19.

  PMID: 41417131 RESULT

• Gloston GF, Day GA, Touchett HN, Marchant-Miros KE, Hogan JB, Chen PV, Amspoker AB, Fletcher TL, Giordano TP, Lindsay JA. Pivoting to Video Telehealth for Delivery of HIV Care During COVID-19: A Brief Report. Telemed Rep. 2021 Aug 6;2(1):205-210. doi: 10.1089/tmr.2021.0010. eCollection 2021.

  PMID: 34841420 DERIVED

Limitations and Caveats

This project began in January 2020, just before the onset of the COVID-19 pandemic, which rapidly altered clinical operations across VA and likely contributed to variability in implementation. Social distancing required supporting providers in delivering VTH from their homes rather than from the clinic. Limitations in electronic health record infrastructure, including clinic stop codes and workload capture for video visits, created challenges in documenting and tracking intervention delivery.

Results Point of Contact

• Title: Jan Lindssay
• Organization: Michael E. DeBakey VA Medical Center

Jan.Lindsay2@va.gov

713-440-4682

Study Officials

• Jan Alexandra Lindsay, PhD

  Michael E. DeBakey VA Medical Center, Houston, TX

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Model Details: Veterans in the Infections Disease clinic at the Michael E. DeBakey Veterans Affairs Medical Center (MEDVAMC) will be randomly assigned to either an offer of VA Video Connect (VVC) delivered HIV care or to usual care for HIV. All treatment as usual options for HIV care will be available to all patients in both treatment arms, however only the Veterans in the VVC arm will be actively offered this VA-approved technology.

Study Record Dates

• First Submitted: July 24, 2019
• First Posted: August 13, 2019
• Study Start: July 1, 2021
• Primary Completion: October 31, 2024
• Study Completion: December 31, 2024
• Last Updated: August 26, 2026
• Results First Posted: August 26, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)