NCT06477588

Brief Summary

The goal of this clinical trial is to compare two interventions - Health Navigation and Health Navigation Plus among individuals who have been impacted by the criminal legal system. The main question it aims to answer is:

  • Compared with the Health Navigation group, are participants in the Health Navigation Plus group more likely to a) access HIV care, treatment, and prevention services and employment services and b) access employment services and be employed in community? Participants on the study will be:
  • Randomly assigned (like a flip of a coin) to participate in either Health Navigation or Health Navigation Plus. Participants will have an equal chance of being placed in either group.
  • Complete three surveys over the course of 13 months
  • Participants in the Health Navigation group will have two in person meetings and seven check-ins with the health navigator over 6 months
  • Participants in the Health Navigation Plus group will have two in person meetings and seven check-ins with the health navigator over 6 months, two in person and 10 check ins with the employment navigator over 12 months and up to $200 to support employment and career development needs and receive up to $140 to support health goals. Samples of blood, urine and swabs may be collected to meet the health goals.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
350

participants targeted

Target at P50-P75 for not_applicable hiv

Timeline
26mo left

Started Aug 2024

Typical duration for not_applicable hiv

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress45%
Aug 2024Jun 2028

First Submitted

Initial submission to the registry

June 21, 2024

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 27, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

August 13, 2024

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2028

Last Updated

April 21, 2026

Status Verified

April 1, 2026

Enrollment Period

3.9 years

First QC Date

June 21, 2024

Last Update Submit

April 17, 2026

Conditions

Keywords

HIVContingency managementJustice involved populationsStatus neutral interventionsmental healthsubstance useemploymentPrEP

Outcome Measures

Primary Outcomes (3)

  • Linkage to HIV care

    Number of participants who visit a provider for HIV care and receive a prescription based on medical reports

    Baseline through 90 days in community

  • Linkage to PrEP care

    Number of participants who visit a provider for PrEP care ranging from PrEP information only to the receipt of a prescription based on medical reports

    Baseline through 90 days in community

  • Linkage to employment-related services in community

    Number of referred participants who receive employment-related service in the community based on referral reports completed by the interventionists

    Baseline through 90 days in community

Secondary Outcomes (7)

  • Retention in HIV care

    12 months

  • HIV viral suppression

    Baseline through 12 months

  • Retention in PrEP care

    12 months

  • Receipt of mental health services

    Baseline through 180 days in community

  • Receipt of substance use services

    Baseline through 180 days in community

  • +2 more secondary outcomes

Other Outcomes (4)

  • Receipt of other HIV prevention services

    Baseline through 12 months

  • Changes in employer and temporary staffing agency policies and practices

    Baseline through 12 months

  • Changes in housing status

    Baseline through 12 months

  • +1 more other outcomes

Study Arms (2)

Health Navigation

ACTIVE COMPARATOR

Referrals to HIV, mental health, substance use, and other supportive services

Behavioral: Health Navigation

Health Navigation, Employment Navigation plus Contingency Management Intervention

EXPERIMENTAL

Referrals to HIV, mental health, substance use, and other supportive services Referrals for employment including training, and career development needs; Provision of financial incentives for the uptake and achievement of specific HIV care and prevention milestones.

Behavioral: Health Navigation, Employment Navigation plus Contingency Management Intervention

Interventions

Participants meet with Health Navigator twice in-person and receive 7 check-ins from the Health Navigator over a 6 month period. The health navigator provides participants with referrals and support to HIV, mental health, substance use, and other supportive services

Health Navigation

Participants meet with health navigator twice in-person and receive 7 check-ins from the health navigator over a 6 month period. The health navigator provides participants with referrals and support to HIV, mental health, substance use, and other supportive services. Participants meeting with the employment navigator twice in-person and receive 10 check-ins from the employment navigator over 12 months. The employment navigator provides participants with referrals to employment and career development opportunities in the community and up to $200 for employment and career development support (e.g., transportation to interview, GED preparation course). Participants also receive up to $140 for HIV/STI care, treatment, and prevention milestones as part of the contingency management interview over a period of 12 months.

Health Navigation, Employment Navigation plus Contingency Management Intervention

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • be at least 18 years of age;
  • currently reside or intend to reside in one of the study communities (i.e., Cook County, Baton Rouge, and the New Orleans area);
  • be able to provide informed consent in English and complete the study in English. In addition, potential participants must:
  • be currently incarcerated in jail or prison and report an expected release within 90 days, or under community supervision or drug court, or report a recent incarceration within the last three years, or in the last 12 months has had an interaction with law enforcement that did not lead to an arrest or jail or prison time, AND has not already been linked and/or retained in HIV or PrEP care in the community;
  • report needing employment-related services; and
  • have a confirmed HIV positive or negative status (within 90 days of enrollment) and if HIV negative meets one of CDC's PrEP indications (i.e., sexually active, needle sharing, previous STI history in the last 24 months) or plans to have sex in the next 12 months or wants more information about PrEP.

You may not qualify if:

  • unwilling/unable to provide informed consent,
  • does not live or intend to live in one of the study locations,
  • unable to confirm HIV status,
  • unable to conduct the study in English, and
  • currently enrolled in another intervention to support HIV care, PrEP care, and economic stability.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Chicago

Chicago, Illinois, 60637, United States

RECRUITING

MeSH Terms

Conditions

Psychological Well-BeingSubstance-Related Disorders

Condition Hierarchy (Ancestors)

Personal SatisfactionBehaviorChemically-Induced DisordersMental Disorders

Study Officials

  • Russell Brewer, DrPH

    University of Chicago

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Mainza Durrell, DrPH

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 21, 2024

First Posted

June 27, 2024

Study Start

August 13, 2024

Primary Completion (Estimated)

June 30, 2028

Study Completion (Estimated)

June 30, 2028

Last Updated

April 21, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

The J-RISE project will share individual level data of common data elements, with identifiers removed, with the SISCI coordinating center. Definitions and codebooks for all common data elements will be provided by the SISCI coordinating center, along with standardized survey items and qualitative questions where possible. All data submitted to the SISCI coordinating center will be deposited to Northwestern University's ARCH repository at the end of the performance period; de-identified survey data will be submitted to the National Institute of Mental Health Data Archive (NDA) at the National Institutes of Health (NIH). De-identified data will be shared with outside entities at the end of the study upon publication of the planned protocol and primary outcomes papers.

Shared Documents
STUDY PROTOCOL, ANALYTIC CODE
Time Frame
Data will be shared biannually on July 15 and December 1 from 2024-2028. All data submitted to the SISCI coordinating center will be deposited to Northwestern University's ARCH repository at the end of the performance period; de-identified survey data will be submitted to the National Institute of Mental Health Data Archive (NDA) at the National Institutes of Health (NIH). De-identified data will be shared with outside entities at the end of the study upon publication of the planned protocol and primary outcomes papers.
Access Criteria
Any investigator may propose research questions and manuscript ideas. For external investigators, the SISCI coordinating center will determine whether a data use agreement is needed that will regulate sharing of de-identified data. PIs will be able to opt in to data sharing on a case-by-case basis upon reviewing the proposal. Through this mechanism, the University of Chicago will make data available to users under data sharing agreements that meet the following criteria: * A commitment to using the data only for research purposes and not to identify any individual participant * A commitment to securing the data using appropriate transfer and storage protections * A commitment to destroying or returning the data after analyses are completed * A commitment to acknowledging the source (i.e. parent study) of the data
More information

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