Combining Social Network Strategies and Routine Substance Use Screening
概览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 500
- 试验地点
- 1
- 主要终点
- Rate of Substance Use Disorder (SUD) Detection
概览
简要总结
This study aims to improve health care for people who may have HIV or substance use disorders by bringing two services to a large community health center in Chicago. First, the clinic will begin offering routine screening for substance use to all patients. Second, the study will offer a social network-based program that helps people identify friends or partners who may need support and link them to care. The goal is to help more people learn their HIV status, reduce HIV levels in the community, and connect people with substance use treatment when needed. The study will also look at how well these services can be added into everyday clinic practice and what is needed to keep them going over time.
详细描述
This project will take place in a network of federally qualified health centers that serves communities in Chicago that experience some of the highest rates of new HIV infections. The study has two main parts: Routine Substance Use Screening and a Social Network Intervention (SNI).
Routine screening at the clinics will introduce a consistent, standardized way to ask patients about substance use during regular visits. Patients who screen positive will be offered help, referrals, and follow-up services.
The social network intervention asks patients to think about people in their social networks (such as partners, friends, or peers) who may have untreated HIV, may have fallen out of care, or may have substance use concerns. Participants will receive support and tools to help connect people in their network to HIV testing, care, and treatment or substance use services at these clinics.
Together, these activities aim to:
- Identify people who have HIV but are not in care
- Reduce HIV viral load levels in the community
- Identify people with substance use disorders and link them to treatment
- Improve access to supportive services in the community
The study will also examine how easy or hard it is for clinics to use these two strategies in everyday practice. Researchers will gather feedback from clinic staff and patients to understand what helps or gets in the way of using these services in the long term. The goal is to create a package of tools and processes that other clinics can adopt in the future.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Assigned male sex at birth and have sex with men; speaks English or Spanish
排除标准
- •Institutionalized individuals; women; non-Hispanic whites;
研究组 & 干预措施
Social Network Intervention
干预措施: Social network intervention (Behavioral)
Routine SUD screening
干预措施: Substance use disorder screening (Behavioral)
结局指标
主要结局
Rate of Substance Use Disorder (SUD) Detection
时间窗: Baseline through 24 months
The number and proportion of patients who screen positive for substance use disorder using the routine SUD screening tool (NIDA Quick Screen) compared with the number identified through existing electronic medical record (EMR) documentation. This outcome measures whether routine screening increases the detection of individuals with possible SUD.
Number of Individuals Identified as Viremic and/or Having SUD Through the Social Network Intervention (SNI)
时间窗: Baseline through 24 months
The number of people identified through the Social Network Intervention who have unsuppressed HIV (viremia), substance use disorder, or both. This will be compared to a functional control group (new or re-engaged clinic patients during the same time period) to determine whether the SNI is more effective at finding high-priority individuals needing care.
Linkage to HIV Care or Substance Use Services
时间窗: Baseline through 24 months
The proportion of individuals identified through SUD screening or the SNI who successfully link to harm reduction, HIV care, or substance use treatment services. This outcome assesses early engagement in care following identification.
次要结局
- Viral Suppression Among Individuals Identified Through Screening or SNI(Baseline through 24 months)
- Time to Linkage to HIV Care or Substance Use Services(Baseline through 24 months)
- Number of New HIV Diagnoses Identified Through the SNI(Baseline through 24 months)
- Substance Use Treatment Initiation(Baseline through 24 months)
- Re-engagement in HIV Care(Baseline through 24 months)
- Acceptability of SUD Screening and the SNI(Measured at Months 6, 12, 18, and 24)
- Feasibility of Implementing the SUD Screener and SNI(Baseline through 24 months)
- Sustainability of Screening and SNI Workflows (EPIS: Sustainment Phase)(Measured at 24 months)
研究者
Britt Skaathun
Assistant Adjunct Professor
University of California, San Diego