Effectiveness of Peer Navigation to Link Released HIV+ Jail Inmates to HIV Care

Not Applicable

Completed

• Conditions: HIV-infection/Aids
• Interventions: Behavioral: Peer Navigator

• Registration Number: NCT01406626
• Lead Sponsor: University of California, Los Angeles

Brief Summary

This study will implement a peer navigation intervention to improve linkage to and retention in HIV care for inmates released from L.A. county jail into the community.

Detailed Description

The proposed study has two Primary Specific Aims:

1. To examine individual-level and structural-level barriers to HIV care after release from jail, using formative semi-structured interviews with ex-inmates, case managers, and HIV care providers; and to use the information we obtain to inform the adaptation and tailoring of an intervention designed to improve linkage with and retention to HIV care for HIV+ ex-inmates (Complete);

2. Using a two-group experimental RCT design, to test the adapted peer navigation intervention condition for HIV+ inmates upon release from jail compared to a usual care condition, and to evaluate the intervention's effectiveness at improving linkage with and retention in HIV care, self-reported ART adherence, and HIV RNA viral load suppression;

The intervention is hypothesized to result in greater linkage to care, a greater proportion completing at least three HIV care visits per year, increased self-reported ART adherence, and decreased levels of HIV RNA viral load compared to the usual care control group.

Secondary Aims of the study include assessing the potential moderating effects of substance abuse, the potential mediating effects of substance abuse treatment, and the program's effects on recidivism, and costs.

Active substance abuse is hypothesized to moderate the effect of the intervention, such that the intervention will be less effective among participants who report substance use.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2011-07-28
• Study First Submitted QC: 2011-07-29
• Study First Posted: 2011-08-01
• Study Start: 2012-12
• Primary Completion: 2016-10
• Study Completion: 2016-10
• Status Verified: 2020-11
• Last Update Submitted: 2020-11-16
• Last Update Posted: 2020-11-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 356

Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Peer Navigation Intervention Arm	Peer Navigator	Subjects will receive the following peer navigation services: 1) 10 Navigator meetings: Navigators will meet with participants in person to teach linkage/retention skills and knowledge 2a) 2 Navigator accompaniment sessions: the peer navigator will accompany participants to HIV care appointment. Before and after the appointment, participants and navigators will review linkage and retention skills/knowledge and things that make it hard or easy for him/her to get regular HIV care 2b) Optional peer navigator accompaniment sessions: If the participant requests, the peer navigator will provide accompaniment to supportive HIV care appointments (one per month max) 3) 14 peer navigator care calls: During these calls, navigators and participants will talk about any problems that could make it difficult to get regular HIV care.

Primary Outcome Measures

Name	Time	Method
Viral Load	12 months	HIV+ ex jail inmates' viral load
Retention in Treatment	12 months	This assesses whether or not the HIV+ ex jail inmates were retained in their HIV care after first accessing care.
Adherence to Treatment	12 months	How adherent the HIV+ ex jail inmates are to their treatment regiment, by self-report.
Linkage to HIV Care	12 months	Number of HIV+ ex jail inmates accessing HIV care

Secondary Outcome Measures

Name	Time	Method
Costs	12 months	Cost of the intervention and HIV care

Trial Locations

Locations (1)

LA County Jail; 🇺🇸 Los Angeles, California, United States