Retention in HIV Care for Hispanic Immigrants

Not Applicable

Completed

Brief Summary: A randomized trial to test the feasibility and acceptability of an intervention to improve retention in HIV primary care in HIV-infected Hispanic immigrants compared to a "treatment as usual" condition. We will measure feasibility, acceptability, study retention, and effect sizes of outcomes in order to inform a larger trial. The intervention design is based on qualitative research with HIV-infected Hispanic immigrants and their HIV providers. The intervention will be led by a Spanish-speaking community health worker trained in HIV health promotion.

Detailed Description: Overview:

Participants will be HIV-infected Hispanic immigrants age ≥18 years. Participants will be recruited from Partners-affiliated infectious disease and primary care clinics as well as clinics and community-based organizations in the Greater Boston area with high contact with HIV-infected Hispanics. In the intervention, a bilingual (English-Spanish speaking) community health worker (CHW) will deliver personalized sessions framed around a Spanish-language multi-media health communication tool. The CHW will deliver the intervention over a 16 to 24 week period.

Study procedures:

Participants will be HIV-infected Hispanic immigrants age ≥18 years at risk for inconsistent attendance (as measured during study screening). Participants will be recruited via provider referral, peer referral, flyers, and social media. Once an individual expresses interest in the study, a study staff member will screen that individual to assess eligibility. Individuals who are eligible will be invited to enroll through an informed consent process and complete a baseline survey. After completion of the baseline survey, study staff will randomize participants into a treatment as usual (TAU) group or intervention group. At trial exit, all participants, including the TAU group, will complete an in-depth assessment to measure their barriers to HIV care and provide feedback about their experience in the study.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Unable to provide verbal consent due to unstable medical or psychiatric condition

Arm && Interventions

Group	Intervention	Description
Community Health Worker	Community Health Worker	Participants in the intervention arm will receive 5 one-on-one sessions over 24 weeks with a Spanish-speaking CHW. At baseline and exit, all participants will be assessed using instruments to measure demographics and self-perceived barriers to care for Hispanic immigrants

Primary Outcome Measures

Name	Time	Method
Retention in Care - Yes Responses	32 weeks	A dichotomized outcome (yes/no) with yes defined as at least one visit to HIV clinic at both time periods (week 1-16 and week 17-32), and no defined as no HIV visit from at least one time period. Responses determined by review of the medical record for evidence of attended HIV clinic visits.

Secondary Outcome Measures

Name	Time	Method
Change in CD4 T-cell Count Over 48 Weeks.	Baseline to week-48	Change in CD4 T-cell count from baseline to week-48 post-randomization
Number of Participants With HIV Viral Load Suppression up to Week-24	From baseline to week-24	Participants with HIV viral load \<200 copies/ml
Change in CD4 T-cell Count Over 24 Weeks	From baseline to week-24	Change in CD4 T-cell count from baseline to week-24 post-randomization
Number of Participants With HIV Viral Load Suppression up to 48 Weeks.	Baseline to week-48	Number of participants with HIV RNA \<200 copies/ml