Massachusetts HIV and Justice Involved Populations Research Network
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 59
- 试验地点
- 2
- 主要终点
- Number of participants that use HIV services while incarcerated
研究概览
简要总结
This pilot feasibility study represents part 3 of a larger R61 study, where the investigators will follow a cohort about their experiences with human immunodeficiency virus (HIV) testing.
This project aims to assess the effectiveness of an intervention at two jail sites in the Boston area: South Bay House of Corrections and Nashua Street Jail implemented in January of 2025 that is aimed at improving HIV testing practices and HIV treatment in those carceral facilities. This implementation was developed independently of the investigators' study activities. The jails worked to develop changes in their electronic health record to offer HIV testing at various points in their intake and physical exam process. HIV care was not well-integrated with the jails' existing intake and healthcare administration systems and medications for opioid use disorder (MOUD) program. The investigators will evaluate the intervention the jails developed to address these issues. The outcomes of interest are more implementation than effectiveness outcomes.
The primary goal of this study is to identify existing barriers in the carceral healthcare setting that prevent the improvement of HIV testing and treatment.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Incarcerated at South Bay House of Corrections or Nashua Street Jail
- •Participant Report that they will be leaving jail within 1 month.
- •Participant must be comfortable speaking in the English Language
- •Has Opioid Use Disorder (OUD) indicated by participation in Medications for Opioid Use Disorder (MOUD) program and/or self-report
排除标准
- •Cognitive ability that prevents obtained consent or completion of study activities (defined through Research Assistant (RA) determination)
研究组 & 干预措施
ID-TOUCH Program
Participants will receive the ID-TOUCH intervention while incarcerated and meet with the study team three times for data collection: once before release, once one week after release, and once three months after release. Information collected will include: utilization of HIV services while in jail and while in the community and an exploration of self-reported high-risk behavior, perceived stigma and discrimination, and medical mistrust.
结局指标
主要结局
Number of participants that use HIV services while incarcerated
时间窗: on average 4-6 weeks
This will be assessed from a review of information abstracted from study questionnaires and interviews with study staff and recorded as a binary 'Yes or No'. If there is any mention of HIV services of any type such as testing, obtaining information. or counseling related to HIV while incarcerated, the participant will be categorized as using HIV services/Yes.
Number of participants that use of PrEP if HIV negative
时间窗: 1 week, 3 months post incarceration
This will be assessed from a review of information abstracted from study questionnaires and interviews with study staff and recorded as a binary 'Yes or No'. For participants who are HIV negative, if there is any mention of PrEP being used the participant will be categorized as using PrEP/Yes.
Number of participants that have HIV testing in the community if unknown status during incarceration
时间窗: 1 week, 3 months post incarceration
This will be assessed from a review of information abstracted from study questionnaires and interviews with study staff and recorded as a binary 'Yes or No'. Participants with unknown HIV status during incarceration who are tested for HIV in the community, will be categorized as Yes.
次要结局
- Number of participants that demonstrate HIV knowledge(1 week, 3 months post incarceration)
- Number of participants that have Risk Behaviors for HIV(1 week, 3 months post incarceration)
- Number of participants that have substance use(1 week, 3 months post incarceration)
- Number of participants with Sexually Transmitted infections (STIs)(1 month, 3 months post incarceration)
- Number of participants with PrEP Awareness(1 week, 3 months post incarceration)
- Number of participants with acute healthcare utilization(1 week, 3 months post incarceration)