ID Testing OUtreach in Carceral Hubs
- Conditions
- HIV InfectionsOpioid Use Disorder
- Registration Number
- NCT06679751
- Lead Sponsor
- Boston University
- Brief Summary
This project will implement and evaluate an intervention that improves Human immunodeficiency virus (HIV) testing practices and HIV treatment in two jail sites in the Boston area: South Bay House of Corrections and Nashua Street Jail. HIV care is currently not well-integrated with the jails' existing intake and healthcare administration systems and medications for opioid use disorder (MOUD) program, and there continue to be gaps between jails and community healthcare. The investigators performed a qualitative exploration of the current landscape of HIV care in the carceral setting through interviews with people who are currently incarcerated and medical staff at both sites and are also conducting quantitative analyses of data from the Public Health Data Warehouse in cooperation with the Massachusetts Department of Public Health. The resultant information led to the ID-TOUCH (Infectious Disease Testing Outreach in Carceral Hubs) intervention.
ID-TOUCH consists of creating question sets in the newly developed electronic health record system for both sites that standardize the practice of offering HIV testing at two key touchpoints, or places where HIV care can be accessed: the nursing intake and the physical exam. Once the intervention has been effectively implemented by both sites, a pilot study will be done involving participants currently incarcerated. A baseline evaluation will be done to collect information how the incarcerated participants' use of the healthcare system while in jail, specifically focusing on infectious disease testing and care. There will also be two follow-up assessments, one week after release and 3 months after release. The follow-ups will focus on the previously incarcerated individuals' self-reported use of community healthcare systems. This includes community testing, PrEP (Pre-Exposure Prophylaxis), and self-reporting of high risk behaviors for HIV.
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 75
- Incarcerated at South Bay House of Corrections or Nashua Street Jail
- Participant report of sentenced status at time of enrollment
- Comfortable speaking in English
- Cognitive ability that prevents obtained consent or completion of study activities (defined through Research Assistant (RA) determination)
- Inability to complete assessments in English (defined through RA determination)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Number of participants that use HIV services while incarcerated 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 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 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.
- Secondary Outcome Measures
Name Time Method Number of participants that demonstrate HIV knowledge 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 who demonstrate HIV knowledge will be categorized as Yes.
Number of participants that have Risk Behaviors for HIV 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 who have rsk behaviors for HIV will be categorized as Yes.
Number of participants that have substance use 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 who report they use substances \[eg smoking cigarettes, drinking alcohol, or using any illicit drugs\] will be categorized as Yes.
Number of participants with Sexually Transmitted infections (STIs) 1 month, 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 who report that they were tested and told they have any STI other than HIV \[eg syphilis, gonorrhea, hepatitis C virus (HCV)\] will be categorized as Yes.
Number of participants with PrEP Awareness 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 who demonstrate awareness about PrEP will be categorized as Yes.
Number of participants with acute healthcare utilization 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 who report they were either hospitalized or received care in an emergency room will be categorized as Yes.