A Comprehensive Approach to Secondary HIV Prevention and Care Among Positives
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 632
- 试验地点
- 2
- 主要终点
- change in HIV medication adherence
研究概览
简要总结
The goal of this study is to conduct an HIV prevention intervention to train HIV seropositive drug users to be peer health educators.
详细描述
The primary objective of this funded research is to conduct an HIV prevention intervention to train HIV seropositive drug users to be peer health educators to: (1) recruit their high risk social network members for voluntary HIV counseling and testing (VCT) at the research clinic, (2) promote risk reduction among social network members, and (3) promote engagement in HIV care by encouraging HIV seropositive network members to schedule and keep HIV primary care appointments. There will be four types of participants in the Full Trial: 1) Index, 2) Testing Network 3) Longitudinal Network and 4) HIV positive network participants. This longitudinal study includes baseline, 6-months, and 12-month assessments
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Investigator)
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
- •18 years old or older
- •documentation of HIV positive status
- •report one of following risk behaviors in past 90 days: sharing injection equipment, use of crack cocaine, or unprotected vaginal or anal sex
- •Testing network
- •18 or older
- •provided testing coupon provided by an index participant
- •Longitudinal network participant-
- •tested HIV negative at the Lighthouse via redeeming a testing coupon
- •reported interacting with index who gave the coupon at least weekly
- •report one of following risk behaviors in the prior 90 days: sharing injection equipment, use of crack cocaine, or unprotected vaginal or anal sex
- •Positive Networks
- •HIV positive
- •report one of following risk behaviors in the prior 90 days: sharing injection equipment, use of crack cocaine, or unprotected vaginal or anal sex
排除标准
- •Index- already enrolled in the study as a Network participant
- •Testing network- already enrolled in the study as a Network participant
- •Longitudinal network- a) already enrolled in the study as a Network participant b) already enrolled in the study as a Index participant
- •Positive network- a) already enrolled in the study as a Network participant b) already enrolled in the study as a Index participant
研究组 & 干预措施
Prevention & Testing Control
The comparison condition is focused on basic HIV risk reduction , safety and preventing drug overdose.
干预措施: Prevention & Testing Control (Behavioral)
Prevention & Testing Intervention
The intervention condition is training on peer outreach skills which includes talking to HIV positive social network members about HIV care, medication adherence and HIV risk reduction.
干预措施: Prevention & Testing (Behavioral)
结局指标
主要结局
change in HIV medication adherence
时间窗: 6 month
change in frequency in attending HIV medical appointments
时间窗: 6 month
次要结局
- change in sharing injection equipment(6 month)
- change in condom use(6 month)
研究者
Carl Latkin
Professor
Johns Hopkins Bloomberg School of Public Health