Improving Identification of Mental Health/Substance Use Disorders in HIV Primary Care: Pilot Clinical Response

Not Applicable

Completed

• Conditions: HIV Infections
• Interventions: Behavioral: Patient Designated Positive Screen Shared with Provider

• Registration Number: NCT03067948
• Lead Sponsor: Johns Hopkins University

Brief Summary

This research is a feasibility pilot of an intervention to respond to positive screening tests for mental health(MH) and substance use (SU) captured through the Patient Reported Outcomes questionnaires (PROs). The PROs are currently performed in the clinic, however, the results are neither reviewed with patients nor transmitted to providers. This pilot assesses the feasibility of moving the PROs into the clinical realm by having patients review the PRO results, identifying an issue to discuss at the patient's next HIV primary care visit, and determining whether this process increases discussion of MH and SU disorders in the subsequent clinical visit and/or increases referrals to MH and/or SU treatment.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2016-12-06
• Study Start: 2017-02-09
• Study First Submitted QC: 2017-02-23
• Study First Posted: 2017-03-01
• Primary Completion: 2017-06-30
• Study Completion: 2017-07-31
• Results First Submitted: 2018-09-17
• Status Verified: 2018-11
• Results First Submitted QC: 2018-11-16
• Last Update Submitted: 2018-11-16
• Results First Posted: 2018-11-19
• Last Update Posted: 2018-11-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• must be enrolled in the Johns Hopkins Clinical Cohort at the Johns Hopkins Moore Clinic
• must be living with HIV

Exclusion Criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Intervention - Positive Screen Shared	Patient Designated Positive Screen Shared with Provider	In the intervention, participants will be given the opportunity to determine which positive screen, if any, that the participant would like to discuss with the participant's provider at the next HIV primary care appointment. The participant will be notified that all positive screens will be shared with the provider prior to the participant's next HIV primary care visit, and that any positive screen the patient has chosen to discuss with the provider will be specified. The provider will receive the PROs result (score, interpretation, and recommendation) prior to the next HIV primary care visit.

Primary Outcome Measures

Name	Time	Method
Mental Health or Substance Use Issue Raised in Visit	Visit following intervention which will occur on the same day or up to 1 week after the intervention	Number of participants for whom review and coding of audio recording captured a mental health or substance use issue during their visit
Audio Recording Data - Mental Health/Substance Use Action Taken	Visit following intervention which will occur on the same day or up to 1 week after the intervention	Number of participants for whom review of transcript of clinic visit characterized discussion of mental health issues and referral for services

Trial Locations

Locations (1)

Moore Clinic for HIV Care; 🇺🇸 Baltimore, Maryland, United States