Rapid HIV Testing and Counseling in Drug Abuse Treatment

Phase 3

Completed

Brief Summary: This is a randomized controlled clinical trial in which adults receiving drug abuse treatment will be recruited to participate in a multi-center HIV testing and counseling study. The purpose of this study is to assess the relative effectiveness of three HIV testing strategies on increasing receipt of test results: (1) on-site HIV rapid testing with brief, participant-tailored prevention counseling, (2) on-site HIV rapid testing with information only, and (3) referral for off-site HIV testing. The study will also assess the effectiveness of the three testing strategies in reducing HIV risk behaviors.

Detailed Description: This is a randomized controlled clinical trial in which individuals receiving drug abuse treatment will be recruited to participate in a multi-center HIV testing and counseling study. The purpose of this study is to assess the relative effectiveness of three HIV testing strategies on increasing receipt of HIV test results: (1) on-site HIV rapid testing with brief, participant-tailored prevention counseling, (2) on-site HIV rapid testing with information only, and (3) referral for off-site HIV testing. The study will also assess the effectiveness of the three testing strategies in reducing HIV sexual risk behaviors. Injection drug risk behavior will be a secondary outcome. Participants will complete a baseline assessment to report their demographics, HIV testing history and sexual and drug-using risk behaviors, and will be randomized to one of three groups. At one month post-randomization, participants will complete a follow-up assessment to determine whether or not they received their HIV test results. At six months post-randomization, participants will complete a follow-up assessment to assess any changes in their HIV sexual risk behaviors.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Not provided

Primary Outcome Measures

Name	Time	Method
Self-Report Receipt of HIV Test Results	One month post-randomization	The HIV testing primary outcome is self-reported receipt of HIV test results. This will be measured at one month post-randomization for all participants. We recognize that there are three potential HIV testing behaviors that could be evaluated in this study: acceptance of HIV testing, completion of HIV testing, and receipt of HIV testing results. Acceptance of testing refers to whether or not a participant would accept the offer of an HIV test. Completion of testing refers to whether or not a participant completes the HIV test. Receipt of HIV test results refers to whether or not a participant self-reports having received the results of the HIV test.
Number of Risky Sexual Behaviors	Six months post-randomization	The sexual risk behavior primary outcome is self-reported sexual risk behavior, which will be measured at baseline and six months post-randomization as the self-reported number of unprotected sex acts (vaginal or anal sex without a condom).

Secondary Outcome Measures

Name	Time	Method
Sharing of Needles Used in Drug Use	Six months	Change in sharing of needles. The number of individuals reporting needle sharing at baseline and 6-month follow-up were measured and the change in sharing of needles assessed.
Self-Report of Ever Having Been Tested	1 month post-randomization	The HIV testing secondary outcomes are all binary (Yes/No). The below data represents self-reported completion of HIV test by 1 month.

Locations (12): La Frontera Center, Inc.
🇺🇸
Tucson, Arizona, United States
Midwestern Connecticut Council on Alcoholism
🇺🇸
Danbury, Connecticut, United States
Wheeler Clinic
🇺🇸
Plainville, Connecticut, United States
Glenwood Life Counseling Center
🇺🇸
Baltimore, Maryland, United States
Gibson Recover Centers
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Cape Girardeau, Missouri, United States
The Life Link
🇺🇸
Santa Fe, New Mexico, United States
Daymark Recovery Services, Inc.
🇺🇸
Salisbury, North Carolina, United States
CODA
🇺🇸
Portland, Oregon, United States
Addiction Medicine Services (Western Psychiatric Institute)
🇺🇸
Pittsburgh, Pennsylvania, United States
Morris Village Alcohol and Drug Treatment Center
🇺🇸
Columbia, South Carolina, United States
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La Frontera Center, Inc.
🇺🇸Tucson, Arizona, United States