High Risk Crack Use Settings and HIV in El Salvador

Not Applicable

Completed

• Conditions: HIV; Sexually Transmitted Diseases
• Interventions: Behavioral: Social Network HIV Testing; Behavioral: Peer Network Intervention

• Registration Number: NCT01279421
• Lead Sponsor: Medical College of Wisconsin

Brief Summary

This project will first increase the accessibility and acceptability of rapid HIV testing in health clinics located in or near four low-income communities in San Salvador, El Salvador. The investigators will use crack users' social networks and small incentives, as recommended by the CDC, in collaboration with the Salvadoran Ministry of Public Health and Social Assistance (MSPAS) to encourage crack users to receive HIV testing. The second part of the intervention consists of training 8 Peer Leaders to recruit and lead a Peer Network Intervention among 400 crack users to change norms supporting HIV protective behaviors. The intervention will include monthly meetings open to crack using and non-crack using community residents to reinforce HIV risk reduction skills, and discussion of other topics related to HIV such as illicit drug use and interpersonal violence and community-wide HIV awareness events. Our hypothesis is that these two intervention features will singly, and in combination, reduce HIV risk behaviors among Salvadoran crack users.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-11
• Study First Submitted: 2011-01-17
• Study First Submitted QC: 2011-01-18
• Study First Posted: 2011-01-19
• Primary Completion: 2016-06
• Study Completion: 2020-12
• Status Verified: 2021-05
• Last Update Submitted: 2021-05-12
• Last Update Posted: 2021-05-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 4382

Inclusion Criteria

• 18 years or older
• used crack cocaine in the last 2 weeks

Exclusion Criteria

• not giving informed consent
• under 18 years of age
• considered by research staff to be unfit or unable to give informed consent
• engages in continued disruptive behavior while participating in the project
• not using crack or cocaine in the last month

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Social Network HIV Testing	Social Network HIV Testing	Participants in this arm will be recruited through social networks and will receive an HIV test.
Peer Network Intervention	Peer Network Intervention	Eight (8) current or former crack users will be recruited to facilitate small networks of crack users in a three-day intervention. They will also facilitate monthly meetings open to all community members regarding HIV prevention and interpersonal violence.

Primary Outcome Measures

Name	Time	Method
Increased HIV testing rates among crack users	24 months
Decreased number of sexual risk behaviors among crack users	12 months

Secondary Outcome Measures

Name	Time	Method
Community and organizational factors associated with successful implementation of multi-level, community-based HIV prevention intervention	12 months

Trial Locations

Locations (1)

Fundasalva; 🇸🇻 San Salvador, El Salvador