Coaching for HCV and HIV

Not Applicable

Completed

Interventions: Other: PRC brief motivational interview intervention
Other: Phone contact

Brief Summary: The objective of this study is to determine the feasibility and acceptability of a peer recovery coach (PRC) intervention to improve linkage to hepatitis C (HCV) and/or human immunodeficiency virus (HIV) care, treatment initiation, and evaluation for HIV pre-exposure prophylaxis (PrEP) (when applicable) among individuals with a history of opioid use disorder accessing a substance use low-barrier-to-access (LBA) walk-in clinic.

In-depth interviews will be administered to participants at baseline, three- and six-months for study participants (40 total participants). The investigator will also follow-up with the per recovery coach and administer surveys to assess the feasibility of a peer recovery coaching intervention in improving HCV/HIV related linkage to care and management. Patient medical records and peer recovery coach monthly reports will be accessed and reviewed to determine fidelity to research protocols.

Detailed Description: \*NOTE\* Due to the COVID-19 pandemic, surveys were conducted via telephone and not all participants could be contacted. Therefore, the number of results from participants at three months and six months vary. The data gathered are from participants that were reachable and completed the surveys.

Recruitment & Eligibility

Inclusion Criteria

Individuals with opioid use disorder, non-reactive HIV antibody test and reactive HCV antibody testing at the BMC LBA walk-in clinic
Able to speak English
Individuals providing contact information of two family members or friends
Individuals signing a medical records release form

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Intervention group	PRC brief motivational interview intervention	Participants in the intervention group will receive a semi-scripted brief motivational interview from the peer recovery coach (PRC) in addition to the standard of care at Boston Medical Center (BMC) for HIV, HCV, and opioid use disorder.
Intervention group	Phone contact	Participants in the intervention group will receive a semi-scripted brief motivational interview from the peer recovery coach (PRC) in addition to the standard of care at Boston Medical Center (BMC) for HIV, HCV, and opioid use disorder.

Primary Outcome Measures

Name	Time	Method
Acceptability of Intervention	6 months	As part of an investigator developed survey a 5-point LIkert scale question will be asked on how acceptable the intervention/care was where 1 is not acceptable and 5 is very acceptable.

Secondary Outcome Measures

Name	Time	Method
Participant Linkage to HCV Care	6 months	Participants will be interviewed and asked investigator developed questions about linkage to HCV care
Number of Participants Who Received Pre-exposure Prophylaxis (PrEP)	6 months	Whether participants received PrEp treatment will be abstracted from their electronic medical records (EMR) system.
Participant Linkage to Care for Opioid Use	3 months and 6 months	Participants will be interviewed and asked investigator developed questions about their linkage to care for opioid use
Participant Linkage to HIV Care	3 months and 6 months	Participants will be interviewed and asked investigator developed questions about linkage to HIV care
Number of Participants Who Received HCV Care	6 months	Whether participants received HCV care will be abstracted from their electronic medical records (EMR) system.
Number of Participants Who Received Opioid Use Treatment	6 months	Whether participants received opioid use treatment will be abstracted from their electronic medical records (EMR) system.