Come As You Are - Assessing the Efficacy of a Nurse Case Management HIV Prevention and Care Intervention Among Homeless Youth

Not Applicable

Completed

• Conditions: Behavior, Risk
• Interventions: Behavioral: NCM4HIV; Behavioral: Usual Care

• Registration Number: NCT03910218
• Lead Sponsor: The University of Texas Health Science Center, Houston

Brief Summary

The purpose of this study is to to determine the efficacy of the Nurse Case Management HIV (NCM4HIV) intervention on HIV prevention compared to usual care among Youth Experiencing Homelessness (YEH).

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-04-08
• Study First Submitted QC: 2019-04-08
• Study First Posted: 2019-04-10
• Study Start: 2019-11-11
• Primary Completion: 2024-04-03
• Study Completion: 2024-04-03
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-03
• Last Update Posted: 2024-12-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 450

Inclusion Criteria

Not provided

Exclusion Criteria

• youth with very low literacy
• severe acute mental symptoms

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
NCM4HIV	NCM4HIV	Participant will receive NCM4HIV intervention which includes Personalized HIV prevention education, behavior goal-setting,behavioral self-monitoring,Pre exposure prophylaxis (PrEP) eligibility screening,PrEP/non occupational post exposure prophylaxis(nPEP)services (labs, medication), healthcare planning/coordination, Motivational Interviewing (MI) counseling approach, assisting with cognitive appraisals (clarifying misconceptions),promoting health seeking and coping behaviors that incorporate the situational, personal, social, and resource needs affecting health
Usual care	Usual Care	Participants will receive the usual care which includes Housing, food, and clothing needs,health assessment, basic healthcare, limited anticipatory guidance, mental health counseling,substance use treatment referrals,PrEP/nPEP referrals

Primary Outcome Measures

Name	Time	Method
Number of participants who use preventive prophylaxis (PrEP)	9 months after intervention
Number of participants who use condoms at last sex as measured by the Youth Risk Behavior Survey	9 months after intervention
Number of participants who take the HIV and Sexually Transmitted Infection (STI) tests	9 months after intervention
Number of participants who use non-occupational post-exposure prophylaxis (nPEP)	9 months after intervention

Secondary Outcome Measures

Name	Time	Method
Mental health as measured by the Brief Symptom Index-18	9 months after intervention	The BSI-18 consists of 18 items on a 5-point (0-4) Likert scale and is designed to assess current psychological distress (over the past 7 days). Total score ranges from 0 to 72, with higher scores indicating greater distress.
Housing status	9 months after intervention	Participants will be asked if they live in a shelter, apartment/house, with someone, outside, or in a car, etc.
Status of substance use of a participant as measured by the Texas Christian University (TCU) drug screen II	9 months after intervention

Trial Locations

Locations (1)

The University of Texas Health Science Center at Houston; 🇺🇸 Houston, Texas, United States