Integration of Peer Health Navigation Into Comprehensive Re-entry Services: Improving PrEP Implementation for Justice-involved Individuals
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Feasibility of Integrating a PrEP-Focused Health Coach
研究概览
简要总结
This 18-month study, "Integration of peer health navigation into comprehensive re-entry services: improving PrEP implementation for justice-involved individuals," aims to increase PrEP awareness and uptake among people with a history of justice involvement in Dallas, primarily clients of Unlocking Doors.
详细描述
This 18-month study, "Integration of peer health navigation into comprehensive re-entry services: improving PrEP implementation for justice-involved individuals," aims to increase PrEP awareness and uptake among people with a history of justice involvement in Dallas, primarily clients of Unlocking Doors. Guided by the EPIS (Exploration, Preparation, Implementation, Sustainment) framework, the study will:
Conduct qualitative interviews with Unlocking Doors staff, clients, health coaches, and PrEP providers to identify barriers and facilitators to integrating a health coach focused on sexual health, HIV testing, and PrEP.
Use rapid qualitative analysis to adapt the health coach intervention and workflows.
Implement a health coach model embedded in Unlocking Doors to offer general and sexual health discussions, PrEP education, HIV/syphilis testing, and linkage to PrEP care and other services.
Enroll up to 600 consented/screened individuals to achieve a target of 100 participants in the intervention.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 18 years or older
- •Client of Unlocking Doors
- •Able to provide informed consent
- •Willing to participate in discussions about general health, sexual health, HIV prevention, and PrEP
- •Willing to complete health screening and eligibility assessment
- •For qualitative interview participants:
- •Unlocking Doors staff, clients, or PrEP providers who agree to participate in a one-time interview.
排除标准
- •Under 18 years of age
- •Unable to provide informed consent
- •Not receiving services at Unlocking Doors
- •Non-English speakers
- •Diagnosed with HIV
- •Incarcerated individuals at the time of recruitment
研究组 & 干预措施
Health Coach Intervention Group
Participants in this group are clients of Unlocking Doors who meet eligibility criteria and choose to enroll in the study. They receive the health coach intervention, which includes general health and sexual health discussions, HIV and syphilis testing, PrEP education, PrEP eligibility screening, linkage to PrEP care, and referrals to other health or re-entry services. Their PrEP knowledge, interest, and engagement, as well as feasibility and acceptability of the model, are assessed throughout the study.
干预措施: Health Coach Intervention (Behavioral)
结局指标
主要结局
Feasibility of Integrating a PrEP-Focused Health Coach
时间窗: 18 Months
Feasibility will be assessed by the proportion of Unlocking Doors clients who engage with the health coach. This indicator reflects whether the health coach can be effectively integrated into existing re-entry workflows.
Acceptability of the Health Coach Model
时间窗: 18 Months
Acceptability will be assessed using custom questions developed by our team and modified question items from the Scales for Participant Alliance with Recovery Coach (SPARC) scale, and which will be asked of clients and staff. These questions will assess satisfaction, comfort, and perceived usefulness of health coach interactions. Response options will be rated on a Likert scale ranging from 1 - 5, with higher scores indicating better perceptions of acceptability. Qualitative feedback will supplement these ratings to capture overall acceptability.
Appropriateness of the Health Coach Model
时间窗: 18 Months
Appropriateness will be assessed using custom questions developed by our team and modified question items from the Scales for Participant Alliance with Recovery Coach (SPARC) scale. These questions assess perceived relevance, fit, and value of integrating a health coach into Unlocking Doors' services, as well as how well the model aligns with client needs. Response options will be rated on a Likert scale ranging from 1 - 5, with higher scores indicating better perceptions of appropriateness. Qualitative feedback will supplement these ratings to capture overall appropriateness.
次要结局
未报告次要终点
研究者
Ank Nijhawan
Professor- Internal Medicine
University of Texas Southwestern Medical Center