Navigating Insurance Coverage Expansion (NICE): A Collaboration to Increase Access to Care for Black and Hispanic Men Who Have Sex With Men and Transgender Persons
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 630
- 试验地点
- 6
- 主要终点
- Delayed Linkage
研究概览
简要总结
The purpose of this research is to measure the effectiveness of an in-person assistance intervention on successful insurance enrollment, types of insurance coverage, rates of linkage to and retention in HIV-related health care, referrals to other HIV-associated health services, and health outcomes. The study population is Black and Hispanic men who have sex with men (MSM) and transgender persons who are at higher risk for HIV.
The study team will be testing the hypotheses that in-person health insurance enrollment assistance results in positive outcomes with regard to linkage to and retention in HIV-related health care. Analyses will be used to assess the efficacy of the intervention as an emerging practice.
详细描述
The overall goal of this study is to test whether providing in-person assistance in enrolling in private health insurance or Medicaid for the first time, changing to a different insurance plan, or understanding how to use current insurance policies following HIV testing will (1) increase the proportion of participants who obtain health insurance; (2) result in better health outcomes among participants; (3) improve the linkage and retention rates of participants, especially those diagnosed with HIV; and (4) increase linkage and retention rates sufficiently to justify the cost of implementing the intervention (cost-benefit analysis).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 是
入选标准
- •Black or Hispanic men who have sex with men (MSM) or transgender persons
- •18 or older
排除标准
- •Cisgender women
- •Cisgender men who have not had anal or oral sex with a man in last 2 years
结局指标
主要结局
Delayed Linkage
时间窗: 90 days
Proportion of participants who completed at least one HIV-related medical visit within 90 days after their baseline HIV test was performed
Linkage
时间窗: 30 days
Proportion of participants who completed at least one HIV-related medical visit within 30 days after their baseline HIV test was performed
Retention
时间窗: 365 days
Proportion of HIV positive participants who completed at least 2 HIV-related medical visits within 12 months after their baseline HIV test was performed. Visits must be separated by at least 3 months.
Early Retention
时间窗: 183 days
Proportion of HIV negative participants who completed at least 2 medical visits within 6 months after their baseline HIV test was performed, regardless of whether they enrolled in PrEP.
次要结局
- Retention(365 Days)
- Enrolled in Insurance(At study enrollment)
- Changed Insurance(At study enrollment)
- Viral Suppression(365 days)
- Maintained Status(365 days)
- Linkage(365 Days)
- Viral Load Reduction(91 days)
- Medicaid Enrollment(At study enrollment)
- Private Insurance Enrollment(At study enrollment)
- Market place enrollment(At study enrollment)