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临床试验/NCT04295876
NCT04295876已完成不适用

The BRIDGES Project: Bridging Resources to Engage Women in Integrated HIV Care and Support Services

University of California, San Diego2 个研究点 分布在 1 个国家目标入组 24 人开始时间: 2019年12月19日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
24
试验地点
2
主要终点
Retention in Care

研究概览

简要总结

The BRIDGES Project seeks to test a program intended to help women living with HIV who face specific barriers due to culture, gender, violence, trauma, adverse mental health, and substance use to be able to better access HIV care. This program was created and tried with women living with HIV, as previously studies have indicated that women with these experiences are less likely to have stable HIV care. The BRIDGES Project will use Peer Navigators, who are other women living with HIV who have had similar experiences and have been successful in accessing care, to help other women living with HIV to access HIV care and stay in HIV care. The BRIDGES Project will also provide support to women through group sessions co-facilitated by a licensed clinical therapist and Peer Navigator. Through participation in BRIDGES, women will: (1) build skills to cope with HIV care and treatment barriers (e.g., violence, trauma, adverse mental health, substance use); (2) be connected to HIV treatment and other support services (e.g., domestic violence, mental health, substance use); and (3) learn interpersonal skills to connect with support (e.g., service providers, peers, friends, family) when faced with new or ongoing barriers.

详细描述

The BRIDGES Project intervention is culturally-tailored intervention for syndemic-affected cis- and transgender women living with HIV/AIDS (WLHA) that aims to: 1) build skills to cope with syndemic-related affective distress, 2) facilitate linkages to both HIV treatment and relevant ancillary service providers (e.g., domestic violence, mental health, substance use), and 3) teach women interpersonal skills to activate social support networks (e.g., service providers, friends, family) when faced with new or ongoing barriers. Participants in the The BRIDGES Project are estimated to demonstrate improvements in HIV care outcomes (i.e., linkage to HIV care, self-efficacy in ART adherence, retention in HIV care) and syndemic-support outcomes (i.e., coping skills, activated social support networks, linkage to and receipt of ancillary support services) compared to HIV-infected women assigned to standard of care (self-guided access and use of Ryan White case management).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 18 years of age or older
  • Identify as female, including cis-gender female or transgender female
  • Living with HIV/AIDS
  • Ability to speak and understand English
  • Self-report one or more syndemic factor(s) [lifetime history of or current: trauma, physical violence and/or sexual violence, PTSD symptoms, substance use, adverse mental health]
  • identification as one of the following: out-of-care or unstable in care, newly diagnosed, never in care, or linked to care but have fallen out of care]

排除标准

  • 未提供

结局指标

主要结局

Retention in Care

时间窗: 6-months post-Baseline

2 clinic visits 90+days apart, or as directed by an ART prescribing provider, assessed by medical record extraction

Linkage to Care

时间窗: 6-months post-Baseline

Documentation of a clinical visit date with an ART-prescribing provider (yes, no), assessed by medical record extraction; days to first clinical visit since baseline (continuous), assessed by medical record extraction

Self-Efficacy for ART Adherence

时间窗: 6-months post-Baseline

Validated self-report measures of ART regime adherence

ART Initiation AND/OR Retention

时间窗: 6-months post-Baseline

Validated self-report measures of ART regime adherence

次要结局

  • Coping Self-Efficacy(6-months post-Baseline)
  • Social Support Network Activation(6-months post-Baseline)
  • Ancillary Support Service Linkage(6-months post-Baseline)
  • Ancillary Support Service Access(6-months post-Baseline)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Jamila K. Stockman

Associate Professor, Vice Chief of Global Public Health

University of California, San Diego

研究点 (2)

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