Nurse-Led Rapid Initiation of HIV Pre-Exposure Prophylaxis Care Among Incarcerated Individuals With Continuation of Care Services Post-Incarceration
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Intervention Feasibility assessed with Exit Interviews
研究概览
简要总结
PrEP is a medication that can help prevent the spread of HIV, but many who might benefit from PrEP do not take it. Individuals experiencing incarceration are interested in starting PrEP while incarcerated, but there are challenges that make it difficult for them to start this medication when they return to the community. This study will test to see if a nurse-led, same-day PrEP start program can help individuals experiencing incarceration start and stay on PrEP. To do this, N = 90 PrEP-eligible patients during their incarceration will test the nurse-led program. Everyone will receive access to a nurse-led behavioral intervention during incarceration and information about PrEP services available in the community. Then, N = 60 participants will receive patient navigation support to help them link with PrEP care in the community and N = 30 participants will receive a list of community resources. Research interviews will be conducted with participants while they are incarcerated and 1, 3, and 6 months after they re-enter the community. Participants are offered compensation for each of the research interviews.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Currently incarcerated at the Rhode Island Department of Corrections
- •At least 18 years of age
- •Not currently pregnant
- •Eligible for PrEP
- •No PrEP use in the 90 days prior to incarceration
- •Interested in starting PrEP
- •Report any criminalized drug use or at least one heavy drinking day in the 90 days prior to incarceration
- •Likely to be incarcerated for more than a week but less than 6 months
- •Able to understand and speak English and provide written and verbal informed consent
排除标准
- 未提供
结局指标
主要结局
Intervention Feasibility assessed with Exit Interviews
时间窗: 6-Month Follow-up
Participant eligibility rate, enrollment rate, rate of recruitment, and follow-up completion rate will serve as indices of intervention feasibility and will be compiled at the conclusion of the study. In exit interviews with NAV participants, feedback will be solicited regarding the feasibility of the intervention.
Intervention Acceptability assessed with the Client Satisfaction Questionnaire-Revised
时间窗: 6-Month Follow-up
The 8-item Client Satisfaction Questionnaire-Revised will be administered to participants to assess intervention acceptability. Total scores range from 8 to 32, with higher scores representing greater intervention acceptability.
Linkage to Community-Based PrEP Care assessed with medical record review
时间窗: 1, 3, & 6-Month Follow-ups
Operationalized as receipt of prescription from a community-based provider within 6 months of release from incarceration. This will be verified through medical record review.
次要结局
- PrEP Care Retention(3 & 6-Month Follow-up)
- PrEP Adherence assessed with 3-item adherence measure(1, 3, & 6-Month Follow-up)