Improving Food Security and Nutrition to Promote ART Adherence in Latin America

Completed · Not applicable

Conditions studied: Medication Adherence

In brief

The purpose of this three-year study is to develop, implement, and pilot test a culturally appropriate, multi-component nutrition intervention for people living with HIV and food insecurity in Honduras, which is among the Latin America nations with the highest HIV prevalence rates. The investigators specific aims are to: 1. Explore the relationships between food security, nutrition, and HIV treatment access, utilization, and adherence, and examine key mediators and moderators of these relationships. 2. Develop a multi-component nutrition intervention to address food insecurity among Honduran HIV+ individuals and their families. 3. Evaluate the preliminary effectiveness of the intervention on (1) food security and nutritional status; (2) HIV care retention (clinic attendance), uptake of ART when recommended, and ART adherence; and (3) clinical outcomes (CD4 count, ART side effects, and opportunistic infections). 4. Examine key mediators and moderators of the intervention effects from among characteristics of the patient, household, and contextual setting.

Key facts

Study ID

NCT01191281

Run by

RAND

People needed

400

Starts

2010-01-01

Expected to finish

2011-12-01

Last updated by the study team

2012-10-18

Who can join

Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Registered at the clinic
• Age 18 or older
• If not on ART, CD4 < 350*
• Living in the area for the past year.

You may not qualify if…

• Deterioration of clinical status such that requires diet or nutrition therapy
• Cannot understand or speak Spanish

Where it is running

• RAND Corporation — Santa Monica, California, United States

Full record on ClinicalTrials.gov

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