Intervention to Retain HIV-positive Patients in Medical Care

Completed · Not applicable

Conditions studied: Primary Care Appointment Keeping

In brief

PROJECT OVERVIEW This research is a collaboration between the Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration (HRSA), and six university-affiliated HIV clinics in the United States. Study title: Intervention Trials to Retain HIV Patients in Medical Care Study sites: The study will be performed at six HIV clinics affiliated with academic medical centers. Objectives: Using HIV patients' clinical data (without personal identifiers) routinely archived in electronic databases at the six participating clinics do the following: • To examine the extent to which a client-centered intervention delivered by trained interventionists (Phase 2 trial of the project) improves patient attendance for HIV primary care over and above the effect of the clinic-wide intervention. Phase 2 is a three-arm randomized controlled trial conducted at each of the participating six clinics. 300 patients will be enrolled in the Phase 2 trial at each clinic. One hundred will be new patients and 200 will be patients with inconsistent attendance for HIV primary care at the clinic in the prior 12 months. Patients will be randomized to: (1) an enhanced contact plus behavioral skills arm or (2) an enhanced contact-only arm in which patients will receive a longer or a shorter client-centered intervention from two trained interventionists, or (3) the standard of care arm in which patients will receive the clinic-wide intervention and routine HIV clinical care only.

Key facts

Study ID

NCT01537367

Run by

Centers for Disease Control and Prevention

People needed

1838

Starts

2010-07-01

Expected to finish

2012-02-01

Last updated by the study team

2013-09-09

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients must meet ONE of the following three clinic attendance criteria:
• Intake visit or 1st or 2nd HIV primary care visit at the clinic
• At least one no-show for an HIV primary care appointment in the prior 12 months (includes patients who may not have had a full 12-month history at the clinic)
• Not seen for HIV primary care at least once in each of two consecutive 6-month periods (among patients who have been seen at the clinic for at least 12 months)
• In addition, patients must meet ALL of the following personal criteria:
• 18 year of age or older (at least 19 years of age in Alabama)
• An HIV-positive patient receiving care at the clinic
• Able to speak English or Spanish
• No plans to move out of the area in the next 12 months
• Able to provide informed consent

You may not qualify if…

• Failure to meet one of the three attendance criteria or failure to meet all of the personal criteria.

Where it is running

• 1917 Clinic of the University of Alabama-Birmingham — Birmingham, Alabama, United States
• Adult HIV Clinic of the Jackson Health System — Miami, Florida, United States
• Moore Clinic of the Johns Hopkins University Medical Institutions — Baltimore, Maryland, United States
• Boston University Medical Center, HIV Clinic — Boston, Massachusetts, United States
• SUNY Downstate Medical Center, STAR Health Center — Brooklyn, New York, United States
• Baylor College of Medicine-Thomas Street Health Center — Houston, Texas, United States

Full record on ClinicalTrials.gov

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