Working With HIV Clinics to Adopt Addiction Treatments Using Implementation Facilitation

Completed · Not applicable

Conditions studied: Substance-related Disorders

In brief

Tobacco, alcohol and opioid use disorders threaten the health of HIV-infected patients. What if evidence-based counseling and medication treatments for tobacco, alcohol and opioid use disorders (herein refered to as addiction treatments) were routinely provided in HIV clinics? Implementation Facilitation is an established strategy to increase the uptake of evidence-based treatments. Our goal is to evaluate the impact of Implementation Facilitation on the use of addiction treatments in four large HIV clinics. The purpose of the WHAT-IF study is: Aim 1. Among key stakeholders, to use quantitative and qualitative (mixed) methods to identify the site-specific evidence, context and facilitation-related barriers and facilitators to the integration of addiction treatments to help tailor an Implementation Facilitation for each clinic. Aim 2. To evaluate the impact of Implementation Facilitation on: 2a: Organizational readiness to deliver addiction treatments 2b: Provider readiness to deliver addiction treatments 2c: Provision of addiction treatments 2d: Changes in organizational models of care used to deliver addiction treatments Aim 3. To evaluate the impact of Implementation Facilitation on antiretroviral therapy receipt, HIV viral suppression, VACS Index, and retention in HIV care among patients eligible for addiction treatment.

Key facts

Study ID

NCT02907944

Run by

Yale University

People needed

3838

Starts

2016-09-01

Expected to finish

2021-09-30

Last updated by the study team

2023-05-08

Who can join

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

You may qualify if…

• Patient inclusion criteria:
• HIV-infected
• Receiving HIV care in the index clinic
• Age >18 years old
• Meets criteria for lifetime or current tobacco, alcohol and/or opioid use disorder regardless of addiction treatment status
• Able to provide verbal informed consent
• Staff inclusion criteria:
• Employed at participating HIV clinic for at least 6 months
• Able to provide verbal informed consent.
• Payer/health insurance provider inclusion criteria:
• Employed at an organization or agency that provides funding for medical services for HIV-infected individuals for at least 6 months.
• Able to provide verbal informed consent.

You may not qualify if…

• Unable to provide verbal informed consent

Where it is running

• Hartford Hospital's HIV Clinic — Hartford, Connecticut, United States
• Haelen Center at Yale New Haven Hospital — New Haven, Connecticut, United States
• SUNY Downstate Medical Center — Brooklyn, New York, United States
• Immunology Center at Miriam Hospital — Providence, Rhode Island, United States

Full record on ClinicalTrials.gov

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