Structured Peer-delivered ART and Reentry Community Strategy

Recruiting now · Not applicable

Conditions studied: Retention in Care

In brief

The overarching goal of this study is to implement a transition community adherence club strategy (Full-SPARCS) for HIV-positive individuals transitioning from correctional to community settings in South Africa. The investigators seek to provide actionable findings to inform policy decisions to contribute to HIV care continuity with this population. The investigators note that effectiveness and scalability often conflict with intervention design; thus, the investigators have proposed testing whether a group approach is effective and the investigators will assess the costs of each component * To compare the effectiveness of Full-SPARCS to care as usual to achieve HIV RNA suppression 6 months following correctional facility release * To assess determinants of implementation of Full-SPARCS * To assess the scalability through costing and cost effectiveness analysis of Full-SPARCS

Key facts

Study ID

NCT06027671

Run by

Johns Hopkins University

People needed

400

Starts

2024-11-18

Expected to finish

2028-07-01

Last updated by the study team

2026-06-02

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Incarcerated at one of the participating study enrolment sites, awaiting trial (un-sentenced) and sentenced individuals.
• Diagnosed with HIV and ART at the time of enrolment.
• Anticipated release or trial date within three months of study enrolment.
• Self-report expected to reside in an unrestricted environment within Ekurhuleni, Tshwane, or Johannesburg districts of Gauteng Province and within proximity to one of the SPARCS intervention sites (i.e., within 20km, 45-minute travel time, or two local taxi minibus rides)
• Willing to participate in study post-release follow-up activities and provide contact information for post-release follow-up.

You may not qualify if…

• <18 years of age.
• Condition (severe cognitive dysfunction or mental illness) rendering the individual unable to provide informed consent.
• Unable to provide informed consent to participate in the study.
• Assessment by DCS health staff indicating that the individual requires a high intensity of care exceeding that which can be provided in a differentiated model of care setting.
• Not released from the correctional facility during the period of intervention delivery.
• Release to a region outside of Gauteng.

Where it is running

• The Aurum Institute - Head office — Johannesburg, Gauteng, South Africa (enrolling)

Full record on ClinicalTrials.gov

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