Integrated Health Services (IHS): A Structural Intervention to Improve HIV/STI Screening and PrEP Navigation in Primary Care

Starting soon · Not applicable

Conditions studied: HIV, STDs

In brief

The goal of this clinical trial is to learn whether integrating routine, opt-out HIV and STI testing and pre-exposure prophylaxis (PrEP) navigation into primary care increases use of these services among adults ages 18 to 45 receiving care at Federally Qualified Health Centers in Mississippi. The main questions it aims to answer are: 1. Does the integrated model increase HIV and STI testing compared with standard care? 2. Does the integrated model increase PrEP navigation activity for eligible patients? 3. How do patients and clinic staff experience the integrated model in terms of satisfaction, comfort discussing sexual health, and feasibility in daily workflows? Researchers will compare a standard-care period to a period when the integrated model is in place to see if the integrated model improves service use and patient experience. Participants will: 1. Receive usual primary care, with HIV/STI testing and PrEP discussions offered as a routine, opt-out part of care during the integrated period 2. Be invited, if eligible, to complete a brief survey about their clinic experience 3. For staff, be invited to take part in a short survey or interview about clinic workflows and the integrated model

Key facts

Study ID

NCT07446764

Run by

My Brother's Keeper, Inc.

People needed

700

Starts

2027-02-01

Expected to finish

2028-07-31

Last updated by the study team

2026-03-03

Who can join

Age: 18 and older, up to 45. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Adults ages 18 to 45 years.
• Receiving primary care services at participating Federally Qualified Health Center (FQHC) clinics in Canton or Yazoo City, Mississippi.
• Able to understand and read English (for participation in surveys and interviews).
• For staff key informants: current clinical, administrative, or support role at a participating FQHC site with responsibilities related to primary care, HIV/STI services, or care coordination.

You may not qualify if…

• Younger than 18 years or older than 45 years.
• Critically ill, psychiatrically unstable, or lacking capacity to provide informed consent for research participation.
• Unable to understand English for consent and survey/interview procedures.
• For staff key informants: unable or unwilling to provide informed consent for interviews or surveys.

Where it is running

• My Brother's Keeper, Inc. — Ridgeland, Mississippi, United States

Full record on ClinicalTrials.gov

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