VA Video Connect in HIV Care
VA Video Connect to Improve Access to Multi-disciplinary Specialty Care
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Jan A Lindsay, PhD
- Phone Number: (713) 440-4482
- Email: Jan.Lindsay2@va.gov
Study Contact Backup
- Name: Paula D Wagener, BA
- Phone Number: (713) 794-8831
- Email: paula.wagener@va.gov
Study Locations
-
-
Texas
-
Houston, Texas, United States, 77030-4211
- Michael E. DeBakey VA Medical Center, Houston, TX
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient in the Infectious Diseases clinic at Michael E. DeBakey VA Medical Center (MEDVAMC), Houston, TX, with HIV infection
- At least 18 years of age
- Able to speak English
- Able to consent to the use of VVC
Exclusion Criteria:
- Unable to use or consent to use VVC, due to either significant physical or mental disability
- Incarcerated (though MEDVAMC does not generally provide care for prisoners)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: VVC
Option to receive VA Video Connect (VVC) delivery of HIV care.
|
Telehealth treatment is delivered via VA-approved technology to a patient's computer or mobile device.
Other Names:
|
|
No Intervention: Usual Care
All HIV care available at MEDVAMC will be delivered as usual.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Constancy retention in care measure
Time Frame: 12 months
|
Percentage of patients who completed at least 1 visit with a primary care or Infectious Diseases provider in each 6 months of the year at least 60 days apart.
|
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adherence retention in care measure
Time Frame: 12 months
|
Percentage of scheduled HIV clinic appointments attended over the year
|
12 months
|
|
Completed visits for adherence counseling
Time Frame: 12 months
|
Number of completed visits for counseling, mental health, and social services during the year.
|
12 months
|
|
HIV suppression
Time Frame: 12 months
|
Percentage of Veterans with HIV on ART whose most recent viral load during the 12-month period was <200c/mL
|
12 months
|
|
Adherence to ART medications
Time Frame: 12 months
|
Number of ART medication pills dispensed from pharmacy over the year divided by days in year.
|
12 months
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
AUDIT
Time Frame: 12 months
|
10-item screening tool to assess alcohol consumption, drinking behaviors and alcohol-related problems.
Item responses range from 0-4.
Scores range from 0-40.
Higher scores indicate more harmful alcohol use.
|
12 months
|
|
Patient Health Questionnaire depression scale (PHQ-9)
Time Frame: 12 months
|
Brief measure of depression symptoms consisting of 9 items rated from 0-3 (0 = not at all, 1 = several days, 2 = more than half the days, 3 = nearly every day).
Scores range from 0 to 27.
Higher scores indicate greater depression severity.
|
12 months
|
|
Posttraumatic Disorder Checklist (PCL-5) total
Time Frame: 12 months
|
Measure of PTSD symptoms.
20 items rated from 0 (not at all) to 4 (extremely).
Scores range from 0 to 80. Higher scores = higher symptom severity.
|
12 months
|
|
Montreal Cognitive Assessment (MoCA)
Time Frame: 12 months
|
Brief screening tool that assesses cognitive functioning across 8 domains; attention and concentration, executive functions, memory, language, conceptual thinking, calculations and orientation.
Scores range from 0-30.
Higher scores indicate greater cognitive function.
|
12 months
|
|
CD4 cell count
Time Frame: 12 months
|
Last recorded value in medical record during 12 month period
|
12 months
|
|
HIV viral load
Time Frame: 12 months
|
Last recorded value in 12 months period.
|
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jan Alexandra Lindsay, PhD, Michael E. DeBakey VA Medical Center, Houston, TX
Publications and helpful links
General Publications
- Gloston GF, Day GA, Touchett HN, Marchant-Miros KE, Hogan JB, Chen PV, Amspoker AB, Fletcher TL, Giordano TP, Lindsay JA. Pivoting to Video Telehealth for Delivery of HIV Care During COVID-19: A Brief Report. Telemed Rep. 2021 Aug 6;2(1):205-210. doi: 10.1089/tmr.2021.0010. eCollection 2021.
- Thompson JL, Matchanova A, Beltran-Najera I, Ridgely NC, Mustafa A, Babicz MA, Hasbun R, Giordano TP, Woods SP. Preliminary Validity of a Telephone-Based Neuropsychological Battery in a Consecutive Series of Persons with HIV Disease Referred for Clinical Evaluation. Arch Clin Neuropsychol. 2023 May 22;38(4):570-585. doi: 10.1093/arclin/acac104.
- Sheinfil AZ, Day G, Walder A, Hogan J, Giordano TP, Lindsay J, Ecker A. Rural Veterans with HIV and Alcohol Use Disorder receive less video telehealth than urban Veterans. J Rural Health. 2024 Jun;40(3):419-429. doi: 10.1111/jrh.12799. Epub 2023 Sep 27.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- IIR 18-077
- I01HX002645 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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