Outcome Evaluation of Minority AIDS Initiative Programs in the New York EMA

September 21, 2006 updated by: The New York Academy of Medicine
This outcome evaluation effort provides the opportunity to learn what programmatic approaches effectively address two of the most difficult hurdles in HIV health services delivery: (1) getting people who would benefit from health care to use it and (2) getting people who do use health care to do so more consistently and effectively. The New York HIV Planning Council (through MHRA) has funded 23 agencies to achieve these objectives for people of color with HIV disease.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

All clients are assessed upon entry into the program, have their service utilization tracked, and then are reassessed at three, six, and twelve months following program entry.

The main client-level data elements collected during baseline and follow-up interviews are the following:

  • Biological markers (including HIV status, viral load, t-cell count)
  • Demographic characteristics
  • Adherence to treatment
  • Barriers to care
  • Social support
  • Substance use and treatment
  • Functional health status

Functional Health Status is used in this evaluation as the primary measure of final client "outcomes." The Functional Health Status items we use are from the ACTG SF-21 (a modified version of the Medical Outcomes Study instrument).

The overall evaluation objectives are to:

  • Describe the change in functional health status for different populations and groups of clients.
  • Identify services or constellations of services and intensity of services associated with change in functional health status.
  • Assess whether programs meet intermediate objectives (decreased drug use, increased service use, improved housing stability).
  • Identify barriers to access to and maintenance in care.

Study Type

Interventional

Enrollment

5100

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • New York
      • Bronx, New York, United States, 10457
        • Recruiting
        • Bronx Lebanon Hospital Center
      • Bronx, New York, United States, 10451
        • Recruiting
        • Planned Parenthood of New York City, Project Street Beat
      • Bronx, New York, United States, 10452
        • Recruiting
        • Urban Horizons, The Institute for Urban Family Health
      • Bronx, New York, United States, 10454
        • Recruiting
        • Health People
      • Bronx, New York, United States, 10457
        • Recruiting
        • Health Center at Tremont, North Bronx Healthcare Network
      • Brooklyn, New York, United States, 11203
        • Recruiting
        • Suny Downstate Medical Center
      • Brooklyn, New York, United States, 11205
        • Recruiting
        • HHC Cumberland Diagnostic and Treatment Center
      • Brooklyn, New York, United States, 11213
        • Recruiting
        • Interfaith Medical Center
      • Mount Vernon, New York, United States, 10550
        • Recruiting
        • Mount Vernon Hospital
      • New York, New York, United States, 10032
        • Recruiting
        • New York Presbyterian Hospital
      • New York, New York, United States, 10016
        • Recruiting
        • Bellevue Hospital Center
      • New York, New York, United States, 10029
        • Recruiting
        • Settlement Health
      • New York, New York, United States, 10001
        • Recruiting
        • Partnership Homeless Services Corp.
      • New York, New York, United States, 10002
        • Recruiting
        • Betances Health Center
      • New York, New York, United States, 10011
        • Recruiting
        • Saint Vincents Hospital and Medical Center
      • New York, New York, United States, 10025
        • Recruiting
        • William F. Ryan Community Health Center
      • New York, New York, United States, 10027
        • Recruiting
        • African Services Committee
      • New York, New York, United States, 10027
        • Recruiting
        • The Bridge, Inc.
      • New York, New York, United States, 10035
        • Recruiting
        • New York Harm Reducation Educators, Inc.
      • New York, New York, United States, 10037
        • Recruiting
        • Harlem Hospital Center
      • Yonkers, New York, United States, 10701
        • Recruiting
        • Greyston Health Services, Inc.
      • Yonkers, New York, United States, 10703
        • Recruiting
        • Saint Johns Riverside Hospital, Park Care Pavilion (ATC program)
      • Yonkers, New York, United States, 10703
        • Recruiting
        • Saint Johns Riverside Hospital, Park Care Pavilion (MIC Program)

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 second and older (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • HIV-positive
  • Not in HIV care, or difficulty being maintained in HIV care
  • HIV-negative but at high risk of HIV infection

Exclusion Criteria:

  • HIV-negative and not at high risk of HIV infection

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Functional Health Status (ACTG SF-21): at 3, 6, and 12 mos.

Secondary Outcome Measures

Outcome Measure
Housing stability: at 3, 6, and 12 months
Substance use: at 3, 6, and 12 months
Whether receiving HIV primary care: at 3, 6, and 12 months
Whether on HIV meds: at 3, 6, and 12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

The New York Academy of Medicine

Collaborators

Public Health Solutions

Investigators

  • Principal Investigator: John Chin, PhD, New York Academy of Medicine

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

November 1, 1999

Study Completion

November 1, 2006

Study Registration Dates

First Submitted

January 4, 2006

First Submitted That Met QC Criteria

January 4, 2006

First Posted (Estimate)

January 9, 2006

Study Record Updates

Last Update Posted (Estimate)

September 22, 2006

Last Update Submitted That Met QC Criteria

September 21, 2006

Last Verified

September 1, 2006

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 112299

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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