- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01751100
The Feasibility of Using a General Health Screen to Increase HIV Testing in Community Pharmacies
May 7, 2015 updated by: Yvette Calderon,MD, MS, North Bronx Healthcare Network
Building Bridges: Addressing HIV Stigma in At-Risk Groups in Community Pharmacies
The purpose of this study is to see if offering a general health screening tailored towards high-risk groups (African immigrants, injection drug users (IDUs), and minority men who have sex with men (MSM)) will increase human immunodeficiency virus (HIV) testing, counseling, and linkage acceptance rates in community pharmacies.
Study Overview
Status
Withdrawn
Conditions
Intervention / Treatment
Detailed Description
About one-fifth of HIV-positive people in the United States remain unaware of their HIV status, and these individuals account for the majority of new transmissions.
The preponderance of barriers to HIV has delayed diagnoses and treatment for HIV-infected individuals in the US, and such late diagnoses result in poorer outcomes for HIV-infected individuals and increased cost of medical care.
The National HIV/AIDS Strategy for the United States has called for expanded HIV testing, but if the investigators simply replicate existing models, the investigators will continue to fail to reach and engage strategic at-risk populations.
Project Building Bridges will use a community setting - the pharmacy - to establish an alternative site for HIV testing to engage large numbers of at risk populations, specifically men who have sex with men (MSM) of color, injection drug users (IDU), and African immigrants; increase HIV awareness, and reduce stigma by placing HIV testing in the context of a general health screening.
There are two specific aims: 1) Build partnerships with community stakeholders to understand current barriers to HIV testing, and 2) Determine the effectiveness of a health screening approach by measuring acceptance of HIV testing.
In the qualitative research phase, we will conduct focus group discussions of MSM of color, IDUs, and African immigrants, led by the Latino Commission on AIDS, a community-based organization with extensive experience in cultural competency training and utilizations of community social networks, especially with higher risk minority populations, to obtain insights that will help increase participation in HIV testing.
Data obtained through qualitative work will guide the development of the "health screening" model, which would include other screening tests (like sugar, blood pressure, hepatitis C, etc) with an HIV test, depending on what the high risk groups preferred in the wellness bundle.
The hypothesis is that, by tailoring the health screens, this bundling model will circumvent the stigma associated with HIV testing in these high-risk populations and increase HIV testing acceptance rates.
The investigators will conduct a two-group randomized control trial comparing the "health screening" model (intervention) to an HIV test offer (control) in community pharmacies in the Bronx.
The trial will help determine the preliminary impact on the acceptance of HIV testing when coupled with an overall health wellness screen.
The investigators will also conduct a secondary analysis on HIV testing acceptance rates based on each high-risk groups.
Study Type
Interventional
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
-
-
New York
-
Bronx, New York, United States, 10461
- Albert Einstein College of Medicine
-
-
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
18 years to 64 years (Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age 18 to 64 at time of recruitment
Exclusion Criteria:
- Known to be HIV positive
- Unable to understand the consent process for the study; or otherwise unable to consent to HIV testing
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: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: HIV Test Offer
Group 1 (Control) is the current standard of care in HIV testing.
A trained counselor provides required information to obtain informed consent for HIV testing and provides rapid HIV testing on site.
|
HIV education and counseling from a trained Research Assistant and offering of a free rapid, oral HIV test
|
Experimental: General Health Screen Offer
In Group 2 (Intervention), a free general health screening is offered that may include a blood pressure check, blood glucose measurement, a Hepatitis C (HCV) test, and an HIV test.
|
A Research Assistant (RA) will provide health education on diabetes, hypertension, and HIV.
The RA will then offer free blood pressure check, blood glucose measuring, rapid Hepatitis C (HCV) test, and a free, rapid oral HIV test.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Acceptance of HIV Testing
Time Frame: 30 minutes
|
Rate of participation in voluntary rapid oral HIV test in each group
|
30 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of African immigrants that accept HIV testing
Time Frame: 30 minutes
|
Rate of HIV acceptance among the subgroup African immigrants, comparing between treatment and control groups
|
30 minutes
|
Proportion of IDU that accept HIV testing
Time Frame: 30 minutes
|
Rate of HIV acceptance among the subgroup IDUs, comparing between treatment and control groups
|
30 minutes
|
Proportion of minority MSM that accept HIV testing
Time Frame: 30 minutes
|
Rate of HIV acceptance among the subgroup minority MSM, comparing between treatment and control groups
|
30 minutes
|
Linkage to Care
Time Frame: up to one year
|
Proportion of positively-screened participants that attend follow-up specialized medical care
|
up to one year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Yvette Calderon, MD, MS, Albert Einstein College 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
July 1, 2013
Primary Completion (Anticipated)
May 1, 2016
Study Completion (Anticipated)
July 1, 2016
Study Registration Dates
First Submitted
December 13, 2012
First Submitted That Met QC Criteria
December 14, 2012
First Posted (Estimate)
December 17, 2012
Study Record Updates
Last Update Posted (Estimate)
May 8, 2015
Last Update Submitted That Met QC Criteria
May 7, 2015
Last Verified
May 1, 2015
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- RFA-MH-13-092-001
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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