- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03281343
Linking Women to PrEP Care
Linkage to Community-Based HIV Pre-Exposure Prophylaxsis Care Among at Risk Women Upon Release From Incarceration
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Incarcerated women engage in high rates of sex- and drug-related behavior that place them at risk for HIV. Pre-exposure prophylaxis (PrEP) is an efficacious means of reducing HIV acquisition. There is a general lack of knowledge regarding PrEP among women at elevated risk, and only a small percentage of at-risk women are currently engaged in PrEP care. The period of incarceration represents an opportunity to identify at-risk women, initiate PrEP during incarceration, and establish linkage to community-based PrEP care upon release from incarceration. Further, post-release is a time period that is particularly risky, and there are numerous barriers that may impede linkage to community-based care in the absence of intervention.
To date, very little research has been done to improve linkage to PrEP care among US women. The proposed study will examine the acceptability, feasibility, and preliminary efficacy of a psychoeducation and motivational interviewing intervention to promote PrEP initiation during incarceration, followed by a patient navigator intervention to facilitate linkage to community-based PrEP care upon release from incarceration. The long-term goal of this line of research is to disseminate an efficacious PrEP Care linkage intervention for at-risk women post-release from incarceration. The present proposal seeks to develop intervention materials and conduct a small randomized controlled trial (RCT) of the intervention.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Rhode Island
-
Providence, Rhode Island, United States, 02903
- Rhode Island Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Female at birth; at least 18 years of age; not currently pregnant; risk behavior prior to incarceration that meets CDC indications for PrEP; likely to be incarcerated for less than 6 months; able to understand and speak English and to provide written and verbal informed consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: MI-NAV
A study therapist will deliver a motivational interviewing session with participants while they are incarcerated and serve as a role of patient navigator post-release.
|
The specific content, structure, and implementation approach for MI-NAV will be guided by IDIs conducted during Phase 1 and Phase 2. Our initial plan is to deliver MI-NAV in two waves.
The first wave will be aimed at promoting uptake of PrEP at the prison, through the use of motivational interviewing.
The second wave will be aimed at linking at-risk women to community-based PrEP care upon release from incarceration, by utilizing a patient navigator approach.
|
Active Comparator: Standard of Care (SOC)
Approximates care currently provided at the prison.
|
SOC will consist of a pamphlet regarding PrEP during incarceration, an offer of PrEP while incarcerated, and referral to community-based PrEP care upon release.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rates of linkage to community-based PrEP care
Time Frame: 3 Months post-release
|
Linkage to community-based care is operationalized as receipt of a prescription for PrEP from a community-based provider within 3 months of release from prison, confirmed through medical record data extraction.
|
3 Months post-release
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
PrEP Adherence
Time Frame: 3 Months and 6 Months post-release
|
PrEP adherence will be determined by drug concentrations in urine samples collected from participants who have been prescribed PrEP at 3 and 6 months.
Presence of PrEP will be assessed with immunoassay developed by UrSure Inc.
|
3 Months and 6 Months post-release
|
PrEP Care Retention
Time Frame: 3 Month clinical appointments (+/- 1 month)
|
PrEP retention in care will be defined as attending 3-month clinical appointments (+/- 1 month) which is in accordance with current CDC guidelines.
This will be verified with medical records.
|
3 Month clinical appointments (+/- 1 month)
|
Alcohol and Drug Use
Time Frame: 6-months
|
The Timeline Followback (TLFB) will be used to assess alcohol and drug use behavior at baseline, as well as during the follow-up interviews.
|
6-months
|
HIV Risk Behavior
Time Frame: 6-months
|
The TLFB will be used to assess drug and sex risk behavior at baseline and during the follow-up interviews.
In addition, the HIV Risk Assessment Battery will serve as a measure of overall sex and drug risk behavior.
|
6-months
|
Depressive Symptoms
Time Frame: 6-months
|
The Center for Epidemiologic Studies Depression Scale (CES-D) will be administered at baseline and follow-up interviews to assess depressive symptoms
|
6-months
|
Treatment Received and Medications/Pregnancies
Time Frame: 6-months
|
The Treatment Services Review (TSR) and Use of Medications Questionnaire will be used to measure the number and types of treatment services utilized, medications prescribed, and pregnancies experienced during the follow-up period.
|
6-months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Susan E Ramsey, Ph.D., Rhode Island Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- R34DA045621 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Prevention
-
Children's Hospital of PhiladelphiaUniversity of Pennsylvania; National Institute of Nursing Research (NINR); Pennsylvania...CompletedPrevention Harmful Effects | Accidents, Traffic | Accident PreventionUnited States
-
Prof Mags BeksinskaCompletedHIV Prevention | Pregnancy PreventionSouth Africa
-
Yale UniversityCompletedHIV Prevention | STI PreventionUnited States
-
Centers for Disease Control and PreventionUniversity of Minnesota; The Fenway Institute; AIDS Action Committee of Massachusetts and other collaboratorsCompletedHIV Prevention | STD PreventionUnited States
-
Children's Hospital Medical Center, CincinnatiCompletedPreventionUnited States
-
Brown UniversityUniversity of California, Los Angeles; National Institute of Nursing Research... and other collaboratorsRecruiting
-
Apple Inc.American Heart AssociationRecruiting
-
Brown UniversityThe Miriam HospitalCompletedOptimizing PrEP Uptake & Adherence Among Male Sex Workers (MSW) Using a 2-stage Randomization DesignPreventionUnited States
-
King Abdulaziz UniversityUnknown
Clinical Trials on Motivational Interviewing & Patient Navigator
-
Henry Ford Health SystemCompletedObesity | Diabetes | Overweight | Blood Pressure | HypercholesteremiaUnited States
-
University of Michigan Rogel Cancer CenterNational Cancer Institute (NCI)RecruitingBreast Cancer | Colorectal Cancer | Pancreatic Cancer | Ovarian Cancer | Prostate Cancer | Endometrial Cancer | History of CancerUnited States
-
VA National Center for Rehabilitative Auditory...US Department of Veterans AffairsTerminated
-
Johns Hopkins UniversityCatalyst FoundationRecruitingAortic Valve Disease | Aortic Valve ReplacementUnited States
-
VA Office of Research and DevelopmentYale UniversityCompletedVeterans' Disability ClaimsUnited States
-
Inonu UniversityCompletedQuality of Life | Type 2 Diabetes Mellitus | Motivational Interviewing | Self-Management | Mobile Technology | GamingTurkey
-
NYU Langone HealthNational Heart, Lung, and Blood Institute (NHLBI)CompletedColorectal Cancer | Blood PressureUnited States
-
Massachusetts General HospitalRecruitingDiabetes Mellitus, Type 2United States
-
University of Maryland, BaltimoreMaryland Department of Health and Mental HygieneCompletedFractures, Bone | Smoking, TobaccoUnited States
-
University Hospital, BrestRecruitingColorectal CancerFrance