2nd AC+: New Village Model (2nd AC+)

2nd AC+: Leveraging Technology to Create Communities of Care Around Older People Living With HIV

This study evaluates implementation of the Village Model to support older people living with HIV.

Study Overview

• Status: Completed
• Conditions: Aging; Hiv; Loneliness; Social Isolation
• Intervention / Treatment: Other: Village Model implementation

Detailed Description

Understanding that older people living with HIV are facing uniques challenges as they age (lack of peer set due to extreme loss during the AIDS epidemic, ongoing HIV and age stigma, high rates of multi-morbidity) this study explores the acceptability and feasibility of implementing the Village Model in Central San Diego.

The Village Model started when several older members of Boston's Beacon Hill realized they were aging and may need more help as they aged to thrive in their own homes. The Village Model involves members of a community paying annual fees to support a village administrator that organizes regular socialization events and helps coordinate needs of individual members using the skill sets of other members within the community. From that first experience a few decades ago, today over 200 Villages exist across the country to enhance the ability of older adults to age in place.

However limitations of this model exists that may threaten the long term implementation and sustainability of the Village Model. Specifically the requirement to pay annual fees for an administrator, the lack of diversity (in age, race, sexuality etc), and difficulty in meeting member's needs in real-time.

This project proposes to pilot the Village Model in Central San Diego and will implement the following adaptions to address limitations. Members will not be required to pay annual fees but instead depend on a well-funded, long-established diverse organization (The San Diego LGBT Center) to serve as the administrator. This Village will allow participation of persons within the community at all ages, race, economic status. Lastly, the project proposes to pilot the acceptability of using a website to display and respond to community needs in real time.

To achieve this, the investigators will 1) perform questionnaires to understand the needs in the community by collecting needs assessments. 2) The investigators will explore the meaning of community and explore barriers and facilitators of Village Model implementation. 3) Lastly the investigators will pilot the Village model using a website.

• Study Type: Interventional
• Enrollment (Actual): 48
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • California
    • San Diego, California, United States, 92103
      • University of California San Diego
    • San Diego, California, United States, 92103
      • The San Diego Lesbian Gay Bisexual Transgender Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Lives in Central San Diego
• Consents to participate
• Willing to sign Village social contract
• No plans to move out of Central San Diego in the next year
• Speaks English

Exclusion Criteria:

• Severely cognitively impaired as indicated by < 10 on mini mental state examination
• History of a violent felony or fraud in the past 10 years
• Not willing to consent to participation

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Village Model; Participate as a member of the Village using a website for 12 months.	Other: Village Model implementation; Participate in the Village Model using a website

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Theoretical Framework Acceptability Scale	A 7 question survey the investigators developed based on the Theoretical Framework of Acceptability. This likert scale includes answers on a 1-5 scale for each 7 questions. The range will be from 5-35 with higher scores indicating higher acceptability.	12 months.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Social Network Inventory	We will enumerate the social network of persons across four domains of support: emotional, material, social, and service. This will be done asking a series of questions about each persons named	1, 3, 6, and 12 months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Engagement with the Village	Total count of times each study participant engaged in a Village request or event.	12 months
Engagement with the hyperlocal social app	Total count of times each study participant utilized the social app to request or provide a Village service	12 months

Collaborators and Investigators

• Sponsor: University of California, San Diego
• Collaborators: The San Diego LGBT Community Center

Study record dates

Study Major Dates

• Study Start (Actual): June 1, 2019
• Primary Completion (Actual): December 30, 2022
• Study Completion (Actual): December 30, 2022

Study Registration Dates

• First Submitted: March 24, 2020
• First Submitted That Met QC Criteria: March 24, 2020
• First Posted (Actual): March 26, 2020

Study Record Updates

• Last Update Posted (Estimate): February 20, 2023
• Last Update Submitted That Met QC Criteria: February 17, 2023
• Last Verified: February 1, 2023

More Information

Terms related to this study

• Keywords: HIV; Aging; Loneliness; community; social isolation; LGBT; multi-morbidity
• Other Study ID Numbers: 182147; Age Positively (Other Identifier: Gilead Sciences)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: On completion of the study, we will provide coded IDP to other researchers
• IPD Sharing Time Frame: At study completion
• IPD Sharing Access Criteria: Please email study PI for requests. We will review to ensure work is not duplicative of ongoing analyses and that the intent of the work is not to exploit study participants.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF; ANALYTIC_CODE; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No