- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05427318
Peers Plus Mobile App for Treatment in HIV (PATH)
Peers Plus Mobile App for Treatment in HIV (PATH)
Study Overview
Detailed Description
PATH is a community-academic collaboration with a federally qualified health center serving patients in South San Diego under the Ryan White model of care.
The scientific premise of this RCT is that combining two interventions developed by this team (peer navigation + mHealth) into a single mHealth peer navigation intervention (PATH) will eliminate the need for in-person support from peer navigators, promote high impact on HIV care continuum outcomes, as well as extend broader reach to underserved communities.
The RCT will test the efficacy of PATH with 375 HBPLH (among whom >33% will report stimulant and/or opioid use in the past 6 months).
Aim 1. Improve the primary outcomes - sustained viral suppression (i.e., suppressed viral load at both 6- and 12-month follow-up), and secondary outcomes (e.g., retention in care) compared to usual care.
Sub-aim 1: Explore subgroup differences in efficacy based on factors like race/ethnicity and substance use.
Aim 2. Examine the theory-informed mediators (e.g., self-efficacy to engage in HIV care, HIV stigma) through which PATH has the greatest impact on sustained viral suppression among HBPLH.
Aim 3. Explore whether PATH significantly affects substance-related outcomes (e.g., frequency of substance use, engagement in substance abuse treatment) when compared to usual care among those using substances (i.e., stimulants and/or opioids).
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Eileen Pitpitan, PhD
- Phone Number: 7147595766
- Email: epitpitan@sdsu.edu
Study Contact Backup
- Name: Megan Liang, MPP
- Email: mkliang@sdsu.edu
Study Locations
-
-
California
-
San Ysidro, California, United States, 91910
- Recruiting
- San Ysidro Health
-
Contact:
- Jeannette Aldous, MD
- Email: jlaldous@syhealth.org
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- ≥18 years old
- Can read and speak English or Spanish
- Self-reported diagnosis of HIV by a physician or healthcare provider
- Currently prescribed HIV medication
- Having access to an internet browser on a home computer, tablet, or smart phone
- Does not plan to move out of the San Diego area in the next 12 months
Meets one or more of the following medical chart verified or self-reported criteria
- One or more detectable viral load test result (>200 copies m/L) in the past 12-months while on antiretroviral therapy for at least 3 months
- Having missed 1 or more scheduled HIV care appointments in the last 12 months
- Last HIV care visit was more than 6 months ago
- Self-reporting less than 90% antiretroviral therapy adherence in the last 4 weeks using the Wilson-3 scale
- Report stimulant or opioid use (non-prescription) in the past 6 months
Exclusion Criteria:
- <18 years old
- Currently enrolled in any program, intervention, or research study designed to improve antiretroviral therapy adherence or engagement in HIV care (e.g., LinkPositively)
- Members of one of the community advisory boards providing advisement on the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: PATH Active Intervention Arm
Participants assigned to this group will receive care as usual if they are assigned to this group.
In addition, participants in this arm will receive HIV care support from a trained peer navigator and have access to a mHealth web application designed to support their health and HIV care.
|
The intervention integrates two theoretically-grounded interventions - one with a strong peer navigator component and the other with a scalable mHealth component - into the intervention called Peers plus mobile App for Treatment in HIV (PATH)
Other Names:
|
No Intervention: Usual Care
Participants assigned to this group are in the control arm and will receive standard of care following the Ryan White model of care.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Viral suppression
Time Frame: 6 months
|
Having an undetectable HIV viral load; <200 copies/mL
|
6 months
|
Viral suppression
Time Frame: 12 months
|
Having an undetectable HIV viral load; <200 copies/mL
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Retention in HIV care
Time Frame: 6 months
|
Health Resources and Services Administration definition: ≥ 2 HIV medical visits at least 90 days apart
|
6 months
|
Retention in HIV care
Time Frame: 12 months
|
Health Resources and Services Administration definition: ≥ 2 HIV medical visits at least 90 days apart
|
12 months
|
Gap in HIV medical visits
Time Frame: 6 months
|
Health Resources and Services Administration definition: no HIV medical visits in last 6 months
|
6 months
|
Gap in HIV medical visits
Time Frame: 12 months
|
Health Resources and Services Administration definition: no HIV medical visits in last 6 months
|
12 months
|
Antiretroviral therapy adherence
Time Frame: 3 months
|
Continuous measure of antiretroviral therapy adherence using the Wilson's three-item Adherence Self-Report Scale scale (0-100; 100=perfect adherence)
|
3 months
|
Antiretroviral therapy adherence
Time Frame: 6 months
|
Continuous measure of antiretroviral therapy adherence using the Wilson's three-item Adherence Self-Report Scale scale (0-100; 100=perfect adherence)
|
6 months
|
Antiretroviral therapy adherence
Time Frame: 9 months
|
Continuous measure of antiretroviral therapy adherence using the Wilson's three-item Adherence Self-Report Scale scale (0-100; 100=perfect adherence)
|
9 months
|
Antiretroviral therapy adherence
Time Frame: 12 months
|
Continuous measure of antiretroviral therapy adherence using the Wilson's three-item Adherence Self-Report Scale scale (0-100; 100=perfect adherence)
|
12 months
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Additional Relevant MeSH Terms
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- Immune System Diseases
- Slow Virus Diseases
- Urogenital Diseases
- Genital Diseases
- HIV Infections
- Acquired Immunodeficiency Syndrome
Other Study ID Numbers
- R01DA053167 (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.
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