- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05454839
Preferences for Services in a Patient's First Six Months on Antiretroviral Therapy for HIV in South Africa (PREFER-SA)
With the advent of universal eligibility for HIV treatment ("treat all") and same-day and community-based antiretroviral therapy (ART) initiation, retention in care after a patient has started ART remains the main challenge to achieving optimal outcomes in HIV treatment programs. Consistently across both time and geography, the highest risk for loss from care is during a patient's first six months after ART initiation, with about quarter of all patients not retained by the end of month 6.
One of the reasons for the high attrition from care in this early retention period is that the model of care offered to most newly-initiating and re-initiating patients has barely evolved from its original outlines. Patients in their first six months on ART are generally not eligible for lower-intensity, patient-centered "differentiated service delivery" models that make remaining in care easier for experienced patients. Instead, most early patients must still make multiple clinic visits that include clinical consultations with providers, and most can receive only 1-2 month supplies of medications at a time.
This protocol is for the PREFER-South Africa study, an activity of the Retain6 project. Retain6 aims to develop new models of care for patients' first six months on ART. PREFER-South Africa will collect data on patients' characteristics, clinical and non-clinical needs, and preferences for different types of services during their first six months after initiating ART. The investigators will conduct an observational, prospective cohort survey of newly-initiated or re-initiated adult ART patients at a selected set of 18 healthcare facilities in South Africa. Results are expected to inform the design of better models of service delivery for the early treatment period.
Study Overview
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Sydney Rosen
- Phone Number: +18572077909
- Email: sbrosen@bu.edu
Study Contact Backup
- Name: Mariet Benade
- Email: mbenade@bu.edu
Study Locations
-
-
Gauteng
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Johannesburg, Gauteng, South Africa, 2193
- Recruiting
- Mhairi Maskew
-
Contact:
- Mhairi Maskew
- Email: mmaskew@heroza.org
-
-
-
-
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Lusaka, Zambia
- Recruiting
- Clinton Health Access Initiative
-
Contact:
- Bevis Phiri
- Phone Number: +260 760 421478
- Email: bphiri@clintonhealthaccess.org
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Living with HIV and on ART for 0-6 six months at the study site
- ≥ 18 years old (18 and older considered adult for research purposes in South Africa)
- Presented at the study site for routine HIV-related care
- Provide written informed consent to participate.
- For patients providing a dried blood spot specimen, initiating or re-initiating ART at the study enrollment visit.
Exclusion Criteria:
- Unable to communicate in any of the languages into which the questionnaire has been translated or that is known to the research assistant
- Not physically, mentally, or emotionally able to participate in the study, in the opinion of the investigators or study staff
- Unwilling to take the time required to complete the questionnaire on the day of consent
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Participants
Adult patients within 6 months of ART initiation or re-initiation
|
Interviewer-administered survey
Focus group for selected participants
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Retention
Time Frame: 6 months
|
Not missing a scheduled clinical or medication pickup visit during the first 6 months after treatment initiation by more than 28 days.
|
6 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Sydney Rosen, Boston University
Publications and helpful links
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
Other Study ID Numbers
- H-42726
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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