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Behavioral Intervention Trial for HIV-infected Injection Drug Users

26. september 2012 opdateret af: Centers for Disease Control and Prevention

Intervention for Seropositive Injection Drug Users - Research and Evaluation (INSPIRE)

The purpose of this study is to test whether a ten-session behavioral intervention for HIV-infected injection drug users is effective in reducing sex and injection risk behaviors that put others at risk for HIV infection, increasing access to or utilization of HIV primary health care, and increasing adherence to HIV medications.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Adfærdsmæssigt: Peer Mentoring Intervention

Detaljeret beskrivelse

INSPIRE is a four-site (Baltimore, Miami, New York and San Francisco) randomized control trial to develop and evaluate the efficacy of a ten-session intervention for HIV-positive injection drug users. The primary goals of the intervention are to:

decrease sex and injection risk behaviors that put others at risk for HIV infection,
increase access to or utilization of HIV primary health care, and
increase adherence to HIV medications.

The intervention arm consists of 7 group sessions, 2 individual sessions, and one community experience. The control arm consists of 8 group sessions, aiming at controlling for demand (1st session) and attention (8 group sessions). Behavioral assessments and blood draws (for viral load and CD4 testing) occur at baseline, 6, and 12 month follow-up; a 3 month assessment involves behavioral assessment only. 1161 participants took baseline. Of these, 966 were randomized into the study, and 840, 807, and 821 participants took 3, 6, and 12 month follow-up assessments, respectively.

Undersøgelsestype

Interventionel

Tilmelding

1000

Fase

Fase 2
Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

Forenede Stater
- California
  - San Fransisco, California, Forenede Stater, 94105
    - University of California - San Francisco
- Florida
  - Miami, Florida, Forenede Stater, 33136
    - University of Miami
- Maryland
  - Baltimore, Maryland, Forenede Stater, 21231
    - Johns Hopkins University
- New York
  - Bronx, New York, Forenede Stater, 10467
    - Montefiore Medical Center
  - New York, New York, Forenede Stater, 10029
    - New York Academy of Medicine

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

18 years of age or older
self-identify as a person who has injected drugs in the last 12 months
self-identify as a person who has had sex with at least one opposite sex partner within the last 3 months
self-identify as HIV-seropositive
be confirmed as HIV seropositive through oral fluid (saliva) HIV testing
live in the geographic region under study,
agree to have their blood drawn for CD4 count and viral load testing
be willing to provide basic contact information (for follow-up)
be able to communicate in English
not have participated in the full-pilot of this intervention and not have enrolled previously in the present study.

Exclusion Criteria:

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Primært formål: Forebyggelse
Tildeling: Randomiseret
Interventionel model: Parallel tildeling
Maskning: Ingen (Åben etiket)

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
- unprotected vaginal/anal sex with HIV-negative or unknown serostatus partners in the past 3 months
- lending needle or sharing cotton, cooker, or rinse water with HIV-negative or unknown serostatus partners in the past 3 months
-health care visits for HIV primary care in the past 6 months
-90% or more adherence to HIV medication yesterday and in the past week

Sekundære resultatmål

Resultatmål
-Proportion of HIV status disclosure to sex partners

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Centers for Disease Control and Prevention

Samarbejdspartnere

Health Services Resource Adminstration - HIV/AIDS Bureau

Efterforskere

Ledende efterforsker: David W Purcell, JD, PhD, Centers for Disease Control and Prevention

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. august 2001

Primær færdiggørelse (Faktiske)

1. juli 2006

Studieafslutning (Faktiske)