- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07631559
Pilot Study of an Adapted Partner Navigation Intervention Booster Session for Sustained Healthcare Engagement Among People Who Inject Drugs
This study builds upon an ongoing NIH-funded randomized controlled trial (R01DA053325) evaluating a Partner Navigation Intervention to increase hepatitis C virus (HCV) treatment initiation among young adult people who inject drugs (PWID) and their injecting partners in San Francisco. The proposed research includes secondary analyses of existing trial data, additional survey measures, qualitative interviews, and a pilot intervention adaptation.
The study has two primary objectives. First, it examines how racialized discrimination (structural, interpersonal, and internalized) affects HCV treatment initiation and dyadic partner support processes within injecting partnerships. Second, it evaluates whether a brief, adapted "booster" partner navigation session delivered at HCV treatment completion can improve engagement in ongoing healthcare.
Participants include adults (≥18 years) who inject drugs and have been diagnosed with HCV, along with their primary injecting partners. Study activities include longitudinal surveys, qualitative interviews with a subset of participants, and a pilot intervention session with follow-up evaluation.
This research addresses critical gaps in understanding how social relationships and structural inequities influence healthcare engagement among PWID. Findings will inform culturally responsive adaptations to dyadic interventions and improve continuity of care in a population disproportionately affected by HCV and systemic barriers to healthcare.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Meghan Morris, PhD, MPH
- Telefonnummer: 415-574-0651
- E-mail: meghan.morris@ucsf.edu
Studiesteder
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California
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San Francisco, California, Forenede Stater, 94103
- Quaker Meeting House
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Kontakt:
- Morris Meghan, PhD
- Telefonnummer: 415-574-0651
- E-mail: morris.meghan@ucsf.edu
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Ledende efterforsker:
- Meghan Morris, PhD
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion criteria:
For index participants:
- 18 years of age or older at enrollment
- History of injecting drug use
- Completed HCV treatment within the past 3 months
- Report a primary injecting partner willing to participate
- Willing and able to provide informed consent
- English or Spanish speaking
For primary injecting partners:
- Primary injecting partner of an enrolled index participant:
- 18 years of age or older at enrollment
- Willing and able to provide informed consent
- English or Spanish speaking
- has context menu
Exclusion criteria:
For both index participants and injecting partners:
- Unable to provide informed consent due to cognitive impairment or acute intoxication at the time of enrollment
- Previously participated in this study in any capacity
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Partner Navigation Booster Session
Injecting dyads (index participant and their primary injecting partner) receive one adapted Partner Navigation Intervention booster session at the point of HCV treatment completion, designed to strengthen partnership-based support for sustained healthcare engagement beyond HCV care.
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A single adapted dyadic session delivered to PWID and their primary injecting partner at the point of HCV treatment completion.
The session builds on the original two-session Partner Navigation Intervention (PNI) developed in the YETI study (R01DA053325) and is adapted to target partnership-based support for broader post-treatment healthcare access, including primary care, mental health, and harm reduction services.
Session content includes collaborative goal-setting, barrier identification, and partner communication skills.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Acceptability of the booster session
Tidsramme: 1 week
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Participant-reported acceptability of the adapted Partner Navigation Intervention booster session, assessed via via brief 3 item questionnaire with 4-point likert response options.
Administered to index participants and their injecting partners following session completion.
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1 week
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Feasibility: recruitment rate
Tidsramme: up to 25 weeks
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Proportion of eligible dyads who consent and enroll, calculated as the number enrolled divided by the number approached and screened.
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up to 25 weeks
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Feasibility: retention rate
Tidsramme: up to 25 weeks
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Proportion of enrolled dyads who complete the booster session, calculated as session completion rate among enrolled participants.
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up to 25 weeks
|
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Fidelity to session protocol
Tidsramme: 1 hour
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Adherence to the adapted booster session protocol assessed by trained observer using a structured fidelity checklist; reported as proportion of session components delivered as intended.
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1 hour
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Samarbejdspartnere og efterforskere
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Meghan Morris, PhD, MPH, University of California, San Francisco
Publikationer og nyttige links
Generelle publikationer
- Bailey ZD, Krieger N, Agenor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017 Apr 8;389(10077):1453-1463. doi: 10.1016/S0140-6736(17)30569-X.
- Morris MD, Andrew E, Tan JY, Maher L, Hoff C, Darbes L, Page K. Injecting-related trust, cooperation, intimacy, and power as key factors influencing risk perception among drug injecting partnerships. PLoS One. 2019 May 31;14(5):e0217811. doi: 10.1371/journal.pone.0217811. eCollection 2019.
- Morris MD, McDonell C, Kim RG, Laguardia Y, Kanner R, Price JC. A pilot study to understand and respond to loss, theft, and misplacement of hepatitis C treatment medication for people who inject drugs. Clin Liver Dis (Hoboken). 2023 May 16;22(3):81-84. doi: 10.1097/CLD.0000000000000042. eCollection 2023 Sep.
- Morris MD, Bates A, Andrew E, Hahn J, Page K, Maher L. More than just someone to inject drugs with: Injecting within primary injection partnerships. Drug Alcohol Depend. 2015 Nov 1;156:275-281. doi: 10.1016/j.drugalcdep.2015.09.025. Epub 2015 Sep 30.
- Turner BE, Steinberg JR, Weeks BT, Rodriguez F, Cullen MR. Race/ethnicity reporting and representation in US clinical trials: a cohort study. Lancet Reg Health Am. 2022 Jul;11:100252. doi: 10.1016/j.lana.2022.100252. Epub 2022 Apr 10.
- Yearby R, Clark B, Figueroa JF. Structural Racism In Historical And Modern US Health Care Policy. Health Aff (Millwood). 2022 Feb;41(2):187-194. doi: 10.1377/hlthaff.2021.01466.
- Facente SN, Grebe E, Burk K, Morris MD, Murphy EL, Mirzazadeh A, Smith AA, Sanchez MA, Evans JL, Nishimura A, Raymond HF; End Hep C SF. Estimated hepatitis C prevalence and key population sizes in San Francisco: A foundation for elimination. PLoS One. 2018 Apr 11;13(4):e0195575. doi: 10.1371/journal.pone.0195575. eCollection 2018.
- Morris MD, McDonell C, Luetkemeyer AF, Thawley R, McKinney J, Price JC. Community-Based Point-of-Diagnosis Hepatitis C Treatment for Marginalized Populations: A Nonrandomized Controlled Trial. JAMA Netw Open. 2023 Oct 2;6(10):e2338792. doi: 10.1001/jamanetworkopen.2023.38792.
- Morris MD, Evans J, Montgomery M, Yu M, Briceno A, Page K, Hahn JA. Intimate injection partnerships are at elevated risk of high-risk injecting: a multi-level longitudinal study of HCV-serodiscordant injection partnerships in San Francisco, CA. PLoS One. 2014 Oct 6;9(10):e109282. doi: 10.1371/journal.pone.0109282. eCollection 2014.
- Morris MD, Neilands TB, Andrew E, Maher L, Page KA, Hahn JA. Development and validation of a novel scale for measuring interpersonal factors underlying injection drug using behaviours among injecting partnerships. Int J Drug Policy. 2017 Oct;48:54-62. doi: 10.1016/j.drugpo.2017.05.030. Epub 2017 Aug 9.
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Blodbårne infektioner
- Narkotika-relaterede lidelser
- Psykiske lidelser
- Infektioner
- RNA-virusinfektioner
- Virussygdomme
- Sygdomme i fordøjelsessystemet
- Leversygdomme
- Hepatitis, viral, menneskelig
- Overførbare sygdomme
- Kemisk inducerede lidelser
- Flaviviridae infektioner
- Hepatitis
- Opførsel
- Opioid-relaterede lidelser
- Stof-relaterede lidelser
- Hepatitis C
- Skadereduktion
Andre undersøgelses-id-numre
- 027290055
- K24DA061103 (U.S. NIH-bevilling/kontrakt)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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Kliniske forsøg med Opioidbrugsforstyrrelse
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University of North Carolina, Chapel HillIkke rekrutterer endnuOpioid ordinationForenede Stater
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Montefiore Medical CenterRekrutteringOpioid tilspidsendeForenede Stater
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University of MichiganThe Benter FoundationAfsluttetOpioid ordinationForenede Stater
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matthieu clanetAfsluttet
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University of MichiganNational Institute on Drug Abuse (NIDA)AfsluttetOpioid ordinationForenede Stater
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University of North Carolina, Chapel HillNorth Carolina Department of Health and Human ServicesAfsluttetAnalgetika OpioidForenede Stater
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Purdue Pharma LPAfsluttetOpioid analgesiForenede Stater, Australien, Finland, New Zealand
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Second Hospital of Shanxi Medical UniversityRekrutteringOpioid analgetisk bivirkningKina
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St. Louis UniversityAfsluttetOpioid-vedligeholdte gravide kvinder
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Frederiksberg University HospitalAfsluttet
Kliniske forsøg med Partner navigation intervention booster session
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Queen's UniversitySt. Joseph's Healthcare HamiltonUkendtPsykotiske lidelserCanada
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Universitätsklinikum Hamburg-EppendorfUkendt
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University of California, San FranciscoNational Institute on Drug Abuse (NIDA)RekrutteringHepatitis CForenede Stater
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Michigan State UniversityBrown UniversityAfsluttetPersoner med alvorlig psykisk sygdom forlader fængslerneForenede Stater
-
King's College LondonStony Brook University; University of Oxford; Stanford UniversityIkke rekrutterer endnu
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Boston Medical CenterBoston University; Massachusetts General Hospital; Dana-Farber Cancer Institute og andre samarbejdspartnereAfsluttet
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University of California, San DiegoNational Cancer Institute (NCI); Dana-Farber Cancer Institute; University... og andre samarbejdspartnereRekruttering
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Weill Medical College of Cornell UniversityAfsluttet
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University of North Carolina, Chapel HillThe Foundation of Hope for Research and Treatment of Mental IllnessAfsluttetDepression, UnipolarForenede Stater
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Equip HealthAktiv, ikke rekrutterende