Behavioral Intervention Trial for HIV-infected Injection Drug Users
Intervention for Seropositive Injection Drug Users - Research and Evaluation (INSPIRE)
調査の概要
詳細な説明
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.
研究の種類
入学
段階
- フェーズ2
- フェーズ 3
連絡先と場所
研究場所
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California
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San Fransisco、California、アメリカ、94105
- University of California - San Francisco
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Florida
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Miami、Florida、アメリカ、33136
- University of Miami
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Maryland
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Baltimore、Maryland、アメリカ、21231
- Johns Hopkins University
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New York
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Bronx、New York、アメリカ、10467
- Montefiore Medical Center
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New York、New York、アメリカ、10029
- New York Academy of Medicine
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-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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:
-
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:防止
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:なし(オープンラベル)
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
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- unprotected vaginal/anal sex with HIV-negative or unknown serostatus partners in the past 3 months
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- lending needle or sharing cotton, cooker, or rinse water with HIV-negative or unknown serostatus partners in the past 3 months
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-health care visits for HIV primary care in the past 6 months
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-90% or more adherence to HIV medication yesterday and in the past week
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二次結果の測定
結果測定 |
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-Proportion of HIV status disclosure to sex partners
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協力者と研究者
捜査官
- 主任研究者:David W Purcell, JD, PhD、Centers for Disease Control and Prevention
出版物と役立つリンク
一般刊行物
- Purcell DW, Metsch LR, Latka M, Santibanez S, Gomez CA, Eldred L, Latkin CA; INSPIRE Study Group. Interventions for seropositive injectors-research and evaluation: an integrated behavioral intervention with HIV-positive injection drug users to address medical care, adherence, and risk reduction. J Acquir Immune Defic Syndr. 2004 Oct 1;37 Suppl 2:S110-8. doi: 10.1097/01.qai.0000140609.44016.c4.
- Valverde EE, Purcell DW, Waldrop-Valverde D, Malow R, Knowlton AR, Gomez CA, Farrell N, Latka MH; INSPIRE Study Team. Correlates of depression among HIV-positive women and men who inject drugs. J Acquir Immune Defic Syndr. 2007 Nov 1;46 Suppl 2:S96-100. doi: 10.1097/QAI.0b013e318157683b.
- Mitchell SG, Edwards LV, Mackenzie S, Knowlton AR, Valverde EE, Arnsten JH, Santibanez S, Latka MH, Mizuno Y; INSPIRE Study Team. Participants' descriptions of social support within a multisite intervention for HIV-seropositive injection drug users (INSPIRE). J Acquir Immune Defic Syndr. 2007 Nov 1;46 Suppl 2:S55-63. doi: 10.1097/QAI.0b013e3181576808.
- Purcell DW, Latka MH, Metsch LR, Latkin CA, Gomez CA, Mizuno Y, Arnsten JH, Wilkinson JD, Knight KR, Knowlton AR, Santibanez S, Tobin KE, Rose CD, Valverde EE, Gourevitch MN, Eldred L, Borkowf CB; INSPIRE Study Team. Results from a randomized controlled trial of a peer-mentoring intervention to reduce HIV transmission and increase access to care and adherence to HIV medications among HIV-seropositive injection drug users. J Acquir Immune Defic Syndr. 2007 Nov 1;46 Suppl 2:S35-47. doi: 10.1097/QAI.0b013e31815767c4.
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
- CDC-NCHSTP-2864
- U22/CCU217990
- U22/CCU317999
- U22/CCU417998
- U22/CCU918003
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。