Minority AIDS Initiative Retention and Re-Engagement Project
Minority AIDS Initiative Retention and Re-Engagement Project: Peer Re-Engagement Project
연구 개요
상세 설명
This is a multi-site longitudinal study of an enhanced peer intervention to re-engage and retain high-risk people of color living with HIV into HIV primary care and other needed medical or social services. Three demonstration sites are implementing programs in which peers are employed as part of the health care team. Peers are trained to conduct educational sessions, provide emotional support, help prepare for and accompany patients to appointments, and debrief after visits.
Study participants will be current or newly enrolled patients of three clinics: CARE Resources, in Miami FL, the PATH Program at Brooklyn Hospital in Brooklyn, NY, and PR CONCRA located in San Juan Puerto Rico who (1) have been out of care for 4 months or more or (2) present a need for substance abuse, mental health, or housing services.
Data will be collected at baseline and follow up (at six and twelve months) through client questionnaires, selected medical chart data (visit dates, laboratory tests and values) and intervention encounter forms on approximately 375 HIV positive adults. The data collected for this study will allow us to assess changes in: (a) retention in HIV primary care, (b) viral load suppression, (c) health-related quality of life, (d) self-efficacy, and (e) HIV knowledge that may be associated with an enhanced peer intervention.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Florida
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Miami, Florida, 미국, 33137
- Care Resource
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Massachusetts
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Boston, Massachusetts, 미국, 02118
- Center for Advancing Health Policy and Practice
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New York
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Brooklyn, New York, 미국, 11226
- PATH Center, The Brooklyn Hospital
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San Juan, 푸에르토 리코, 00928-0850
- Puerto Rico Community Network for Clinical Research on AIDS
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- HIV-positive; AND
- Age 18 years or older; AND
- Identifies as belonging to one or more of the following racial/ethnic groups: American Indian or Alaskan Native, Asian, Black or African-American, Hispanic or Latino, native Hawaiian or other Pacific Islander; AND
- New patient to clinic (including newly-diagnosed) whose initial assessment or intake form indicates a need for substance abuse treatment, mental health or housing services, or a past history of substance abuse or mental health services; OR
- The individual has been out of medical care at your clinic for 4 months or more.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 건강 서비스 연구
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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간섭 없음: Standard-of-care
Standard-of-care at 3 demonstration sites includes: HIV medical care, medical case management, and referral to substance abuse, mental health, and housing services.
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실험적: Enhanced Peer Intervention
Provides emotional, informational, and instrumental peer support, in addition to Standard-of-Care.
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Eight 30-60 minute educational sessions with peer will occur in-person bi-weekly once participant is randomized to intervention:
Weekly check-ins will be by phone or in-person over 12 months. Check-in questions/tasks:
다른 이름들:
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Number of participants retained continuously in quality HIV care
기간: 1 year
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"In HIV care" is defined as having a medical visit with a provider with prescribing privileges in an HIV care setting two or more times at least 3 months apart during the measurement year (HAB Performance Measure and National AIDS Strategy).
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1 year
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Number of participants who are virally suppressed
기간: 1 year
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1 year
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Change from Baseline in Health-related Quality of Life
기간: 1 year
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Health-related quality of life will be measured using the SF-8 Health Survey by QualityMetric Incorporated.
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1 year
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Change from Baseline in Self-Efficacy
기간: 1 year
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This will be measured using a scale that was developed and tested for the Chronic Disease Self-Management study*. * Lorig, K., Stewart, A., Ritter, P., Gonzalez, V., Laurent, D. & Lynch, J. (1996). Outcome Measures for Health Education and other Health Care Interventions. Thousand Oaks CA: Sage Publications, 24-25, 41-45. |
1 year
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Change from Baseline in HIV knowledge
기간: 1 year
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HIV Knowledge will be measured using The HIV Treatment Knowledge Scale*. *Balfour, L., MacPherson, P., Garber, G., Beique, L. & Cameron, D. (2007). Development and psychometric validation of the HIV Treatment Knowledge Scale. AIDS Care, 19, 1141-1148. |
1 year
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공동 작업자 및 조사자
협력자
수사관
- 수석 연구원: Jane Fox, MPH, Center for Advancing Health Policy and Practice, Boston University School of Public Health
- 수석 연구원: Serena Rajabiun, MA, MPH, Center for Advancing Health Policy and Practice, Boston University School of Public Health
- 수석 연구원: Howard Cabral, MPH, PhD, Department of Biostatistics, Boston University School of Public Health
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- U69HA23262
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