Minority AIDS Initiative Retention and Re-Engagement Project
Minority AIDS Initiative Retention and Re-Engagement Project: Peer Re-Engagement Project
研究概览
详细说明
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.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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San Juan、波多黎各、00928-0850
- Puerto Rico Community Network for Clinical Research on AIDS
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Florida
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Miami、Florida、美国、33137
- Care Resource
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Massachusetts
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Boston、Massachusetts、美国、02118
- Center for Advancing Health Policy and Practice
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New York
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Brooklyn、New York、美国、11226
- PATH Center, The Brooklyn Hospital
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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.
学习计划
研究是如何设计的?
设计细节
- 主要用途:卫生服务研究
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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无干预: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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实验性的: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:
其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Number of participants retained continuously in quality HIV care
大体时间: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
大体时间:1 year
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1 year
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Change from Baseline in Health-related Quality of Life
大体时间: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
大体时间: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
大体时间: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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合作者和调查者
合作者
调查人员
- 首席研究员:Jane Fox, MPH、Center for Advancing Health Policy and Practice, Boston University School of Public Health
- 首席研究员:Serena Rajabiun, MA, MPH、Center for Advancing Health Policy and Practice, Boston University School of Public Health
- 首席研究员:Howard Cabral, MPH, PhD、Department of Biostatistics, Boston University School of Public Health
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
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