Project Hope: Hospital Visit is an Opportunity for Prevention and Engagement With HIV-positive Crack Users

NCT ID: NCT00447798

Last Updated: 2015-04-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

413 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-06-30

Study Completion Date

2011-05-31

Brief Summary

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The proposed study uses a two-arm randomized experimental design to evaluate the efficacy of a brief, theoretically-guided, "Prevention Care Advocate" intervention with HIV-positive crack users. Study participants will be recruited from the HIV inpatient hospital wards of two inner-city hospitals that serve a similar population of HIV-positive patients: Jackson Memorial Hospital (JMH) in Miami, Florida and Grady Memorial Hospital (GMH) in Atlanta, Georgia.

Detailed Description

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The proposed study uses a two-arm randomized experimental design to evaluate the efficacy of a brief, theoretically-guided, "Prevention Care Advocate" intervention with HIV-positive crack users. Study participants will be recruited from the HIV inpatient hospital wards of two inner-city hospitals that serve a similar population of HIV-positive patients: Jackson Memorial Hospital (JMH) in Miami, Florida and Grady Memorial Hospital (GMH) in Atlanta, Georgia.

This 8-session, multi-component, skills-building intervention adapted from strategies used in prior studies encourages participants to advocate prevention and receipt of primary care services for themselves and their peers. We will employ a randomized experimental design to compare the intervention's efficacy with an attention-control group.

SPECIFIC AIMS Aim 1: To evaluate the efficacy of a brief, theoretically-based intervention in reducing unprotected sexual intercourse by HIV-positive crack users recruited from the inpatient/hospital setting. The impact of the intervention on secondary outcomes including the increased use of HIV primary outpatient care and readiness for and entry to drug treatment, will also be evaluated.

Aim 2: To examine whether knowledge, motivation and perceived self-efficacy are impacted by the intervention, and if changes in these variables explain change in the behavioral outcomes of interest.

Aim 3: To determine the extent to which behavioral outcomes are maintained over time.

Conditions

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HIV Infections Crack Cocaine Use Risky Sexual Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Prevention Care Advocate

Prevention Care Advocate (PCA) intervention contains elements based on cognitive-behavioral theories and strengths-based case management. Intervention arm participants will undergo an 8 session intervention comprised of three components: 1) An individual strengths-based case management approach aimed at motivating participants to seek or maintain their engagement with HIV primary care and drug treatment; 2) A cognitive-behavioral, skills-building approach to increase participants' risk reduction knowledge, skills, and perceived self-efficacy as well as intention to change high risk transmission behaviors; and 3) A community placement in which study participants will have the opportunity to practice their advocacy skills in prevention and care setting.

Group Type EXPERIMENTAL

Prevention Care Advocate

Intervention Type BEHAVIORAL

Prevention Care Advocate: 8 Session intervention combining cognitive-behavioral skill building \& strengths based case management

Standard of Care

Standard of Care (SOC) condition involves standard practice, consisting of usual inpatient/hospital services provided within normal clinical practice, plus a brief educational session consisting of the review of the topics in the "Living with HIV" brochure published by the Centers for Disease Control and Prevention (CDC).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Prevention Care Advocate

Prevention Care Advocate: 8 Session intervention combining cognitive-behavioral skill building \& strengths based case management

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* HIV positive
* Sexually active
* Recruited from inpatient/hospital setting
* Crack user

Exclusion Criteria

* HIV negative
* Not sexually active
* Not recruited from inpatient/hospital setting
* Non crack user
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

Columbia University

OTHER

Sponsor Role lead

Responsible Party

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Lisa Metsch

Stephen Smith Professor of Sociomedical Sciences and Chair, Department of Sociomedical Sciences

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lisa R Metsch, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Miami

Carlos del Rio, M.D.

Role: PRINCIPAL_INVESTIGATOR

Emory University

Locations

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University of Miami Hospital & Clinics/ Jackson Memorial Hospital

Miami, Florida, United States

Site Status

Grady Health System-Grady Memorial Hospital

Atlanta, Georgia, United States

Site Status

Countries

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United States

Other Identifiers

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1R01DA017612

Identifier Type: NIH

Identifier Source: secondary_id

View Link

AAAK3156

Identifier Type: -

Identifier Source: org_study_id

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