Effectiveness of Peer Navigation to Link Released HIV+ Jail Inmates to HIV Care
NCT ID: NCT01406626
Last Updated: 2020-11-18
Study Results
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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COMPLETED
NA
356 participants
INTERVENTIONAL
2012-12-31
2016-10-31
Brief Summary
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Detailed Description
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1. To examine individual-level and structural-level barriers to HIV care after release from jail, using formative semi-structured interviews with ex-inmates, case managers, and HIV care providers; and to use the information we obtain to inform the adaptation and tailoring of an intervention designed to improve linkage with and retention to HIV care for HIV+ ex-inmates (Complete);
2. Using a two-group experimental RCT design, to test the adapted peer navigation intervention condition for HIV+ inmates upon release from jail compared to a usual care condition, and to evaluate the intervention's effectiveness at improving linkage with and retention in HIV care, self-reported ART adherence, and HIV RNA viral load suppression;
The intervention is hypothesized to result in greater linkage to care, a greater proportion completing at least three HIV care visits per year, increased self-reported ART adherence, and decreased levels of HIV RNA viral load compared to the usual care control group.
Secondary Aims of the study include assessing the potential moderating effects of substance abuse, the potential mediating effects of substance abuse treatment, and the program's effects on recidivism, and costs.
Active substance abuse is hypothesized to moderate the effect of the intervention, such that the intervention will be less effective among participants who report substance use.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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Peer Navigation Intervention Arm
Subjects will receive the following peer navigation services:
1\) 10 Navigator meetings: Navigators will meet with participants in person to teach linkage/retention skills and knowledge
2a) 2 Navigator accompaniment sessions: the peer navigator will accompany participants to HIV care appointment. Before and after the appointment, participants and navigators will review linkage and retention skills/knowledge and things that make it hard or easy for him/her to get regular HIV care
2b) Optional peer navigator accompaniment sessions: If the participant requests, the peer navigator will provide accompaniment to supportive HIV care appointments (one per month max)
3\) 14 peer navigator care calls: During these calls, navigators and participants will talk about any problems that could make it difficult to get regular HIV care.
Peer Navigator
Peer navigation intervention to improve linkage to and retention in HIV care and suppress viral load for underserved HIV+ persons in Los Angeles
Usual Care
Participants assigned to the control arm will receive the transitional case management (TCM) services that are currently offered at the jail
No interventions assigned to this group
Interventions
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Peer Navigator
Peer navigation intervention to improve linkage to and retention in HIV care and suppress viral load for underserved HIV+ persons in Los Angeles
Eligibility Criteria
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Inclusion Criteria
* Men or TGW diagnosed HIV-positive
* English or bilingual Spanish speaking
* Selected for the TCM program (control condition) prior to LINK LA enrollment
* Residing in LA County upon release
* Eligible for ART or incarcerated on ART.
Exclusion Criteria
* Parole hold or planned transfer to prison
* Stay in jail \<5 days.
18 Years
MALE
No
Sponsors
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Los Angeles County Department of Public Health
OTHER_GOV
University of California, Los Angeles
OTHER
Responsible Party
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Principal Investigators
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William E Cunningham, MD, MPH
Role: PRINCIPAL_INVESTIGATOR
University of California, Los Angeles
Locations
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LA County Jail
Los Angeles, California, United States
Countries
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References
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Cunningham WE, Weiss RE, Nakazono T, Malek MA, Shoptaw SJ, Ettner SL, Harawa NT. Effectiveness of a Peer Navigation Intervention to Sustain Viral Suppression Among HIV-Positive Men and Transgender Women Released From Jail: The LINK LA Randomized Clinical Trial. JAMA Intern Med. 2018 Apr 1;178(4):542-553. doi: 10.1001/jamainternmed.2018.0150.
Other Identifiers
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