HIV-infection/Aids
Conditions
Keywords
HIV, AIDS, Peer navigation, Viral load, Corrections
Brief summary
This study will implement a peer navigation intervention to improve linkage to and retention in HIV care for inmates released from L.A. county jail into the community.
Detailed description
The proposed study has two Primary Specific Aims: 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.
Interventions
BEHAVIORALPeer Navigator
Peer navigation intervention to improve linkage to and retention in HIV care and suppress viral load for underserved HIV+ persons in Los Angeles
Sponsors
Los Angeles County Department of Public Health
University of California, Los Angeles
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 18 or older * 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
* Inability to give informed consent * Parole hold or planned transfer to prison * Stay in jail \<5 days.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Linkage to HIV Care | 12 months | Number of HIV+ ex jail inmates accessing HIV care |
| Retention in Treatment | 12 months | This assesses whether or not the HIV+ ex jail inmates were retained in their HIV care after first accessing care. |
| Adherence to Treatment | 12 months | How adherent the HIV+ ex jail inmates are to their treatment regiment, by self-report. |
| Viral Load | 12 months | HIV+ ex jail inmates' viral load |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Costs | 12 months | Cost of the intervention and HIV care |
Countries
United States
Outcome results
None listed