HIV Infections
Conditions
Brief summary
This research is a feasibility pilot of an intervention to respond to positive screening tests for mental health(MH) and substance use (SU) captured through the Patient Reported Outcomes questionnaires (PROs). The PROs are currently performed in the clinic, however, the results are neither reviewed with patients nor transmitted to providers. This pilot assesses the feasibility of moving the PROs into the clinical realm by having patients review the PRO results, identifying an issue to discuss at the patient's next HIV primary care visit, and determining whether this process increases discussion of MH and SU disorders in the subsequent clinical visit and/or increases referrals to MH and/or SU treatment.
Interventions
BEHAVIORALPatient Designated Positive Screen Shared with Provider
Patient Designated Positive Screen Shared with Provider -- In the intervention, participants will be given the opportunity to determine which positive screen, if any, that the participant would like to discuss with the participant's provider at the next HIV primary care appointment. The participant will be notified that all positive screens will be shared with the provider prior to their next HIV primary care visit, and that any positive screen the patient has chosen to discuss with the provider will be specified. The provider will receive the PROs result (score, interpretation, and recommendation) prior to their next HIV primary care visit
Sponsors
National Institute of Mental Health (NIMH)
Johns Hopkins University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* must be enrolled in the Johns Hopkins Clinical Cohort at the Johns Hopkins Moore Clinic * must be living with HIV
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mental Health or Substance Use Issue Raised in Visit | Visit following intervention which will occur on the same day or up to 1 week after the intervention | Number of participants for whom review and coding of audio recording captured a mental health or substance use issue during their visit |
| Audio Recording Data - Mental Health/Substance Use Action Taken | Visit following intervention which will occur on the same day or up to 1 week after the intervention | Number of participants for whom review of transcript of clinic visit characterized discussion of mental health issues and referral for services |
Countries
United States
Participant flow
Pre-assignment details
We only enrolled an intervention group (and utilized a historic control). Thus, all patient participants were assigned to the intervention group.
Participants by arm
| Arm | Count |
|---|---|
| Intervention - Positive Screen Shared In the intervention, participants were given the opportunity to determine which positive screen, if any, that the participant would like to discuss with the participant's provider at the next HIV primary care appointment. The participant was notified that all positive screens will be shared with the provider prior to the participant's next HIV primary care visit, and that any positive screen the patient had chosen to discuss with the provider will be specified. The provider received the PROs result (score, interpretation, and recommendation) prior to the next HIV primary care visit. | 32 |
| Total | 32 |
Baseline characteristics
| Characteristic | Intervention - Positive Screen Shared |
|---|---|
| Age, Continuous | 51.6 years STANDARD_DEVIATION 8.9 |
| Race/Ethnicity, Customized Black | 29 participants |
| Race/Ethnicity, Customized Other | 1 participants |
| Race/Ethnicity, Customized White | 2 participants |
| Sex/Gender, Customized Female | 11 participants |
| Sex/Gender, Customized Male | 21 participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 32 |
| other Total, other adverse events | 0 / 32 |
| serious Total, serious adverse events | 0 / 32 |
Outcome results
Primary
Audio Recording Data - Mental Health/Substance Use Action Taken
Number of participants for whom review of transcript of clinic visit characterized discussion of mental health issues and referral for services
Time frame: Visit following intervention which will occur on the same day or up to 1 week after the intervention
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Intervention - Positive Screen Shared | Audio Recording Data - Mental Health/Substance Use Action Taken | 32 Participants |
Primary
Mental Health or Substance Use Issue Raised in Visit
Number of participants for whom review and coding of audio recording captured a mental health or substance use issue during their visit
Time frame: Visit following intervention which will occur on the same day or up to 1 week after the intervention
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Intervention - Positive Screen Shared | Mental Health or Substance Use Issue Raised in Visit | 32 Participants |