HIV Infections
Conditions
Brief summary
This project collaborates with the New York City Department of Health and Mental Hygiene (NYC DOHMH) to develop and test a field-based comprehensive sexual health intervention for HIV-exposed contacts notified by its Partner Services (i.e., HIV contact tracing) program. The goal of the study is to develop and test the impact of this new intervention on improving rates of HIV testing, linkage to HIV prevention/care, and PrEP uptake among highest risk contacts recently exposed to HIV. We will conduct a 6-month pilot project, followed by a cross-sectional stepped wedge cluster randomized trial in which 12 clusters of NYC neighborhoods are exposed to the intervention sequentially, with three clusters moving from control to intervention every 6 months (n = 1150). Primary outcomes are HIV testing, timely PrEP/ARV uptake, and linkage to PrEP/HIV care. Secondary outcomes are STD testing and receipt of STD treatment (if indicated).
Detailed description
The original project as designed (described above) needed to be modified as a result of the COVID-19 pandemic. The pilot was conducted as planned, but the main trial was changed to a single-arm implementation science project, due to the implementation and service delivery constraints on the NYC HD resulting from COVID.
Interventions
OTHERFast Track Partner Services-Sexual Health Intervention
The Partner Services-Sexual Health Intervention enhances the current standard of care by introducing four service innovations to the DOHMH Partner Services program: (1) enhanced field-based combination HIV and STI testing; (2) immediate field-based ARV/PrEP start; (3) navigation to a sexual health clinic for test results and treatment; and (4) enhanced linkage support to facilitate ongoing PrEP or HIV care.
Sponsors
Hunter College of City University of New York
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
This study was an implementation science demonstration project.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Contacts referred to the Partner Services program during the study time period
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptance of HIV Testing | 1 month | Whether or not contacts offered testing by the Partner Services program accept HIV testing |
| PrEP/ARV Initiation | 3 months | Whether or not contacts start ARV medication in the field or at their referral visit |
| Linkage to PrEP/HIV Care | 6 months | Whether or not contacts attend their navigation visit to receive ongoing PrEP or HIV services |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| STI testing | 3 months | Whether or not contacts accept STI testing in the field or at their referral visit |
Countries
United States
Outcome results
None listed