Case Management, HIV, Pre-exposure Prophylaxis
Conditions
Keywords
linkage to care, viral suppression, case management, retention in care, financial wellbeing, food security
Brief summary
The overall goal of this study is to test whether dyadic and focused case management will (1) improve financial wellbeing, (2) improve access to food, (3) increase linkage and retention rates for individuals living with HIV or those taking PrEP (PrEP persistence), and (4) increase the proportion of individuals living with HIV who are virally suppressed (viral suppression) when compared to routine Ryan White Non-Medical Case Management.
Detailed description
The purpose of this research is to test the impact of dyadic, focused case management on financial well-being, access to food, linkage to and retention in care outcomes for individuals living with or vulnerable to HIV. The study population is men who have sex with men (MSM) or same-sex attraction, gender-diverse persons, and cis-gender women living with or at increased vulnerability to HIV. The study team will be testing the hypotheses that dyadic case management that is focused on financial wellness, will have better outcomes for folks living with or vulnerable to HIV. Analyses will be used to assess the efficacy of the intervention as an emerging practice.
Interventions
BEHAVIORALDyadic Case Management
Subjects enrolled in the intervention arm will be offered focused case management centered around goal setting and future orientation. Subjects will be assigned two case managers to support their goals.
Sponsors
University of Chicago
National Institute of Mental Health (NIMH)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Gap in HIV or PrEP care access in the past 24 months, defined as a gap greater than 6 months or detectable viral load at least one time in the past 24 months Self-reported financial or food insecurity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Financial wellbeing | 18 months | Proportion of subjects who report improved financial wellbeing (e.g. consistent income, ability to pay bills). |
| Food Security | 18 months | Proportion of individuals who report improved access to food (e.g. fewer gaps in access to food, reduced concern about access to food). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PrEP Persistence | 18 months | Proportion of individuals who have engaged in PrEP care regularly (beyond 6 months). |
| Viral Suppression | 18 months | Proportion of individuals who have a viral load below 200 copies/mL |
Countries
United States
Contacts
CONTACTRebecca Eavou
PRINCIPAL_INVESTIGATORJohn Schneider, MD
University of Chicago
Outcome results
None listed