HIV, Incarceration, PrEP
Conditions
Brief summary
The goal of this study is to measure the implementation and effectiveness of a multicomponent strategy for PrEP for people who are incarcerated at the Dallas County Jail. Specifically, based on a patients risk score on an electronic medical record HIV prediction model, referrals from providers and/or patient self-referrals, a PrEP patient navigator will meet with individuals at the jail to discuss HIV risk, offer HIV/STI testing if not yet completed and offer education around PrEP with referrals to community-based PrEP providers.
Detailed description
The objective of Aim 3 is to deploy the multicomponent strategy that was refined in Aim 2 and evaluate its impact on PrEP implementation and related clinical outcomes using iterative quantitative and qualitative assessments. The investigators' approach will be to utilize the EPIS framework (Exploration, Preparation, Implementation, Sustainment) across the jail-to-community continuum. The investigators will use mixed-methods to evaluate implementation process measures and an interrupted time series design to measure clinical outcomes for PrEP evaluations and linkage, as well as HIV/STI testing and diagnoses. The investigators' expected outcome is to define a feasible, acceptable and effective PrEP implementation strategy for jails.
Interventions
BEHAVIORALMulticomponent strategy
Identify patients for HIV/STI testing, engage in discussions around PrEP and navigate patients to PrEP after jail incarceration
Sponsors
University of Texas Southwestern Medical Center
National Institute of Mental Health (NIMH)
Parkland Health and Hospital System
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Patients identified to be at elevated risk for HIV will meet with the PrEP navigator during incarceration
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 18 years of age or older * Incarcerated in Dallas County Jail
Exclusion criteria
* Severe medical or psychiatric disability making participation unsafe * Unable to provide consent * Not remaining in the local area after release from custody
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Linkage to PrEP care | Within 90 days of release from jail | Measure the proportion of individuals (of those who stated that they were interested in PrEP and have been released from jail) who attended a clinic visit with a PrEP provider as confirmed by the PrEP patient navigator or through medical record review. |
Countries
United States
Contacts
CONTACTAnk Nijhawan, MD
CONTACTLaura Hansen
PRINCIPAL_INVESTIGATORAnk Nijhawan, MD
University of Texas Southwestern Medical Center
PRINCIPAL_INVESTIGATORDouglas Krakower, MD
Beth Israel Deaconess Medical Center
Outcome results
None listed