CARE Corrections: Technology for Jail HIV/HCV Testing, Linkage, and Care (TLC)
| Status: | Completed |
|---|---|
| Conditions: | HIV / AIDS, HIV / AIDS, HIV / AIDS |
| Therapuetic Areas: | Immunology / Infectious Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | August 2013 |
| End Date: | December 2015 |
The purpose of this study is to determine whether an intervention (CARE+ Corrections)
delivered to HIV-infected detainees within the DC Department of Corrections (DOC) and
recently -released ex-detainees in the community can improve linkage to community HIV care
and adherence to HIV medications after release, and ultimately achieve or maintain HIV viral
suppression following community re-entry.
delivered to HIV-infected detainees within the DC Department of Corrections (DOC) and
recently -released ex-detainees in the community can improve linkage to community HIV care
and adherence to HIV medications after release, and ultimately achieve or maintain HIV viral
suppression following community re-entry.
The intervention is modeled after CARE, a technology based HIV-counseling tool used in other
settings. The investigators have adapted CARE to create CARE+ Corrections, a tool designed
specifically for incarcerated and recently-released populations. New and innovative
information communication tools (ICT), including a cell phone/text messaging component
delivered in the community after release from jail, will be included in the intervention.
The study is a randomized controlled trial. One half of the participants will receive the
intervention either inside the jail, in addition to standard discharge planning services, or
in the community right after release. The other half of the participants will view an
educational video related to the prevention of drug overdose following release, in addition
to standard discharge planning services, or in the community right after release. The
investigators will follow all participants for 6 months post release/study enrollment and
determine if the linkage to community care and adherence to HIV medications was higher in
the intervention arm.
The study also has an evaluation component to it. The evaluation component consists in a
series of qualitative interviews with the goal of gaining a better understanding of the
barriers and facilitators involved in implementing the CARE+ Corrections intervention and to
better assess the usability and participants' experiences with the CARE+ Corrections
intervention. The semi-structured interviews are being conducted among the following groups:
1) managers and staff at local correctional facilities and agencies which have interaction
with HIV+ individuals transitioning to the community; 2) leadership and selected staff at
relevant and targeted community-based organizations; and 3) selected study participants from
the intervention group of the RCT. the interviews elicit perspectives on the foreseen
facilitators and challenges in implementing the CARE+ Corrections tool at their respective
organizations as well as their perception on the acceptability of the tool. We also ask
their views about the intervention and the post-release experiences of HIV-positive
individuals who complete the CARE+ Corrections Tool and receive the text message plan.
No prisoners will be involved in this subsection of the study.
settings. The investigators have adapted CARE to create CARE+ Corrections, a tool designed
specifically for incarcerated and recently-released populations. New and innovative
information communication tools (ICT), including a cell phone/text messaging component
delivered in the community after release from jail, will be included in the intervention.
The study is a randomized controlled trial. One half of the participants will receive the
intervention either inside the jail, in addition to standard discharge planning services, or
in the community right after release. The other half of the participants will view an
educational video related to the prevention of drug overdose following release, in addition
to standard discharge planning services, or in the community right after release. The
investigators will follow all participants for 6 months post release/study enrollment and
determine if the linkage to community care and adherence to HIV medications was higher in
the intervention arm.
The study also has an evaluation component to it. The evaluation component consists in a
series of qualitative interviews with the goal of gaining a better understanding of the
barriers and facilitators involved in implementing the CARE+ Corrections intervention and to
better assess the usability and participants' experiences with the CARE+ Corrections
intervention. The semi-structured interviews are being conducted among the following groups:
1) managers and staff at local correctional facilities and agencies which have interaction
with HIV+ individuals transitioning to the community; 2) leadership and selected staff at
relevant and targeted community-based organizations; and 3) selected study participants from
the intervention group of the RCT. the interviews elicit perspectives on the foreseen
facilitators and challenges in implementing the CARE+ Corrections tool at their respective
organizations as well as their perception on the acceptability of the tool. We also ask
their views about the intervention and the post-release experiences of HIV-positive
individuals who complete the CARE+ Corrections Tool and receive the text message plan.
No prisoners will be involved in this subsection of the study.
Inclusion Criteria:
- Currently detained in jail or released from the jail/prison 6 months ago or less
- 18 years of age or older
- English speaking
- Able to provide informed consent for research participation
- Anticipated release from the DOC to the community (or living in the community if
recently released ex-detainee)
- Confirmed to be HIV-infected by self-report
- Live in metropolitan Washington, DC area
- Able to read at 8th grade level as assessed by brief literacy screen
Exclusion Criteria:
- Expected release to restricted setting (or currently living in a restricted setting
if recruited in the community), including residential drug treatment, sober house,
half-way house, or similar
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