Effectiveness of Peer Navigation and Contingency Management on Retention in HIV Care
Status: | Recruiting |
---|---|
Conditions: | HIV / AIDS |
Therapuetic Areas: | Immunology / Infectious Diseases |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 4/21/2016 |
Start Date: | January 2016 |
End Date: | January 2020 |
Contact: | Danielle Seiden, MPP |
Email: | dseiden@mednet.ucla.edu |
Phone: | 310-794-3556 |
Consistent treatment with anti-retroviral therapy (ART) suppresses viral load (VL),
prolonging life and improving quality of life for HIV+ persons. Suppressing VL benefits
communities by reducing transmission to others. Mere availability of ART and care, however,
is insufficient; the benefits of ART depend upon HIV+ persons' continuous visits to the
health care provider, regular monitoring and regular delivery of medications, - known as
retention in HIV care. In spite of national efforts, up to a quarter of HIV+ persons,
especially low-income minorities are out of care. Innovative interventions are therefore
urgently needed to maximize engagement and retention in HIV care, self-reported adherence,
as well as HIV-1 RNA viral load suppression. In pursuit of these aims, the proposed study
will assess outcomes of the following interventions in comparison to usual care: 1)
contingency management (CM) only; 2) peer navigation (PN) only; and 3) a combined approach
that integrates both CM and PN (CA) which the investigators hypothesize to be most effective
in improving HIV clinical outcomes.
prolonging life and improving quality of life for HIV+ persons. Suppressing VL benefits
communities by reducing transmission to others. Mere availability of ART and care, however,
is insufficient; the benefits of ART depend upon HIV+ persons' continuous visits to the
health care provider, regular monitoring and regular delivery of medications, - known as
retention in HIV care. In spite of national efforts, up to a quarter of HIV+ persons,
especially low-income minorities are out of care. Innovative interventions are therefore
urgently needed to maximize engagement and retention in HIV care, self-reported adherence,
as well as HIV-1 RNA viral load suppression. In pursuit of these aims, the proposed study
will assess outcomes of the following interventions in comparison to usual care: 1)
contingency management (CM) only; 2) peer navigation (PN) only; and 3) a combined approach
that integrates both CM and PN (CA) which the investigators hypothesize to be most effective
in improving HIV clinical outcomes.
Inclusion Criteria:
1. Diagnosed HIV+
2. Age 18 years or older
3. English or Spanish speaking
4. Residence in Los Angeles County
5. prescribed ART in prior 24 months
6. < 3 visits in prior 12 months or have detectable viral load, as identified in the
Ryan White CaseWatch database
Exclusion Criteria:
Not meeting any of the criteria identified above
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