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| Name | Class |
|---|---|
| Los Angeles County Department of Public Health | OTHER_GOV |
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This study will implement a peer navigation intervention to improve linkage to and retention in HIV care for inmates released from L.A. county jail into the community.
The proposed study has two Primary Specific Aims:
The intervention is hypothesized to result in greater linkage to care, a greater proportion completing at least three HIV care visits per year, increased self-reported ART adherence, and decreased levels of HIV RNA viral load compared to the usual care control group.
Secondary Aims of the study include assessing the potential moderating effects of substance abuse, the potential mediating effects of substance abuse treatment, and the program's effects on recidivism, and costs.
Active substance abuse is hypothesized to moderate the effect of the intervention, such that the intervention will be less effective among participants who report substance use.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Peer Navigation Intervention Arm | Experimental | Subjects will receive the following peer navigation services: 1) 10 Navigator meetings: Navigators will meet with participants in person to teach linkage/retention skills and knowledge 2a) 2 Navigator accompaniment sessions: the peer navigator will accompany participants to HIV care appointment. Before and after the appointment, participants and navigators will review linkage and retention skills/knowledge and things that make it hard or easy for him/her to get regular HIV care 2b) Optional peer navigator accompaniment sessions: If the participant requests, the peer navigator will provide accompaniment to supportive HIV care appointments (one per month max) 3) 14 peer navigator care calls: During these calls, navigators and participants will talk about any problems that could make it difficult to get regular HIV care. |
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| Usual Care | No Intervention | Participants assigned to the control arm will receive the transitional case management (TCM) services that are currently offered at the jail |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Peer Navigator | Behavioral | Peer navigation intervention to improve linkage to and retention in HIV care and suppress viral load for underserved HIV+ persons in Los Angeles |
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| Measure | Description | Time Frame |
|---|---|---|
| Linkage to HIV Care | Number of HIV+ ex jail inmates accessing HIV care | 12 months |
| Retention in Treatment | This assesses whether or not the HIV+ ex jail inmates were retained in their HIV care after first accessing care. | 12 months |
| Adherence to Treatment | How adherent the HIV+ ex jail inmates are to their treatment regiment, by self-report. | 12 months |
| Viral Load | HIV+ ex jail inmates' viral load | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Costs | Cost of the intervention and HIV care | 12 months |
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Inclusion criteria:
Exclusion criteria:
Self-represented transgender women.
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| Name | Affiliation | Role |
|---|---|---|
| William E Cunningham, MD, MPH | University of California, Los Angeles | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| LA County Jail | Los Angeles | California | 90012 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29532059 | Derived | Cunningham WE, Weiss RE, Nakazono T, Malek MA, Shoptaw SJ, Ettner SL, Harawa NT. Effectiveness of a Peer Navigation Intervention to Sustain Viral Suppression Among HIV-Positive Men and Transgender Women Released From Jail: The LINK LA Randomized Clinical Trial. JAMA Intern Med. 2018 Apr 1;178(4):542-553. doi: 10.1001/jamainternmed.2018.0150. |
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| ID | Term |
|---|---|
| D000163 | Acquired Immunodeficiency Syndrome |
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
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| D015229 |
| Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D012897 | Slow Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |