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| Name | Class |
|---|---|
| Sentient Research | INDUSTRY |
| UCLA David Geffen School of Medicine and Fielding School of Public Health | UNKNOWN |
| Denver STD Prevention Training Center, Denver Public Health Department | UNKNOWN |
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The purpose of this project is to beta-test a brief waiting room video intervention that promotes early initiation of antiretroviral treatment among treatment-naïve HIV-positive patients, adherence to antiretroviral treatment and retention in care among HIV-positive patients currently on therapy, sexual risk reduction tailored to HIV-positive persons, and patient-initiated discussion of these topics with their health providers. The video is currently being created, and will be ready for beta-testing by June 1, 2016. Results of the beta-testing will be used to refine and improve the video before dissemination to HIV/AIDS treatment facilities nationally. This video project is being funded by the Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention (DHAP).
The overall goal of this study is to beta-test the waiting room video in three HIV/AIDS treatment facilities in different US jurisdictions with high AIDS prevalence. These results will be used to refine the video and to increase its effectiveness among minority persons living with HIV infection. The beta-testing will consist of: 1) unobtrusive observations of waiting room patients for one day at each facility and 2) de-identified, existing patient medical data abstracted from each facility's electronic medical record (EMR) system to investigate outcomes relevant to HIV medication adherence and retention in care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | 29-minute clinic waiting room video intervention that includes three vignettes and a 2-part animation sequence about main characters who model overcoming challenges to optimal HIV care. The video was played on continuous loop in recognition of typically short patient wait times. Waiting room posters used images from the video to direct patients' attention to the video and reinforce prevention messages. |
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| Comparison | No Intervention | Historical comparison condition. Patients were exposed to standard waiting room environment (absent of intervention video and posters). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Taking Care of Me Video | Other | The video's conceptual framework incorporates Social Cognitive Theory, Information-Motivation-Behavioral Skills model, and Social Action Theory, which together address cognitive and behavioral factors related to study outcomes. Storylines embedded prevention messages aimed at increasing treatment initiation (n=9), medication adherence (n=35), retention in care (n=22), partner protection (n=12), and communication with health care providers (n=7). |
| Measure | Description | Time Frame |
|---|---|---|
| Antiretroviral therapy (ART) medication adherence (suppression level) | Adherence was measured by whether viral load suppression (<200 RNA copies/mL) was achieved | By 6 months (183 days) after the patient's index (first) visit to the clinic |
| Antiretroviral therapy (ART) medication adherence (undetectable level) | Adherence was measured by whether viral load suppression (<50 RNA copies/mL) was achieved | By 6 months (183 days) after the patient's index (first) visit to the clinic |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment initiation | Treatment initiation was measured by a patient's receipt of an ART prescription | on, before, or within 7 days after, their index visit, as documented by OAMC visits in patient EMRs. |
| Retention in HIV medical care |
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Inclusion Criteria:
HIV/AIDS treatment facility inclusion: The participating treatment facilities will have a combined total of at least 2,700 monthly patient visits during the study period. Each of the HIV/AIDS treatment facilities meets the following inclusion criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mary S. Neumann, PhD | Centers for Disease Control and Prevention | Principal Investigator |
| Aaron Plant, MPH | Sentient Research | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30289884 | Derived | Neumann MS, Plant A, Margolis AD, Borkowf CB, Malotte CK, Rietmeijer CA, Flores SA, O'Donnell L, Robilotto S, Myint-U A, Montoya JA, Javanbakht M, Klausner JD. Effects of a brief video intervention on treatment initiation and adherence among patients attending human immunodeficiency virus treatment clinics. PLoS One. 2018 Oct 5;13(10):e0204599. doi: 10.1371/journal.pone.0204599. eCollection 2018. |
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When appropriate, data sets will be made available to interested researchers following discussion with study team.
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| ID | Term |
|---|---|
| D015658 | HIV Infections |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
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| California State University, Long Beach | OTHER |
| Education Development Center, Inc. | INDUSTRY |
Quasi-experimental design, in which the intervention condition (i.e., video and posters) was implemented for 10 months and the historical comparison condition (i.e., standard waiting room environment) was the prior 10-month period.
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Measured by an adaptation of the Health Resources and Services Administration's (HRSA) definition in the Annual Ryan White HIV/AIDS Program Services Report
| 2 or more clinic visits for any reason at least 90 days apart in the past year divided by all active clients who had had at least one such visit in the past year |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |