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To develop and test the effect of a patient-centered HIV prevention decision aid on HIV pre-exposure prophylaxis (PrEP) uptake among women with substance use disorders (SUD) in treatment.
To test the effect of the informed decision aid intervention on PrEP uptake among women with substance use disorders in treatment. Investigators hypothesize that compared to those receiving standard harm reduction information, women receiving the decision aid will have a significant increase in PrEP uptake at 6 and 12 months post-intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Care | Active Comparator | Participants will receive standard information about harm reduction as available at the drug treatment centers. |
|
| Decision aid | Experimental | Participants in this arm will receive the adapted decision aid for PrEP. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Decision aid | Behavioral | Participants in the experimental arm will receive the PrEP decision aid. |
|
| Measure | Description | Time Frame |
|---|---|---|
| PrEP Uptake | PrEP uptake is measured by attending an appointment with a provider for the purposes of starting PrEP. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| PrEP Adherence by Self Report | Adherence to PrEP is measured by pill count | 12 months |
| PrEP Adherence by Pharmacy Refill | Adherence to PrEP is measured by pharmacy refill data |
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Inclusion Criteria:
Exclusion Criteria:
cis- or trans- female eligible
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| Name | Affiliation | Role |
|---|---|---|
| Jaimie P Meyer, MD | Yale University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yale AIDS Program | New Haven | Connecticut | 06519 | United States |
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| ID | Term |
|---|---|
| D015658 | HIV Infections |
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
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| ID | Term |
|---|---|
| D003661 | Decision Support Techniques |
| D059039 | Standard of Care |
| D013812 | Therapeutics |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
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A controlled un-blinded pilot study.
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A controlled un-blinded pilot study.
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| Standard care | Behavioral | Standard harm reduction information |
|
|
| 12 months |
| Changes in PrEP receptiveness | Receptiveness to PrEP (pre- and post- decision aid) is measured on a receptiveness scale (Likert 1-5) | 12 months |
| Changes in HIV risk behaviors | Changes in HIV risk is measured by a modified risk assessment form from NIDA | 12 months |
| 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 |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D017530 | Health Care Quality, Access, and Evaluation |