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This project collaborates with the New York City Department of Health and Mental Hygiene (NYC DOHMH) to develop and test a field-based comprehensive sexual health intervention for HIV-exposed contacts notified by its Partner Services (i.e., HIV contact tracing) program. The goal of the study is to develop and test the impact of this new intervention on improving rates of HIV testing, linkage to HIV prevention/care, and PrEP uptake among highest risk contacts recently exposed to HIV. We will conduct a 6-month pilot project, followed by a cross-sectional stepped wedge cluster randomized trial in which 12 clusters of NYC neighborhoods are exposed to the intervention sequentially, with three clusters moving from control to intervention every 6 months (n = 1150). Primary outcomes are HIV testing, timely PrEP/ARV uptake, and linkage to PrEP/HIV care. Secondary outcomes are STD testing and receipt of STD treatment (if indicated).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fast Track Intervention | Experimental | This arm refers to the new Partner Services-Sexual Health intervention offered to contacts by the Partner Services program |
|
| Standard of Care | Active Comparator | This arm refers to the current standard practice for partners contacted by the Partner Services program |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fast Track Partner Services-Sexual Health Intervention | Other | The Partner Services-Sexual Health Intervention enhances the current standard of care by introducing four service innovations to the DOHMH Partner Services program: (1) enhanced field-based combination HIV and STI testing; (2) immediate field-based ARV/PrEP start; (3) navigation to a sexual health clinic for test results and treatment; and (4) enhanced linkage support to facilitate ongoing PrEP or HIV care. |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptance of HIV Testing | Whether or not contacts offered testing by the Partner Services program accept HIV testing | 1 month |
| PrEP/ARV Initiation | Whether or not contacts start ARV medication in the field or at their referral visit | 3 months |
| Linkage to PrEP/HIV Care | Whether or not contacts attend their navigation visit to receive ongoing PrEP or HIV services | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| STI testing | Whether or not contacts accept STI testing in the field or at their referral visit | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sarit A Golub, PhD, MPH | Contact | 212.396.6304 | sarit.golub@hunter.cuny.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hunter College of CUNY | Recruiting | New York | New York | 10065 | United States |
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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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This study uses a cross sectional stepped wedge cluster randomized design
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| Partner Services Standard of Care | Other | Participants in neighborhoods that have not yet been assigned to the intervention condition in the stepped wedge trial will receive standard Partner Services components, including field-based HIV testing and referral to clinical sites for HIV prevention or treatment. |
|
| 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 |