Directly Observed Therapy for Community-Released HIV+ Prisoners
NCT00786396 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 151
Last updated 2014-08-20
Summary
The aim of this study is to develop effective interventions for HIV-infected prisoners who are released to the community. The intervention that we will study will be directly observed therapy (DAART/DOT) and we will compare this to the current standard of care that involves self-administered therapy (SAT). All subjects will get transitional case management and all subjects with a prior history of opiate dependence will be offered opiate substitution therapy (buprenorphine or methadone).
Hypotheses:
* At the end of six months those receiving DAART will have a higher level of adherence to HAART as compared to the SAT group.
* The DAART Intervention will result in subjects having lower viral loads and higher CD4 counts as compared to the SAT group.
* At the end of six months, the DAART group will have a lower rate of recidivism to jail/prison as compared to the SAT group.
* Over the year, the DAART group will be more likely to make repeated primary HIV care visits than the SAT group.
Conditions
Interventions
- BEHAVIORAL
-
Directly administered antiretroviral therapy
Daily observation of subjects taking their HIV medications
Sponsors & Collaborators
-
Yale University
lead OTHER
Principal Investigators
-
Frederick L Altice, MD · Yale University
-
Gerald Friedland, M.D. · Yale University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2004-07-31
- Primary Completion
- 2010-12-31
- Completion
- 2010-12-31
Countries
- United States
Study Locations
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