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Program Refinements to Optimize Model Impact and Scalability Based on Evidence

NCT03628287 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 960

Last updated 2024-08-30

Study results available
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Summary

In New York, the achievement of 90-90-90 goals is jeopardized not by limited access to affordable care and treatment, but by persistent disparities in HIV viral suppression (VS). Complex behavioral and structural barriers to achieving and maintaining VS require coordinated, combination approaches to meet medical and social service needs. In 2009, at 28 Ryan White Part A (RWPA)-funded agencies, the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) launched a multi-component HIV Care Coordination Program (CCP) directed toward the most vulnerable persons living with HIV (PLWH) in NYC. A systematic CCP effectiveness study began in 2013 (R01 MH101028; PIs: Irvine, Nash). Findings to date suggest that the CCP is superior to usual care for vulnerable subgroups of PLWH, but there remains substantial room for improvement in short- and long-term VS. In an immediate evidence-to-practice feedback loop, the DOHMH is implementing a refined CCP model in 2018. Greater focusing, tailoring and cues for delivery of key components are expected to increase CCP engagement, reach, fidelity, scalability, effectiveness and impact. The aim of the proposed study is to estimate the effect of the revised (vs. original) CCP on timely VS (within 4 months of enrollment), using experimental methods.

Conditions

Interventions

OTHER

Revised Care Coordination Program

Greater focusing, tailoring and cues for delivery of key components of Care Coordination

OTHER

Original Care Coordination Program

Original Care Coordination

Sponsors & Collaborators

  • New York City Department of Health and Mental Hygiene

    collaborator OTHER_GOV

  • City University of New York, School of Public Health

    lead OTHER

Principal Investigators

  • Denis Nash, PhD · CUNY School of Public Health and Health Policy

  • Mary Irvine, DrPH · New York City Department of Health and Mental Hygiene

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Model
SEQUENTIAL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2018-08-01
Primary Completion
2020-01-30
Completion
2023-01-31

Countries

  • United States

Study Locations

More Related Trials

Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03628287 on ClinicalTrials.gov