Integrating Addiction Treatment and HIV Services Into Primary Care Clinics in Ukraine
NCT04927091 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1458
Last updated 2024-07-10
Summary
A randomized controlled trial to:
1. To compare both primary (composite quality health indicator (QHI) scores) and secondary (individual HIV/methadone maintenance treatment (MMT)/TB/primary care QHI scores, quality of life, and stigma) outcomes in an anticipated 1,350 people who inject drugs (PWID) receiving MMT from 13 regions (clusters) and 39 clinical settings using a stratified, phase-in, controlled design over 24 months. After stratifying PWIDs based on their current receipt of MMT, they will be randomized to receive MMT in specialty addiction clinics (N=450) or in an ECHO-IC/QI-enhanced primary care clinic with (N=450) or without (N=450) pay for performance (P4P) incentives.
2. Using a multi-level implementation science framework, to examine the contribution of client, clinician and organizational factors that contribute to the comprehensive composite (primary outcome) and individual (secondary) QHI scores.
Conditions
- Hiv
- Opioid-use Disorder
Interventions
- OTHER
-
Integration of HIV and PWID services
Co-location of clinical services for HIV and PWID patients
Sponsors & Collaborators
-
Ukrainian Institute on Public Health Policy
collaborator OTHER -
National Institute on Drug Abuse (NIDA)
collaborator NIH -
Yale University
lead OTHER
Principal Investigators
-
Frederick Altice, MD · Yale University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-05-01
- Primary Completion
- 2024-06-30
- Completion
- 2024-06-30
Countries
- Ukraine
Study Locations
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