Trial Outcomes & Findings for Community Health Worker And MHealth to ImProve Viral Suppression (CHAMPS Pilot) (NCT NCT05938413)

NCT ID: NCT05938413

Last Updated: 2025-03-07

Results Overview

Using dried blood samples or electronic health records obtained during study visits, viral load levels will be used to assess ART adherence. The number of participants with detectable viral load (\>= 200 copies/mL in EHR; \>= 500 copies/mL in DBS) and not detectable viral load (\<200 copies/mL in EHR, \<500 copies/mL in DBS) will be reported. The intervention effect at the 3 month follow up was adjusted for various values of baseline.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

3 months

Results posted on

2025-03-07

Participant Flow

Participant milestones

Participant milestones
Measure
Control
Standard of care
Intervention or CHAMPS
Wise App that delivers medication adherence reminders and community health worker sessions Wise App with medication adherence reminders: The Intervention group will receive the Wise App that delivers medication adherence reminders. CHW Sessions: The Intervention group will complete sessions with a community health worker (CHW).
Overall Study
STARTED
20
20
Overall Study
COMPLETED
18
12
Overall Study
NOT COMPLETED
2
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Control
Standard of care
Intervention or CHAMPS
Wise App that delivers medication adherence reminders and community health worker sessions Wise App with medication adherence reminders: The Intervention group will receive the Wise App that delivers medication adherence reminders. CHW Sessions: The Intervention group will complete sessions with a community health worker (CHW).
Overall Study
Lost to Follow-up
1
7
Overall Study
Withdrawal by Subject
1
1

Baseline Characteristics

Community Health Worker And MHealth to ImProve Viral Suppression (CHAMPS Pilot)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=20 Participants
Standard of care
Intervention or CHAMPS
n=20 Participants
Wise App that delivers medication adherence reminders and community health worker sessions Wise App with medication adherence reminders: The Intervention group will receive the Wise App that delivers medication adherence reminders. CHW Sessions: The Intervention group will complete sessions with a community health worker (CHW).
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
49.2 years
STANDARD_DEVIATION 13.52 • n=99 Participants
46.5 years
STANDARD_DEVIATION 11.89 • n=107 Participants
47.85 years
STANDARD_DEVIATION 12.64 • n=206 Participants
Sex/Gender, Customized
Male
12 Participants
n=99 Participants
12 Participants
n=107 Participants
24 Participants
n=206 Participants
Sex/Gender, Customized
Female
7 Participants
n=99 Participants
8 Participants
n=107 Participants
15 Participants
n=206 Participants
Sex/Gender, Customized
Something Else
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=99 Participants
18 Participants
n=107 Participants
36 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=99 Participants
14 Participants
n=107 Participants
24 Participants
n=206 Participants
Race (NIH/OMB)
White
9 Participants
n=99 Participants
5 Participants
n=107 Participants
14 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
20 participants
n=99 Participants
20 participants
n=107 Participants
40 participants
n=206 Participants
Relationship Status
Single
10 Participants
n=99 Participants
14 Participants
n=107 Participants
24 Participants
n=206 Participants
Relationship Status
In a relationship with a man
6 Participants
n=99 Participants
3 Participants
n=107 Participants
9 Participants
n=206 Participants
Relationship Status
In a relationship with a woman
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Relationship Status
Divorced/separated from a man
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Relationship Status
Divorced/separated from a woman
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Relationship Status
Widowed
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Relationship Status
Other
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Children
No
12 Participants
n=99 Participants
15 Participants
n=107 Participants
27 Participants
n=206 Participants
Children
Yes
8 Participants
n=99 Participants
5 Participants
n=107 Participants
13 Participants
n=206 Participants
Highest Level of Education
None
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Highest Level of Education
Elementary School
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Highest Level of Education
Some high school, no diploma
2 Participants
n=99 Participants
3 Participants
n=107 Participants
5 Participants
n=206 Participants
Highest Level of Education
High school diploma or equivalent
5 Participants
n=99 Participants
5 Participants
n=107 Participants
10 Participants
n=206 Participants
Highest Level of Education
Some college
6 Participants
n=99 Participants
4 Participants
n=107 Participants
10 Participants
n=206 Participants
Highest Level of Education
Associate degree or technical degree
4 Participants
n=99 Participants
3 Participants
n=107 Participants
7 Participants
n=206 Participants
Highest Level of Education
Bachelor/college degree
2 Participants
n=99 Participants
3 Participants
n=107 Participants
5 Participants
n=206 Participants
Highest Level of Education
Professional or graduate degree
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Viral Load
Viral Load Not Detectable
17 Participants
n=99 Participants
11 Participants
n=107 Participants
28 Participants
n=206 Participants
Viral Load
Viral Load Detectable
3 Participants
n=99 Participants
9 Participants
n=107 Participants
12 Participants
n=206 Participants
Score on the Self-Rating Scale Item
4.80 units on a scale
STANDARD_DEVIATION 1.34 • n=99 Participants
4.9 units on a scale
STANDARD_DEVIATION 1.35 • n=107 Participants
4.85 units on a scale
STANDARD_DEVIATION 1.33 • n=206 Participants

PRIMARY outcome

Timeframe: 3 months

Population: 17 analyzed as an insufficient sample was provided by n=1 (did not yield a result)

Using dried blood samples or electronic health records obtained during study visits, viral load levels will be used to assess ART adherence. The number of participants with detectable viral load (\>= 200 copies/mL in EHR; \>= 500 copies/mL in DBS) and not detectable viral load (\<200 copies/mL in EHR, \<500 copies/mL in DBS) will be reported. The intervention effect at the 3 month follow up was adjusted for various values of baseline.

Outcome measures

Outcome measures
Measure
Control
n=17 Participants
Standard of care
Intervention or CHAMPS
n=12 Participants
Wise App that delivers medication adherence reminders and community health worker sessions Wise App with medication adherence reminders: The Intervention group will receive the Wise App that delivers medication adherence reminders. CHW Sessions: The Intervention group will complete sessions with a community health worker (CHW).
Viral Load
Viral Load Not Detectable
15 Participants
11 Participants
Viral Load
Viral Load Detectable
2 Participants
1 Participants

SECONDARY outcome

Timeframe: Up to 3 months

Population: This outcome measures ART adherence using CleverCap. The control group is not reported in this outcome as they were not exposed to the intervention and therefore did not receive the CleverCap device.

The CleverCapTM dispenser will automatically record each time a participant opens the dispenser. The investigators will collect adherence data each day from the start to the end of trial (day 1 to 3 months), and it is a count response (number of times taking medication each day). The percentage of their prescribed doses taken will be reported.

Outcome measures

Outcome measures
Measure
Control
n=12 Participants
Standard of care
Intervention or CHAMPS
Wise App that delivers medication adherence reminders and community health worker sessions Wise App with medication adherence reminders: The Intervention group will receive the Wise App that delivers medication adherence reminders. CHW Sessions: The Intervention group will complete sessions with a community health worker (CHW).
Antiretroviral Therapy (ART) Adherence - CleverCap
60.08 percentage of prescribed doses
Standard Deviation 19.15

SECONDARY outcome

Timeframe: 3 months

The Self-Rating Scale Item is a single-item self-report adherence measure that uses a 6-point Likert scale to describe medication adherence over the past 4 weeks. Scores range from 1(very poor) to 6 (excellent).

Outcome measures

Outcome measures
Measure
Control
n=18 Participants
Standard of care
Intervention or CHAMPS
n=12 Participants
Wise App that delivers medication adherence reminders and community health worker sessions Wise App with medication adherence reminders: The Intervention group will receive the Wise App that delivers medication adherence reminders. CHW Sessions: The Intervention group will complete sessions with a community health worker (CHW).
Score on the Self-Rating Scale Item (SRSI)
5.27 score on a scale
Standard Deviation 1.23
5.25 score on a scale
Standard Deviation 1.17

Adverse Events

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention or CHAMPS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Rebecca Schnall, PhD, MPH, RN

Columbia University

Phone: 212-342-6886

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place