Structured Peer-delivered ART and Reentry Community Strategy
NCT06027671 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 400
Last updated 2026-02-11
Summary
The overarching goal of this study is to implement a transition community adherence club strategy (Full-SPARCS) for HIV-positive individuals transitioning from correctional to community settings in South Africa. The investigators seek to provide actionable findings to inform policy decisions to contribute to HIV care continuity with this population. The investigators note that effectiveness and scalability often conflict with intervention design; thus, the investigators have proposed testing whether a group approach is effective and the investigators will assess the costs of each component
* To compare the effectiveness of Full-SPARCS to care as usual to achieve HIV RNA suppression 6 months following correctional facility release
* To assess determinants of implementation of Full-SPARCS
* To assess the scalability through costing and cost effectiveness analysis of Full-SPARCS
Conditions
- Retention in Care
Interventions
- BEHAVIORAL
-
Full-SPARCS Intervention
Within 14 days of release, participants will have one-on-one contact with a facilitator to update locator information, continue rapport building, review disclosure plans, provide a reminder of SPARCS logistics, and assign or remind the participant to a SPARCS group based on their location of residence and timing of release (depending on whether this occurred pre-release). Each Full-SPARCS meeting lasts approximately 2 hours, and the sessions occur in a private space in a community venue (e.g., community centre or church).
Sponsors & Collaborators
-
Aurum Institute
collaborator OTHER -
Seoul National University
collaborator OTHER -
National Institute of Mental Health (NIMH)
collaborator NIH - lead OTHER
Principal Investigators
-
Christopher Hoffmann · Johns Hopkins School of Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- FACTORIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-11-18
- Primary Completion
- 2028-07-31
- Completion
- 2028-07-31
Countries
- South Africa
Study Locations
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