Birmingham Access to Care Study

University of Alabama at Birmingham170 enrolled

Overview

The purpose of this study is to determine whether a modified form of the ARTAS (Antiretroviral Treatment and Access to Services) intervention, adapted for HIV patients who have fallen out of care, can be successful in re-engaging patients in care and reducing HIV-1 viral load.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

170

Conditions

HIV Infection HIV Care Loss to Followup

Interventions

Modified ARTAS (Antiretroviral Treatment and Access to Services) interventionOTHER

Eligibility

Sex: ALLMin age: 19 Years

Medical Language ↔ Plain English

Inclusion Criteria: * HIV patient with at least one primary care appointment since 1/1/10 but currently lost to follow-up defined as 1) currently out of care for greater than 7 months or 2) does NOT have two or more completed clinic visits separated by three or more months in time during a 12-month observation period (HRSA-HAB measure of retention in care) or 3) has 2 or more "no shows" - scheduled visits for which the patient has not arrived or canceled - in the past 12 months. * 19 years or older * Be able and willing to provide informed consent * Be willing to provide locator information * Be willing to sign a HIPAA authorization form/medical record release form to facilitate medical record abstraction * Report living in the vicinity * Be able to communicate in English. Exclusion Criteria: * Not meeting one of the above inclusion criteria * Have significant cognitive or developmental impairment to the extent that they are unable to provide informed consent * Incarcerated at the time of potential enrollment * Are terminated via site PI decision

Outcomes

Primary Outcomes

Change in HIV-1 Viral Load from Baseline to 12-month Followup

HIV-1 viral load is obtained via study-specific lab work done at Baseline and at the 12-month followup session.

Time frame: Baseline and 12-month Followup

Secondary Outcomes

Re-Engagement in Care: Post-Enrollment Linkage Visit + Meeting HRSA-HAB Guidelines for Retention in Care

Using HIV primary care clinic attendance records, participants are assessed as to 1) whether or not an HIV Primary Care visit was completed post study enrollment and 2) following that visit, whether the participant made and kept appointments as necessary to meet HRSA-HAB guidelines constituting retention in HIV care. BOTH conditions must be present in order for participant to be considered "re-engaged" in care.

Time frame: 12-month

Data from ClinicalTrials.gov

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