Ending Transmission of HIV, HCV, and STDs and Overdose in Rural Communities of People Who Inject Drugs (ETHIC)

University of Chicago306 enrolled

Overview

This study will evaluate the referral to harm reduction services (HRS) including syringe services, naloxone overdose prevention, substance use treatment referral, HIV, HCV, and STD testing and referral and linkage to care through capacity building of existing programs through client services data.

This is a prospective longitudinal Type 1 Hybrid Implementation Effectiveness Study on the expansion of harm reduction services for people who inject drugs (PWID) and people who use opioids (PWUO) residing in high risk areas of rural southern Illinois. This study record describes one component of the larger Ending transmission of HIV, HCV, and STDs and overdose in rural communities of people who inject drugs (ETHIC) study Community Response Plan (CRP) framework, specifically the expansion of harm reduction services intervention (HRS). The aim is to assess the effectiveness of expansion of evidenced based harm reduction services through our CRP framework comprising: a) geographically targeted recruitment based on hot spot and vulnerability analyses, b) community engagement, c) recruitment via Respondent Driven Sampling (RDS), d) expanded surveillance for HIV and HCV, and e) concomitant HCV and opioid use treatment capacity expansion through the Extension of Community Healthcare Outcomes (ECHO) model. Examination of facilitators and barriers impacting implementation of service delivery is evaluated through mixed methods process evaluation. The Type 1 Hybrid design is supported by conditions including the existing evidence based for benefits and minimal harm of "harm reduction services" and strong base for applicability of this intervention in the study setting (ie rural opioid use)

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

306

Conditions

HIV Hepatitis C Opioid-use Disorder Injection Drug Use

Interventions

Referral to harm reduction servicesBEHAVIORAL

Participants are referred to harm reduction services

Eligibility

Sex: ALLMin age: 15 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 15 years of age and older * Injected any drug in the past 30 days * Used any opioids non-medically in the past 30 days * English speaking * Able to provide informed consent at the time of the study visit Exclusion Criteria: * Less than 15 years of age * Not injected any drug in the past 30 days * Not used any opioids non-medically in past 30 days * Non-English speaking * Has not injected any opioid drug to get high in the past 30 days * Unable to provide informed consent at the time of the study visit

Locations (2)

Southern Illinois University

Carbondale, Illinois, United States

The Community Action Place, Inc.

Murphysboro, Illinois, United States

Outcomes

Primary Outcomes

Total Participants Who Received Referrals to the Harm Reduction Services Organization

Number of participants who accept referral to the intervention (divided by the total enrolled who did not have previous engagement prior to the study with the harm reduction services organization).

Time frame: 2 years

Secondary Outcomes

Number of Locations Where Participants Received Most of Syringes or Needles

Number of unique zip codes that participants received most of their syringes or needles based on mobile unit delivery.

Time frame: 2 years

Number of Times Sterile Syringes and/or Equipment Obtained From an Intervention

This was counted as the number of visits made by the hard reduction service organization to distribute sterile syringes and/or equipment.

Time frame: 2 years

Number of Times Participants Used a Syringe or Needle That They Knew Was Used by Somebody Else

"How many times (encounters) in the past 30 days did you inject using a syringe or needle that you know had been used by somebody else?"

Time frame: 2 years

Number of Times Participants Used a Cotton, Cooker, Spoon, or Water for Rinsing or Mixing That They Knew Was Used by Somebody Else

"How many times (encounters) in the past 30 days did you use a cotton, cooker, spoon or water for rinsing or mixing that you know had been used by somebody else?"

Time frame: 2 years

Number of Times Participants Let Someone Else Use a Cotton, Cooker, Spoon, or Water for Rinsing or Mixing After They Used it

"How many times (encounters) in the past 30 days did you let someone else use a cotton, cooker, spoon, or water for rinsing or mixing after you used it?"

Data from ClinicalTrials.gov

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