Case Management Dyad

University of Chicago180 enrolled

Overview

The overall goal of this study is to test whether dyadic and focused case management will (1) improve financial wellbeing, (2) improve access to food, (3) increase linkage and retention rates for individuals living with HIV or those taking PrEP (PrEP persistence), and (4) increase the proportion of individuals living with HIV who are virally suppressed (viral suppression) when compared to routine Ryan White Non-Medical Case Management.

The purpose of this research is to test the impact of dyadic, focused case management on financial well-being, access to food, linkage to and retention in care outcomes for individuals living with or vulnerable to HIV. The study population is men who have sex with men (MSM) or same-sex attraction, gender-diverse persons, and cis-gender women living with or at increased vulnerability to HIV. The study team will be testing the hypotheses that dyadic case management that is focused on financial wellness, will have better outcomes for folks living with or vulnerable to HIV. Analyses will be used to assess the efficacy of the intervention as an emerging practice.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

180

Conditions

HIV Pre-exposure Prophylaxis Case Management

Interventions

Dyadic Case ManagementBEHAVIORAL

Subjects enrolled in the intervention arm will be offered focused case management centered around goal setting and future orientation. Subjects will be assigned two case managers to support their goals.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Gap in HIV or PrEP care access in the past 24 months, defined as a gap greater than 6 months or detectable viral load at least one time in the past 24 months Self-reported financial or food insecurity

Locations (1)

University of Chicago

Chicago, Illinois, United States

RECRUITING

Outcomes

Primary Outcomes

Financial wellbeing

Proportion of subjects who report improved financial wellbeing (e.g. consistent income, ability to pay bills).

Time frame: 18 months

Food Security

Proportion of individuals who report improved access to food (e.g. fewer gaps in access to food, reduced concern about access to food).

Time frame: 18 months

Secondary Outcomes

PrEP Persistence

Proportion of individuals who have engaged in PrEP care regularly (beyond 6 months).

Time frame: 18 months

Viral Suppression

Proportion of individuals who have a viral load below 200 copies/mL

Time frame: 18 months

Central Contacts

Rebecca Eavou

CONTACT

773-834-233 reavou@bsd.uchicago.edu

Data from ClinicalTrials.gov

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