HIV Clinical Trial
Official title:
The Peer Support Intervention - Supporting HIV Positive Adolescents in Zimbabwe to Improve HIV Care Continuum Outcomes
Youth with evidence of virologic failure defined as an HIV VL>400 copies/mL on two consecutive occasions at least 1 month apart will be eligible for enrollment. Youth will be randomized to a community based peer counseling support group or clinic based standard of care, with viral load, and drug monitoring evaluations at 3 month intervals to determine the efficacy of the intervention in improving adherence and virologic suppression.
Title The Peer Support Intervention - supporting HIV positive adolescents in Zimbabwe to
improve HIV care continuum outcomes
Short Title The Peer Support Intervention
Study Design Prospective randomized study
Study Duration 2 years
Study Population 250 Youth (ages 10-24 years) with virologic failure
Study Outcomes Primary Outcomes
1. Virologic suppression rate in the The Peer Support Intervention group compared with the
standard of care group following 48 weeks in the Peer Support Intervention.
Secondary Outcomes
1. Frequency of acquired drug resistance mutations among youth failing ART.
2. Baseline prevalence of psychological distress among adolescents and young adults failing
first line therapy
3. Prevalence of psychological distress (measured using PHQ-A and SSQ) after 48 weeks of
enrolment in the Peer Support Intervention compared with the standard of care
4. Association between self-reported adherence, pill counts and objective surrogate markers
of adherence obtained from plasma (viral load), DBS and hair (tenofovir concentrations).
5. Effectiveness of point mutation assays for the detection of drug resistance as compared
with standard sequencing techniques.
Description of Intervention Youth with evidence of virologic failure defined as an HIV VL>400
copies/mL on two consecutive occasions at least 1 month apart will be eligible for
enrollment. Youth will be randomized to a community based peer counseling support group or
clinic based standard of care, with viral load, and drug monitoring evaluations at 3 month
intervals to determine the efficacy of the intervention in improving adherence and virologic
suppression.
Study Sites Parirenyatwa Hospital Family Care Centre
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