High Risk Crack Use Settings and HIV in El Salvador

HIV Clinical Trial

— Encuentro  

Official title:

High Risk Crack Use Settings and HIV in El Salvador

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01279421
• Other study ID #: PRO00013931
• Secondary ID: R01DA020350
• Status: Completed
• Phase: N/A
• Start date: November 2010
• Est. completion date: December 2020

Study information

• Verified date: May 2021
• Source: Medical College of Wisconsin
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This project will first increase the accessibility and acceptability of rapid HIV testing in health clinics located in or near four low-income communities in San Salvador, El Salvador. The investigators will use crack users' social networks and small incentives, as recommended by the CDC, in collaboration with the Salvadoran Ministry of Public Health and Social Assistance (MSPAS) to encourage crack users to receive HIV testing. The second part of the intervention consists of training 8 Peer Leaders to recruit and lead a Peer Network Intervention among 400 crack users to change norms supporting HIV protective behaviors. The intervention will include monthly meetings open to crack using and non-crack using community residents to reinforce HIV risk reduction skills, and discussion of other topics related to HIV such as illicit drug use and interpersonal violence and community-wide HIV awareness events. Our hypothesis is that these two intervention features will singly, and in combination, reduce HIV risk behaviors among Salvadoran crack users.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 4382
• Est. completion date: December 2020
• Est. primary completion date: June 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• 18 years or older
• used crack cocaine in the last 2 weeks

Exclusion Criteria:

• not giving informed consent
• under 18 years of age
• considered by research staff to be unfit or unable to give informed consent
• engages in continued disruptive behavior while participating in the project
• not using crack or cocaine in the last month

Related Conditions & MeSH terms

• HIV
• Sexually Transmitted Diseases

Intervention

Behavioral:
• Social Network HIV Testing
Crack users will be recruited for HIV testing and receive 3 coupons to recruit other crack users for HIV testing.
• Peer Network Intervention
Peer leaders will recruit small networks of crack users and facilitate a three-day prevention intervention.

Locations

Country	Name	City	State
El Salvador	Fundasalva	San Salvador

Sponsors (2)

Lead Sponsor	Collaborator
Medical College of Wisconsin	National Institute on Drug Abuse (NIDA)

Country where clinical trial is conducted

El Salvador, 

References & Publications (8)

Dickson-Gomez J, Bodnar G, Guevara CE, Rodriguez K, De Mendoza LR, Corbett AM. With God's help i can do it: crack users? Formal and informal recovery experiences in El Salvador. Subst Use Misuse. 2011;46(4):426-39. doi: 10.3109/10826084.2010.495762. Epub 2010 Aug 24. — View Citation

Dickson-Gomez J, Bodnar G, Petroll A, Johnson K, Glasman L. HIV Treatment for Alcohol and Non-Injection Drug Users in El Salvador. Qual Health Res. 2015 Dec;25(12):1719-32. doi: 10.1177/1049732314568322. Epub 2015 Jan 16. — View Citation

Dickson-Gomez J, Corbett AM, Bodnar G, Rodriguez K, Guevara CE. Resources and obstacles to developing and implementing a structural intervention to prevent HIV in San Salvador, El Salvador. Soc Sci Med. 2010 Feb;70(3):351-359. doi: 10.1016/j.socscimed.2009.10.029. Epub 2009 Nov 10. Erratum in: Soc Sci Med. 2010 Sep;71(5):1047. — View Citation

Dickson-Gomez J, Corbett AM, Bodnar G, Zuniga MO, Guevara CE, Rodriguez K, Navas V. Context and group dynamics in a CBPR-developed HIV prevention intervention. Health Promot Int. 2016 Mar;31(1):93-105. doi: 10.1093/heapro/dau058. Epub 2014 Jul 28. — View Citation

Dickson-Gomez J, McAuliffe T, Rivas de Mendoza L, Glasman L, Gaborit M. The relationship between community structural characteristics, the context of crack use, and HIV risk behaviors in San Salvador, El Salvador. Subst Use Misuse. 2012 Feb;47(3):265-77. doi: 10.3109/10826084.2011.635325. — View Citation

Dickson-Gomez J. Structural factors influencing patterns of drug selling and use and HIV risk in the San Salvador metropolitan area. Med Anthropol Q. 2010 Jun;24(2):157-81. — View Citation

Dickson-Gómez J. Substance abuse disorders treatment in El Salvador: analysis of policy-making-related failure. Subst Use Misuse. 2012 Nov-Dec;47(13-14):1546-51. doi: 10.3109/10826084.2012.705698. — View Citation

Glasman LR, Dickson-Gomez J, Lechuga J, Tarima S, Bodnar G, de Mendoza LR. Using Peer-Referral Chains with Incentives to Promote HIV Testing and Identify Undiagnosed HIV Infections Among Crack Users in San Salvador. AIDS Behav. 2016 Jun;20(6):1236-43. doi — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Increased HIV testing rates among crack users		24 months
Primary	Decreased number of sexual risk behaviors among crack users		12 months
Secondary	Community and organizational factors associated with successful implementation of multi-level, community-based HIV prevention intervention		12 months