HIV Infections Clinical Trial
Official title:
HIV-Related Care Engagement: Linkage to Care and Care-Seeking for HIV-Infected Adolescents, Phase II
This is the second phase of a two-phase, cross-sectional study of linkage to medical care of HIV positive youth. Social, psychological and behavioral factors associated with receipt of care will be evaluated. This study will also compare three methods for recruitment of out-of-care youth using a randomized permuted block list of possible sequences.
ATN 066b consists of a cross-sectional evaluation of three groups of recently diagnosed
HIV-infected adolescents including: (1) care non-initiation; (2) care initiation, no
maintenance; and (3) care initiation with maintenance. Social, psychological and behavioral
factors associated with HIV-related care-seeking will be assessed using an ACASI. Three
recruitment strategies using a randomized permuted block list of possible sequences for
HIV-infected youth not in care will be also compared.
The ACASI instrument will be adapted from previously used instruments intended to
retrospectively reconstruct the care-seeking process and to assess quality of life, concerns
and expectations for care, satisfaction with care, and social-problem solving.
Ideally, the ACASI will be administered during a single session and may take up to 90
minutes to complete. Participants who are unable to complete the ACASI in one session will
be allowed up to 7 days after initiation to complete it. Completion of all study data
collection, including accrual period, is expected to take approximately 12 months. Outcome
measures will be classified as (1) care non-initiation; (2) care initiation, no maintenance;
or (3) care initiation and maintenance.
The assessment of recruitment strategies most effective for not in care youth will include:
use of usual case-management approaches; snowball sampling and venue-based advertisement.
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