Hiv Clinical Trial
Official title:
Corrections2Community: Post-release Retention in HIV Care for Ex-inmates in South Africa
Verified date | March 2021 |
Source | Johns Hopkins University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
HIV remains the leading cause of death in South Africa as a result of a failure of people living with HIV to seek HIV treatment and be retained in care. After initiating antiretroviral therapy while incarcerated, most ex-inmates fail to remain engaged in care. The goal of this research is to reduce mortality, morbidity, and HIV transmission by developing an actionable approach to retaining these individuals in HIV care.
Status | Completed |
Enrollment | 176 |
Est. completion date | November 30, 2020 |
Est. primary completion date | August 1, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 100 Years |
Eligibility | Inclusion Criteria: - Currently incarcerated (either an offender/sentenced inmates or awaiting trial inmate/remandee) - Housed at one of the study correctional facilities (including participating satellite centres) - Diagnosed with HIV - Currently receiving antiretroviral therapy - Anticipated release or trial date within 3 months of study enrollment - Self-report expected to reside within Ekurhuleni, Tshwane, or Johannesburg districts of Gauteng Province and within proximity to one of the TCAC sites (within 20 km, 45 minute travel time, or two local taxi minibus rides) - Agree to post-discharge follow-up - Medically stable based on DCS health assessment (including not pregnant) - On antiretroviral therapy (ART) for >3 months at the expected time of corrections release Exclusion Criteria: - Failure to provide informed consent to be followed up by study staff after release - Unable to speak one of the study languages (English, Sesotho, isiXhosa, isiZulu, Setswana, Xitsonga, and Afrikaans) |
Country | Name | City | State |
---|---|---|---|
South Africa | Department of Correctional Services | Pretoria West | Pretoria |
Lead Sponsor | Collaborator |
---|---|
Johns Hopkins University | Aurum Institute, National Institute of Mental Health (NIMH) |
South Africa,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of Participants in Care at Six Months | Self-reported in TCAC or routine DoH clinical care | 6 months after corrections release | |
Secondary | Proportion of Participants Verified in Care at Six Months | Clinical record (electronic or paper) verified in care | 6 months after corrections release | |
Secondary | Time to Linkage to HIV Care | Number of days from end of intervention to first clinic visit | 6 months after corrections release | |
Secondary | Proportion of Participants Linked to Care Within 90 Days of Corrections Release | Self-reported in TCAC or DoH clinical care | 90 days after corrections release | |
Secondary | Viral Suppression (HIV RNA <400 c/mL) at Six Months | Viral load data at 6 months will be based on routinely collected viral load data (clinic records and the electronic National Health Laboratory System to determine 6 month viral load outcomes, successfully applied in prior studies) augmented by viral loads obtained by the study when 6 month viral load data are not available. | 6 months after corrections release | |
Secondary | Difference in Bonding Social Capital Score at Six Months | Assessed using a 12-item scale with a higher score indicating greater bonding social capital. The median scores will be compared. Range 0-48. | 6 months after corrections release | |
Secondary | Difference in HIV Stigma Index Score at Six Months | Assessed using 28-item Berger stigma scale with median score used per stigma construct (internalized, anticipated, experienced). Higher values indicate more stigma. Ranges: experienced 38; anticipated 6; internalized 6. | 6 months after corrections release | |
Secondary | Proportion of Participants Employed or Self-employed | Self-reported employment | 6 months after corrections release | |
Secondary | Feasibility of Implementation of Transition Community Adherence Clubs Per Protocol (Composite Score) | Feasibility of implementation will be assessed based on the proportion of participants meeting the following intervention milestones: TCAC visit, 6-month social capital questionnaire and stigma scale, and 6-month viral load ascertainment. The proportion of participants in the intervention arm who have completed all of these components with by used as a composite score (range 0-1) | 6 months after corrections release | |
Secondary | Acceptability of Transition Community Adherence Clubs | Qualitative outcome assessed using in-depth interviews exploring participant views on the acceptability of the transition community adherence clubs. This is a qualitative analysis based on thematic coding. | 6 months after corrections release | |
Secondary | Difference in Ex-inmate Stigma Index Score at Six Months | Assessed using 28-item hybrid (study specific) stigma scale with median score used per stigma construct (internalized, anticipated, experienced). Higher values indicate more stigma. Higher values indicate more stigma. Ranges: experienced 38; anticipated 6; internalized 6. | 6 months after corrections release |
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