Outcome
Type |
Measure |
Description |
Time frame |
Safety issue |
Other |
Enacted and Internalized Stigmas |
As measured by the HIV/AIDS Stigma Instrument-PLWA (HASI-P) Scale. The HASI-P is a 33-item scale that contains questions in 6 different stigma-related domains or factors. For each item, participants are asked to describe the frequency of experienced stigmatizing events in the past 3 months on a 4-point Likert scale (0- Never, 1- Once or twice, 2- Several times, or 3- Most of the time), with higher scores indicating greater stigma. The instrument is scored by summing the scores (0-3) for each item and then dividing by the number of items within each factor (enacted or internalized stigma). |
Measured at 6 months after enrollment in ART care |
|
Other |
Participant Health-related Costs |
Repeated measures analysis of participant direct and indirect costs. While we initially planned to report measurements at 1-, 6- and 12-months after enrollment in ART care, we ultimately reported direct and indirect average costs at 12 months by adding the reported costs at each of the 3 time points to calculate the cost over the entire study period, and then dividing by the number of visits to the health center. |
12-months |
|
Other |
ART Adherence |
Repeated measures analysis of patient self-reported ART adherence |
Measured at 12-months after enrollment in ART care |
|
Other |
ART Adherence |
Repeated measures analysis of patient self-reported ART adherence |
Measured at 6 months after enrollment in ART care |
|
Other |
Perceived Quality of Life |
Repeated measures analysis of participant quality of life as measured by the EuroQOL-5 Dimension-5 Levels (EQ-5D-5L) Visual Analog Scale (VAS). The EQ-5D-5L is a 5-level scale that measures self-rated problems (no problems, slight problems, moderate problems, severe problems and extreme problems) in 5 domains (mobility, self-care, usual activities, pain/discomfort and anxiety/depression) as well as self-rated health. For this measure, we chose to use only the VAS, which asks respondents to rate their overall health from 0-100, with higher scores indicating greater self-rated health. |
Measured at 6 months after enrollment in ART care |
|
Other |
Perceived Quality of Life |
Repeated measures analysis of participant quality of life as measured by the EuroQOL-5 Dimension-5 Levels (EQ-5D-5L) Visual Analog Scale (VAS). The EQ-5D-5L is a 5-level scale that measures self-rated problems (no problems, slight problems, moderate problems, severe problems and extreme problems) in 5 domains (mobility, self-care, usual activities, pain/discomfort and anxiety/depression) as well as self-rated health. For this measure, we chose to use only the VAS, which asks respondents to rate their overall health from 0-100, with higher scores indicating greater self-rated health. |
Measured at 12 months after enrollment in ART care |
|
Other |
Satisfaction With Care |
The Satisfaction With Care scale is a 9-item scale containing questions about satisfaction with clinical (n=6) and non-clinical elements (n=3) of health care. Participants describe satisfaction with each element on a 5-point Likert scale (very unsatisfied [1], not satisfied [2], no opinion [3], satisfied [4], very satisfied [5]). Satisfaction with clinical and non-clinical care elements are reported separately, by summing scores (1-5) for each item and then dividing by the number of items within each subscale. Subscale scores range from 1 to 5; higher scores indicate greater satisfaction. |
Measured at 6 months after enrollment in ART care |
|
Other |
Anticipated Stigma |
As measured by an adapted version of the HIV stigma scale (anticipated stigma). Anticipated stigma is rated on a 5-point Likert-type scale (Very Unlikely [1] to Very Likely [5]), with higher scores indicating greater stigma. Items are averaged to create a composite score. |
Measured at 6 months after enrollment in ART care |
|
Other |
Anticipated Stigma |
As measured by an adapted version of the HIV stigma scale (anticipated stigma). Anticipated stigma is rated on a 5-point Likert-type scale (Very Unlikely [1] to Very Likely [5]), with higher scores indicating greater stigma. Items are averaged to create a composite score. |
Measured at 12 months after enrollment in ART care |
|
Other |
Enacted and Internalized Stigmas |
As measured by the HIV/AIDS Stigma Instrument-PLWA (HASI-P) Scale. The HASI-P is a 33-item scale that contains questions in 6 different stigma-related domains or factors. For each item, participants are asked to describe the frequency of experienced stigmatizing events in the past 3 months on a 4-point Likert scale (0- Never, 1- Once or twice, 2- Several times, or 3- Most of the time), with higher scores indicating greater stigma. The instrument is scored by summing the scores (0-3) for each item and then dividing by the number of items within each factor (enacted or internalized stigma). |
Measured at 12 months after enrollment in ART care |
|
Primary |
Viral Suppression |
Percentage of participants with suppressed viral load (less than 200 copies/ml) |
Measured at 12 months after enrollment into ART care |
|
Secondary |
Appointment Adherence |
Proportion of participants that attended all pharmacy and clinical appointments |
Measured at 12 months after enrollment into ART care |
|
Secondary |
Participant Acceptability of Reduced Time to Spaced-out Appointments |
The Satisfaction With Care scale is a 9-item scale containing questions about satisfaction with clinical (n=6) and non-clinical elements (n=3) of health care. Participants describe satisfaction with each element on a 5-point Likert scale (very unsatisfied [1], not satisfied [2], no opinion [3], satisfied [4], very satisfied [5]). Satisfaction with clinical and non-clinical care elements are reported separately, by summing scores (1-5) for each item and then dividing by the number of items within each subscale. Subscale scores range from 1 to 5; higher scores indicate greater satisfaction. |
Measured at 12 months after enrollment into ART care |
|
Secondary |
Provider Acceptability of Reduced Time to Spaced-out Appointments |
Acceptability of reduced time to spaced-out appointments, as measured by the number of instances when providers overrode the study assignment. Override could only occur a maximum of one time for each participant. |
Measured at 12 months after enrollment into ART care |
|