Substance Abuse Treatment to HIV Care (SAT2HIV): The Implementation & Sustainment Facilitation Experiment

Substance Use Clinical Trial

Official title:

Substance Abuse Treatment to HIV Care (SAT2HIV): The Implementation & Sustainment Facilitation Experiment

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03120598
• Other study ID #: SAT2HIV-ISF
• Secondary ID: R01DA038146
• Status: Completed
• Phase: N/A
• Start date: January 5, 2015
• Est. completion date: August 22, 2018

Study information

• Verified date: October 2018
• Source: RTI International
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

A cluster randomized experiment focused on testing the extent to which the organization-focused Implementation & Sustainment Facilitation (ISF) strategy is an effective adjunct to the staff-focused Addiction Technology Transfer Center (ATTC) strategy.

Description:

A cluster randomized experiment with 39 AIDS service organizations located across the United States. The overarching goal is to test the extent to which the organization-focused Implementation & Sustainment Facilitation (ISF) strategy is an effective adjunct to the staff-focused Addiction Technology Transfer Center (ATTC) strategy.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 190
• Est. completion date: August 22, 2018
• Est. primary completion date: August 22, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• AIDS service organizations have to

1. serve a minimum of 100 individuals living with HIV/AIDS per year,

2. have at least two frontline staff who were willing and able to be trained in the Motivational Interviewing-based Brief Intervention (MIBI) Experiment's MIBI for substance use, and

3. have at least one leadership staff (i.e., supervisor, manager, director) willing and able to help ensure case-managers were given sufficient time for project participation.

Exclusion Criteria:

Related Conditions & MeSH terms

• Substance Use
• Substance-Related Disorders

Intervention

Behavioral:
• ATTC strategy
Addiction Technology Transfer Center (ATTC) strategy: A staff-focused strategy that includes 10 discrete strategies (e.g., centralized technical assistance, conduct educational meetings, provide ongoing consultation).
• ISF strategy
Implementation & Sustainment Facilitation (ISF) strategy: An organization-focused strategy that includes 7 discrete strategies (e.g., use of an implementation advisor, organize implementation team meetings, conduct cyclical small tests of change).

Locations

Country	Name	City	State
United States	Panhandle AIDS Support Organization	Amarillo	Texas
United States	Live Forward (AIDS Athens)	Athens	Georgia
United States	Triangle Area Network	Beaumont	Texas
United States	Vermont CARES	Burlington	Vermont
United States	Champaign-Urbana Public Health District (CUPHD)	Champaign	Illinois
United States	Chattanooga CARES	Chattanooga	Tennessee
United States	Caracole House	Cincinnati	Ohio
United States	Foothill AIDS Project	Claremont	California
United States	ARC Ohio	Columbus	Ohio
United States	AIDS Project Greater Danbury, Inc.	Danbury	Connecticut
United States	The Project of the Quad Cities (TPQC)	Davenport	Iowa
United States	Community Health Awareness Group (CHAG)	Detroit	Michigan
United States	Health Emergency Lifeline Programs (HELP)	Detroit	Michigan
United States	HIV Alliance	Eugene	Oregon
United States	AID Upstate	Greenville	South Carolina
United States	AIDS Connecticut, Inc.	Hartford	Connecticut
United States	AIDS Foundation Houston	Houston	Texas
United States	AIDS Services Foundation, Orange County	Irvine	California
United States	Community AIDS Resources and Education Services (CARES)	Kalamazoo	Michigan
United States	Southwest Louisiana AIDS Council	Lake Charles	Louisiana
United States	AIDS Volunteers, Inc. (AVOL)	Lexington	Kentucky
United States	AIDS Project Los Angeles	Los Angeles	California
United States	Project Response, Inc.	Melbourne	Florida
United States	Minnesota AIDS Project	Minneapolis	Minnesota
United States	Southern NH HIV/AIDS Task Force a.k.a. NH Partnership	Nashua	New Hampshire
United States	Nashville CARES	Nashville	Tennessee
United States	Nebraska AIDS Project (NAP)	Omaha	Nebraska
United States	HIV Care Directions	Phoenix	Arizona
United States	Doorways	Saint Louis	Missouri
United States	Places for People (p4p)	Saint Louis	Missouri
United States	Project ARK	Saint Louis	Missouri
United States	St. Louis Effort For AIDS (EFA)	Saint Louis	Missouri
United States	Utah AIDS Foundation	Salt Lake City	Utah
United States	Alamo Area Resource Center	San Antonio	Texas
United States	Shanti	San Francisco	California
United States	Burrell Behavioral Health	Springfield	Missouri
United States	The Women's Collective	Washington	District of Columbia
United States	Delaware HIV Consortium	Wilmington	Delaware
United States	AIDS Project Worcester	Worcester	Massachusetts

Sponsors (2)

Lead Sponsor	Collaborator
RTI International	National Institute on Drug Abuse (NIDA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Time-to-Proficiency (TTP) Score	A continuous measure representing the number of days between completion of the training workshop by targeted staff and targeted staff's demonstration of proficiency in the motivational interviewing-based brief intervention.	Assessed at the end of the 2-month post-workshop preparation phase
Primary	Implementation Effectiveness Index (IEI) Score	A continuous measure representing the sum of the standardized cumulative number of motivational interviewing brief interventions delivered by targeted staff (i.e., consistency) and the cumulative integrity score of targeted staff's delivered of the motivational interviewing-based brief intervention (i.e., quality).	Assessed at the end of the 6-month implementation phase
Primary	Level of Sustainment (LOS) Score	A continuous measure representing the number of Motivational Interviewing-based Brief Interventions targeted Brief Intervention Staff report delivery of the motivational interviewing-based brief intervention during the past 6-months following the end of the implementation phase.	Assessed at the end of the 6-month sustainment phase