About this trial
The goal of this clinical trial is to compare two interventions - Basic Income Guarantee (BIG) + Treatment as Usual and Treatment as Usual among individuals living with HIV who have experienced financial hardships.
The main question it aims to answer is:
Compared with the Treatment as Usual group, will participants in the BIG + Treatment as Usual group be more likely to improve care engagement and viral suppression?
Participants on the study will be:
* Randomly assigned (like the flip of a coin) to participate in either BIG + Treatment as Usual or Treatment as Usual. Participants will have an equal chance of being placed in either group. * Complete 9 surveys over a 36 month period. * Complete a release of information so electronic medical record data can be accessed for the 18 months prior to treatment engagement and for 36 months from program enrollment. * Participants in the Treatment as Usual group will not receive any intervention. * HIV viral load testing will be confirmed at 3 timepoints (baseline, 12 months, and 18 months). * Participants in the BIG + Treatment as Usual group will receive $500 monthly income for 18 months. * Participants in the BIG + Treatment as Usual group will complete 3 social network surveys to assess how receiving BIG impacts their social networks. * A subset of participants in the BIG + Treatment as Usual group (30 participants) will complete 5 individual interviews over the course of receiving BIG and the 18 months after.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Living with HIV for 24 months or longer;
Ages 18-35;
English-speaking;
Experienced a gap in HIV provider care of 6 or greater months during the prior 12-month period;
Disqualifiers
Unwilling/unable to provide informed consent
Unable to confirm HIV status
Unable to conduct the study in English
Trial design
Parallel
Treatments tested in this trial
Treatment As Usual
BehavioralParticipants will go through a baseline survey. Participants will go through a follow-up survey every six months.
BIG + Treatment As Usual
BehavioralParticipants will go through a baseline survey. Participants will go through a follow-up survey every six months. Participants will also receive a $500 monthly income over an 18-month period.
Treatment groups
Trial outcomes
Primary outcomes
Retention in HIV care
Number of participants who do not experience gaps in care \>4 months
HIV Viral Suppression
Number of participants with an HIV viral load \<200 copies/mL
Sponsors and contacts
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University of Chicago
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator