About this trial
The Camino Study evaluates a status-neutral, multi-level pilot intervention designed to improve HIV prevention and care engagement among Latin Americans with unmet HIV prevention and care needs. The intervention combines legal services with peer navigation to reduce fear of healthcare engagement, reduce stress, and improve access to HIV prevention and care services.
The study will enroll 50 Latin American participants in the Washington, DC, and Oakland, California areas. Using a quasi-experimental wait-list control design, the study will compare HIV outcomes among participants who receive the Camino intervention with those on a rolling waitlist over 18 months. Primary outcomes include HIV testing within the past six months and uptake of pre-exposure prophylaxis (PrEP), as well as HIV care visit attendance, antiretroviral therapy (ART) adherence, and viral load among people living with HIV. The study will also examine legal, social, and mental health factors associated with HIV prevention and care engagement and assess the feasibility of testing the intervention at a larger scale.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 years or older
Assigned male sex at birth
Identifies as a Latin American man who has sex with men, transgender woman, or nonbinary person on the feminine spectrum
Not a U.S. citizen
Disqualifiers
Younger than 18 years
Does not meet the inclusion criteria above
Trial design
Sequential
Treatments tested in this trial
Camino Intervention
BehavioralCamino is a multicomponent intervention designed to improve engagement in HIV prevention and care. Participants receive culturally and linguistically appropriate peer navigation beginning after enrollment to help identify and address barriers to HIV prevention and care and connect participants with relevant health and social services. The intervention also includes individualized consultation with an attorney and legal services and navigation. Because attorney availability varies, participants receive the individual legal consultation at different times during follow-up.
Treatment groups
Trial outcomes
Primary outcomes
HIV testing within the past 6 months
Survey data and medical records will be used to assess HIV testing within the past 6 months among participants not living with HIV.
PrEP Uptake
Survey data and medical records will be used to assess initiation of pre-exposure prophylaxis (PrEP) among participants who are HIV-negative and eligible for PrEP.
HIV Care Visit Attendance
Medical records will be used to assess HIV care visit attendance among participants living with HIV.
Antiretroviral Therapy Adherence
Medical records and survey data will be used to assess adherence to antiretroviral therapy (ART) among participants living with HIV who are prescribed ART.
Sponsors and contacts
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American University
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator