Ending the HIV Epidemic: An All-facility Intervention for Patient and Healthcare Staff Well-being
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorColumbia University
About this trial
The scope of this study is to engage Ryan White HIV/AIDS Program (RWHAP) funded organizations in the South/East US to co-develop context-responsive programs utilizing evidence-informed interventions to reduce stigma against living with HIV (PLH) who have difficulties accessing and remaining engaged in life-saving treatment. Five RWHAP clinics will be selected for this trial. Clinic members will participate in interactive trainings to raise awareness of and reduce stigma, from the clinic policy level to individual attitudes. Clinic members and select patients will complete self-administered surveys every 6 months over 24 months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Non-Ryan White Clinics
Clinics not located in the geographical area of interest
Clinics that are not interested in participating
Trial design
Design model
Single group
Treatments tested in this trial
All-facility Training
BehavioralThe HP+ curriculum includes total-site training and co-facilitation via participatory modules. To change clinic culture, a multi-level approach that includes the whole facility and reaches all parties is required. The intervention aims to modify top-down mechanisms of influence. The training is modeled on these principles and supports the development of multiple stigma-reduction strategies to improve patient and staff wellbeing.
Treatment groups
1,000 Participants
are divided into 1 treatment groupGroup A: InterventionExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Change in Stigma Index (SI)
The SI is a rating of clinic mission/vision statements, the anti-stigma policy, and the clinic context. A change in the mean score of SI post-intervention implementation will be measured. Scores range from 0-100, with a higher score indicating increased anti-stigma policies and procedures.
Time frame
Baseline, 6, 12, 18, and 24 monthsSecondary outcomes
1
Change in Cultural Humility Score
Cultural humility as measured by the adapted Trauma-Informed, Resilience-Oriented Care (TI-ROC) Cultural Humility Scale, which assess staff's perceptions of colleagues and clinic context. Scores range from 12-60. The negative items are reverse coded such that higher scores indicate higher cultural humility indicating better outcomes.
Time frame
Baseline, 6, 12, 18, and 24 monthsOther outcomes
1
Change in Time to Linkage to Care
Change in time to linkage to care from diagnosis at the clinics.
Time frame
Baseline, 6, 12, 18, and 24 months2
Change in Patients Retained in Care
Change in the number of patients retained in care at the clinics.
Time frame
Baseline, 6, 12, 18, and 24 months3
Change in Number of Patients HIV Virally Suppressed
Change in the number of patients virally suppressed at the clinics. Viral suppression defined as less than 200 copies/mL.
Time frame
Baseline, 6, 12, 18, and 24 months4
Change in Frequency of Perceived HIV and Other Stigmas
Change in the frequency of perceived stigma-related events by staff and patients attending the clinic as collected by self-administered Experiences of Perceived Stigma survey.
Time frame
Baseline, 6, 12, 18, and 24 monthsSponsors and contacts
Click on the lead sponsor to view all of their trials.
Columbia University
Lead sponsor
National Institute of Nursing Research (NINR)
Collaborator
Rutgers University
Collaborator
Florida State University
Collaborator
RTI International
Collaborator
Duke University
Collaborator
Source ClinicalTrials.gov