About this trial
The goal of this Hybrid Type I effectiveness-implementation trial is to test an evidence-based, flexible, and tailored intervention that leverages existing social network members to promote retention in care and viral suppression among people living with HIV aged 18-49.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Aged 18-49 years old, inclusive
Speak English
Own a cell phone not shared with anyone else
Have missed at least one HIV care scheduled visit or have not been virally suppressed in the past 24 months.
Disqualifiers
If a participant fails to meet all inclusion criteria
Index agrees to engage the Support Confidant
Age 18 years or older
Speaks English
Trial design
Parallel
Treatments tested in this trial
Social Network Support Intervention
BehavioralThe Social Network Support Intervention is an evidence-based, flexible, and tailored intervention that leverages existing social network members to promote retention in care and viral suppression among people living with HIV. The intervention consists of (1) selection and invitation of a Support Confidant, (2) a face-to-face intervention between the Intervention Case Manager and the Index and Support Confidant, and (3) quarterly interactive mini-booster sessions delivered to the Index and Support Confidant via text or telephone, based on participant preference.
Treatment groups
Trial outcomes
Primary outcomes
Missed Visit Proportion
We count visits as scheduled (non-acute) visits to an antiretroviral prescribing provider. Missed Visit Proportion (MVP) is calculated as the proportion of total scheduled visits that are missed during the follow-up period. To permit longitudinal analyses, we shall also split the two-year follow-up period into eight three-month quarters and record, for each participant, whether he completed or missed his scheduled appointment during that quarter. Appointment and visit history to calculate MVP will be collected from each clinic's electronic medical record data.
Viral Suppression
Viral load (suppressed or not) will be measured in RNA copies/mL, with ≤200 copies/mL defined as viral suppression.
Sponsors and contacts
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University of Chicago
Lead sponsor
Tulane University
Collaborator
University of Alabama at Birmingham
Collaborator
Birmingham AIDS Outreach
Collaborator
Chicago Center for HIV Elimination
Collaborator
Howard Brown Health
Collaborator
Thrive Alabama
Collaborator