Improving HIV Prevention and Substance Use Post-Sexual Assault Services

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age17-25
SponsorThe University of Texas Health Science Center, Houston

About this trial

The purpose of this study is to tailor existing sexual assault nurse examiner (SANE) services with same-day HIV prophylaxis and substance use screening, brief intervention, or referral using semi-structured adolescents and young adults (AYA) survivor and key informant interviews, and iterative co-design/pilot testing of adapted strategies with the youth working group (YWG), to optimize study mechanisms and outcome measures using cognitive interviews, analysis of community partner data, and recruitment and retention strategies with the youth working group (YWG) and community advisory board (CAB), to conduct a pilot randomized controlled trial with 40 AYA to test feasibility, acceptability, and initial efficacy compared to usual care, to evaluate recruitment, randomization, and follow-up strategies; adherence to intervention dose; retention benchmarks; and acceptability and to evaluate preliminary efficacy of outcome measures (uptake of post-assault HIV prevention and substance use treatment).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

experienced a sexual assault within the last 72 hours

speak English

not planning to move out of the metro area during the study.

Disqualifiers

noticeably intoxicated or under the influence

are overtly having severe, untreated mental illness symptoms

Trial design

Design model

Parallel

Treatments tested in this trial

  • Enhanced intervention

    Behavioral

    The intervention has three components: 1). Exploring how to increase access to and promotion of SANE services among vulnerable AYA within the 72 hr window for nPEP treatment; 2). Enhanced SANE services to increase same-day access to nPEP and DoxyPEP and 3). An advocate-delivered screening, brief intervention, and referral to prevent and address substance misuse.

  • Usual Care

    Behavioral

    The usual care condition will be used with control participants and entail receiving typical SANE services without modifications to enhance HIV prevention or substance use screening, brief intervention, or referral to treatment

Treatment groups

90 Participants
are divided into 2 treatment groups
Group A: Enhanced interventionExperimental treatment 1 intervention
Group B: Usual CareActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Recruitment feasibility as measured by percentage of eligible individuals screened

Time frame
end of study (1 month after baseline)
2

Recruitment feasibility as measured by percentage of eligible individuals enrolled

Time frame
end of study (1 month after baseline)
3

Recruitment feasibility as measured by time delay from screening to enrollment

Time frame
end of study (1 month after baseline)
4

Recruitment feasibility as measured by time to enroll sufficient sample size

Time frame
end of study (1 month after baseline)

Secondary outcomes

1

Uptake of post-assault HIV prevention as measured by self report of nPEP uptake

Time frame
1-month follow-up
2

Uptake of substance use treatment as self reported as reported on the self report questionnaire

Time frame
1-month follow-up
3

Uptake of post-assault HIV prevention as measured by self report of Doxycycline Post-Exposure Prophylaxis (DoxyPEP) uptake

Time frame
1-month follow-up
4

Adherence of non-occupational Post-Exposure Prophylaxis (nPEP) as reported on the self report questionnaire

Time frame
1-month follow-up

Other outcomes

Sponsors and contacts

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The University of Texas Health Science Center, Houston

Lead sponsor

National Institute on Drug Abuse (NIDA)

Collaborator

This trial is not recruiting at the moment. You can still explore other options: