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N/A N=756 Randomized Health Services Research

Engagement to Care South Africa

HIV

Enrolled (actual)
756
Serious AEs
Results posted
Aug 2018
Primary outcome: Primary: Linkage to Care - Participants Who Received Cluster of Differentiation 4 (CD4) T-cell Count Test Result Within 3 Months of Testing HIV-positive (Binary) — 80; 121; 119 Participants — p=0.848

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
SMS text message (Behavioral); SMS text message + Peer Navigation (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of California, San Francisco
Primary completion
Jun 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Linkage to Care - Participants Who Received Cluster of Differentiation 4 (CD4) T-cell Count Test Result Within 3 Months of Testing HIV-positive (Binary)
80; 121; 119 0.848
PRIMARY
Timely Antiretroviral Therapy (ART) Initiation (Participants Eligible for ART Who Initiate Treatment Within 3 Months of Diagnosis)
55; 79; 94 0.636
PRIMARY
Retention in Care - ART Eligible (Participants Eligible for ART Who Initiated ART and Who Remain on Treatment)
77; 153; 178 0.16
PRIMARY
Retention in Care - Non-ART (Participants Who Return for Repeat CD4 Testing Within 12 Months of Diagnosis)
3; 2; 11 0.24
PRIMARY
Adherence to ART - Objective (Viral Load Test Results <400 Copies/mL)
67; 141; 132 0.093
PRIMARY
Adherence to ART - Subjective (Self-reported Ability to Take ART as Prescribed in Last Month)
92; 130; 162

Summary

This study will evaluate the efficacy of two strategies for enhancing overall preventive behaviors, retention in HIV care, and adherence to medication for HIV positive individuals in South Africa: short message service (SMS) text messaging and peer navigation services.

Eligibility Criteria

Inclusion Criteria

  • HIV positive (diagnosed within the last 12 months prior to study/patient contact)
  • Has access to a mobile phone
  • Willing to receive and respond to text messages and calls from clinic and study staff (all arms)
  • Willing to communicate and meet with PN (PN arm)
  • Willing to meet with study staff for survey at study start, 6 months, and 12 months (all arms)
  • regard study clinic area as the regular clinic for accessing healthcare

Exclusion Criteria

  • First tested positive over 12 months prior to recruitment
  • Under the age of 18
  • Unable to give informed consent
  • Unable to read basic English and with no one to read study sms to participant
  • Principally accesses care through a clinic not in the study
  • Planning to permanently move away from the area served by the clinic within next 6 months (following enrollment)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02417233). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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