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N/A N=277 Randomized Single-blind Health Services Research

Scaling up an Evidence-based Intervention for Antiretroviral Therapy for PWID in Vietnam: an Implementation Trial

HIV Infections · Drug Use

Enrolled (actual)
277
Serious AEs
0.0%
Results posted
Jul 2024
Primary outcome: Primary: Fidelity to SNaP Intervention Procedures — 114.1; 151.4 score on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Standard Approach (SA) (Other); Tailored Approach (TA) (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of North Carolina, Chapel Hill
Primary completion
Jul 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Fidelity to SNaP Intervention Procedures
114.1; 151.4
PRIMARY
Percent of PWID Who Initiated ART
98.6; 99.5
SECONDARY
Percent of PWID Who Were Contacted and Participated in SNaP
100; 100
SECONDARY
Mean Acceptability Score of SNaP by PWID (AIM)
16.7; 16.8
SECONDARY
Mean Acceptability Score of SNaP by Test Site Staff (OADRI)
37.7; 37.1
SECONDARY
Percent of PWID Who Are Virally Suppressed
43.0; 59.3
SECONDARY
Percent of PWID on Medication-Assisted Treatment (MAT)
10.9; 12.8
SECONDARY
Incremental Cost-Effectiveness Ratio of SA Compared to TA for SNaP Implementation
25,872.75
SECONDARY
Percent of PWID Alive and Remaining on ART
74.5; 84.3
SECONDARY
Percent of Clinics Continuing to Offer SNaP After Completion of Study Activities
33; 57

Summary

The purpose of this study is to compare two implementation approaches [Standard Approach (SA) vs. Tailored Approach (TA)] for scaling-up the evidence-based systems navigation and psychosocial counseling integrated intervention (SNaP) in HIV test sites in Vietnam.

Eligibility Criteria

Inclusion Criteria

PWID participants:

  • HIV infection:
  • Newly diagnosed HIV infection, based on confirmatory test, and not currently on ART at the time of study enrollment; or
  • If previously diagnosed with HIV infection, then must not currently be on ART at the time of study enrollment (self-reported)
  • Age 18 years or older
  • Injection drug use within the past 6 months (self-reported at time of screening)
  • Willing to provide informed consent for the study

Test site director boards and staff:

  • All test site director boards and staff, including the navigators and counselors, at the selected HIV test sites
  • Willing to provide informed consent for the study

Exclusion Criteria

PWID participants:

  • Residence outside of the catchment area of local antiretroviral therapy (ART) and medication-assisted treatment (MAT, e.g. methadone) clinics
  • Currently on ART at time of study enrollment (self-reported)
  • Planning to move out of the catchment area within the next 24 months.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03952520). 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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