Effectiveness of Peer Navigation and Contingency Management on Retention in HIV Care



Status:Recruiting
Conditions:HIV / AIDS
Therapuetic Areas:Immunology / Infectious Diseases
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:January 2016
End Date:January 2020
Contact:Danielle Seiden, MPP
Email:dseiden@mednet.ucla.edu
Phone:310-794-3556

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Consistent treatment with anti-retroviral therapy (ART) suppresses viral load (VL),
prolonging life and improving quality of life for HIV+ persons. Suppressing VL benefits
communities by reducing transmission to others. Mere availability of ART and care, however,
is insufficient; the benefits of ART depend upon HIV+ persons' continuous visits to the
health care provider, regular monitoring and regular delivery of medications, - known as
retention in HIV care. In spite of national efforts, up to a quarter of HIV+ persons,
especially low-income minorities are out of care. Innovative interventions are therefore
urgently needed to maximize engagement and retention in HIV care, self-reported adherence,
as well as HIV-1 RNA viral load suppression. In pursuit of these aims, the proposed study
will assess outcomes of the following interventions in comparison to usual care: 1)
contingency management (CM) only; 2) peer navigation (PN) only; and 3) a combined approach
that integrates both CM and PN (CA) which the investigators hypothesize to be most effective
in improving HIV clinical outcomes.


Inclusion Criteria:

1. Diagnosed HIV+

2. Age 18 years or older

3. English or Spanish speaking

4. Residence in Los Angeles County

5. prescribed ART in prior 24 months

6. < 3 visits in prior 12 months or have detectable viral load, as identified in the
Ryan White CaseWatch database

Exclusion Criteria:

Not meeting any of the criteria identified above
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