RecruitingNot ApplicableNCT06027671

Structured Peer-delivered ART and Reentry Community Strategy

Structured Peer-delivered Antiretroviral Therapy (ART) and Reentry Community Strategy to Overcome Barriers to HIV Care Continuity During Community Re-entry From Incarceration in South Africa

Sponsor

Johns Hopkins University

Enrollment

400 participants

Start Date

Nov 18, 2024

Study Type

INTERVENTIONAL

Conditions

Retention in Care

Summary

The overarching goal of this study is to implement a transition community adherence club strategy (Full-SPARCS) for HIV-positive individuals transitioning from correctional to community settings in South Africa. The investigators seek to provide actionable findings to inform policy decisions to contribute to HIV care continuity with this population. The investigators note that effectiveness and scalability often conflict with intervention design; thus, the investigators have proposed testing whether a group approach is effective and the investigators will assess the costs of each component * To compare the effectiveness of Full-SPARCS to care as usual to achieve HIV RNA suppression 6 months following correctional facility release * To assess determinants of implementation of Full-SPARCS * To assess the scalability through costing and cost effectiveness analysis of Full-SPARCS

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study (called SPARCS) is testing a peer-support program to help people living with HIV who are being released from prison in South Africa. Trained peer mentors — people with shared lived experience — will help participants stay on their HIV medications (ART) and connect to care in the community after release. **You may be eligible if...** - You are currently incarcerated and have been diagnosed with HIV and are on antiretroviral therapy (ART) - You are expected to be released from prison within the next three months - You plan to live in the Johannesburg, Tshwane, or Ekurhuleni area of South Africa after release, within reach of the study sites - You are willing to participate in follow-up activities after your release **You may NOT be eligible if...** - You are under 18 years old - You have a severe cognitive or mental health condition that prevents informed consent - You are expected to be released to a region outside of Gauteng Province - Your medical care needs are too complex for this community-based support model Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALFull-SPARCS Intervention

Within 14 days of release, participants will have one-on-one contact with a facilitator to update locator information, continue rapport building, review disclosure plans, provide a reminder of SPARCS logistics, and assign or remind the participant to a SPARCS group based on their location of residence and timing of release (depending on whether this occurred pre-release). Each Full-SPARCS meeting lasts approximately 2 hours, and the sessions occur in a private space in a community venue (e.g., community centre or church).

Locations(1)

The Aurum Institute - Head office

Johannesburg, Gauteng, South Africa

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NCT06027671

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