RecruitingNot ApplicableNCT06274632

ADELANTE: A Randomized Controlled Trial to Improve Engagement in Care for Latinos With HIV

ADELANTE: A Randomized Controlled Trial of an Intervention to Improve Engagement in Care for Latinos With HIV

Sponsor

Massachusetts General Hospital

Enrollment

250 participants

Start Date

May 22, 2024

Study Type

INTERVENTIONAL

Conditions

HIV/AIDS

Summary

The goal of this study is to test the effectiveness of ADELANTE on viral suppression among Latinos with HIV and viral non-suppression. Participants will receive ADELANTE (5-session, community health worker-delivered, problem-solving intervention) or enhanced care condition (ECC, 5 reminder phone calls). We will evaluate the overall effectiveness of ADELANTE compared with ECC on rates of viral suppression and emergency room visits and hospitalizations. Our hypothesis is that ADELANTE participants will achieve higher rates of viral suppression and will have lower rates of emergency room visits and hospitalizations compared with ECC at 12 months post-randomization.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study, called ADELANTE, is testing a new program designed to help Latino/Hispanic people living with HIV stay connected to their medical care and get their virus under control. Many people in this group face barriers to consistent HIV care, and this trial aims to change that. **You may be eligible if...** - You identify as Latino, Latina, Latinx, or Hispanic - You are 18 years or older - You have a confirmed HIV diagnosis - You have been receiving HIV care at Jackson Memorial Hospital or Thomas Street/Quentin Mease Health Center for at least 3 months - Your HIV viral load (the amount of virus in your blood) was not controlled (200 copies/mL or more) within the past 12 months **You may NOT be eligible if...** - You are unable to give informed consent - You plan to move out of the county within the next 6 months - You are currently enrolled in another HIV intervention study 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

BEHAVIORALADELANTE

A manualized problem-solving intervention that addresses barriers to viral suppression in Latinos with HIV. At the patient-level, CHWs use motivational interviewing to facilitate problem-solving skill development around attending HIV care and adherence and establish an individually tailored goal-setting plan. We target emotional well-being and self-management through a rapport with CHW and the integration of an HIV-centered telenovela to facilitate participant reflection on difficult topics for skill-building. The CHW will also link the participant to needed services.

Locations(2)

University of Miami

Miami, Florida, United States

Baylor College of Medicine

Houston, Texas, United States

View Full Details on ClinicalTrials.gov

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NCT06274632

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