Community Health Workers And MHealth to ImProve Viral Suppression Plus (CHAMPS+)
Columbia University
420 participants
Sep 23, 2024
INTERVENTIONAL
Conditions
Summary
Although global efforts have been made to end the HIV epidemic, there are still some gaps in HIV testing, antiretroviral therapy (ART) adherence, and viral suppression (VS) among people with HIV (PWH). These gaps are particularly prominent in the Deep South of the United States (US), where PWH face challenges in accessing healthcare services. In response, a team of experienced researchers has developed and tested the Community Health Workers And MHealth to ImProve Viral Suppression (CHAMPS) intervention. This intervention uses mobile health (mHealth) technology and a team of community health workers (CHW) to design an intervention to improve ART adherence and VS. The CHAMPS+ intervention adds a CHW delivered supportive risk reduction counseling during periods of non-suppression to prevent HIV transmission. The study will engage the participants by developing culturally relevant materials and retention strategies, evaluating the clinical effectiveness and sustainability of the intervention in Deep South settings, and assessing regionalized implementation factors. Ultimately, the study will test the effectiveness of CHAMPS+ on ART adherence and viral load suppression for PWH in Alabama, Louisiana, and Mississippi.
Eligibility
Inclusion Criteria7
- Be able to speak, read, and write in English;
- Be above 18 years of age;
- Be willing to participate in any assigned arm of the intervention;
- Have an HIV-1 RNA level \>200 copies/mL;
- Own a smartphone;
- Be able and willing to provide informed consent for study participation and consent for access to medical records.
- Live, work and or receive care in AL, LA, or MS
Exclusion Criteria3
- Reside in a nursing home, prison, and/or receiving in-patient psychiatric care at time of enrollment;
- Terminal illness with life expectancy \<6 months; and
- Planning to move out of the area in the next 12 months.
Interventions
Sessions with a Community Health Worker (CHW).
The CleverCap pill bottle is an innovative technology that dispenses only the prescribed amount of medication, keeps track of medications dispensed, and communicates wirelessly with the WiseApp to deliver medication adherence reminders.
Locations(5)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06472206