RecruitingNCT06829394

Transitional Housing and HIV Health

A Type 1 Hybrid Effectiveness-Implementation Evaluation of a City-Level Transitional Housing Program's Effects on Health, Economic, and Psychologic Outcomes Among People With HIV

Sponsor

University of Pennsylvania

Enrollment

200 participants

Start Date

Feb 25, 2025

Study Type

OBSERVATIONAL

Conditions

HIV HIV Antiretroviral Therapy (ART) Adherence Housing Instability

Summary

The goal of this pilot study is to evaluate the implementation and outcomes of the Arms Around You (AAY) program, a supportive housing initiative launched by the Philadelphia Department of Public Health (PDPH) in 2024. The program aims to address housing instability among people with HIV (PWH) using a Housing First model. The main questions it seeks to answer are: 1. How does AAY affect HIV-related outcomes, particularly viral suppression and antiretroviral therapy (ART) adherence? 2. What are the program's effects on economic, psychological, and secondary health outcomes? 3. How feasible, acceptable, and scalable is the program for broader implementation? Participants will be assigned to immediate program access or a waitlist using a random lottery system, creating treatment and control groups, respectively. Surveys and health data will be collected at baseline and over 36 months to assess changes in outcomes such as viral suppression, housing security, mental health, and financial well-being. Qualitative interviews with participants and stakeholders will complement quantitative findings to explore mechanisms of change and guide program optimization.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is examining whether access to transitional housing — stable, short-term housing support — helps people living with HIV (PWH) manage their health better. Researchers will track health outcomes including HIV treatment adherence, viral load, and overall wellbeing among participants who receive housing versus those who do not. **You may be eligible if...** - You are living with HIV - You are in priority group 2 for a transitional housing assistance program in Philadelphia - You are included in (or eligible for) the housing lottery for the AAY program - You plan to remain in Philadelphia for the next year - You have regular phone access to complete surveys - You are able to give informed consent **You may NOT be eligible if...** - You do not meet the above housing program eligibility criteria - You plan to leave Philadelphia within the next year - You cannot be reached by phone for follow-up surveys 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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