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A Waiting Room-Delivered Video to Enhance Clinical Outcomes Among Persons Living With HIV (TCOM)

Centers for Disease Control and Prevention (CDC) logo

Centers for Disease Control and Prevention (CDC)

Status

Completed

Conditions

HIV Infections

Treatments

Other: Taking Care of Me Video

Study type

Interventional

Funder types

Other
Other U.S. Federal agency
Industry

Identifiers

NCT03508310
1163249

Details and patient eligibility

About

The purpose of this project is to beta-test a brief waiting room video intervention that promotes early initiation of antiretroviral treatment among treatment-naïve HIV-positive patients, adherence to antiretroviral treatment and retention in care among HIV-positive patients currently on therapy, sexual risk reduction tailored to HIV-positive persons, and patient-initiated discussion of these topics with their health providers. The video is currently being created, and will be ready for beta-testing by June 1, 2016. Results of the beta-testing will be used to refine and improve the video before dissemination to HIV/AIDS treatment facilities nationally. This video project is being funded by the Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention (DHAP).

Full description

The overall goal of this study is to beta-test the waiting room video in three HIV/AIDS treatment facilities in different US jurisdictions with high AIDS prevalence. These results will be used to refine the video and to increase its effectiveness among minority persons living with HIV infection. The beta-testing will consist of: 1) unobtrusive observations of waiting room patients for one day at each facility and 2) de-identified, existing patient medical data abstracted from each facility's electronic medical record (EMR) system to investigate outcomes relevant to HIV medication adherence and retention in care.

Enrollment

4,003 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

HIV/AIDS treatment facility inclusion: The participating treatment facilities will have a combined total of at least 2,700 monthly patient visits during the study period. Each of the HIV/AIDS treatment facilities meets the following inclusion criteria:

  1. located in a jurisdiction with high AIDS prevalence;
  2. managing more than 500 unique HIV-positive patients annually;
  3. serving minority persons such that minimally 55% of the clinic population is African-American and Hispanic/Latino;
  4. at least 163 patients have unsuppressed viral load;
  5. utilizing an electronic medical record (EMR) system; and
  6. not participating in another behavioral intervention research project during the historical comparison data period (August 2015 through May 2016) or during the 10-month intervention period (June 2016 through March 2017).

Exclusion criteria

Trial design

Primary purpose

Prevention

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

4,003 participants in 2 patient groups

Intervention
Experimental group
Description:
29-minute clinic waiting room video intervention that includes three vignettes and a 2-part animation sequence about main characters who model overcoming challenges to optimal HIV care. The video was played on continuous loop in recognition of typically short patient wait times. Waiting room posters used images from the video to direct patients' attention to the video and reinforce prevention messages.
Treatment:
Other: Taking Care of Me Video
Comparison
No Intervention group
Description:
Historical comparison condition. Patients were exposed to standard waiting room environment (absent of intervention video and posters).

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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