Case Management Alternatives for African American Women at High Risk for HIV

Nova Southeastern University (NSU)

Status and phase: Completed; Phase 3

Conditions: HIV

Treatments: Behavioral: strengths-based case management

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00780260

2R01DA013131-06A2

R01DA013131-06A2 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study is to test two innovative case management approaches designed to increase linkages and engagement with drug abuse treatment, HIV-related care, and other health services among an underserved population of African American women at risk for HIV.

Full description

The study is fundamentally concerned with the implementation and evaluation of theoretically-based, culturally appropriate case management interventions targeting individual, social and environmental factors among highly vulnerable African American women. The research is designed to test innovative, comprehensive approaches to HIV prevention/intervention through case management driven service linkage and engagement. Testing new approaches to intervention with African-American women at high risk for HIV addresses a particularly urgent public health need in Miami, as well as other large metropolitan areas, where officials continue to document epidemic rates of HIV/AIDS clustered in urban, impoverished African-American communities.

Comparison: Participants will be randomly assigned to: a Strengths-Based / Professional Only Condition in which clients participate in a "strengths-based" case management approach; or, a Strengths-Based / Professional/Peer Condition in which a team composed of: a) a credentialed, professional case manager and b) a recovering addict peer - both trained in "strengths-based" case management techniques - develop and facilitate the implementation of a service plan.

Enrollment: 562 patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Current substance abuse
• Current high-risk sexual behavior
• African American racial identification

Exclusion criteria

• Non resident of Miami-Dade county

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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562 participants in 2 patient groups

1

Experimental group

Description:

5 session strengths-based case management intervention delivered by a professional case manager and a peer support specialist team

Treatment:

Behavioral: strengths-based case management

2

Active Comparator group

Description:

5 session strengths-based case management intervention delivered by a professional case manager.

Treatment:

Behavioral: strengths-based case management