Come As You Are - Assessing the Efficacy of a Nurse Case Management HIV Prevention and Care Intervention Among Homeless Youth

The University of Texas System (UT)

Status: Completed

Conditions: Behavior, Risk

Treatments: Behavioral: Usual Care; Behavioral: NCM4HIV

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03910218

HSC-SN-18-0993

Details and patient eligibility

About

The purpose of this study is to to determine the efficacy of the Nurse Case Management HIV (NCM4HIV) intervention on HIV prevention compared to usual care among Youth Experiencing Homelessness (YEH).

Enrollment: 474 patients

Sex: All

Ages: 16 to 25 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• youth engaged in high-risk sexual activity or intravenous drug use
• speak English
• homeless
• not planning to move out of the metro area during the study

Exclusion Criteria:

• youth with very low literacy
• severe acute mental symptoms

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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474 participants in 2 patient groups, including a placebo group

NCM4HIV

Experimental group

Description:

Participant will receive NCM4HIV intervention which includes Personalized HIV prevention education, behavior goal-setting,behavioral self-monitoring,Pre exposure prophylaxis (PrEP) eligibility screening,PrEP/non occupational post exposure prophylaxis(nPEP)services (labs, medication), healthcare planning/coordination, Motivational Interviewing (MI) counseling approach, assisting with cognitive appraisals (clarifying misconceptions),promoting health seeking and coping behaviors that incorporate the situational, personal, social, and resource needs affecting health

Treatment:

Behavioral: NCM4HIV

Usual care

Placebo Comparator group

Description:

Participants will receive the usual care which includes Housing, food, and clothing needs,health assessment, basic healthcare, limited anticipatory guidance, mental health counseling,substance use treatment referrals,PrEP/nPEP referrals

Treatment:

Behavioral: Usual Care