Effectiveness of Peer Navigation and Contingency Management on Retention in HIV Care (CHAMPS)

University of California, Los Angeles (UCLA)

Status: Completed

Conditions: HIV/AIDS

Treatments: Behavioral: Peer Navigation; Behavioral: Contingency Management; Behavioral: Combined Contingency Management and Peer Navigation

Study type: Interventional

Funder types: Other

Identifiers

NCT02310893

1R01MH103076-01A1

Details and patient eligibility

About

Consistent treatment with anti-retroviral therapy (ART) suppresses viral load (VL), prolonging life and improving quality of life for HIV+ persons. Suppressing VL benefits communities by reducing transmission to others. Mere availability of ART and care, however, is insufficient; the benefits of ART depend upon HIV+ persons' continuous visits to the health care provider, regular monitoring and regular delivery of medications, - known as retention in HIV care. In spite of national efforts, up to a quarter of HIV+ persons, especially low-income minorities are out of care. Innovative interventions are therefore urgently needed to maximize engagement and retention in HIV care, self-reported adherence, as well as HIV-1 RNA viral load suppression. In pursuit of these aims, the proposed study will assess outcomes of the following interventions in comparison to usual care: 1) contingency management (CM) only; 2) peer navigation (PN) only; and 3) a combined approach that integrates both CM and PN (CA) which the investigators hypothesize to be most effective in improving HIV clinical outcomes.

Enrollment: 579 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Diagnosed HIV+
2. Age 18 years or older
3. English or Spanish speaking
4. Residence in Los Angeles County
5. prescribed ART in prior 24 months
6. < 3 visits in prior 12 months or have detectable viral load, as identified in the Ryan White CaseWatch database

Exclusion criteria

Not meeting any of the criteria identified above

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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579 participants in 4 patient groups

Contingency Management only

Active Comparator group

Description:

Participants assigned to this arm will receive payments for attending regular HIV medical appointments at the clinic and filling prescribed HIV medications at the pharmacy

Treatment:

Behavioral: Contingency Management

Peer Navigation only

Active Comparator group

Description:

Participants in this arm will be assigned a peer navigator to assist them in accessing and remaining in HIV care

Treatment:

Behavioral: Peer Navigation

Combined Contingency Management and Peer Navigation

Experimental group

Description:

Participants in this arm will be assigned a peer navigator to assist them in accessing and remaining in HIV care and will be eligible to receive incentives for attending HIV care visits/refilling prescriptions.

Treatment:

Behavioral: Combined Contingency Management and Peer Navigation

Usual care

No Intervention group

Description:

Participants in this arm will receive the care that they would usually get in their clinic in the absence of this study.