Enhancing Linkage to HIV Care for Newly Detected HIV-positive Persons in Ukraine (MARTAS)

Ukrainian Institute on Public Health Policy

Status: Completed

Conditions: HIV

Treatments: Behavioral: Modified Antiretroviral Treatment Access Study intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT02338024

3U01GH000752-01

Details and patient eligibility

About

This study proposes to assess whether a modified Antiretroviral Treatment Access Study intervention, proved to be effective in the U.S. and based on the nurse case management approach, can impact the enrollment in HIV care of recently detected HIV-positive patients in specialized health care clinics in three regions in Ukraine, using the existing local infrastructure. The proposed study addresses a significant public health issue of non-/late enrollment of HIV-positive persons in HIV care and treatment.

Full description

Individual, parallel, two-arm, 1:1 RCT. The study participants were recruited between October 2015 and December 2016 at 9 clinics located in Dnipropetrovsk region (Dnipropetrovsk Regional Narcological Dispensary; Dnipropetrovsk Regional Dermatovenereologic Dispensary; Kryvyi Rih Infectious Disease Clinic No. 1), Mykolaiv region (Mykolaiv Regional Narcological Dispensary; Mykolaiv Regional Dermatovenereologic Dispensary; Mykolaiv Regional Infectious Disease Clinic), and Odesa region (Odesa Regional Dermatovenereologic Dispensary; Odesa Infectious Disease Clinic; Odesa Regional Center of Mental Health). These three types of clinical sites (treating addiction, sexually transmitted infections [STIs], and infectious diseases [IDs]) were located in the regions with the highest HIV prevalence in Ukraine, but were not co-located with HIV care facilities. Participants assigned to the standard of care (SOC) arm and the MARTAS arm received referrals to the local AIDS Centers (Dnipropetrovsk Regional AIDS Center, Kryvyi Rih AIDS Center, Mykolaiv Regional Center for Palliative Care and Integrated Services (former Mykolaiv AIDS Center), and Odesa Regional AIDS Center) or their departments ("Trust" offices) located in each study region. Investigators affiliated with The Ukrainian Institute on Public Health Policy (UIPHP) were responsible for all aspects of study design, management, and analysis.

Enrollment: 276 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18+ years;
• Tested HIV-positive
• Fluent in Russian or Ukrainian;
• Able to read/understand and sign an informed consent

Exclusion criteria

• Enrolled in HIV care;
• Plan to move out of the study region before the end of their follow-up period
• Cognitive impairment
• Have pending legal issues, independent of their lifetime history of incarceration
• Subject is a part of another intervention or/and research study with similar linkage-to-care objectives

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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276 participants in 2 patient groups

MARTAS intervention

Experimental group

Description:

Structured motivational sessions and further communication between linkage coordinators and HIV-positive patients focused on engagement in HIV medical care.

Treatment:

Behavioral: Modified Antiretroviral Treatment Access Study intervention

Standard of care

No Intervention group

Description:

Oral referrals to a network of government AIDS Centers or their departments ("Trust" offices) located in each study region.