Improving Identification of Mental Health/Substance Use Disorders in HIV Primary Care: Pilot Clinical Response (PROACT)

Johns Hopkins University

Status: Completed

Conditions: HIV Infections

Treatments: Behavioral: Patient Designated Positive Screen Shared with Provider

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03067948

5K23MH105284 (U.S. NIH Grant/Contract)

IRB00115401

Details and patient eligibility

About

This research is a feasibility pilot of an intervention to respond to positive screening tests for mental health(MH) and substance use (SU) captured through the Patient Reported Outcomes questionnaires (PROs). The PROs are currently performed in the clinic, however, the results are neither reviewed with patients nor transmitted to providers. This pilot assesses the feasibility of moving the PROs into the clinical realm by having patients review the PRO results, identifying an issue to discuss at the patient's next HIV primary care visit, and determining whether this process increases discussion of MH and SU disorders in the subsequent clinical visit and/or increases referrals to MH and/or SU treatment.

Enrollment: 32 patients

Sex: All

Ages: 18 to 99 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• must be enrolled in the Johns Hopkins Clinical Cohort at the Johns Hopkins Moore Clinic
• must be living with HIV

Exclusion criteria

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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32 participants in 1 patient group

Intervention - Positive Screen Shared

Experimental group

Description:

In the intervention, participants will be given the opportunity to determine which positive screen, if any, that the participant would like to discuss with the participant's provider at the next HIV primary care appointment. The participant will be notified that all positive screens will be shared with the provider prior to the participant's next HIV primary care visit, and that any positive screen the patient has chosen to discuss with the provider will be specified. The provider will receive the PROs result (score, interpretation, and recommendation) prior to the next HIV primary care visit.

Treatment:

Behavioral: Patient Designated Positive Screen Shared with Provider