Optimizing a Bio-behavioral Intervention for Sustained Viral Suppression
HIV Viremia
About this trial
This is an interventional supportive care trial for HIV Viremia focused on measuring HIV viral suppression
Eligibility Criteria
Inclusion Criteria:
- be at least 18 years of age
- be able to provide informed consent
- be eligible to receive free HIV care services in Mexico
- be HIV positive
- have injected drugs in the last 30 days
- not be on methadone replacement therapy
- be willing to discuss MAT uptake with a peer
- sign a medical release form to have medical data abstracted
- agree to submit and describe locator information
- agree to return to follow-up visits
- able to communicate in Spanish
- screen positive for depression on the PHQ-2
- have no plans of moving outside the study area in the next 12-months
meet one of the following:
- not currently in possession of ART or not taking ART but prescribed ART or
- sub-optimal ART adherence as at least one 4-day treatment interruption in the past 90 days or
- sub-optimal retention in HIV care - never engaged or disengaged from HIV care as 2 or more missed clinic appointments in the last 9 months or
- no viral load test done in the past six months or
- self-reports a detectable viral load within the past 6 months
Exclusion Criteria:
- has not injected drugs in the last 30 days or do not have a verifiable opioid use disorder
- is not HIV positive
- is receiving methadone
- is unwilling to discuss methadone uptake with a peer
- does not screen positive for depression
- is not able to provide informed consent
- does not speak Spanish
- has plans to move out of the city
- does not qualify to receive free HIV care services in Mexico
- has an appearance of psychological disturbance or severe cognitive impairment that could limit understanding of study procedures as determined by study staff
Sites / Locations
- Programa Compañeros
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Arm 12
Arm 13
Arm 14
Arm 15
Arm 16
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Condition 1: Components 1, 2, 3 and 4
Condition 2: Components 1, 2, 3
Condition 3: Components 1, 2 and 4
Condition 4: Components 1 and 2
Condition 5: Component 1, 3, and 4
Condition 6: Component 1 and 3
Condition 7: Component 1 and 4
Condition 8: Component 1
Condition 9: Components 2, 3, and 4
Condition 10: Components 2 and 3
Condition 11: Component 2 and 4
Condition 12: Component 2
Condition 13: Component 3 and 4
Condition 14: Component 3
Condition 15: Component 4
Condition 16: No Components
Participants will be assigned to receive all of the four intervention programs: Peer-Support for Medication-Assisted Treatment Behavioral Activation Therapy Patient Navigation for HIV Care Life Steps Program for Medication Adherence
Peer-Support for Medication-Assisted Treatment Behavioral Activation Therapy Patient Navigation for HIV Care
Peer-Support for Medication-Assisted Treatment Behavioral Activation Therapy 4) Life Steps Program for Medication Adherence
Peer-Support for Medication-Assisted Treatment Behavioral Activation Therapy
1) Peer-Support for Medication-Assisted Treatment 3) Patient Navigation for HIV Care 4) Life Steps Program for Medication Adherence
1) Peer-Support for Medication-Assisted Treatment 3) Patient Navigation for HIV Care
1) Peer-Support for Medication-Assisted Treatment 4) Life Steps Program for Medication Adherence
1) Peer-Support for Medication-Assisted Treatment
2) Behavioral Activation Therapy 3) Patient Navigation for HIV Care 4) Life Steps Program for Medication Adherence
2) Behavioral Activation Therapy 3) Patient Navigation for HIV Care
2) Behavioral Activation Therapy 4) Life Steps Program for Medication Adherence
2) Behavioral Activation Therapy
3) Patient Navigation for HIV Care 4) Life Steps Program for Medication Adherence
3) Patient Navigation for HIV Care
4) Life Steps Program for Medication Adherence
Participants not assigned to any of the 4 components. They are placed on a wait list and will receive components after the primary data collection period.