ASAP: Access to Syringes at Pharmacies for the Prevention of Bloodborne Infections Among People Who Inject Drugs (ASAP)
Primary Purpose
Skin and Soft Tissue Infections, Hiv, Hepatitis C
Status
Not yet recruiting
Phase
Early Phase 1
Locations
Study Type
Interventional
Intervention
ASAP
Sponsored by
About this trial
This is an interventional prevention trial for Skin and Soft Tissue Infections
Eligibility Criteria
Inclusion Criteria:
- full time pharmacy staff member as a pharmacist or a pharmacy technician in an Arizona pharmacy within the three study counties (Pima, Maricopa, Mohave)
Exclusion Criteria:
- not a full time pharmacy staff member
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
No Intervention
Experimental
Arm Label
Control
ASAP Intervention
Arm Description
Control pharmacies will not receive the intervention training, coaching or materials. They will track the sale of syringes upon request and they will participate in the surveys.
ASAP intervention pharmacies will receive the CEU training, coaching from research staff, ASAP materials and tracking for the sale of syringes. They will also participate in surveys.
Outcomes
Primary Outcome Measures
Syringe sales increase as measured by the sales tracking instrument
ASAP pharmacies will increase the sale of nonprescription syringes upon request
Reduced stigma as measured by the feasibility assessment tool
ASAP pharmacy staff will report a reduction in expressed stigma at the time of syringe sales.
Secondary Outcome Measures
Full Information
NCT ID
NCT05270135
First Posted
February 15, 2022
Last Updated
February 25, 2022
Sponsor
University of Arizona
1. Study Identification
Unique Protocol Identification Number
NCT05270135
Brief Title
ASAP: Access to Syringes at Pharmacies for the Prevention of Bloodborne Infections Among People Who Inject Drugs
Acronym
ASAP
Official Title
ASAP: Access to Syringes at Pharmacies for the Prevention of Bloodborne Infections Among People Who Inject Drugs
Study Type
Interventional
2. Study Status
Record Verification Date
February 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
August 2022 (Anticipated)
Primary Completion Date
December 2022 (Anticipated)
Study Completion Date
March 31, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Arizona
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Access to Syringes at Pharmacies (ASAP) is a refinement of an evidence-based, pharmacy intervention to increase pharmacy-based sales of syringes to PWID in order to reduce bloodborne illnesses among them.
Detailed Description
The refinement integrates a motivational enhancement to reduce staff ambivalence about syringe sales to PWID (People who inject drugs), sampling improvements to assure that project pharmacies are likely serving PWID, and refinements to the intervention training content and delivery in three selected Arizona project counties of Mohave, Maricopa and Pima. Our development and refinement of ASAP relies on: 1) interviews with pharmacy staff of 6 pharmacies (2 for each county) that will assess feasibility, acceptance and likely adoption of the initial draft of the ASAP intervention, and 2) interviews and surveys among pharmacy staff of 3 pharmacies (1 from each county). ASAP's adaptations and refinements will be guided by a highly iterative process between investigators and a community advisory board (CAB). Further, the Consolidated Framework for Implementation Research (CFIR) will guide feasibility assessment with a focus on selected CFIR elements across the domains of intervention characteristics, outer and inner setting, characteristics of individuals and process. The project will occur in two phases. The Year 1 formative phase and is NOT a clinical trial will involve: 1) in-depth interviews with staff of 6 pharmacies to clarify intervention components, training and feasibility. Findings will inform the Year 2 iterative ASAP development and refinement phase and beta testing (clinical trial) between investigators and the CAB; including extensive feedback from pharmacy staff of 3 pharmacies following an ASAP beta test. Specific Aims are: Aim 1: To conduct the formative research among pharmacy staff required to develop and beta test the ASAP intervention materials (e.g., training manual, manual of operations, evaluation protocols).
Aim 2: To determine the feasibility of the ASAP intervention relative to impact on pharmacy syringe related sales and pharmacy interactions with PWID at time of syringe buy request.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Skin and Soft Tissue Infections, Hiv, Hepatitis C, Bloodstream Infection
7. Study Design
Primary Purpose
Prevention
Study Phase
Early Phase 1
Interventional Study Model
Parallel Assignment
Model Description
randomized control study with one intervention group and one control group.
Masking
Participant
Masking Description
Participating pharmacies will not know whether they are an intervention ASAP pharmacy or the control pharmacy
Allocation
Randomized
Enrollment
50 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Control
Arm Type
No Intervention
Arm Description
Control pharmacies will not receive the intervention training, coaching or materials. They will track the sale of syringes upon request and they will participate in the surveys.
Arm Title
ASAP Intervention
Arm Type
Experimental
Arm Description
ASAP intervention pharmacies will receive the CEU training, coaching from research staff, ASAP materials and tracking for the sale of syringes. They will also participate in surveys.
Intervention Type
Behavioral
Intervention Name(s)
ASAP
Intervention Description
ASAP is an intervention geared toward increasing non-stigmatized syringe sales to people who inject drugs to prevent bloodborne illnesses.
Primary Outcome Measure Information:
Title
Syringe sales increase as measured by the sales tracking instrument
Description
ASAP pharmacies will increase the sale of nonprescription syringes upon request
Time Frame
by end of year 2
Title
Reduced stigma as measured by the feasibility assessment tool
Description
ASAP pharmacy staff will report a reduction in expressed stigma at the time of syringe sales.
Time Frame
by end of year 2
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
full time pharmacy staff member as a pharmacist or a pharmacy technician in an Arizona pharmacy within the three study counties (Pima, Maricopa, Mohave)
Exclusion Criteria:
not a full time pharmacy staff member
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Beth E Meyerson, PhD
Phone
520-626-5908
Email
bmeyerson@arizona.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Terry Mullin
Phone
520-621-7339
Email
mullin@email.arizona.edu
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
ASAP: Access to Syringes at Pharmacies for the Prevention of Bloodborne Infections Among People Who Inject Drugs
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