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Multidisciplinary Low-Barrier and Mobile HIV Care to Improve Retention and Viral Suppression: Stakeholder-Engaged Design and Evaluation

RecruitingNAAges 15 Years - anyAllUniversity of California, San Francisco
NCT05887557 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The purpose of this study is to evaluate the implementation and effectiveness of a flexible, multidisciplinary, integrated drop-in/mobile HIV care approach for people living with HIV (PLH) who are not well engaged in current care systems (i.e. scheduled HIV primary care visits). The hybrid type 2 implementation-effectiveness study involves a set of implementation strategies to support implementation of the integrated drop-in/mobile HIV care approach (i.e. the evidence-informed clinical intervention) at four diverse sites in San Francisco and Alameda counties in California. Sites include an academic clinic located at a public hospital (Ward 86) and a needle exchange site (San Francisco AIDS Foundation Syringe Access Site) in San Francisco and two Federally Qualified Health Centers serving diverse patient populations in Alameda County (Trust and La Clínica). The evidence-informed clinical

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📋 Eligibility rules (as published)
Inclusion Criteria: * Adults or adolescents (≥15 years) living with HIV * Most recent HIV viral load \>200 copies/mL or off ART by ≥1 month by self-report * Sub-optimal care engagement by self-report or chart history (defined as no current HIV primary care provider, no HIV primary care visit in the past 6 months, or ≥1 missed HIV primary care visit in the past 6 months) * ≥1 major barrier to care engagement by self report or chart history (homelessness/ unstable housing, any mental health diagnosis, any illicit substance use). Exclusion Criteria: Inability to give informed consent due to cognitive impairment, psychosis, or intoxication.
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What it tests

  • Active Referral
  • Drop-In Multidisciplinary HIV Care
  • Mobile HIV Care
  • Staged Care
  • Identify and prepare champions at referral sites
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Where

5 sites
La Clinica de la Raza, Inc
Oakland, United States
Lifelong Medical Care
Oakland, United States
San Francisco AIDS Foundation
San Francisco, United States
San Francisco Department of Public Health Maria X Martinez Clinic
San Francisco, United States
Zuckerberg San Francisco General Hospital
San Francisco, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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