ACTIVE_NOT_RECRUITING

A Systems Analysis and Improvement Approach for Optimizing HIV Service Delivery in Syringe Services Programs

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The goal of this clinical trial is to assess the effectiveness of an evidence-based, organizational-level implementation strategy, the Systems Analysis and Improvement Approach, in improving HIV service delivery (SAIA-SSP-HIV) in U.S. syringe services programs (SSPs). The main questions it aims to answer are: * Does SAIA-SSP-HIV improve delivery of HIV services (including the proportion of SSP participants receiving HIV testing and referrals to appropriate clinical services for HIV prevention and treatment) compared to implementation as usual (IAU)? * Does SAIA-SSP-HIV result in sustained improvement of HIV service delivery cascades (including the proportion of SSP participants receiving HIV testing and referrals to appropriate clinical services for HIV prevention and treatment) compared to IAU? * What are the costs associated with SAIA-SSP-HIV and how cost-effective is the strategy? The trial will take place over 21 months and consist of a 3-month lead-in period, a 12-month active period, and a 6-month sustainment period. During the 12-month active period a SAIA specialist will meet with SSPs randomized to the SAIA-SSP-HIV arm to help them optimize their HIV service delivery cascades. Researchers will compare the SAIA-SSP-HIV and IAU arms to see if HIV service delivery and costs and cost-effectiveness differ by group.

Official Title

SAIA-SSP-HIV: a Systems Analysis and Improvement Approach to Optimizing HIV Service Delivery in Syringe Services Programs

Quick Facts

Study Start:2023-12-01
Study Completion:2026-06
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:ACTIVE_NOT_RECRUITING

Study ID

NCT06025435

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:Yes
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Organization operates within the United States, U.S. territory, or Tribal Nation.
  2. * Organization operates a dedicated syringe service program (SSP) that provides access to sterile syringes and injection equipment for people who inject drugs (PWID).
  3. * In the past 30 days, SSP staff have directly provided HIV counseling and testing services to SSP participants.
  1. * Organization is participating in or has participated in other studies involving SAIA or components of SAIA.
  2. * Organization intends to stop providing HIV counseling and testing services to SSP participants within 21 months of their respective start date.

Contacts and Locations

Principal Investigator

Alexis M Roth, PhD
PRINCIPAL_INVESTIGATOR
Drexel University
Barrot H Lambdin, PhD
PRINCIPAL_INVESTIGATOR
RTI International

Study Locations (Sites)

University of California, San Diego
San Diego, California, 92093
United States

Collaborators and Investigators

Sponsor: University of California, San Diego

  • Alexis M Roth, PhD, PRINCIPAL_INVESTIGATOR, Drexel University
  • Barrot H Lambdin, PhD, PRINCIPAL_INVESTIGATOR, RTI International

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-12-01
Study Completion Date2026-06

Study Record Updates

Study Start Date2023-12-01
Study Completion Date2026-06

Terms related to this study

Keywords Provided by Researchers

  • Systems Analysis
  • Preventative Health Services
  • Pre-Exposure Prophylaxis
  • Costs and Cost Analysis
  • Diagnostic Screening Programs
  • Syringe Service Programs
  • Randomized Controlled Clinical Trial
  • Multicenter Study
  • Health Services Research
  • Facilities and Services Utilization
  • Retention in Care
  • Implementation Science
  • Narcotic-Related Disorders
  • Infectious Disease Transmission
  • Communicable Disease
  • Substance-Related Disorders

Additional Relevant MeSH Terms

  • HIV Infections