Outcome Evaluation of Minority AIDS Initiative Programs in the New York EMA - Full Text View

Sponsors and Collaborators:	The New York Academy of Medicine Public Health Solutions
Information provided by:	The New York Academy of Medicine
ClinicalTrials.gov Identifier:	NCT00273403

Purpose

This outcome evaluation effort provides the opportunity to learn what programmatic approaches effectively address two of the most difficult hurdles in HIV health services delivery: (1) getting people who would benefit from health care to use it and (2) getting people who do use health care to do so more consistently and effectively.

The New York HIV Planning Council (through MHRA) has funded 23 agencies to achieve these objectives for people of color with HIV disease.

Condition	Intervention
HIV Infections	Behavioral: Maintenance in Care Services Behavioral: Access to Care Services

Study Type:	Interventional
Study Design:	Treatment, Non-Randomized, Open Label, Uncontrolled, Parallel Assignment, Efficacy Study
Official Title:	Outcome Evaluation of Minority AIDS Initiative Programs in the New York EMA

Resource links provided by NLM:

MedlinePlus related topics: AIDS

U.S. FDA Resources

Further study details as provided by The New York Academy of Medicine:

Primary Outcome Measures:

Functional Health Status (ACTG SF-21): at 3, 6, and 12 mos.

Secondary Outcome Measures:

Housing stability: at 3, 6, and 12 months
Substance use: at 3, 6, and 12 months
Whether receiving HIV primary care: at 3, 6, and 12 months
Whether on HIV meds: at 3, 6, and 12 months

Estimated Enrollment:	5100
Study Start Date:	November 1999
Estimated Study Completion Date:	November 2006

Detailed Description:

All clients are assessed upon entry into the program, have their service utilization tracked, and then are reassessed at three, six, and twelve months following program entry.

The main client-level data elements collected during baseline and follow-up interviews are the following:

Biological markers (including HIV status, viral load, t-cell count)
Demographic characteristics
Adherence to treatment
Barriers to care
Social support
Substance use and treatment
Functional health status

Functional Health Status is used in this evaluation as the primary measure of final client “outcomes.” The Functional Health Status items we use are from the ACTG SF-21 (a modified version of the Medical Outcomes Study instrument).

The overall evaluation objectives are to:

Describe the change in functional health status for different populations and groups of clients.
Identify services or constellations of services and intensity of services associated with change in functional health status.
Assess whether programs meet intermediate objectives (decreased drug use, increased service use, improved housing stability).
Identify barriers to access to and maintenance in care.

Eligibility

Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

HIV-positive
Not in HIV care, or difficulty being maintained in HIV care
HIV-negative but at high risk of HIV infection

Exclusion Criteria:

HIV-negative and not at high risk of HIV infection

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00273403

Contacts

Contact: Elana Behar, MA	212-822-7374	ebehar@nyam.org
Contact: John Chin, PhD	212-419-3537	jchin@nyam.org

Locations

United States, New York
Bronx Lebanon Hospital Center	Recruiting
Bronx, New York, United States, 10457
The Bridge, Inc.	Recruiting
New York, New York, United States, 10027
African Services Committee	Recruiting
New York, New York, United States, 10027
Interfaith Medical Center	Recruiting
Brooklyn, New York, United States, 11213
Saint Vincents Hospital and Medical Center	Recruiting
New York, New York, United States, 10011
New York Presbyterian Hospital	Recruiting
New York, New York, United States, 10032
New York Harm Reducation Educators, Inc.	Recruiting
New York, New York, United States, 10035
Health People	Recruiting
Bronx, New York, United States, 10454
SUNY Downstate Medical Center	Recruiting
Brooklyn, New York, United States, 11203
Saint Johns Riverside Hospital, Park Care Pavilion (MIC Program)	Recruiting
Yonkers, New York, United States, 10703
Planned Parenthood of New York City, Project Street Beat	Recruiting
Bronx, New York, United States, 10451
Greyston Health Services, Inc.	Recruiting
Yonkers, New York, United States, 10701
Health Center at Tremont, North Bronx Healthcare Network	Recruiting
Bronx, New York, United States, 10457
Partnership Homeless Services Corp.	Recruiting
New York, New York, United States, 10001
Saint Johns Riverside Hospital, Park Care Pavilion (ATC program)	Recruiting
Yonkers, New York, United States, 10703
William F. Ryan Community Health Center	Recruiting
New York, New York, United States, 10025
HHC Cumberland Diagnostic and Treatment Center	Recruiting
Brooklyn, New York, United States, 11205
Mount Vernon Hospital	Recruiting
Mount Vernon, New York, United States, 10550
Settlement Health	Recruiting
New York, New York, United States, 10029
Bellevue Hospital Center	Recruiting
New York, New York, United States, 10016
Harlem Hospital Center	Recruiting
New York, New York, United States, 10037
Betances Health Center	Recruiting
New York, New York, United States, 10002
Urban Horizons, The Institute for Urban Family Health	Recruiting
Bronx, New York, United States, 10452

Sponsors and Collaborators

The New York Academy of Medicine

Public Health Solutions

Investigators

Principal Investigator:

John Chin, PhD

New York Academy of Medicine

More Information

No publications provided

Study ID Numbers:	112299
Study First Received:	January 4, 2006
Last Updated:	September 21, 2006
ClinicalTrials.gov Identifier:	NCT00273403 History of Changes
Health Authority:	United States: Institutional Review Board

Keywords provided by The New York Academy of Medicine:

HIV
Minority Groups
Health Services Accessibility
Quality of Life

Study placed in the following topic categories:

Virus Diseases
Sexually Transmitted Diseases, Viral
HIV Infections
Sexually Transmitted Diseases

Acquired Immunodeficiency Syndrome
Quality of Life
Retroviridae Infections
Immunologic Deficiency Syndromes

Additional relevant MeSH terms:

Virus Diseases
Sexually Transmitted Diseases, Viral
RNA Virus Infections
Slow Virus Diseases
Immune System Diseases
HIV Infections

Sexually Transmitted Diseases
Acquired Immunodeficiency Syndrome
Lentivirus Infections
Infection
Retroviridae Infections
Immunologic Deficiency Syndromes

ClinicalTrials.gov processed this record on September 01, 2009