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Urban Gardening and Peer Nutritional Counseling for People With HIV and Food Insecurity

NCT06412016

Active Not RecruitingNA

Sponsor: University of Massachusetts, Amherst

Conditions: HIV, Food Insecurity

Interventions: Peer Nutritional Counseling + Urban Gardening

Countries: Dominican Republic

The investigators are conducting a fully powered cluster randomized controlled trial (RCT) of a culturally appropriate, multicomponent intervention combining peer nutritional counseling with urban gardening among people with human immunodeficiency virus (HIV) in the Dominican Republic (DR) to assess efficacy, analyze mediators of effects, and evaluate detailed process data to inform scale-up. The study will examine the impact of the intervention on participants' HIV clinical outcomes (HIV viral load, antiretroviral therapy adherence, and HIV care retention) as well as intermediate outcomes such as food security and HIV-related stigma.

Eligibility overview

Sex: ALL

Age: 18 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

1. registered at one of the 20 HIV clinics in the study;
2. age 18 or older;
3. having initiated ART at least 6 months ago;
4. detectable viral load in the previous 12 months based on medical records and/or evidence of adherence problems (missed clinic visits, delays in picking up antiretrovirals);
5. moderate or severe household food insecurity
6. physically able to plant and maintain an urban garden; stable housing and space for a garden (subjectively assessed by participants after hearing a description of what is involved)
7. planned residency in the local area for the duration of the study

Exclusion Criteria:

Does not meet above criteria

Locations (20)

Azua, Dominican Republic
Higüey, Dominican Republic
Monte Plata, Dominican Republic
Peravia, Dominican Republic
Puerto Plata, Dominican Republic
Punta Cana, Dominican Republic
Samaná, Dominican Republic
San Cristobal, Dominican Republic
San Francisco de Macorís, Dominican Republic
San Juan de la Maguana, Dominican Republic
Santiago de los Caballeros, Dominican Republic
Santiago de los Caballeros, Dominican Republic
Santiago de los Caballeros, Dominican Republic
Santo Domingo, Dominican Republic
Santo Domingo, Dominican Republic
Santo Domingo, Dominican Republic
Santo Domingo, Dominican Republic
Santo Domingo, Dominican Republic
Santo Domingo Este, Dominican Republic
Santo Domingo Oeste, Dominican Republic