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Sponsor: Hilary L Surratt, PhD
Conditions: HIV Prevention
Interventions: CDC PrEP with active referral, TelePrEP
Countries: United States
The expansion of HIV pre-exposure prophylaxis (PrEP) care has been endorsed as a key strategy for reducing new HIV infections, however, PrEP trials among people who inject drugs (PWID) are rare and uptake of PrEP has been minimal, most notably in rural areas. Structural barriers to healthcare access, lack of providers, and inadequate infrastructure to deliver PrEP are challenges in many rural areas. This study will integrate telehealth PrEP care within local health departments to reduce structural barriers to evidence-based HIV prevention through co-located comprehensive PrEP services, and test this against a standard of care approach in a pilot randomized clinical trial. The primary objective is to examine preliminary efficacy and effect sizes of novel integrated telehealth care versus standard education and active referral on the primary outcome of PrEP initiation in HIV-negative participants who inject drugs.
Sex: ALL
Age: 18 Years to 99 Years
Healthy volunteers: Yes
Study type: INTERVENTIONAL
Inclusion Criteria: * be at least 18 years of age * report at least one occasion of injection drug use in the past month * report an indication for PrEP in the past six months consistent with CDC guidelines for PrEP care * be a documented client of the county health department-based SSP at the time of study entry * express willingness to participate in a multi-session intervention and follow-up Exclusion Criteria: * HIV-positive status * current PrEP care.
- Lexington, Kentucky, United States