Combining Social Network Strategies and Routine Substance Use Screening
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexMale
Age18+
SponsorUniversity of California, San Diego
About this trial
This study aims to improve health care for people who may have HIV or substance use disorders by bringing two services to a large community health center in Chicago. First, the clinic will begin offering routine screening for substance use to all patients. Second, the study will offer a social network-based program that helps people identify friends or partners who may need support and link them to care. The goal is to help more people learn their HIV status, reduce HIV levels in the community, and connect people with substance use treatment when needed. The study will also look at how well these services can be added into everyday clinic practice and what is needed to keep them going over time.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Assigned male sex at birth
Has sex with men
Speaks English or Spanish
Disqualifiers
Institutionalized individuals
Women
Non-Hispanic whites
Trial design
Design model
Parallel
Treatments tested in this trial
Substance use disorder screening
BehavioralImplement a routine SUD screening at the FQHC.
Social network intervention
BehavioralSocial network intervention (SNI) to identify individuals who are viremic, have SUD, or both and link them to harm reduction and HIV continuum of care services. There are three main activities that make up the SNI: 1) recruiting, screening, and interviewing "index participants"; 2) training the index participants to recruit others; 3) screening and interviewing persons who present a valid recruitment voucher given to them by an index participant.
Treatment groups
500 Participants
are divided into 2 treatment groupsGroup A: Routine Substance Use disorder (SUD) screeningActive comparator 1 intervention
Group B: Social Network Intervention (SNI)Experimental treatment 2 interventions
Trial outcomes
Primary outcomes
1
Rate of Substance Use Disorder (SUD) Detection
The number and proportion of patients who screen positive for substance use disorder using the routine SUD screening tool (NIDA Quick Screen) compared with the number identified through existing electronic medical record (EMR) documentation. This outcome measures whether routine screening increases the detection of individuals with possible SUD.
Time frame
Baseline through 24 months2
Number of Individuals Identified as Viremic and/or Having SUD Through the Social Network Intervention (SNI)
The number of people identified through the Social Network Intervention who have unsuppressed HIV (viremia), substance use disorder, or both. This will be compared to a functional control group (new or re-engaged clinic patients during the same time period) to determine whether the SNI is more effective at finding high-priority individuals needing care.
Time frame
Baseline through 24 months3
Linkage to HIV Care or Substance Use Services
The proportion of individuals identified through SUD screening or the SNI who successfully link to harm reduction, HIV care, or substance use treatment services. This outcome assesses early engagement in care following identification.
Time frame
Baseline through 24 monthsSecondary outcomes
1
Viral Suppression Among Individuals Identified Through Screening or SNI
The proportion of people identified with HIV who achieve viral suppression after being linked to care. This measures the downstream impact of improved identification and engagement.
Time frame
Baseline through 24 months2
Time to Linkage to HIV Care or Substance Use Services
The number of days from identification (via SUD screen or SNI) to the first attended HIV care appointment, harm reduction service, or substance use treatment visit.
Time frame
Baseline through 24 months3
Number of New HIV Diagnoses Identified Through the SNI
The number of individuals identified by SNI participants who test positive for HIV and were previously undiagnosed.
Time frame
Baseline through 24 months4
Substance Use Treatment Initiation
The proportion of people identified with SUD who initiate counseling, medication-assisted treatment, or other substance use services.
Time frame
Baseline through 24 monthsSponsors and contacts
Click on the lead sponsor to view all of their trials.
University of California, San Diego
Lead sponsor
Howard Brown Health Center
Collaborator
University of Chicago
Collaborator
National Institute on Drug Abuse (NIDA)
Collaborator
Source ClinicalTrials.gov
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