About this trial
Although global efforts have been made to end the HIV epidemic, there are still some gaps in HIV testing, antiretroviral therapy (ART) adherence, and viral suppression (VS) among people with HIV (PWH). These gaps are particularly prominent in the Deep South of the United States (US), where PWH face challenges in accessing healthcare services. In response, a team of experienced researchers has developed and tested the Community Health Workers And MHealth to ImProve Viral Suppression (CHAMPS) intervention. This intervention uses mobile health (mHealth) technology and a team of community health workers (CHW) to design an intervention to improve ART adherence and VS. The CHAMPS+ intervention adds a CHW delivered supportive risk reduction counseling during periods of non-suppression to prevent HIV transmission. The study will engage the participants by developing culturally relevant materials and retention strategies, evaluating the clinical effectiveness and sustainability of the intervention in Deep South settings, and assessing regionalized implementation factors. Ultimately, the study will test the effectiveness of CHAMPS+ on ART adherence and viral load suppression for PWH in Alabama, Louisiana, and Mississippi.
Eligibility criteria
Qualifiers
Be able to speak, read, and write in English;
Be above 18 years of age;
Be willing to participate in any assigned arm of the intervention;
Have an HIV-1 RNA level >200 copies/mL;
Disqualifiers
Reside in a nursing home, prison, and/or receiving in-patient psychiatric care at time of enrollment;
Terminal illness with life expectancy <6 months; and
Planning to move out of the area in the next 12 months.
Trial design
Treatments tested in this trial
- CHW Sessions
- CleverCap
Treatment groups
Sponsors and collaborators
Columbia University
Lead sponsor
University of Alabama at Birmingham
Collaborator
Health Services Center, Inc.
Collaborator
Unity Wellness Center
Collaborator
Louisiana State University Health Sciences Center in New Orleans
Collaborator
University of Mississippi Medical Center
Collaborator
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator
Tulane University
Collaborator