Planning For SUCCESS

规划成功

• 批准号: 8659792
• 负责人: ANNE C SPAULDING
• 金额: $ 30.58万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-03-15 至 2017-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8659792
• 关键词: Address; Adherence; Aftercare; Alcohols; Anti-Retroviral Agents; CD4 Lymphocyte Count; Caring; Case Management; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Clinic; Clinical; Communities; Data; Effectiveness; Enrollment; Environment; Evaluation; Face; Feasibility Studies; Focus Groups; Future; HIV; HIV Infections; Health Services Accessibility; Healthcare; Homelessness; Imprisonment; Individual; Intervention; Jail; Lead; Left; Link; Logistics; Medical; Medical Records; Mental Health; Newly Diagnosed; Occupations; Outcome Measure; Outpatients; Participant; Persons; Pharmaceutical Preparations; Population; Preparation; Prisons; Provider; Public Health; Qualitative Evaluations; Randomized Controlled Trials; Recruitment Activity; Rehabilitation therapy; Research; Services; Site; Specificity; Substance abuse problem; System; Technology; Testing; Translating; Viral Load result; Viremia; Visit; Work; abstracting; addiction; antiretroviral therapy; arm; base; cost; follow-up; high risk; housing instability; improved; innovation; insight; novel; public health relevance; response; scale up; social; stressor; substance abuse treatment; therapy design; tool; treatment as usual; trial comparing

DESCRIPTION (provided by applicant): Abstract Annually, 1 in 7 persons with HIV in the US cycles through jail. Short stays in jail are associated with an eight-fold increase in the likelihod of HIV treatment disruption. An HIV+ person may have been linked to care before incarceration, but might not follow up in outpatient HIV care after release because even a few week stay in jail can lead to the loss of a job, resulting homelessness and other social stressors. The releasee often prioritizes tackling these issues above reestablishing medical care. Substance abuse could have precipitated his or her arrest and detainment; addressing addiction issues are frequently key to retention in HIV care. Since jail is a serious impediment to a national Seek-Test-Treat and Retain strategy for HIV care, we want to build evidence for an innovative intervention of intensive case management beginning in jail, and supplemented with cell phone technology post-discharge, that is acceptable and can promote retention in care for HIV+ jail releasees in the community. This proposed feasibility study, Planning for SUCCESS (Sustained, Unbroken Connections to Care, Entry Services, and Suppression), will test the logistics and acceptance of this intervention and its evaluation tools. Findings from this feasibility study of SUCCESS will inform the planning of a future randomized, controlled trial and cost study to examine long-term effectiveness of intensive Strengths- Based Case Management compared with usual care for this hard-to-treat population. Our feasibility study will ascertain: 1) the pac of recruitment, 2) what proportion of releasees receiving the intervention link to care after jail, and 3) what proportion are retained in care with two visits to an HIV provider within the first yea after release. At 12 months, we will also examine viral loads and linkage to substance abuse and mental health treatment.

描述（由申请人提供）：每年摘要，在美国通过监狱中的周期中有七分之一的艾滋病毒。入狱中短暂停留与艾滋病毒治疗中断的可能性增加了八倍。艾滋病毒+人可能在监禁前与护理联系在一起，但在释放后可能不会跟进门诊艾滋病毒护理，因为即使几个星期入狱也可能导致工作丧失，导致无家可归和其他社会压力源。该版本通常优先考虑解决这些问题，而不是重新建立医疗服务。滥用毒品可能会引起他或她的逮捕和拘留。解决成瘾问题通常是保留艾滋病毒护理的关键。由于监狱是对国家寻求测试和保留艾滋病毒护理策略的严重障碍，因此我们希望为从监狱开始的强化案件管理进行创新的强化案件干预，并补充手机技术后的入场后，这是可以接受的，并且可以促进社区中艾滋病毒+监狱释放的保留。这项提出的可行性研究，成功的计划（持续，与护理，进入服务和压制的不间断联系）将测试该干预措施及其评估工具的后勤和接受。这项对成功的可行性研究的结果将为未来的随机，对照试验和成本研究的规划提供信息，以研究基于强度优势的案例管理的长期有效性，与对这种难以治疗的人群的常规护理相比。我们的可行性研究将确定：1）招聘的PAC，2）释放的释放比例在接受干预后与监护后有多么多的释放， 3）在发行后的第一个YEA内，两次访问艾滋病毒提供商都保留了哪些比例。在12个月的时间里，我们还将检查病毒负荷和与药物滥用和心理健康治疗的联系。