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Systems Analysis and Improvement Approach for HIV Service Delivery (SAIA-SSP-HIV Trial)

N/A

Recruiting

Led By Alexis M Roth, PhD

Research Sponsored by University of California, San Diego

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Be older than 18 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 18 months

Awards & highlights

No Placebo-Only Group

Summary

This trial aims to assess if a strategy to improve HIV service delivery in US syringe services programs is effective and cost-efficient.

Who is the study for?

This trial is for organizations within the US, its territories, or Tribal Nations that run syringe service programs (SSPs) offering sterile syringes to drug users and have recently provided HIV counseling and testing. It's not specified who can't join.

What is being tested?

The study tests an organizational strategy called SAIA-HIV-SSP aimed at improving HIV services in SSPs. It compares this approach with usual implementation over a period of 21 months to see if it increases HIV testing rates and is cost-effective.

What are the potential side effects?

Since this trial focuses on implementing a service delivery strategy rather than a medical intervention, traditional side effects are not applicable.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 18 months

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~18 months

This trial's timeline: 3 weeks for screening, Varies for treatment, and 18 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Costing

Effectiveness

Sustained Effectiveness

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Active Control

Group I: SAIA-SSP-HIVExperimental Treatment1 Intervention

SAIA-SSP-HIV is an intervention that facilitates an organizational, SSP-level analysis of the delivery of HIV services by assigning a trained SAIA specialist to apply tools and techniques and engage staff to define barriers, identify solutions, and evaluate their success in cycles until achieving desired change regarding HIV service delivery. The scientific premise of this RCT is that SAIA will effectively boost and extend HIV service delivery cascades within SSPs assigned to the SAIA-SSP-HIV intervention condition (relative to IAU). SAIA specialists will meet with SSP staff biweekly for the first 3 months and then once monthly for the remaining 9 months during the 12-month intervention period.

Group II: Implementation as usualActive Control1 Intervention

SSPs randomized to the IAU arm will not receive support from a SAIA specialist. Though many SSPs in the US already offer HIV services, the investigators are testing the ability of SAIA-SSP-HIV to optimize the delivery of HIV services within SSPs. As such, the IAU condition is characterized by the absence of SAIA-SSP-HIV with the goal of comparing whether SAIA-SSP-HIV improves SSPs' HIV service delivery cascades.

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