An observational study in HIV Infections, sponsored by University of Illinois at Chicago. Completed at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-11-15.
Sponsored by University of Illinois at Chicago · Observational
Aim-1: Evaluate opt-out versus opt-in testing for the human immunodeficiency virus (HIV) at the Cook County jail and the Illinois Department of Corrections Northern Intake facilities. Outcomes of interest include a) uptake of each HIV testing strategy, b) comparative effectiveness of identifying HIV-positive cases, new cases and undisclosed cases, and c) predictors of HIV testing.
Aim-2: Evaluate two case management strategies - "correctional case management" and "transitional case management" - designed to improve linkage and adherence to appropriate medical care after release from incarceration. Correctional case management is a longer-term, more intense approach while transitional case management seeks to meet the clients' immediate needs, link them to Ryan White case management, and then support the Ryan White case manager in assisting these clients. Correctional case management will be compared to the standard of care for jail detainees, and to transitional case management for persons leaving prison. Outcomes of interest include, (a) HIV viral load and CD4 cell counts over time, (b) adherence to medication, and (c) visits to medical providers.
Aim-3: Evaluate the impact of an incentive for HIV-positive detainees released from jail to visit an HIV service organization where they can be linked to medical care and case management. Outcomes of interest are essentially the same as Aim-2.
Aim-4: Assess university-based telemedicine as means to improve care of state prison inmates living with HIV. Outcomes of interest include medication regimens, HIV viral load and CD4 cell counts, and associated health conditions.
Aim-5: Assess the uptake of partner notification and social network HIV counseling and testing involving HIV-positive persons released from jail and prison as a means to extend the reach of the 'seek, test, treat and retain' (STTR) model into the community.
4,342 studies on the registry are indexed under HIV Infections; 240 are open to participants now.
This study's enrollment of 784 is above the median of 200 across 731 observational studies indexed under HIV Infections.
Browse HIV Infections studies →University of Illinois at Chicago is the lead sponsor of 523 studies on the registry; 132 are open to participants now.
Of its 32 completed or terminated interventional studies of FDA-regulated products, 19 (59%) have results posted.
Counted across the registry records on this site, refreshed daily.
Detainees in Cook County Jail, prisoners in the Illinois Department of Corrections
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Exclusion Criteria:
For all jail detainees regardless of HIV status, we observed the uptake of opt-out and opt-in HIV testing. For HIV-positive jail detainees leaving jail, we observed 1) health outcomes for corrections case management versus other than corrections case management, 2) the impact of an incentive to visit an HIV service organization after release from jail
Behavioral: Corrections case management
We compared outcomes for for HIV-positive prisoners before and after the implementation of telemedicine to deliver HIV medical care. For HIV-positive prisoners released from prison and returning to Chicago, we observed health outcomes for those enrolled in corrections case management those not enrolled in corrections case management.
Behavioral: Corrections case management
Corrections case management is a long-term (18-24 months) program that seeks to improve the linkage of HIV-positive persons recently released from jail or prison to community-based HIV care, retain them in care, and reduce recidivism. Compared to the long-standing Ryan White case management program, corrections case management has greater access to housing and a greater emphasis on employment. Clients completing the program are then linked to the Ryan White case management program.
Change in HIV viral load
Time frame: baseline and 6, 12, 18 months post-baseline
Change in CD4 cell count
Time frame: baseline and 6, 12, 18 months post-baseline
Change in community-level HIV viral load
Time frame: baseline and 18 months post-baseline
Change in adherence to HIV medication
Time frame: baseline and 6, 12, 18 months post-baseline
Change in visits to HIV medical care provider
Time frame: baseline and 6, 12, 18 months post-baseline
Ran from Jul 2013 to primary completion in Jun 2016, 35 months.
Of 183 non-industry observational studies under HIV Infections, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 69. This study's 35 months is close to that.
Counting every sponsor, half of 204 studies reached it within 38 months; a quarter within 17 and three quarters within 68.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Nov 2019. You cannot join it, but the record below documents what was studied.
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University of Illinois at Chicago →