ClinicalTrials.gg
CompletedNCT03369249Updated Jan 18, 2023Results posted

Health and Justice: A Continuum of Care for HIV and SU for Justice-Involved Young Adults (PHASE 2)

An interventional study of Link2CARE in HIV/AIDS, HIV Infections and Substance Use, sponsored by New York State Psychiatric Institute. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-01-18.

Sponsored by New York State Psychiatric Institute · Not applicable, Interventional, and Prevention

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Phase
Not applicable
Study type
Interventional
Enrollment
307
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 1,670 studies in Acquired Immunodeficiency Syndrome with a site in United States — 111 open to participants now, 153 under way, 9 of them phase 3. Acquired Immunodeficiency Syndrome · United States.

Enrollment
222nd of 1,290
307 · median 60
Started
2017
with 55 others
No phase
642 of 1,670
59 open now
Registered
1,225th of 1,670
by date

Among the 1,670 studies in Acquired Immunodeficiency Syndrome with a site in United States, this one is the 222nd largest by enrollment of the 1,290 interventional ones that give a count, is one of 56 that started in 2017, is one of 642 with no phase, and was the 1,225th registered.

Acquired Immunodeficiency Syndrome

3,037 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 307 are open to participants now.

Browse Acquired Immunodeficiency Syndrome studies →

Open to participants now

111 of the 1,670 studies in Acquired Immunodeficiency Syndrome with a site in United States are open now. Recruiting first, the newest first:

106 more — sign in →

All 111 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 198 Acquired Immunodeficiency Syndrome studies recruiting now, 118 (60%) set no upper age limit and 67 (34%) stop at 75 or younger; 43 take children under 18; 68 take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 1,670 studies in Acquired Immunodeficiency Syndrome with a site in United States, or all of them as a file.
02

Study summary

This research study proposes to embed HIV testing outreach workers from a young adult focused medical and HIV treatment program into an alternative sentencing program to deliver a new service delivery model (Link2CARE) that integrates evidence-based protocols for justice-involved young adults to: a) promote HIV and STI testing, and HIV and SU risk screening, b) provide onsite intervention, and c) cross-system linkage to HIV, STI, and SU care. Phase 1 has already been completed. In phase 1, the intervention components were adapted for use among justice involved young adults and the resulting protocols were piloted with justice involved young adults, finalizing the resulting 4-session Link2CARE intervention. In phase 2, we will test Link2CARE among N=450 justice-involved young adults enrolled at the alternative sentencing program and conduct process evaluations with N=15 alternative sentencing program staff.

03

Conditions studied

  • HIV/AIDS
  • HIV Infections
  • Substance Use
  • Substance Abuse
  • Substance Use Disorders
  • Sexually Transmitted Diseases
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Young Adults

Inclusion Criteria:

  • Between 18-24 years of age
  • Currently enrolled at the alternative to sentencing program
  • Conversant in English
  • Engaged in any unprotected or vaginal sexual activity (in the past 12 months)

Exclusion Criteria:

  • Cognitively unable to complete the interview
  • positive

Alternative to Sentencing Staff

Inclusion Criteria:

  • Currently employed at the alternative to sentencing program
  • Between ages of 18-80

Exclusion Criteria:

  • None
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
307 participants (actual)

Study arms

  • Experimental
    Link2CARE

    This arm is comprised of participants randomized to the 4-session Link2CARE intervention.

    Behavioral: Link2CARE

  • No intervention
    Standard of Care

    This arm is comprised of participants who will not receive the 4-session Link2CARE intervention.

Interventions

  • BehavioralLink2CARE

    The Link2CARE intervention consists of 4 sessions. Session 1 consists of a one-on-one meeting with a Health Coach, during which participants will be offered an oral rapid HIV test and STI test. Sessions 2, 3, and 4 are group-based. During these sessions, participants will engage in discussions and activities regarding sexual and substance use risk behaviors.

06

What researchers measure

Primary outcomes

  1. Total Number of Unprotected Anal and Vaginal Sex Occasions in Past 3 Months

    measured by participant report in the "Sexual Risk" section of the questionnaires

    Time frame: at 12-month follow-up

Secondary outcomes

  1. Frequency of Young Adults Substance Use in Past 30 Days

    measured by participant report in the "Substance Use" section of the questionnaires

    Time frame: at 3-, 6-, and 12-month follow-ups

  2. Number of Young Adults Referred to Substance Use Treatment

    measured by Health Coach report in the Health Coach logs and participant report in the "Substance Use Referral" section of the questionnaires

    Time frame: at 3-, 6-, and 12-month follow-ups

  3. Number of Young Adults Attending Intake Plus One Treatment Session

    measured by Health Coach report in the Health Coach logs and participant report in the "Substance Use Treatment" section of the questionnaires

    Time frame: at 3-, 6-, and 12-month follow-ups

  4. Acceptance of STI Testing (Yes/no)

    measured by Health Coach report in the "Session 1 Sexual Risk" questionnaire

    Time frame: at day 1 of enrollment

  5. Any STI Testing

    measured by participant report in the "STI Testing" section of the questionnaires

    Time frame: between 6- and 12-month follow-ups

  6. Number of STI+ Young Adults Referred to STI Treatment

    measured by the Health Coach report in the Health Coach Logs and participant report in the "STI Referral" section of the questionnaires

    Time frame: at 3-, 6-, and 12-month follow-ups

  7. Number of STI+ Young Adults Attending 1 or More Treatment Appointments

    measured by Health Coach report in the Health Coach logs and participant report in the "STI Treatment" section of the questionnaires

    Time frame: at 3-, 6-, and 12-month follow-ups

  8. Acceptance of HIV Testing (Yes/no)

    measured by Health Coach report in the "Session 1 Sexual Risk" questionnaire

    Time frame: at day 1 of enrollment

  9. Any HIV Testing

    measured by participant report in the "HIV Testing" section of the questionnaires

    Time frame: between 6-month and 12-month follow-ups

Other outcomes

  1. Number of HIV+ Young Adults Referred to HIV Treatment

    measured by Health Coach report in the Health Coach logs and participant report in the "HIV Referral" section of the questionnaires

    Time frame: at 3-, 6-, and 12-month follow-ups

  2. Number of HIV+ Young Adults Attending at Least One Treatment Appointment

    measured by Health Coach report in the Health Coach logs and participant report in the "HIV Treatment" section of the questionnaires

    Time frame: at 3-, 6-, and 12-month follow-ups

  3. Number of Young Adults Behaviorally PrEP Eligible Referred to PrEP/Medical Care

    measured by Health Coach report in the Health Coach logs and participant report in the "PrEP Referral" section of the questionnaires

    Time frame: at 3-, 6-, and 12-month follow-ups

  4. Number of Young Adults Behaviorally PrEP Eligible Attending at Least One HIV Care Appointment

    measured by Health Coach report in the Health Coach logs and participant report in the "PrEP Uptake" section of the questionnaires

    Time frame: at 3-, 6-, and 12-month follow-ups

07

Results

Posted Nov 22, 2022

Participant flow

participants were recruited at the County Court house; screening took place and if eligible the participant was scheduled an appointment for baseline survey and randomized to study group. The first session either happened the same day or a few days later if the participant was unable to stay following the survey

Participant flow — Overall Study
MilestoneLink2CAREStandard of Care
Started152155
Completed135139
Not completed1716

Outcome measures

PrimaryTotal Number of Unprotected Anal and Vaginal Sex Occasions in Past 3 Months

measured by participant report in the "Sexual Risk" section of the questionnaires

Time frame:
at 12-month follow-up
Reported as:
Mean · unprotected sex occasions
Total Number of Unprotected Anal and Vaginal Sex Occasions in Past 3 Months
unprotected sex occasionsLink2CAREStandard of Care
baseline32.76 ± 60.4444.00 ± 76.65
12months27.70 ± 57.4332.76 ± 73.37
Statistical analysis
  • Link2CARE vs Standard of Care · generalized estimating equations · p = 0.635 (A priori threshold for statistical significance was \<0.05) · Log ratio of rate ratios: 0.15 · 95% CI -0.46 to 0.75Standard error of the Beta regression coefficient.
SecondaryFrequency of Young Adults Substance Use in Past 30 Days

measured by participant report in the "Substance Use" section of the questionnaires

Time frame:
at 3-, 6-, and 12-month follow-ups

Results for this outcome have not been posted.

SecondaryNumber of Young Adults Referred to Substance Use Treatment

measured by Health Coach report in the Health Coach logs and participant report in the "Substance Use Referral" section of the questionnaires

Time frame:
at 3-, 6-, and 12-month follow-ups

Results for this outcome have not been posted.

SecondaryNumber of Young Adults Attending Intake Plus One Treatment Session

measured by Health Coach report in the Health Coach logs and participant report in the "Substance Use Treatment" section of the questionnaires

Time frame:
at 3-, 6-, and 12-month follow-ups

Results for this outcome have not been posted.

SecondaryAcceptance of STI Testing (Yes/no)

measured by Health Coach report in the "Session 1 Sexual Risk" questionnaire

Time frame:
at day 1 of enrollment

Results for this outcome have not been posted.

SecondaryAny STI Testing

measured by participant report in the "STI Testing" section of the questionnaires

Time frame:
between 6- and 12-month follow-ups

Results for this outcome have not been posted.

SecondaryNumber of STI+ Young Adults Referred to STI Treatment

measured by the Health Coach report in the Health Coach Logs and participant report in the "STI Referral" section of the questionnaires

Time frame:
at 3-, 6-, and 12-month follow-ups

Results for this outcome have not been posted.

SecondaryNumber of STI+ Young Adults Attending 1 or More Treatment Appointments

measured by Health Coach report in the Health Coach logs and participant report in the "STI Treatment" section of the questionnaires

Time frame:
at 3-, 6-, and 12-month follow-ups

Results for this outcome have not been posted.

SecondaryAcceptance of HIV Testing (Yes/no)

measured by Health Coach report in the "Session 1 Sexual Risk" questionnaire

Time frame:
at day 1 of enrollment

Results for this outcome have not been posted.

SecondaryAny HIV Testing

measured by participant report in the "HIV Testing" section of the questionnaires

Time frame:
between 6-month and 12-month follow-ups

Results for this outcome have not been posted.

Other pre-specifiedNumber of HIV+ Young Adults Referred to HIV Treatment

measured by Health Coach report in the Health Coach logs and participant report in the "HIV Referral" section of the questionnaires

Time frame:
at 3-, 6-, and 12-month follow-ups

Results for this outcome have not been posted.

Other pre-specifiedNumber of HIV+ Young Adults Attending at Least One Treatment Appointment

measured by Health Coach report in the Health Coach logs and participant report in the "HIV Treatment" section of the questionnaires

Time frame:
at 3-, 6-, and 12-month follow-ups

Results for this outcome have not been posted.

Other pre-specifiedNumber of Young Adults Behaviorally PrEP Eligible Referred to PrEP/Medical Care

measured by Health Coach report in the Health Coach logs and participant report in the "PrEP Referral" section of the questionnaires

Time frame:
at 3-, 6-, and 12-month follow-ups

Results for this outcome have not been posted.

Other pre-specifiedNumber of Young Adults Behaviorally PrEP Eligible Attending at Least One HIV Care Appointment

measured by Health Coach report in the Health Coach logs and participant report in the "PrEP Uptake" section of the questionnaires

Time frame:
at 3-, 6-, and 12-month follow-ups

Results for this outcome have not been posted.

Adverse events

Collected over 12 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Link2CARE0/152 (0%)0/152 (0%)24/152 (15.8%)
Standard of Care1/155 (0.6%)0/155 (0%)25/155 (16.1%)
Most frequent other events
Most frequent other events
EventLink2CAREStandard of Care
Suicidal IdeationSocial circumstances24/15225/155

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Link2CAREStandard of CareTotal
<=18 years000
Between 18 and 65 years152155307
>=65 years000
Age, Continuous
Age, Continuous(years)Link2CAREStandard of CareTotal
Mean21.23 ± 2.0421.02 ± 2.0821.13 ± 2.06
Sex: Female, Male
Sex: Female, Male(Participants)Link2CAREStandard of CareTotal
Female413778
Male111118229
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Link2CAREStandard of CareTotal
American Indian or Alaska Native21113
Asian415
Native Hawaiian or Other Pacific Islander213
Black or African American100103203
White81119
More than one race352762
Unknown or Not Reported112
Region of Enrollment
Region of Enrollment(participants)Link2CAREStandard of CareTotal
United States152155307
08

Study locations

1 site
  • Kings County Criminal Court
    Brooklyn, New York 11201, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2017 to primary completion in Sep 2021, 45 months.

Results were first posted in Nov 2022, 1 year 1 month after primary completion.

Of 642 non-industry interventional studies with no phase under Acquired Immunodeficiency Syndrome, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 45. This study's 45 months is above that.

Counting every sponsor, half of 648 studies reached it within 29 months; a quarter within 17 and three quarters within 45.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 30, 2017
First posted
Dec 11, 2017
StartActual
Dec 9, 2017
Primary completionActual
Sep 30, 2021
CompletionActual
Dec 1, 2022
Results first posted
Nov 22, 2022
Last update
Jan 18, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03369249
Collaborators
Center for Court Innovation, The National Center on Addiction and Substance Abuse at Columbia University, National Institute on Drug Abuse (NIDA), Columbia University
Responsible party
Katherine Elkington (Research Scientist, New York State Psychiatric Institute) — Principal investigator
First posted
Dec 11, 2017
Start date
Dec 9, 2017
Primary completion
Sep 30, 2021
Completion
Dec 1, 2022
Results posted
Nov 22, 2022
Last update
Jan 18, 2023

Study contacts

Katherine Elkington, PhD
principal investigator · New York State Psychiatric Institute

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2022. You cannot join it, but the record below documents what was studied.

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