ClinicalTrials.gg
CompletedNCT03484117ADELANTEUpdated Dec 23, 2022Results posted

Retention in HIV Care for Hispanic Immigrants

An interventional study of Community Health Worker in HIV/AIDS, sponsored by Massachusetts General Hospital. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-12-23.

Sponsored by Massachusetts General Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled May 2017, registered Mar 2018).

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
67
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 38 studies in Acquired Immunodeficiency Syndrome by Massachusetts General Hospital — 7 open to participants now, 8 under way, 1 of them phase 3. Acquired Immunodeficiency Syndrome · Massachusetts General Hospital.

Enrollment
15th of 31
67 · median 63
Started
2017
the only one that year
No phase
26 of 38
6 open now
Registered
16th of 38
by date

Among the 38 studies in Acquired Immunodeficiency Syndrome by Massachusetts General Hospital, this one is the 15th largest by enrollment of the 31 interventional ones that give a count, is the only one that started in 2017, is one of 26 with no phase, and was the 16th 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

7 of the 38 studies in Acquired Immunodeficiency Syndrome by Massachusetts General Hospital are open now, in 5 countries. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 7 open studies →

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 and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 38 studies in Acquired Immunodeficiency Syndrome by Massachusetts General Hospital, or all of them as a file.
02

Study summary

A randomized trial to test the feasibility and acceptability of an intervention to improve retention in HIV primary care in HIV-infected Hispanic immigrants compared to a "treatment as usual" condition. We will measure feasibility, acceptability, study retention, and effect sizes of outcomes in order to inform a larger trial. The intervention design is based on qualitative research with HIV-infected Hispanic immigrants and their HIV providers. The intervention will be led by a Spanish-speaking community health worker trained in HIV health promotion.

Read the detailed description

Overview:

Participants will be HIV-infected Hispanic immigrants age ≥18 years. Participants will be recruited from Partners-affiliated infectious disease and primary care clinics as well as clinics and community-based organizations in the Greater Boston area with high contact with HIV-infected Hispanics. In the intervention, a bilingual (English-Spanish speaking) community health worker (CHW) will deliver personalized sessions framed around a Spanish-language multi-media health communication tool. The CHW will deliver the intervention over a 16 to 24 week period.

Study procedures:

Participants will be HIV-infected Hispanic immigrants age ≥18 years at risk for inconsistent attendance (as measured during study screening). Participants will be recruited via provider referral, peer referral, flyers, and social media. Once an individual expresses interest in the study, a study staff member will screen that individual to assess eligibility. Individuals who are eligible will be invited to enroll through an informed consent process and complete a baseline survey. After completion of the baseline survey, study staff will randomize participants into a treatment as usual (TAU) group or intervention group. At trial exit, all participants, including the TAU group, will complete an in-depth assessment to measure their barriers to HIV care and provide feedback about their experience in the study.

03

Conditions studied

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 years or older and able to communicate in Spanish or English
  • Born in Puerto Rico or Spanish-speaking Latin American country
  • -infected or HIV-positive
  • New HIV diagnosis or unable to regularly attend HIV primary care appointments

Exclusion criteria

Exclusion Criteria:

  • Unable to provide verbal consent due to unstable medical or psychiatric condition
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
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
67 participants (actual)

Study arms

  • No intervention
    Treatment as Usual

    Participants in this arm will receive bilingual written materials on healthy living with HIV at the baseline visit. At baseline and exit, all participants will be assessed using instruments to measure demographics and self-perceived barriers to care for Hispanic immigrants.

  • Experimental
    Community Health Worker

    Participants in the intervention arm will receive 5 one-on-one sessions over 24 weeks with a Spanish-speaking CHW. At baseline and exit, all participants will be assessed using instruments to measure demographics and self-perceived barriers to care for Hispanic immigrants

    Behavioral: Community Health Worker

Interventions

  • BehavioralCommunity Health Worker

    Participants will receive 5 one-on-one sessions with a CHW over 24 weeks.

06

What researchers measure

Primary outcomes

  1. Retention in Care - Yes Responses

    A dichotomized outcome (yes/no) with yes defined as at least one visit to HIV clinic at both time periods (week 1-16 and week 17-32), and no defined as no HIV visit from at least one time period. Responses determined by review of the medical record for evidence of attended HIV clinic visits.

    Time frame: 32 weeks

Secondary outcomes

  1. Number of Participants With HIV Viral Load Suppression up to Week-24

    Participants with HIV viral load \<200 copies/ml

    Time frame: From baseline to week-24

  2. Change in CD4 T-cell Count Over 24 Weeks

    Change in CD4 T-cell count from baseline to week-24 post-randomization

    Time frame: From baseline to week-24

  3. Number of Participants With HIV Viral Load Suppression up to 48 Weeks.

    Number of participants with HIV RNA \<200 copies/ml

    Time frame: Baseline to week-48

  4. Change in CD4 T-cell Count Over 48 Weeks.

    Change in CD4 T-cell count from baseline to week-48 post-randomization

    Time frame: Baseline to week-48

07

Results

Posted Dec 23, 2022

Participant flow

Participant flow — Overall Study
MilestoneTreatment as UsualCommunity Health Worker
Started3235
Completed3031
Not completed24
Withdrew: Lost to follow-up13
Withdrew: Declined participation in exit assess11

Outcome measures

PrimaryRetention in Care - Yes Responses

A dichotomized outcome (yes/no) with yes defined as at least one visit to HIV clinic at both time periods (week 1-16 and week 17-32), and no defined as no HIV visit from at least one time period. Responses determined by review of the medical record for evidence of attended HIV clinic visits.

Time frame:
32 weeks
Reported as:
Count of participants · Participants
Retention in Care - Yes Responses
ParticipantsTreatment as UsualCommunity Health Worker
Retention in Care - Yes Responses1923
SecondaryNumber of Participants With HIV Viral Load Suppression up to Week-24

Participants with HIV viral load \<200 copies/ml

Time frame:
From baseline to week-24
Reported as:
Count of participants · Participants
Number of Participants With HIV Viral Load Suppression up to Week-24
ParticipantsTreatment as UsualCommunity Health Worker
Number of Participants With HIV Viral Load Suppression up to Week-243031
SecondaryChange in CD4 T-cell Count Over 24 Weeks

Change in CD4 T-cell count from baseline to week-24 post-randomization

Time frame:
From baseline to week-24
Reported as:
Mean · 1000 cells/uL
Change in CD4 T-cell Count Over 24 Weeks
1000 cells/uLTreatment as UsualCommunity Health Worker
Change in CD4 T-cell Count Over 24 Weeks6.0 ± 174.825.7 ± 137.0
SecondaryNumber of Participants With HIV Viral Load Suppression up to 48 Weeks.

Number of participants with HIV RNA \<200 copies/ml

Time frame:
Baseline to week-48
Reported as:
Count of participants · Participants
Number of Participants With HIV Viral Load Suppression up to 48 Weeks.
ParticipantsTreatment as UsualCommunity Health Worker
Number of Participants With HIV Viral Load Suppression up to 48 Weeks.2726
SecondaryChange in CD4 T-cell Count Over 48 Weeks.

Change in CD4 T-cell count from baseline to week-48 post-randomization

Time frame:
Baseline to week-48
Reported as:
Mean · 1000 cells/uL
Change in CD4 T-cell Count Over 48 Weeks.
1000 cells/uLTreatment as UsualCommunity Health Worker
Change in CD4 T-cell Count Over 48 Weeks.-2.4 ± 179.429.6 ± 184.6

Adverse events

Collected over through study completion up to 48 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment as Usual0/32 (0%)0/32 (0%)0/32 (0%)
Community Health Worker0/35 (0%)0/35 (0%)0/35 (0%)

Baseline characteristics

Data obtained from 67 participants who enrolled and completed baseline assessment

Age, Customized
Age, Customized(Participants)Treatment as UsualCommunity Health WorkerTotal
18-25 years134
>=26 years313263
Sex: Female, Male
Sex: Female, Male(Participants)Treatment as UsualCommunity Health WorkerTotal
Female101828
Male221739
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment as UsualCommunity Health WorkerTotal
Hispanic or Latino323567
Not Hispanic or Latino000
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment as UsualCommunity Health WorkerTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American448
White538
More than one race192241
Unknown or Not Reported4610
HIV Viral suppression
HIV Viral suppression(Participants)Treatment as UsualCommunity Health WorkerTotal
Count of participants273158
Baseline CD4 cell count
Baseline CD4 cell count(Participants)Treatment as UsualCommunity Health WorkerTotal
0-200 cells/mm^3134
201-500 cells/mm^311718
>500 cells/mm^3192544
08

Study locations

1 site
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, 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 May 2017 to primary completion in May 2019, 23 months.

Results were first posted in Dec 2022, 3 years 7 months 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 23 months is below 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
Mar 7, 2018
First posted
Mar 30, 2018
StartActual
May 26, 2017
Primary completionActual
May 1, 2019
CompletionActual
May 1, 2019
Results first posted
Dec 23, 2022
Last update
Dec 23, 2022
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 Dec 23, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03484117
Responsible party
Julie H Levison (MD, MPhil, MPH, Assistant Professor of Medicine at Harvard Medical School, Massachusetts General Hospital) — Principal investigator
First posted
Mar 30, 2018
Start date
May 26, 2017
Primary completion
May 1, 2019
Completion
May 1, 2019
Results posted
Dec 23, 2022
Last update
Dec 23, 2022

Study contacts

Julie H Levison, MD
principal investigator · Massachusetts General Hospital

Oversight

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

Not currently enrolling

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

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion