Digital Community to Improve Health in Rural Areas
Study Details
Study Description
Brief Summary
The study is a cluster randomized controlled trial developed in counties located in Appalachia and the Midwest. Counties are selected to have high risk for HIV and HCV infection associated with injection drug use.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Phase 2/Phase 3 |
Detailed Description
The study will randomize clusters with groups of participants to an intervention or a standard of care condition.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Virtual Community Intervention Participants will participate in a community with structured sessions as well as the ability to communicate freely with others. |
Behavioral: Virtual Community Intervention
Modules of community building, HIV/HCV prevention, drug and service stigma, identification of mental health problems
|
| Active Comparator: Standard of Care Participants will be exposed to what's disseminated within their communities |
Behavioral: Standard of Care
health websites and county information provided to participants
|
Outcome Measures
Primary Outcome Measures
- Voluntary self-HIV test [4 months]
self-testing procedures will determine how many tests participants in which condition perform
- Voluntary self-HIV test [8 months]
self-testing procedures will determine how many tests participants in which condition perform
- Voluntary self-HIV test [12 months]
self-testing procedures will determine how many tests participants in which condition perform
- Voluntary self-HCV test [4 months]
self-testing procedures will determine how many tests participants in which condition perform
- Voluntary self-HCV test [8 months]
self-testing procedures will determine how many tests participants in which condition perform
- Voluntary self-HCV test [12 months]
self-testing procedures will determine how many tests participants in which condition perform
Secondary Outcome Measures
- use of harm reduction measures [4 months]
self-report scale of number of times syringe exchange services and drug treatment were used, as well as frequency participants carry Narcan (Average of items)
- use of harm reduction measures [8 months]
self-report scale of number of times syringe exchange services and drug treatment were used, as well as frequency participants carry Narcan (Average of items)
- use of harm reduction measures [12 months]
self-report scale of number of times syringe exchange services and drug treatment were used, as well as frequency participants carry Narcan (Average of items)
- Motivation to test [4 months]
self-report scale of intentions to test for HIV/HCV (Average of items)
- Motivation to test [8 months]
self-report scale of intentions to test for HIV/HCV (Average of items)
- Motivation to test [12 months]
self-report scale of intentions to test for HIV/HCV (Average of items)
- Motivation to engage in preventive behaviors [4 months]
self-report scale of intentions to prevent HIV/HCV (Average of items)
- Motivation to engage in preventive behaviors [8 months]
self-report scale of intentions to prevent HIV/HCV (Average of items)
- Motivation to engage in preventive behaviors [12 months]
self-report scale of intentions to prevent HIV/HCV (Average of items)
- Motivation to use harm reduction measures [4 months]
self-report scale of intentions to engage in harm reduction (Average of items)
- Motivation to use harm reduction measures [8 months]
self-report scale of intentions to engage in harm reduction (Average of items)
- Motivation to use harm reduction measures [12 months]
self-report scale of intentions to engage in harm reduction (Average of items)
- Opioid adverse events [4 months]
self-report scale about number of overdoses
- Opioid adverse events [8 months]
self-report scale about number of overdoses
- Opioid adverse events [12 months]
self-report scale about number of overdoses
- Other opioid adverse events [4 months]
self-report scale about number of number of health problems associated with substance use other than overdoses
- Other opioid adverse events [8 months]
self-report scale about number of number of health problems associated with substance use other than overdoses
- Other opioid adverse events [12 months]
self-report scale about number of number of health problems associated with substance use other than overdoses
- Behavioral skills relevant to testing for HIV/HCV [4 months]
self-report scale of resources, help seeking, and knowledge that facilitate testing (Average of items)
- Behavioral skills relevant to testing for HIV/HCV [8 months]
self-report scale of resources, help seeking, and knowledge that facilitate testing(Average of items)
- Behavioral skills relevant to testing for HIV/HCV [12 months]
self-report scale of resources, help seeking, and knowledge that facilitates testing (Average of items)
- Behavioral skills relevant to engaging in preventive behaviors [4 months]
self-report scale of resources, help seeking, and knowledge that facilitates prevention (Average of items)
- Behavioral skills relevant to engaging in preventive behaviors [8 months]
self-report scale of resources, help seeking, and knowledge that facilitates prevention (Average of items)
- Behavioral skills relevant to engaging in preventive behaviors [12 months]
self-report scale of resources, help seeking, and knowledge that facilitates prevention (Average of items)
- Behavioral skills relevant to harm reduction [4 months]
self-report scale of resources, help seeking, and knowledge that facilitates harm reduction (Average of items)
- Behavioral skills relevant to harm reduction [8 months]
self-report scale of resources, help seeking, and knowledge that facilitates harm reduction (Average of items)
- Behavioral skills relevant to harm reduction [12 months]
self-report scale of resources, help seeking, and knowledge that facilitates harm reduction (Average of items)
- Motivation to support harm reduction policies in the community [4 months]
self-report scale of intentions to support harm reduction services in the county (Average of items)
- Motivation to support harm reduction policies in the community [8 months]
self-report scale of intentions to support harm reduction services in the county (Average of items)
- Motivation to support harm reduction policies in the community [12 months]
self-report scale of intentions to support harm reduction services in the county (Average of items)
- Motivation to support access to health services for people using drugs [4 months]
self-report scale of intentions to support health services for people using drugs in the county (Average of items)
- Motivation to support access to health services for people using drugs [8 months]
self-report scale of intentions to support health services for people using drugs in the county (Average of items)
- Motivation to support access to health services for people using drugs [12 months]
self-report scale of intentions to support health services for people using drugs in the county (Average of items)
- Stigma of substance use [4 months]
self-report scale of substance use (Average of items)
- Stigma of substance use [8 months]
self-report scale of substance use (Average of items)
- Stigma of substance use [12 months]
self-report scale of substance use (Average of items)
- Stigma of HIV [4 months]
self-report scale of HIV stigma (Average of items)
- Stigma of HIV [8 months]
self-report scale of HIV stigma (Average of items)
- Stigma of HIV [12 months]
self-report scale of HIV stigma (Average of items)
- Loneliness [4 months]
self-report loneliness scale (Average of items)
- Loneliness [8 months]
self-report loneliness scale (Average of items)
- Loneliness [12 months]
self-report loneliness scale (Average of items)
- Social isolation [4 months]
self-report scale of frequency of social contact (Sum of all contacts)
- Social isolation [8 months]
self-report scale of frequency of social contact (Sum of all contacts)
- Social isolation [12 months]
self-report scale of frequency of social contact (Sum of all contacts)
- Social Support [4 months]
self-report scale of frequency of emotional, instrumental, and cognitive social support (Sum of all contacts)
- Social Support [8 months]
self-report scale of frequency of emotional, instrumental, and cognitive social support (Sum of all contacts)
- Social Support [12 months]
self-report scale of frequency of emotional, instrumental, and cognitive social support (Sum of all contacts)
Eligibility Criteria
Criteria
Inclusion Criteria:
Lives in target zip codes Half not using illicit substances in the last year Half injecting illicit substances in the last year
-
Exclusion Criteria:
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University of Pennsylvania
- West Virginia University
Investigators
- Principal Investigator: e: Dolores Albarracin, PhD, Univ. of Pennsylvania
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 390234