At a glance
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Linking Infectious and Narcology Care-Part II
In Brief
A Phase 4 clinical trial evaluating Rapid ART initiation, Pharmacotherapy for opioid use disorder, and 1 other intervention for HIV Infection and Drug Use. Completed, enrolled 225 participants across 2 sites.
Detailed Summary
This study, "Linking Infectious and Narcology Care - Part II (LINC-II)," will implement and evaluate a multi-faceted intervention (LINC-II), via a two-armed randomized controlled trial among 240 HIV-infected PWID in St. Petersburg. LINC-II, comprised of pharmacological therapy (i.e., rapid access to ART and receipt of naltrexone for opioid use disorder) and 12 months of strengths-based case management, will assess HIV outcomes (e.g., HIV viral load suppression), impact on care systems and cost-effectiveness of the intervention.
Study Details
Timeline
Interventions
The infectionist will streamline the approval with the ultimate goal of starting participants on ART while they are still hospitalized at the City Addiction Hospital.
Thirteen months of naltrexone treatment for opioid use disorder (injection at baseline, followed by 4 implants).
Strengths-based case management: 10 sessions over 12 months in which a trained case manager (CM) meets individually with patients to motivate them to engage in HIV medical care by supporting the recognition of their own strengths to make positive changes in their lives and ultimately improve their HIV outcomes.