A Cluster Randomized Evaluation of a Health Department Data to Care Intervention Designed to Increase Engagement in HIV Care and Antiretroviral Use

被引:27
|
作者
Dombrowski, Julia C. [1 ,2 ,3 ]
Hughes, James P. [4 ]
Buskin, Susan E. [2 ,3 ]
Bennett, Amy [2 ,3 ]
Katz, David [1 ,2 ]
Fleming, Mark [2 ]
Nunez, Angela [2 ]
Golden, Matthew R. [1 ,2 ,3 ]
机构
[1] Univ Washington, Dept Med, Seattle, WA USA
[2] Publ Hlth Seattle & King Cty HIV STD Program, Seattle, WA USA
[3] Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA
[4] Univ Washington, Dept Biostat, Seattle, WA 98195 USA
关键词
SURVEILLANCE DATA; RETENTION; OUTCOMES;
D O I
10.1097/OLQ.0000000000000760
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background Many US health departments have implemented Data to Care interventions, which use HIV surveillance data to identify persons who are inadequately engaged in HIV medical care and assist them with care reengagement, but the effectiveness of this strategy is uncertain. Methods We conducted a stepped-wedge, cluster-randomized evaluation of a Data to Care intervention in King County, Washington, 2011 to 2014. Persons diagnosed as having HIV for at least 6 months were eligible based on 1 of 2 criteria: (1) viral load (VL) greater than 500 copies/mL and CD4 less than 350 cells/L at the last report in the past 12 months or (2) no CD4 or VL reported to the health department for at least 12 months. The intervention included medical provider contact, patient contact, and a structured individual interview. Health department staff assisted patients with reengagement using health systems navigation, brief counseling, and referral to support services. We clustered all eligible cases in the county by the last known medical provider and randomized the order of clusters for intervention, creating contemporaneous intervention and control periods (cases in later clusters contributed person-time to the control period at the same time that cases in earlier clusters contributed person-time to the intervention period). We compared the time to viral suppression (VL <200 copies/mL) for individuals during intervention and control periods using a Cox proportional hazards model. Results We identified 997 persons (intention to treat [ITT]), 18% of whom had moved or died. Of the remaining 822 (modified ITT), 161 (20%) had an undetectable VL reported before contact and 164 (20%) completed the individual interview. The hazard ratio (HR) for time to viral suppression did not differ between the intervention and control periods in ITT (HR, 1.21 [95% confidence interval, 0.85-1.71]) or modified ITT (HR, 1.18 [95% confidence interval, 0.83-1.68]) analysis. Conclusions The Data to Care intervention did not impact time to viral suppression.
引用
收藏
页码:361 / 367
页数:7
相关论文
共 50 条
  • [31] Randomized cluster trial of a public health intervention to enhance cardiovascular disease prevention in primary care
    Paradis, Gilles
    Renaud, L.
    Leaune, V.
    Chevalier, S.
    EUROPEAN JOURNAL OF PUBLIC HEALTH, 2012, 22 : 218 - 218
  • [32] Care cascade structural intervention versus standard of care in the diagnosis and treatment of HIV in China: a cluster-randomized controlled trial protocol
    Yurong Mao
    Zunyou Wu
    Jennifer M. McGoogan
    David Liu
    Diane Gu
    Lynda Erinoff
    Walter Ling
    Paul VanVeldhuisen
    Roger Detels
    Albert L. Hasson
    Robert Lindblad
    Julio S. G. Montaner
    Zhenzhu Tang
    Yan Zhao
    BMC Health Services Research, 17
  • [33] Care cascade structural intervention versus standard of care in the diagnosis and treatment of HIV in China: a cluster-randomized controlled trial protocol
    Mao, Yurong
    Wu, Zunyou
    McGoogan, Jennifer M.
    Liu, David
    Gu, Diane
    Erinoff, Lynda
    Ling, Walter
    VanVeldhuisen, Paul
    Detels, Roger
    Hasson, Albert L.
    Lindblad, Robert
    Montaner, Julio S. G.
    Tang, Zhenzhu
    Zhao, Yan
    BMC HEALTH SERVICES RESEARCH, 2017, 17
  • [34] Increased health care utilization and increased antiretroviral use in HIV-infected individuals with mental health disorders
    Mijch, A
    Burgess, P
    Judd, F
    Grech, P
    Komiti, A
    Hoy, J
    Lloyd, JH
    Gibbie, T
    Street, A
    HIV MEDICINE, 2006, 7 (04) : 205 - 212
  • [35] Health promotion intervention in mental health care: design and baseline findings of a cluster preference randomized controlled trial
    Verhaeghe, Nick
    De Maeseneer, Jan
    Maes, Lea
    Van Heeringen, Cornelis
    Bogaert, Veerle
    Clays, Els
    De Bacquer, Dirk
    Annemans, Lieven
    BMC PUBLIC HEALTH, 2012, 12
  • [36] Health promotion intervention in mental health care: design and baseline findings of a cluster preference randomized controlled trial
    Nick Verhaeghe
    Jan De Maeseneer
    Lea Maes
    Cornelis Van Heeringen
    Veerle Bogaert
    Els Clays
    Dirk De Bacquer
    Lieven Annemans
    BMC Public Health, 12
  • [37] WECARE: A SOCIAL MEDIA-BASED INTERVENTION DESIGNED TO INCREASE HIV CARE LINKAGE, RETENTION, AND HEALTH OUTCOMES FOR RACIALLY AND ETHNICALLY DIVERSE YOUNG MSM
    Tanner, Amanda E.
    Mann, Lilli
    Song, Eunyoung
    Alonzo, Jorge
    Schafer, Katherine
    Arellano, Elias
    Garcia, Jesus M.
    Rhodes, Scott D.
    AIDS EDUCATION AND PREVENTION, 2016, 28 (03) : 216 - 230
  • [38] Evaluation of the use of telemedicine in pediatric intensive care units: a cluster-randomized trial
    Silva, Gabriela de Oliveira Laguna
    Klever, Emanuele Konig
    da Rocha, Jacqueline Castro
    da Silva, Mariana Motta Dias
    de Amorim, Jerusa da Rosa
    Jacovas, Vanessa Cristina
    Simionato, Barbara Marina
    da Cunha, Luciane Gomes
    Zaupa, Ana Paula Berni
    Krauzer, Joao Ronaldo Mafalda
    Pires, Aristoteles de Almeida
    Cabral, Felipe Cezar
    Moreira, Tais de Campos
    Constant, Hilda Maria Rodrigues Moleda
    POSTGRADUATE MEDICINE, 2024, 136 (06) : 633 - 640
  • [39] Can an Emergency Department-Initiated Intervention Prevent Subsequent Falls and Health Care Use in Older Adults? A Randomized Controlled Trial
    Goldberg, Elizabeth M.
    Marks, Sarah J.
    Resnik, Linda J.
    Long, Sokunvichet
    Mellott, Hannah
    Merchant, Roland C.
    ANNALS OF EMERGENCY MEDICINE, 2020, 76 (06) : 739 - 750
  • [40] Late initiation of combination antiretroviral therapy in Canada: a call for a national public health strategy to improve engagement in HIV care
    Cescon, Angela
    Patterson, Sophie
    Davey, Colin
    Ding, Erin
    Raboud, Janet M.
    Chan, Keith
    Loutfy, Mona R.
    Cooper, Curtis
    Burchell, Ann N.
    Palmer, Alexis K.
    Tsoukas, Christos
    Machouf, Nima
    Klein, Marina B.
    Rourke, Sean B.
    Rachlis, Anita
    Hogg, Robert S.
    Montaner, Julio S. G.
    JOURNAL OF THE INTERNATIONAL AIDS SOCIETY, 2015, 18