Erika L Crable1,2, Thomas R Blue3, Michelle McKenzie4,5, Josiah D Rich4,5, Michael S Gordon3. 1. Department of Medicine, Evans Center for Implementation and Improvement Sciences, Boston University School of Medicine, Boston, MA. 2. Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA. 3. Friends Research Institute, Baltimore, MD. 4. The Miriam Hospital, Providence, RI; and. 5. Center for Prisoner Health and Human Rights, Brown University, Providence, RI.
Abstract
BACKGROUND: Evidence-based interventions that engage community-dwelling, justice-involved, people living with HIV (PLWH) in care are urgently needed. Project Bridge, an intensive case management intervention, has demonstrated efficacy for linking PLWH to care transitioning from prison to the community. We assessed whether a modified Project Bridge model was effective for increasing rates of HIV treatment engagement, antiretroviral therapy receipt, and adherence for community-dwelling individuals supervised on probation and parole. SETTING: Baltimore, Maryland. METHODS: In this study, the 18-month outcomes of a randomized controlled trial in which PLWH were also on probation or parole received either Project Bridge (n = 50) or treatment as usual (n = 50) were assessed. HIV treatment engagement (primary outcome), antiretroviral therapy prescription, and adherence (secondary outcomes) are evaluated using the intent-to-treat approach. RESULTS: There were no statistically significant differences in rates of HIV treatment engagement, antiretroviral therapy prescription receipt, or adherence between groups over the 18-month study period. Across groups, participants were 5.6 times more likely to receive HIV care, 5.8 times more likely to receive an antiretroviral therapy prescription, and 4 times more likely to report antiretroviral therapy adherence at each follow-up period. CONCLUSIONS: Future research is needed to identify potentially less-intensive interventions that target the unique needs of PLWH under community supervision.
BACKGROUND: Evidence-based interventions that engage community-dwelling, justice-involved, people living with HIV (PLWH) in care are urgently needed. Project Bridge, an intensive case management intervention, has demonstrated efficacy for linking PLWH to care transitioning from prison to the community. We assessed whether a modified Project Bridge model was effective for increasing rates of HIV treatment engagement, antiretroviral therapy receipt, and adherence for community-dwelling individuals supervised on probation and parole. SETTING: Baltimore, Maryland. METHODS: In this study, the 18-month outcomes of a randomized controlled trial in which PLWH were also on probation or parole received either Project Bridge (n = 50) or treatment as usual (n = 50) were assessed. HIV treatment engagement (primary outcome), antiretroviral therapy prescription, and adherence (secondary outcomes) are evaluated using the intent-to-treat approach. RESULTS: There were no statistically significant differences in rates of HIV treatment engagement, antiretroviral therapy prescription receipt, or adherence between groups over the 18-month study period. Across groups, participants were 5.6 times more likely to receive HIV care, 5.8 times more likely to receive an antiretroviral therapy prescription, and 4 times more likely to report antiretroviral therapy adherence at each follow-up period. CONCLUSIONS: Future research is needed to identify potentially less-intensive interventions that target the unique needs of PLWH under community supervision.
Authors: Miriam B Berger; Kristen A Sullivan; Heather E Parnell; Jennifer Keller; Alice Pollard; Mary E Cox; Jacquelyn M Clymore; Evelyn Byrd Quinlivan Journal: J Int Assoc Provid AIDS Care Date: 2015-11-13
Authors: David A Wohl; Anna Scheyett; Carol E Golin; Becky White; Jeanine Matuszewski; Michael Bowling; Paula Smith; Faye Duffin; David Rosen; Andrew Kaplan; JoAnne Earp Journal: AIDS Behav Date: 2011-02
Authors: Mirjam-Colette Kempf; Jen McLeod; Amelia K Boehme; Melonie W Walcott; Laura Wright; Paula Seal; Wynne E Norton; Joseph E Schumacher; Michael Mugavero; Linda Moneyham Journal: AIDS Patient Care STDS Date: 2010-08 Impact factor: 5.078
Authors: Amy L Althoff; Alexei Zelenev; Jaimie P Meyer; Jeannia Fu; Shan-Estelle Brown; Panagiotis Vagenas; Ann K Avery; Jacqueline Cruzado-Quiñones; Anne C Spaulding; Frederick L Altice Journal: AIDS Behav Date: 2013-10
Authors: Jason A Craw; Lytt I Gardner; Gary Marks; Richard C Rapp; Jeff Bosshart; Wayne A Duffus; Amber Rossman; Susan L Coughlin; DeAnn Gruber; Lauretta A Safford; Jon Overton; Karla Schmitt Journal: J Acquir Immune Defic Syndr Date: 2008-04-15 Impact factor: 3.731
Authors: Vivian L Towe; Frangiscos Sifakis; Renee M Gindi; Susan G Sherman; Colin Flynn; Heather Hauck; David D Celentano Journal: J Acquir Immune Defic Syndr Date: 2010-04-01 Impact factor: 3.731
Authors: Daniel Almirall; Scott N Compton; Moira A Rynn; John T Walkup; Susan A Murphy Journal: J Child Adolesc Psychopharmacol Date: 2012-10 Impact factor: 2.576