Outcome Evaluation of Minority AIDS Initiative Programs in the New York EMA

Study Overview
=================
Brief Summary
-----------------
This outcome evaluation effort provides the opportunity to learn what programmatic approaches effectively address two of the most difficult hurdles in HIV health services delivery: (1) getting people who would benefit from health care to use it and (2) getting people who do use health care to do so more consistently and effectively. The New York HIV Planning Council (through MHRA) has funded 23 agencies to achieve these objectives for people of color with HIV disease.

Detailed Description
-----------------
All clients are assessed upon entry into the program, have their service utilization tracked, and then are reassessed at three, six, and twelve months following program entry. The main client-level data elements collected during baseline and follow-up interviews are the following: Biological markers (including HIV status, viral load, t-cell count) Demographic characteristics Adherence to treatment Barriers to care Social support Substance use and treatment Functional health status Functional Health Status is used in this evaluation as the primary measure of final client outcomes. The Functional Health Status items we use are from the ACTG SF-21 (a modified version of the Medical Outcomes Study instrument). The overall evaluation objectives are to: Describe the change in functional health status for different populations and groups of clients. Identify services or constellations of services and intensity of services associated with change in functional health status. Assess whether programs meet intermediate objectives (decreased drug use, increased service use, improved housing stability). Identify barriers to access to and maintenance in care.

Official Title
-----------------
Outcome Evaluation of Minority AIDS Initiative Programs in the New York EMA

Conditions
-----------------
HIV Infections

Intervention / Treatment
-----------------
* Behavioral: Maintenance in Care Services
* Behavioral: Access to Care Services


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: HIV-positive Not in HIV care, or difficulty being maintained in HIV care HIV-negative but at high risk of HIV infection Exclusion Criteria: HIV-negative and not at high risk of HIV infection

Ages Eligible for Study
-----------------
Minimum Age: 0 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: Maintenance in Care Services|nan|
|Behavioral: Access to Care Services|nan|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional Health Status (ACTG SF-21): at 3, 6, and 12 mos. |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Housing stability: at 3, 6, and 12 months |  |  | 
| Substance use: at 3, 6, and 12 months |  |  | 
| Whether receiving HIV primary care: at 3, 6, and 12 months |  |  | 
| Whether on HIV meds: at 3, 6, and 12 months |  |  | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
HIV, Minority Groups, Health Services Accessibility, Quality of Life