VA Video Connect in HIV Care

Study Overview
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Brief Summary
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The purpose of this research study is to see how effective the addition of video to home telehealth services is in helping patients with HIV to remain in care, which is vital to management of their illness. The investigators also want to understand how to best put the video to home services into practice.

Official Title
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VA Video Connect to Improve Access to Multi-disciplinary Specialty Care

Conditions
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HIV

Intervention / Treatment
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* Other: VVC


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient in the Infectious Diseases clinic at Michael E. DeBakey VA Medical Center (MEDVAMC), Houston, TX, with HIV infection At least 18 years of age Able to speak English Able to consent to the use of VVC Exclusion Criteria: Unable to use or consent to use VVC, due to either significant physical or mental disability Incarcerated (though MEDVAMC does not generally provide care for prisoners)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Veterans in the Infections Disease clinic at the Michael E. DeBakey Veterans Affairs Medical Center (MEDVAMC) will be randomly assigned to either an offer of VA Video Connect (VVC) delivered HIV care or to usual care for HIV. All treatment as usual options for HIV care will be available to all patients in both treatment arms, however only the Veterans in the VVC arm will be actively offered this VA-approved technology.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: VVC<br>Option to receive VA Video Connect (VVC) delivery of HIV care. | Other: VVC<br>* Telehealth treatment is delivered via VA-approved technology to a patient's computer or mobile device.<br>* Other names: VA Video Connect;|
| No Intervention: Usual Care<br>All HIV care available at MEDVAMC will be delivered as usual. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Constancy retention in care measure | Percentage of patients who completed at least 1 visit with a primary care or Infectious Diseases provider in each 6 months of the year at least 60 days apart. | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adherence retention in care measure | Percentage of scheduled HIV clinic appointments attended over the year | 12 months | 
| Completed visits for adherence counseling | Number of completed visits for counseling, mental health, and social services during the year. | 12 months | 
| HIV suppression | Percentage of Veterans with HIV on ART whose most recent viral load during the 12-month period was <200c/mL | 12 months | 
| Adherence to ART medications | Number of ART medication pills dispensed from pharmacy over the year divided by days in year. | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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HIV, Telemedicine