Teamwork Makes the Dream Work

Study Overview
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Brief Summary
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Exploring the effect of team-based ARTAS intervention in an inpatient setting on HIV linkage to care and hospital readmission rates.

Official Title
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Teamwork Makes the Dream Work: Team-based Inpatient Anti-Retroviral Treatment and Access to Services (ARTAS)

Conditions
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HIV Infections, Inpatient Facility Diagnoses

Intervention / Treatment
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* Behavioral: Team Based Inpatient ARTAS
* Behavioral: Standard of Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years of age or greater newly diagnosed HIV Known diagnosis of HIV not on ART within 30 days of admission Known HIV and not virally suppressed based on interview Known HIV and has not been under the care of an HIV specialist within the past 6 months Exclusion Criteria: All three criteria must be present for exclusion: virally suppressed actively taking ART are under active care of an HIV specialist within the last 6 months Less than 18 years of age (stand alone exclusion)

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: Other
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: This is a prospective, observational cohort study design with patients enrolled at Loma Linda University Medical Center (LLUMC), evaluating a multidisciplinary inpatient linkage to care program compared to historical control.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Standard of Care Historic Control<br>Control group will get treatment as usual, which consists of medical care by primary admitting service | Behavioral: Standard of Care<br>* Subject admitted and seen by routine inpatient medical service.<br>|
| Active Comparator: Team based inpatient ARTAS<br>Eligible patients after the study consent process will receive Antiretroviral Treatment Access Study (ARTAS) intervention by social-worker and a medical consultation by an infectious disease physician | Behavioral: Team Based Inpatient ARTAS<br>* Infectious Disease Team will provide inpatient consultation. Social Work Team will provide 1 session of case management inpatient and up to 5 case management sessions within 90 days post discharge or until the client is linked to medical care as evidenced by visit with HIV specialist within 90 days post discharge.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of linkage to HIV care post discharge | Subject had one visit with HIV specialist post hospital discharge. This will be determined per medical chart review and phone interview with subject | Up to 90 days post-study enrollment hospitalization discharge | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Readmission Rate after initial post-study hospitalization | Subject had one emergency room visit or one inpatient admission post hospital discharge. This will be determined per medical chart review and phone interview with subject. | Up to 90 days post-study enrollment hospitalization discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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HIV, linkage to care, hospital readmission