Clinical trial NCT04323176: 2nd AC+: New Village Model
Official title: 2nd AC+: Leveraging Technology to Create Communities of Care Around Older People Living With HIV
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Aging
Hiv
Loneliness
Social Isolation
Keywords: HIV
Aging
Loneliness
social isolation
multi-morbidity
LGBT
community
Lead sponsor: University of California, San Diego
Sponsor class: OTHER
Collaborators: name: The San Diego LGBT Community Center
First posted: 2020-03-26
Enrollment: 48
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Implementation of Village Model
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study evaluates implementation of the Village Model to support older people living with HIV.

Detailed description: Understanding that older people living with HIV are facing uniques challenges as they age (lack of peer set due to extreme loss during the AIDS epidemic, ongoing HIV and age stigma, high rates of multi-morbidity) this study explores the acceptability and feasibility of implementing the Village Model in Central San Diego.

The Village Model started when several older members of Boston's Beacon Hill realized they were aging and may need more help as they aged to thrive in their own homes. The Village Model involves members of a community paying annual fees to support a village administrator that organizes regular socialization events and helps coordinate needs of individual members using the skill sets of other members within the community. From that first experience a few decades ago, today over 200 Villages exist across the country to enhance the ability of older adults to age in place.

However limitations of this model exists that may threaten the long term implementation and sustainability of the Village Model. Specifically the requirement to pay annual fees for an administrator, the lack of diversity (in age, race, sexuality etc), and difficulty in meeting member's needs in real-time.

This project proposes to pilot the Village Model in Central San Diego and will implement the following adaptions to address limitations. Members will not be required to pay annual fees but instead depend on a well-funded, long-established diverse organization (The San Diego LGBT Center) to serve as the administrator. This Village will allow participation of persons within the community at all ages, race, economic status. Lastly, the project proposes to pilot the acceptability of using a website to display and respond to community needs in real time.

To achieve this, the investigators will 1) perform questionnaires to understand the needs in the community by collecting needs assessments. 2) The investigators will explore the meaning of community and explore barriers and facilitators of Village Model implementation. 3) Lastly the investigators will pilot the Village model using a website.

Eligibility criteria: Inclusion Criteria:

* Lives in Central San Diego
* Consents to participate
* Willing to sign Village social contract
* No plans to move out of Central San Diego in the next year
* Speaks English

Exclusion Criteria:

* Severely cognitively impaired as indicated by \< 10 on mini mental state examination
* History of a violent felony or fraud in the past 10 years
* Not willing to consent to participation

Primary outcomes:
measure: Theoretical Framework Acceptability Scale
timeFrame: 12 months.
Secondary outcomes:
measure: Social Network Inventory
timeFrame: 1, 3, 6, and 12 months
Other outcomes:
measure: Engagement with the Village
timeFrame: 12 months
measure: Engagement with the hyperlocal social app
timeFrame: 12 months
Locations:
city: San Diego
country: United States
facility: The San Diego Lesbian Gay Bisexual Transgender Center
state: California
city: San Diego
country: United States
facility: University of California San Diego
state: California
Study officials:
References: