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Multidisciplinary Low-Barrier and Mobile HIV Care to Improve Retention and Viral Suppression: Stakeholder-Engaged Design and Evaluation

University of California, San Francisco · with La Clínica de La Raza Inc., Lifelong Medical Care · NCT05887557

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Opens the official ClinicalTrials.gov record, with the study team’s contacts. Bored Studies doesn’t enroll anyone.

Key facts

Compensation
Not posted. Ask the study team before screening.
Who can join
Ages 15+ · All sexes
Healthy volunteers
Accepted
Study type
Interventional · Not applicable
Target enrollment
400
US sites recruiting
5
Study start
May 16, 2024
Record last updated
February 24, 2026

Status re-checked against ClinicalTrials.gov within the last 12 hours.

What the study is about

The purpose of this study is to evaluate the implementation and effectiveness of a flexible, multidisciplinary, integrated drop-in/mobile HIV care approach for people living with HIV (PLH) who are not well engaged in current care systems (i.e. scheduled HIV primary care visits). The hybrid type 2 implementation-effectiveness study involves a set of implementation strategies to support implementation of the integrated drop-in/mobile HIV care approach (i.e. the evidence-informed clinical intervention) at four diverse sites in San Francisco and Alameda counties in California. Sites include an academic clinic located at a public hospital (Ward 86) and a needle exchange site (San Francisco AIDS Foundation Syringe Access Site) in San Francisco and two Federally Qualified Health Centers serving diverse patient populations in Alameda County (Trust and La Clínica). The evidence-informed clinical intervention consists of four key components: 1) active referral to care sites; 2) drop-in, multidisciplinary HIV primary care; 3) mobile HIV care; and 4) staged escalation/de-escalation of care level as needed. The study will use RE-AIM to guide evaluation, with coprimary outcomes of Reach and HIV viral suppression, and mixed methods to assess intervention Adoption, Implementation, and Maintenance. The study draws on the CFIR framework to assess site-specific implementation determinants before and after the study period. The study will undertake micro-costing using a uniform cost data collection protocol to quantify the resources needed to carry out intervention activities.

Being studied: Active Referral; Drop-In Multidisciplinary HIV Care; Mobile HIV Care; Staged Care; Identify and prepare champions at referral sites; Audit and feedback at referral sites; Build a coalition among referral and clinical sites; Assess for readiness and identify barriers; Promote adaptability; Develop a formal implementation blueprint; Develop educational materials; conduct ongoing training; Create a learning collaborative

Conditions: HIV

Eligibility criteria

Copied from the official record. The study team makes the final decision at screening.

Show full criteria

Inclusion Criteria

  • Adults or adolescents (≥15 years) living with HIV
  • Most recent HIV viral load >200 copies/mL or off ART by ≥1 month by self-report
  • Sub-optimal care engagement by self-report or chart history (defined as no current HIV primary care provider, no HIV primary care visit in the past 6 months, or ≥1 missed HIV primary care visit in the past 6 months)
  • ≥1 major barrier to care engagement by self report or chart history (homelessness/ unstable housing, any mental health diagnosis, any illicit substance use).

Exclusion Criteria

Inability to give informed consent due to cognitive impairment, psychosis, or intoxication.

Recruiting US locations

  • La Clinica de la Raza, Inc

    Oakland, CA 94601

    Site contact: Jennifer Huggans-Zapeta, NP · jhzapeta@laclinica.org

  • Lifelong Medical Care

    Oakland, CA 94612

    Site contact: Kevin Critchlow, MD · kcritchlow@lifelongmedical.org

  • San Francisco AIDS Foundation

    San Francisco, CA 94103

    Site contact: Jorge Roman, NP · jroman@sfaf.org

  • San Francisco Department of Public Health Maria X Martinez Clinic

    San Francisco, CA 94105

    Site contact: Stephen Matzat, MD · stephen.matzat@sfdph.org

  • Zuckerberg San Francisco General Hospital

    San Francisco, CA 94110

    Site contact: Katerina Christopoulos, MD, MPH · 415-476-4082 · Katerina.Christopoulos@ucsf.edu

Study contacts (from the official record)

  • Katerina Christopoulos, MD, MPH · 415-476-4082 · Katerina.Christopoulos@ucsf.edu
  • Jennifer Cohen, MPA · Jennifer.Cohen@ucsf.edu
Multidisciplinary Low-Barrier and Mobile HIV Care to Improve… (NCT05887557) | Bored Studies