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โ† Trials
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Enhancing the Organizational Social Context to Improve Viral Suppression and Retention in HIV Care

RecruitingNAAges 18 Years - anyAllUniversity of Pennsylvania
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In plain words

What the trial is, and whether it could suit you

Despite the widespread use of effective antiretroviral therapy (ART), the HIV epidemic continues to impact racial and ethnic minority populations disproportionately. Although Black/African American persons account for 13% of the U.S. population, they account for 41% of new HIV diagnoses and experience the lowest rates of retention in HIV care and viral suppression (VS) compared to other racial/ethnic groups. Structural racism and discrimination (SRD) likely contribute to racial disparities in HIV outcomes. Although the outpatient setting is a vitally important aspect of care provision for people living with HIV (PLWH), there are limited data on the impact of intra-organizational SRD on HIV outcomes. Longitudinal engagement in HIV care is needed for sustained VS and decreased community transmission of HIV. The organizational social context (OSC) includes organizational culture (organizat

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: Aim 1: * PLWH: in care in one of 12 clinics in Philadelphia 1. HIV diagnosis date at least one year prior to the administration of the clinic OSC measures 2. Philadelphia address at the time of HIV diagnosis 3. successfully linked to care at any point during the study period, defined as having documentation of 1 or more CD4 or Viral Load test results after the date of diagnosis * Clinic workers: clinic leaders, administrators, frontline staff, and providers across participating clinics Aim 2: * PLWH: having an established diagnosis of HIV and receiving care at one of the 4 clinics at least 6 months before the pre-implementation period * Clinic workers: the entire pool of workers employed in the 2 clinics assigned to the intervention arm will be invited to participate in ARC Aim 3: \- Clinic staff and PLWH at clinics receiving ARC Exclusion Criteria: Aim 1: * PLWH: Persons in a correctional facility will be excluded from this analysis * Clinic workers: Participants who are not employed in one of the roles that were designated Aim 2: * PLWH: Patients who get discharged from a clinic because they moved (or for other reasons) or who died will not be eligible to enter the pre-implementation cohort. * Clinic workers: Clinics assigned to SOC will not receive ARC but will be asked to complete surveys using the same schedule as the clinics assigned to receive ARC.
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What it tests

  • ARC
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Where

1 site
University of Pennsylvania
Philadelphia, United States
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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