HIV, Equity, and Addiction Training (HEAT) Program
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Telemedicine, Standard of care.
- Who it may be relevant to
- Registry conditions: Substance Use Disorders, Hiv, Opioid Use Disorder, Stimulant Use (Diagnosis). Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
This project is a pilot study to determine the feasibility and acceptability of a telemedicine intervention for substance use disorder service delivery in diverse people living with HIV in Alabama.
Detailed description
The contemporary drug crisis and the COVID-19 pandemic have exposed the complex syndemics of addiction and infectious diseases: rising rates of substance use disorder (SUD) have outpaced our ability to respond with a limited healthcare workforce and public health capacity. SUD is increasing in those living with and at risk for HIV, and infectious consequences of SUD, like hepatitis C, have continued, unmitigated, in rural parts of the U.S. where many states lack Medicaid expansion, syringe service programs, and public health infrastructure to respond to the drug crisis and comorbid infections. Systemic racism and regressive policies in the Deep South criminalize people who use drugs, creating additional barriers to care, HIV prevention, and addiction treatment. As a result, people who use drugs rarely receive comprehensive addiction and HIV treatment. Yet telemedicine has the potential to overcome these barriers and bypass the constraints of a brick-and-mortar clinic to link vulnerable people, including those with HIV, to care. Although telemedicine has become mainstream in recent years, few studies have evaluated telemedicine for SUD in the Deep South from the perspective of patients and providers.
Interventions
- Other Telemedicine
Routine care administered via telemedicine - Other Standard of care
Standard of care, as received in HIV clinic settings
Primary outcome measures
- Percent of participants who have a follow-up healthcare visit [Time frame: 1 month, 2 months, 3 months]
Eligibility criteria
Inclusion criteria
- Receiving services at HIV clinics in Alabama
- Reported opioid and/or stimulant misuse
- 18 years of age or older
Exclusion criteria
- Receipt of SUD clinical care other than through HIV provider/clinic in the last 3 months
- Inability to engage in interviews independently without support (e.g., cognitive impairment)
- Currently psychotic
- Actively suicidal: presents with a suicide attempt or suicidal ideation
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 1 center
- University of Alabama at Birmingham — Birmingham
Identifiers
NCT: NCT06370481 · IRB-300012349 · K24DA060786