A study protocol for Project I-Test: a cluster randomized controlled trial of a practice coaching intervention to increase HIV testing in substance use treatment programs
Abstract Background People with substance use disorders are vulnerable to acquiring HIV. Testing is fundamental to diagnosis, treatment, and prevention; however, in the past decade, there has been a decline in the number of substance use disorder (SUD) treatment programs offering on-site HIV testing...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Trials |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13063-023-07602-8 |
| _version_ | 1797556667858026496 |
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| author | Jemima A. Frimpong Carrigan L. Parish Daniel J. Feaster Lauren K. Gooden Mindy C. Nelson Tim Matheson Karolynn Siegel Louise Haynes Benjamin P. Linas Sabrina A. Assoumou Susan Tross Tiffany Kyle Terri K. Liguori Oliene Toussaint Debra Annane Lisa R. Metsch |
| author_facet | Jemima A. Frimpong Carrigan L. Parish Daniel J. Feaster Lauren K. Gooden Mindy C. Nelson Tim Matheson Karolynn Siegel Louise Haynes Benjamin P. Linas Sabrina A. Assoumou Susan Tross Tiffany Kyle Terri K. Liguori Oliene Toussaint Debra Annane Lisa R. Metsch |
| author_sort | Jemima A. Frimpong |
| collection | DOAJ |
| description | Abstract Background People with substance use disorders are vulnerable to acquiring HIV. Testing is fundamental to diagnosis, treatment, and prevention; however, in the past decade, there has been a decline in the number of substance use disorder (SUD) treatment programs offering on-site HIV testing. Fewer than half of SUDs in the USA offer on-site HIV testing. In addition, nearly a quarter of newly diagnosed cases have AIDS at the time of diagnosis. Lack of testing is one of the main reasons that annual HIV incidences have remained constant over time. Integration of HIV testing with testing for HCV, an infection prevalent among persons vulnerable to HIV infection, and in settings where they receive health services, including opioid treatment programs (OTPs), is of great public health importance. Methods/design In this 3-arm cluster-RCT of opioid use disorders treatment programs, we test the effect of two evidence-based “practice coaching” (PC) interventions on the provision and sustained implementation of on-site HIV testing, on-site HIV/HCV testing, and linkage to care. Using the National Survey of Substance Abuse Treatment Services data available from SAMHSA, 51 sites are randomly assigned to one of the three conditions: practice coach facilitated structured conversations around implementing change, with provision of resources and documents to support the implementation of (1) HIV testing only, or (2) HIV/HCV testing, and (3) a control condition that provides a package with information only. We collect quantitative (e.g., HIV and HCV testing at 6-month-long intervals) and qualitative site data near the time of randomization, and again approximately 7–12 months after randomization. Discussion Innovative and comprehensive approaches that facilitate and promote the adoption and sustainability of HIV and HCV testing in opioid treatment programs are important for addressing and reducing HIV and HCV infection rates. This study is one of the first to test organizational approaches (practice coaching) to increase HIV and HIV/HCV testing and linkage to care among individuals receiving treatment for opioid use disorder. The study may provide valuable insight and knowledge on the multiple levels of intervention that, if integrated, may better position OTPs to improve and sustain testing practices and improve population health. Trial registration ClinicalTrials.gov NCT03135886. Registered on 2 May 2017. |
| first_indexed | 2024-03-10T17:06:07Z |
| format | Article |
| id | doaj.art-a78fe2c065804b56b7b90871fa77a1c2 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-03-10T17:06:07Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-a78fe2c065804b56b7b90871fa77a1c22023-11-20T10:49:33ZengBMCTrials1745-62152023-09-0124111610.1186/s13063-023-07602-8A study protocol for Project I-Test: a cluster randomized controlled trial of a practice coaching intervention to increase HIV testing in substance use treatment programsJemima A. Frimpong0Carrigan L. Parish1Daniel J. Feaster2Lauren K. Gooden3Mindy C. Nelson4Tim Matheson5Karolynn Siegel6Louise Haynes7Benjamin P. Linas8Sabrina A. Assoumou9Susan Tross10Tiffany Kyle11Terri K. Liguori12Oliene Toussaint13Debra Annane14Lisa R. Metsch15New York University Abu DhabiDepartment of Sociomedical Sciences Miami Research Center, Columbia UniversityDepartment of Public Health Sciences, University of Miami Miller School of MedicineDepartment of Sociomedical Sciences Miami Research Center, Columbia UniversityDepartment of Public Health Sciences, University of Miami Miller School of MedicineSan Francisco Dept of Public Health (SFDPH)Department of Sociomedical Sciences, Columbia UniversityMedical University of South CarolinaBoston Medical CenterBoston Medical CenterHIV Center For Clinical and Behavioral Studies, NYS Psychiatric Institute, Columbia University Irving Medical CenterDepartment of Public Health Sciences, University of Miami Miller School of MedicineDepartment of Sociomedical Sciences Miami Research Center, Columbia UniversityDepartment of Sociomedical Sciences Miami Research Center, Columbia UniversityHealth Foundation of South FloridaDepartment of Sociomedical Sciences and Columbia School of General Studies, Columbia UniversityAbstract Background People with substance use disorders are vulnerable to acquiring HIV. Testing is fundamental to diagnosis, treatment, and prevention; however, in the past decade, there has been a decline in the number of substance use disorder (SUD) treatment programs offering on-site HIV testing. Fewer than half of SUDs in the USA offer on-site HIV testing. In addition, nearly a quarter of newly diagnosed cases have AIDS at the time of diagnosis. Lack of testing is one of the main reasons that annual HIV incidences have remained constant over time. Integration of HIV testing with testing for HCV, an infection prevalent among persons vulnerable to HIV infection, and in settings where they receive health services, including opioid treatment programs (OTPs), is of great public health importance. Methods/design In this 3-arm cluster-RCT of opioid use disorders treatment programs, we test the effect of two evidence-based “practice coaching” (PC) interventions on the provision and sustained implementation of on-site HIV testing, on-site HIV/HCV testing, and linkage to care. Using the National Survey of Substance Abuse Treatment Services data available from SAMHSA, 51 sites are randomly assigned to one of the three conditions: practice coach facilitated structured conversations around implementing change, with provision of resources and documents to support the implementation of (1) HIV testing only, or (2) HIV/HCV testing, and (3) a control condition that provides a package with information only. We collect quantitative (e.g., HIV and HCV testing at 6-month-long intervals) and qualitative site data near the time of randomization, and again approximately 7–12 months after randomization. Discussion Innovative and comprehensive approaches that facilitate and promote the adoption and sustainability of HIV and HCV testing in opioid treatment programs are important for addressing and reducing HIV and HCV infection rates. This study is one of the first to test organizational approaches (practice coaching) to increase HIV and HIV/HCV testing and linkage to care among individuals receiving treatment for opioid use disorder. The study may provide valuable insight and knowledge on the multiple levels of intervention that, if integrated, may better position OTPs to improve and sustain testing practices and improve population health. Trial registration ClinicalTrials.gov NCT03135886. Registered on 2 May 2017.https://doi.org/10.1186/s13063-023-07602-8HIVHepatitis C virusPractice coachingCluster randomized controlled trialOrganizational changeOpioid treatment program |
| spellingShingle | Jemima A. Frimpong Carrigan L. Parish Daniel J. Feaster Lauren K. Gooden Mindy C. Nelson Tim Matheson Karolynn Siegel Louise Haynes Benjamin P. Linas Sabrina A. Assoumou Susan Tross Tiffany Kyle Terri K. Liguori Oliene Toussaint Debra Annane Lisa R. Metsch A study protocol for Project I-Test: a cluster randomized controlled trial of a practice coaching intervention to increase HIV testing in substance use treatment programs Trials HIV Hepatitis C virus Practice coaching Cluster randomized controlled trial Organizational change Opioid treatment program |
| title | A study protocol for Project I-Test: a cluster randomized controlled trial of a practice coaching intervention to increase HIV testing in substance use treatment programs |
| title_full | A study protocol for Project I-Test: a cluster randomized controlled trial of a practice coaching intervention to increase HIV testing in substance use treatment programs |
| title_fullStr | A study protocol for Project I-Test: a cluster randomized controlled trial of a practice coaching intervention to increase HIV testing in substance use treatment programs |
| title_full_unstemmed | A study protocol for Project I-Test: a cluster randomized controlled trial of a practice coaching intervention to increase HIV testing in substance use treatment programs |
| title_short | A study protocol for Project I-Test: a cluster randomized controlled trial of a practice coaching intervention to increase HIV testing in substance use treatment programs |
| title_sort | study protocol for project i test a cluster randomized controlled trial of a practice coaching intervention to increase hiv testing in substance use treatment programs |
| topic | HIV Hepatitis C virus Practice coaching Cluster randomized controlled trial Organizational change Opioid treatment program |
| url | https://doi.org/10.1186/s13063-023-07602-8 |
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