No registrations found.
ID
Source
Brief title
Health condition
English: HIV-infection, immigrant, internalized stigma, social support, adherence, lost to follow-up, retention in care.
Nederlands: HIV-infectie, immigrant, geinternaliseerde stigma, sociale steun, therapietrouw, uit zorg raken, in zorg houden.
Sponsors and support
Intervention
Outcome measures
Primary outcome
Higher percentage of immigrant patients with a HIV-RNA <20 copies/ml.
Secondary outcome
Patient level: Better self-reported adherence, less missed outpatient clinic appointments, more retrieved pharmacy prescriptions, lower percentage of patients lost to follow up, high percentage of successful depression treatments.
Program level: Information about the feasibility and acceptance of the developed interventions (process-evaluation) and securing the sub-projects if successful.
Background summary
Research and experience show that non-European HIV-infected immigrants have worse health- and treatment outcomes than Dutch HIV-infected patients. Reasons for this difference in outcomes seem to be caused by (among others) internalized stigma, depression and low social support.
This project aims to raise the percentage of HIV-infected patients with HIV RNA <20 copies/ml by testing several interventions. These include (1) Identify patients who miss their clinical appointments and take actions to improve their outpatient clinic visit compliance,(2) modified Directly Observed Therapy (m-DOT), (3) group consult, (4) peer-support and (5) early screening and treatment of depression. We believe that incorporating these interventions in usual care, the patients’ treatment outcomes and quality of live will improve and this will lead to a decrease in transmission of HIV. In addition, reasons for non-adherence will be investigated in the different groups of HIV-infected immigrants.
Study objective
Project goal: To increase the percentage of HIV-infected immigrant patients with an HIV-RNA <20 copies/ml (successful treatment) and to reduce the transmission of HIV within this ‘key population’(non-European immigrants). Additionally, improvement of the individuals’ health at a micro-level.
Study design
November 2012 - August 2014
Intervention
Activities:
• Identify patients who miss their clinical appointments and take actions to improve their outpatient clinic visit compliance.
• Early screening and treatment of depression
• Modified Directly Observed Therapy (m-DOT)
• Group consult
• Peer-support
Erasmus University Medical Center, 's-Gravendijkwal 230, 3015 CE Rotterdam.
[default]
The Netherlands
a.verbon@erasmusmc.nl
Erasmus University Medical Center, 's-Gravendijkwal 230, 3015 CE Rotterdam.
[default]
The Netherlands
a.verbon@erasmusmc.nl
Inclusion criteria
• HIV-infected
• ≥18 years of age
• 1st generation immigrant: Born outside of Europe
• 2nd generation immigrant: One of both parents born outside of Europe
Exclusion criteria
None
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL4801 |
| NTR-old | NTR4941 |
| Other | 2011107 (Aids Fonds) : MEC-2012-399 |