Project goal: To increase the percentage of HIV-infected immigrant patients with an HIV-RNA
ID
Bron
Verkorte titel
Aandoening
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.
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Higher percentage of immigrant patients with a HIV-RNA <20 copies/ml.
Achtergrond van het onderzoek
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.
Doel van het onderzoek
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.
Onderzoeksopzet
November 2012 - August 2014
Onderzoeksproduct en/of interventie
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
Publiek
Erasmus University Medical Center, 's-Gravendijkwal 230, 3015 CE Rotterdam.
[default]
The Netherlands
a.verbon@erasmusmc.nl
Wetenschappelijk
Erasmus University Medical Center, 's-Gravendijkwal 230, 3015 CE Rotterdam.
[default]
The Netherlands
a.verbon@erasmusmc.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
• HIV-infected
• ≥18 years of age
• 1st generation immigrant: Born outside of Europe
• 2nd generation immigrant: One of both parents born outside of Europe
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
None
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL4801 |
| NTR-old | NTR4941 |
| Ander register | 2011107 (Aids Fonds) : MEC-2012-399 |