A Cluster Randomized Evaluation of a Health Department Data to Care Intervention Designed to Increase Engagement in HIV Care and Antiretroviral Use

Sexually Transmitted Diseases
Julia C DombrowskiMatthew R Golden

Abstract

Many US health departments have implemented Data to Care interventions, which use HIV surveillance data to identify persons who are inadequately engaged in HIV medical care and assist them with care reengagement, but the effectiveness of this strategy is uncertain. We conducted a stepped-wedge, cluster-randomized evaluation of a Data to Care intervention in King County, Washington, 2011 to 2014. Persons diagnosed as having HIV for at least 6 months were eligible based on 1 of 2 criteria: (1) viral load (VL) greater than 500 copies/mL and CD4 less than 350 cells/μL at the last report in the past 12 months or (2) no CD4 or VL reported to the health department for at least 12 months. The intervention included medical provider contact, patient contact, and a structured individual interview. Health department staff assisted patients with reengagement using health systems navigation, brief counseling, and referral to support services. We clustered all eligible cases in the county by the last known medical provider and randomized the order of clusters for intervention, creating contemporaneous intervention and control periods (cases in later clusters contributed person-time to the control period at the same time that cases in earlier ...Continue Reading

References

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Citations

Apr 16, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jason ZuckerMagdalena E Sobieszczyk
Nov 26, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Julia C DombrowskiMatthew R Golden
Aug 20, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Robyn Neblett FanfairAlfred DeMaria
Apr 14, 2019·AIDS and Behavior·Elizabeth J ChangJulia C Dombrowski
Jul 26, 2019·Open Forum Infectious Diseases·Julia C DombrowskiMatthew R Golden
Aug 20, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Rachel Hart-MalloyJames M Tesoriero
May 7, 2021·Current HIV/AIDS Reports·José A BauermeisterDovie Watson
Aug 30, 2021·BMC Public Health·Jorge Palacio-VieiraUNKNOWN PICIS study group

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