Scale-up of an Evidence-based Adolescent Transition Package to Support Transitional Care Among Youth Living With HIV
Recruiting · NCT06924073 · Interventional (participants receive a specific treatment) · Lead sponsor: University of Washington
View the official record on ClinicalTrials.gov →Interventions studied
What this trial is about
Ending the HIV epidemic for youth living with HIV will require implementation and optimization of evidence-based interventions that address barriers to treatment. The proposed implementation study will test a youth-led data-driven implementation strategy to scale-up an evidence-based Adolescent Transition Package (ATP) aimed at improving transition processes and post-transition clinical outcomes for youth living with HIV in Kenya. Clinics will be randomized to receive standard of care implementation through trainer of trainers or the youth-led data-driven implementation strategy alongside trainer of trainers. We will study whether the enhanced implementation strategy improves the number of youth who receive the ATP, the number of providers that initially chose to use the ATP, and the consistency with which the ATP is used over time. We will also evaluate the cost of the ATP and whether the ATP improves health outcomes among youth living with HIV, including viral suppression and retention in care. Healthcare workers at study sites will complete surveys, focus group discussions, interviews, and participate in continuous quality improvement processes. Youth will participate in surveys and focus groups, and have their routine medical records abstracted.
Who can take part
Inclusion criteria
- Healthcare providers
- ≥18 years of age
- Employed at one of the 32 facilities in the RCT
- Provides HIV services to adolescents affiliated within their clinic Adolescents and youth living with HIV
- Between 15-24 years of age (focus group discussions, surveys) or between 10-24 years of age (offered the intervention)
- Receives HIV clinical care at one of the clinics included in the study
- Attended clinic ≥1 time following intervention implementation
Exclusion criteria
- Any individual who meets the following criteria will be excluded from participation in this study:
- \- Conditions that would place the individual at increased risk or preclude the individual's full compliance with or completion of the study
Where it is running
25 locations listed.
- Awendo Sub County Hospital - Awendo, Kenya
- Uriri Sub County Hospital - Awendo, Kenya
- Gatundu Level 5 Hospital - Gatundu, Kenya
- Kiambu County Referral Hospital - Kiambu, Kenya
- Wangige Sub-County Hospital - Kiambu, Kenya
- Kikuyu (PCEA) Hospital - Kikuyu, Kenya
- Nazareth Hospital - Limuru, Kenya
- Arombe Dispensary - Migori, Kenya
- Dede Health Centre - Migori, Kenya
- Migori County Referral Hospital - Migori, Kenya
- St Joseph Mission Hospital (Ombo) - Migori, Kenya
- Baraka Dispensary (Nairobi) - Nairobi, Kenya
- Embakasi Health Centre - Nairobi, Kenya
- Kenyatta National Hospital/University of Nairobi - Nairobi, Kenya
- Mama Lucy Kibaki Hospital - Nairobi, Kenya
- Mbagathi District Hospital - Nairobi, Kenya
- Mukuru Health Centre - Nairobi, Kenya
- Pumwani Maternity Hospital - Nairobi, Kenya
- Tabitha Medical Clinic - Nairobi, Kenya
- Umoja Health Center - Nairobi, Kenya
- Rongo Sub County Hospital - Rongo, Kenya
- Verna Health Centre - Rongo, Kenya
- Ruiru Sub-County Hospital - Ruiru, Kenya
- Kiandutu Health Centre - Thika, Kenya
- Thika Level 5 Hospital - Thika, Kenya