The Coach Mpilo Study: Evaluation of a Peer-led Intervention to Promote Engagement in HIV Care for Men Living With HIV

MI-összefoglaló

A vizsgálat saját részvételi feltételeiből. Gép olvasta ki az oldalon álló regiszterszövegből, ezért tévedhet. Hogy ki vehet részt, azt a lenti regiszterszöveg és a vizsgálat csapata dönti el.

A vizsgálat olyan, 18 évesnél idősebb férfiakat keres, akik korábban a vizsgálat klinikáján kaptak HIV-ellátást, több mint 28 napot késtek az utolsó ART-időpontjukról, és jelenleg nem szednek ART-t.

Életkor

18 év vagy idősebb

Nem

Csak férfiak (cisznemű vagy transznemű)

A betegség stádiuma

Korábban HIV-ellátásban részesült férfiak, akik az utolsó ART-klinikai időpontjukat több mint 28 nappal lekésték.

Korábbi kezelés

Korábban kaptak HIV-ellátást a vizsgálat klinikáján. Jelenleg nem szedhetnek ART-t (antiretrovirális kezelést).

A részvétel fő kizáró okai

• A következő 12 hónapban másik régióba költözést tervez
• Jelenleg ART-t szed
• Nem tud vagy nem akar beleegyező nyilatkozatot adni

A regiszter feltételei, szó szerint

Mit akar kideríteni a vizsgálat

Developed in South Africa using extensive input from community members and healthcare professionals, Coach Mpilo is a peer support intervention that was designed to improve health outcomes for men living with HIV. Coach Mpilo engages men living with HIV as coaches who provide support to their peers and help them address psychosocial barriers in accessing and staying in HIV care. The peers employed by Coach Mpilo provide individualized assistance to men who are struggling with medication adherence and clinic visits, focusing on specific barriers ranging from knowledge about the benefits of HIV treatment, stigma, mental health, and social isolation.

A vizsgálat 2 csoportja

• Control groupNincs vizsgálati kezelés, összehasonlításként

  Standard of care (SOC) in our study is a once-off telephonic contact by a Study Linkage Officer to encourage the participant to return to HIV care. The Linkage Officer is trained to conduct the call in line with the South African National Guidelines on tracing and recall which involved making telephonic contact with an individual who has missed their HIV clinic appointment by 7 days. The National Guidelines for tracing also include a potential home visit if the telephone call is unsuccessful. Given our study sample is limited to men who have missed HIV clinic appointments by more than 28 days, all participants should already have received the standard tracing services provided by the health facility. In the study we conduct the tracing telephone call again to make sure all participants have received this service. No other intervention is provided.

• Coach Mpilo groupA vizsgált kezelés

  The experimental group receives the standard of care for the control group (see control group description) and the Coach Mpilo intervention. Coach Mpilo employs 'coaches' (a term found to resonate with men and the concept of 'getting back in the game') to work 1-on-1 with men living with HIV ('players') and tailor support for each man to help him re-engage and stay in care. Coaches provide support for a period of up to six months, during which they engage with clients about once every week, with greater contact as needed based on the complexity of challenges faced. Coach Mpilo provides one-on-one, in-person support tailored to the individual needs of men living with HIV. As such, it may address the complex and varying psychosocial barriers to HIV care that traditional clinic-based interventions typically overlook. Coach Mpilo employs men living openly with HIV as coaches. This leverages the coaches' personal experiences to create a safe and supportive environment for clients.

  Kezelés: Coach Mpilo