Improving Identification of Mental Health/Substance Use Disorders in HIV Primary Care: Pilot Clinical Response

This research is a feasibility pilot of an intervention to respond to positive screening tests for mental health(MH) and substance use (SU) captured through the Patient Reported Outcomes questionnaires (PROs). The PROs are currently performed in the clinic, however, the results are neither reviewed with patients nor transmitted to providers. This pilot assesses the feasibility of moving the PROs into the clinical realm by having patients review the PRO results, identifying an issue to discuss at the patient's next HIV primary care visit, and determining whether this process increases discussion of MH and SU disorders in the subsequent clinical visit and/or increases referrals to MH and/or SU treatment.

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Key information

Conditions

HIV Infections Blood-Borne Infections Communicable Diseases Genital Diseases Immune System Diseases Immunologic Deficiency Syndromes Infections Lentivirus Infections RNA Virus Infections Retroviridae Infections Sexually Transmitted Diseases Sexually Transmitted Diseases, Viral Urogenital Diseases Virus Diseases

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Moore Clinic for HIV Care

Baltimore, Maryland, 21287, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

must be enrolled in the Johns Hopkins Clinical Cohort at the Johns Hopkins Moore Clinic
must be living with HIV

Exclusion criteria

Treatment and study plan

Patient Designated Positive Screen Shared with Provider

Behavioral

Patient Designated Positive Screen Shared with Provider -- In the intervention, participants will be given the opportunity to determine which positive screen, if any, that the participant would like to discuss with the participant's provider at the next HIV primary care appointment. The participant will be notified that all positive screens will be shared with the provider prior to their next HIV primary care visit, and that any positive screen the patient has chosen to discuss with the provider will be specified. The provider will receive the PROs result (score, interpretation, and recommendation) prior to their next HIV primary care visit

Primary outcomes

Mental Health or Substance Use Issue Raised in Visit

Time frame: Visit following intervention which will occur on the same day or up to 1 week after the intervention

Number of participants for whom review and coding of audio recording captured a mental health or substance use issue during their visit
Audio Recording Data - Mental Health/Substance Use Action Taken

Time frame: Visit following intervention which will occur on the same day or up to 1 week after the intervention

Number of participants for whom review of transcript of clinic visit characterized discussion of mental health issues and referral for services

Sponsors and collaborators

Lead sponsor

Johns Hopkins University

Other

Collaborators

National Institute of Mental Health (NIMH)

Registry information

Acronym: PROACT

Important dates

Study start: 2017
Primary completion: 2017
Study completion: 2017
First posted: Mar 1, 2017
Registry last updated: Nov 19, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed