Social Network Support for HIV Care

YA
Overseen ByYuri A Amirkhanian, PhD
Age: 18+
Sex: Male
Trial Phase: Academic
Sponsor: Medical College of Wisconsin
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to assist HIV-positive men who have sex with men in St. Petersburg, Russia, in re-engaging with HIV medical care and maintaining their treatment. Participants will either receive individual counseling about HIV care or additional sessions to enhance social support for their health journey, known as Social Support Mobilization. The study will evaluate whether extra social support improves medical care attendance, medication adherence, and overall well-being. Men who haven't visited an HIV doctor in the last six months or are missing doses of their medication might be suitable candidates for this trial. As an unphased trial, this study provides a unique opportunity to contribute to research that could strengthen support systems for HIV care.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on social support and care engagement rather than medication changes.

What prior data suggests that this intervention is safe for participants?

Research shows that the social support component of the trial is generally safe. This method aims to build and strengthen social connections to enhance HIV care.

Although specific studies on the safety of social support mobilization are lacking, similar programs have not reported negative effects. These programs create supportive environments that are unlikely to cause harm. They facilitate connections and resource access, leading to better health outcomes without physical risks.

Since the trial does not test a new drug but rather a supportive approach, it focuses on increasing social support, which is typically well-received. Participants engage in sessions designed to strengthen community ties, which have historically been safe and beneficial.12345

Why are researchers excited about this trial?

Researchers are excited about the Social Support Mobilization approach because it goes beyond traditional HIV treatment methods by actively engaging and strengthening a person's social network. Unlike standard care, which primarily focuses on medical interventions like antiretroviral therapy (ART), this method aims to enhance resilience and self-worth while helping participants build supportive relationships. By mobilizing social resources, it addresses the psychological and social aspects of living with HIV, potentially leading to improved health outcomes and quality of life for individuals who may feel isolated or lack support.

What evidence suggests that this trial's interventions could be effective for improving HIV care engagement?

Research has shown that social support can greatly improve how well people respond to HIV treatment. In this trial, participants in the Social Support Mobilization arm will engage in sessions designed to enhance social connections and support for HIV care. Studies have found that joining HIV support groups helps people keep the virus less active in their bodies. Other research indicates that more social support reduces the likelihood of stopping HIV treatment. Community and peer-led support services also lead to better health outcomes and longer lives for people with HIV. These findings suggest that building strong social connections is crucial for managing HIV effectively. Meanwhile, participants in the Individual Care Counseling arm will receive focused counseling on accessing HIV medical care and related services.678910

Are You a Good Fit for This Trial?

This trial is for HIV+ men over 18 who have sex with men, haven't visited an HIV care provider in the last 6 months or are less than 95% adherent to their ART medication. It's not for those under 18, not male at birth, HIV-negative or unknown status individuals, those already following treatment well, or participants of a prior pilot test.

Inclusion Criteria

reports being HIV-positive with no HIV medical care visit in the prior 6 months or adhering to <95% of ART medication in the past month
not a participant in the earlier pilot test of the intervention
I have had sexual relations with males in the last year.
See 1 more

Exclusion Criteria

I have not had sexual relations with males in the last year.
reports being HIV-positive with at least one HIV medical care visit in the prior 6 months or reports adherence to >95% of prescribed ART in the past month
reports being HIV-negative or unknown HIV status
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Baseline Assessment

Participants complete baseline assessments including demographic information, health history, and a blood draw for viral load testing

1 day
1 visit (in-person)

Intervention

Participants attend five main intervention sessions and two booster sessions focusing on social support mobilization and resilience building

7 weeks
5 visits (in-person), 2 booster sessions

Follow-up

Participants are monitored for safety and effectiveness after treatment with assessments at 6 and 12 months post-intervention

12 months
2 visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Individual Care Counseling
  • Social Support Mobilization
Trial Overview The study tests if adding social support mobilization (SSM) to individual care counseling (ICC) helps out-of-care HIV+ men engage better with medical care. Participants will attend sessions focused on resilience and developing supportive networks and will be assessed over a year to see if SSM improves attendance at medical appointments and overall health outcomes.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Social Support MobilizationExperimental Treatment1 Intervention
Group II: Individual Care CounselingActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Medical College of Wisconsin

Lead Sponsor

Trials
645
Recruited
1,180,000+

Published Research Related to This Trial

The Positive Links smartphone app facilitated social support among 55 participants living with HIV over 8 months, with 52% of analyzed posts providing support, primarily emotional in nature.
Participants reported feeling a sense of connection and support through the app, although some faced technical issues that hindered their full engagement, highlighting the app's potential to improve care for those unable to access in-person support.
Social Support in a Virtual Community: Analysis of a Clinic-Affiliated Online Support Group for Persons Living with HIV/AIDS.Flickinger, TE., DeBolt, C., Waldman, AL., et al.[2018]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39616301/
HIV Support Group Care Utilization and its Effect on ...This study highlights that HIV support groups significantly boost viral suppression rates, underscoring the importance of integrating these ...
Determinants of social support and the influence on HIV ...We found that higher MOS-SSS scores, indicating more social support, were associated with a lower likelihood of HIV treatment interruptions.
A community mobilisation intervention to improve ...This cluster-randomised trial shows that community mobilisation, as a stand-alone intervention, can improve clinical outcomes, including HIV testing uptake, ...
The effectiveness of peer-support for people living with HIVOverall, peer-support with routine medical care is superior to routine clinic follow-up in improving outcomes for people living with HIV.
Peer-Led Community-Based Support Services and HIV ...The receipt of peer-led community-based support services correlated with significantly improved HIV treatment outcomes and survival among people living with ...
The impact of Community Mobilisation on HIV Prevention ...While community mobilisation (CM) is increasingly advocated for HIV prevention, its impact on measurable outcomes has not been established.
How the shift in US funding is threatening both the lives of ...On 20 January 2025 the United States announced a 90-day freeze on US foreign aid which has had a devastating impact on people living with and affected by HIV.
Validity of Social Support Scales Utilized among HIV ...This systematic review aims to identify available validated social support scales used in HIV-infected and HIV-affected populations.
Effect of community-based voluntary counselling and ...We investigated whether a multicomponent, multilevel social and behavioural prevention strategy could reduce HIV incidence, increase HIV testing, reduce HIV ...
Science Brief: Evidence That HIV Cluster and Outbreak ...Learn how cluster and outbreak detection and response strengthens HIV prevention and care services.
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