Examining the Health Effects of iTHRIVE 365 Among Black Same Gender Loving Men: Immune System Diseases and Conditions - HIV/AIDS - Insurance News | InsuranceNewsNet

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April 1, 2024 Newswires
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Examining the Health Effects of iTHRIVE 365 Among Black Same Gender Loving Men: Immune System Diseases and Conditions – HIV/AIDS

Education Daily Report

2024 APR 01 (NewsRx) -- By a News Reporter-Staff News Editor at Education Daily Report -- Staff editors report on the newly launched clinical trial, NCT06315218, which has the following summary description: “This research study aims to test the effectiveness, reach, and maintenance over time of the iTHRIVE 365 intervention for Black same gender loving men (SGLM) living with HIV. iTHRIVE 365 is a SGLM community-developed multicomponent mHealth intervention that aims to: 1) Support daily health promotion via HIV and psychological health education and health maintenance reminders; 2) Foster positive social connections among SGLM via online moderated forums, interpersonal chats, and community calendars; 3) Connect clients to SGLM-affirming healthcare, including HIV treatment and mental healthcare; 4) Provide resources for housing, transportation, and other economic empowerment.”

As a matter of record, on March 19, 2024, NewsRx staff editors report that the available information provided by Rutgers, The State University of New Jersey on this trial include:

Tracking Information

Trial Identifier NCT06315218
First Submitted Date March 11, 2024
First Posted Date March 18, 2024
Results First Submitted Date Not Provided
Results First Posted Date Not Provided
Last Update Submitted Date March 11, 2024
Last Update Posted Date March 18, 2024
Primary Completion Date April 30, 2028
Start Date May 2024
Current Primary Outcome Measures •Antiretroviral (ART) Medication Use [ Time Frame: 24 hours ] -- For daily surveys, participants will report ART adherence on a single binary item (“In the past 24 hours did you take ART medication?”)
•ART adherence-Long Lag Assessments [ Time Frame: 2 weeks ] -- We will use the NAME scale that assesses barriers to ART adherence.
Current Secondary Outcome Measures •Daily Diary Substance Use [ Time Frame: 24 hours ] -- We will measure daily substance use with single-item binary measures of various substances (e.g.,alcohol, marijuana).
•Substance Use-Long Lag Assessments [ Time Frame: 2 weeks ] -- For long lags (i.e., 2 week assessment to 6 month assessment), participants will complete an online, automated retrospective assessment of substance use in the past 2 weeks.
•Depressive Symptoms [ Time Frame: 24 hours ] -- The Patient Health Questionnaire-4 assesses anxiety and depressive symptoms. Participants rate the extent to which they had been experiencing each item the past day (e.g., “In the past 24 hours, I’ve been feeling nervous, anxious, or on edge”) on a scale from 0 (not at all) to 3 (completely). We used an average across all items for each time point.
•Depressive Symptoms-Long Lag [ Time Frame: 2 weeks ] -- The Brief Symptom Inventory assesses anxiety and depressive symptoms. Participants rate the extent to which they had been experiencing each item the past 2 weeks (e.g., “Feeling hopeless about the future”) on a scale from 0 (not at all) to 4 (Extremely). We will use an average across all items for each time point.
•Anxiety Symptoms [ Time Frame: 24 hours ] -- The Patient Health Questionnaire-4 assesses anxiety and depressive symptoms. Participants rate the extent to which they had been experiencing each item the past day (e.g., “In the past 24 hours, I’ve been feeling nervous, anxious, or on edge”) on a scale from 0 (not at all) to 3 (completely). We used an average across all items for each time point.
•Anxiety Symptoms-Long Lag [ Time Frame: 2 weeks ] -- The Brief Symptom Inventory assesses anxiety and depressive symptoms. Participants rate the extent to which they had been experiencing each item the past 2 weeks (e.g., “Feeling tense or keyed up”) on a scale from 0 (not at all) to 4 (Extremely). We will use an average across all items for each time point.
•Emotion Regulation Emotion Regulation [ Time Frame: 24 hours ] -- A validated four-item version of the Difficulties with Emotion Regulation Scale assesses emotion regulation. Participants rated the extent to which they had been experiencing each item (e.g., “In the past 24 hours, I’ve been experiencing my emotions as overwhelming”) in the past day on a scale from 0 (not at all) to 3 (completely). We used an average across all items for each time point.
•Emotion Regulation-Long Lag Assessments [ Time Frame: 2 weeks ] -- We will use the Difficulties with Emotion Regulation Scale- Short Form (DERS-SF) for long lags
•COPE [ Time Frame: 24 hours ] -- A modified version of the Brief-COPE assesses coping approaches to stress over the last 24 hour. It includes the 6 items from the interconnectedness and problem-oriented subscales, and 3 original items assessing specific interconnectedness with Black LGBTQ people and problem-oriented action against injustice.
•COPE-Long Lag Assessments [ Time Frame: 2 weeks ] -- We will use the Brief-COPE measure to assess past 2-week coping, which assesses the following coping approaches in 28 items: Self-distraction, active coping, denial, substance use, use of emotional social support, use of instrumental social support, Behavioral disengagement, venting, positive reframing, planning, humor, acceptance, religion, and self-blame.
Other Outcome Measures Not Provided
Change History Complete list of historical revisions of study NCT06315218

Descriptive Information

Brief Title Examining the Health Effects of iTHRIVE 365 Among Black Same Gender Loving Men
Official Title Examining the Health Effects of iTHRIVE 365 Among Black Same Gender Loving Men
Brief Summary This research study aims to test the effectiveness, reach, and maintenance over time of the iTHRIVE 365 intervention for Black same gender loving men (SGLM) living with HIV. iTHRIVE 365 is a SGLM community-developed multicomponent mHealth intervention that aims to: 1) Support daily health promotion via HIV and psychological health education and health maintenance reminders; 2) Foster positive social connections among SGLM via online moderated forums, interpersonal chats, and community calendars; 3) Connect clients to SGLM-affirming healthcare, including HIV treatment and mental healthcare; 4) Provide resources for housing, transportation, and other economic empowerment.
Detailed Description This research study aims to test the effectiveness, reach, and maintenance over time of the iTHRIVE 365 intervention for Black same gender loving men (SGLM) living with HIV. iTHRIVE 365 is a SGLM community-developed multicomponent intervention that aims to: 1) Support daily health promotion via HIV and psychological health education and health maintenance reminders; 2) Foster positive social connections among SGLM via online moderated forums, interpersonal chats, and community calendars; 3) Connect clients to SGLM-affirming healthcare, including HIV treatment and mental healthcare; 4) Provide resources for housing, transportation, and other economic empowerment. We will pursue the following aims: Test the effectiveness of THRIVE365 in improving daily and longer-term (1-6 months) HIV-related behavioral health (primary outcome: ART adherence) and psychological health (e.g., secondary outcomes: lower depressive and anxiety symptoms) in a 6-month waitlist randomized controlled trial with 350 Black SGLM living with HIV in the four Atlanta-area Ending the HIV Epidemic (EHE) jurisdictions. Examine the moderating effect of THRIVE365 on associations between intersectional stigma (e.g., intersectional racist, heterosexist, and HIV stigma) and our primary and secondary HIV outcomes. Evaluate THRIVE365 maintenance and reach at the user-level (e.g., within-user changes in engagement and daily effects) and setting-level (e.g., intervention adaptations, Black SGLM community uptake). Participants will be recruited in collaboration with THRIVE SS, the largest Black SGLM-led social service organization for Black SGLM in the Atlanta, GA metro area. After completing an online screener to assess for basic eligibility requirements, participants will be scheduled for an online, Health Insurance Portability and Accountability Act (HIPPA)-compliant Zoom consent and baseline survey process. All online assessments will be completed using HIPAA-compliant Qualtrics surveys. Participants will review study information and complete informed consent procedures with study staff, including agreeing to provide access to their iTHRIVE 365 paradata and HIV viral suppression results. Once consented, participants will complete a computerized retrospective interview to assess HIV anti-retroviral treatment (ART) adherence and substance use, as well as measures of intersectional stigma, depressive symptoms, anxiety symptoms, emotion regulation, social support coping, ART information and motivation, and multilevel barriers to ART adherence. They will also be guided through a practice daily diary. Finally, intervention group participants will be registered for the mHealth (e.g., online forums) and institutional (e.g., linkage to care) aspects of iTHRIVE 365. Control group participants will remain on the registration waitlist until after the 6-month study is over. All participants will receive virtual gift card compensation directly following the baseline. All participants will complete brief daily measures of intersectional stigma, ART adherence, substance use, depressive and anxiety symptoms, emotion regulation, and social support coping for 14 days after baseline to assess daily iTHRIVE 365 effectiveness. Upon completion of the 2-week cycle, participants will complete a 2-week follow-up online survey, including identical measures to those received at baseline. All participants will receive compensation for their participation in the 2-week assessment as well as compensation based on the number of daily surveys they completed. There will then be online follow-up surveys at 1-, 2-, 4-, and 6-months post baseline. These assessments will include identical measures to the baseline and 2-week assessments. As with the baseline, participants will receive virtual gift-card compensation directly after they complete their surveys. Following the 6-month assessment, all participants will participate in a second 2-week daily diary study. At the end of the 2-week process, participants will engage in a debriefing session and have the opportunity to provide feedback on the iTHRIVE 365 intervention and the research process. As with the initial daily diary period, participants will receive virtual gift-card compensation based on the number of surveys they completed. To accomplish study aims, we will estimate all analytic models in Mplus and SPSS. We will test the effectiveness of iTHRIVE 365 on daily primary and secondary HIV and psychological outcomes by examining a series of two-level dynamic structural equation models (DSEMs) that test differences in within-participant changes in our outcomes across intervention groups. We will test the effectiveness of iTHRIVE 365 on longer-term primary and secondary outcomes through between- and within-group analyses estimated as latent growth curve models that test changes in the outcomes across intervention groups during the 6-month study period. We will examine the main effects of intersectional stigma on primary and secondary outcomes using DSEM in autoregressive models (VAR (1)). We will build off these VAR (1) models to examine the moderating effects of iTHRIVE 365 on the intersectional stigma HIV outcomes associations using multiple group moderation analyses. We will run all descriptive analyses for reach and maintenance in SPSS. Effects maintenance analyses with build off the DSEM and VAR (1) models to observe time as a predictor of within-participants and across-participants changes in iTHRIVE 365 effects.
Study Type Interventional
Study Phase Not Applicable
Study Design Allocation: Randomized
Intervention Model: Parallel Assignment
Primary Purpose: Supportive Care
Masking: Single
Condition Sexual and Gender Minorities
Social Stigma
Medication Adherence
Depressive Symptoms
Anxiety Symptoms
Intervention •Behavioral: iTHRIVE 365 HIV care intervention
iTHRIVE 365 is a multicomponent intervention that combines mHealth features and institutional to support community priorities identified in formative CBPR. In line with best-practices for trials of intervention principles (TIPs) with mHealth interventions, iTHRIVE 365 deploys intervention elements that serve to accomplish intervention strategies. iTHRIVE 365 intervention strategies are to promote: 1)Health knowledge and motivation; 2)Social support coping; 3)Access to culturally-affirming healthcare; and 4)Housing and other economic resources. iTHRIVE 365 pursues these strategies via these intervention elements: 1)Weekly HIV and psychological health information and motivation content and daily health notifications; 2)Online moderated forums, interpersonal chats, and community calendars; 3)Linkage to biopsychosocial healthcare via THRIVE SS’s network of Black SGLM-affirming providers; and 4)Housing and economic resources through THRIVE SS’s direct support and referral network.
Study Arms •Experimental: Intervention Arm
iTHRIVE 365 is a multicomponent intervention that combines mHealth features and institutional to support community priorities identified in formative CBPR. In line with best-practices for trials of intervention principles (TIPs)
Interventions:
⚬Behavioral: iTHRIVE 365 HIV care intervention
Publications* *Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline
PubMed Link - English D, Smith JC, Scott-Walker L, Lopez FG, Morris M, Reid M, Lashay C, Bridges D, McNeish D. Feasibility, Acceptability, and Preliminary HIV Care and Psychological Health Effects of iTHRIVE 365 for Black Same Gender Loving Men. J Acquir Immune Defic Syndr. 2023 May 1;93(1):55-63. doi: 10.1097/QAI.0000000000003167.
English, D., & Smith, J.C., & Scott-Walker, L., Lopez, F.G., Morris, M., Reid, M., Lashay, C., Bridges, D., Rosales, A., & Cunningham, D.J. (2023). iTHRIVE 365: A community-led, multicomponent health promotion intervention for Black same gender loving men. Annals of LGBTQ Public and Population Health. doi:10.1891/LGBTQ-2022-0009

Recruitment Information

Recruitment Status Not yet recruiting
Estimated Enrollment 350
Estimated Completion Date April 2028
Primary Completion Date April 30, 2028 (Final data collection date for primary outcome measure)
Eligibility Inclusion Criteria: Identify as Black or African American, regardless of ethnicity Identify as male, regardless of sex assigned at birth Are living with HIV and prescribed a daily ART regimen Are age ≥ 18; Have sex with men Own an internet-connected device (e.g., smartphone, tablet) Reside in the Atlanta-area EHE jurisdictions. Exclusion Criteria: Lack of English fluency Past participation in the pilot.
Sex/Gender Sexes Eligible for Study: All
Ages 18 years and older
Accepts Healthy Volunteers No
Contacts Primary contact: Devin English, Ph.D., 973-972-1755, [email protected]
Backup contact: Emmanuel Chavez, MS, 973-972-3324, [email protected]
Listed Location Countries Not Provided
Removed Location Countries

Administrative Information

NCT Number NCT06315218
Other Study ID Numbers Pro2023000968
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product Not Provided
Plan to Share Data Yes
Plan to Share Data (IPD) Description Outside researchers will be able to request access to these de-identified data through email to the PI in order to conduct analyses for which the PI and study team do not have expertise. This request will be considered by the PI, the appropriate officers at Rutgers University for processing. As such, the PI will initiate a DTA, and seek the legal advice of Rutgers University regarding the adequacy of compliance with any relevant laws, policies, or regulations. If approved, data will be completely de-identified and shared through a secure sharing mechanism (e.g., password protected and encrypted online database for electronic data). No participant codes will be shared with external researchers.
Responsible Party Devin English, PhD, Rutgers, The State University of New Jersey
Collaborators ⚬Positive Impact Health Centers
⚬George Washington University
⚬Carnegie Mellon University
⚬Emory University
⚬Columbia University
⚬Arizona State University
⚬THRIVE Social Services Inc
Investigators Principal Investigator: Devin English, Ph.D., Rutgers University
Principal Investigator: Justin Smith, MS, MPH, Positive Impact Health Centers
Information Provided By Rutgers, The State University of New Jersey
Verification Date March 2024

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