1 / 17

Research Meets Practice and Beyond: Clinical Implementation of HIV Rapid Testing

Research Meets Practice and Beyond: Clinical Implementation of HIV Rapid Testing. CTN Anniversary Celebration April 21, 2010 Louise Haynes, MSW Beverly Holmes, MSW LRADAC, Columbia, SC. “The Bridge” NIDA Clinical Trials Network 2000-2010. Building the Bridge Maturing in the CTN.

mandell
Download Presentation

Research Meets Practice and Beyond: Clinical Implementation of HIV Rapid Testing

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Research Meets Practice and Beyond:Clinical Implementation of HIV Rapid Testing CTN Anniversary Celebration April 21, 2010 Louise Haynes, MSW Beverly Holmes, MSW LRADAC, Columbia, SC

  2. “The Bridge”NIDA Clinical Trials Network2000-2010

  3. Building the BridgeMaturing in the CTN • In the beginning….Learning how to conduct the research successfully • Then…Increasing the acceptance of research in participating community programs • After that….Disseminating findings to a welcoming audience of providers • Finally…….Implementing research-based interventions

  4. CTN trial for HIV testing and counseling (CTN0032) • Eligible sites not offering testing • Inpatient and outpatient sites • Methadone and psychosocial rehab • Used rapid test – 20 minutes for results • 3 arms: counseling and offer of testing, information and offer of testing, off-site referral • Which approach was more effective for getting tested and receiving results? • N = 1200 • Ended 12-09

  5. Rapid On-site HIV Testing and Counseling • Could we conduct the protocol successfully? • Rapid recruitment • Would clients agree to participate, particular concerns about men

  6. Implementation: Getting Past the Discussion Phase • Following each research project there was an initial interest in implementing the intervention: TELE, Adol ADHD, HIV risk reduction for men and women (group) • A first: HIV Testing and Counseling in Substance Abuse Treatment

  7. What made 0032 different from previous protocols? • Research fully integrated into treatment program • Immediate implementation • External funding and support for programmatic implementation (cost neutral to agency) • Champion

  8. What did the CTN offer? • Experience – conducting the research offered the opportunity for the agency to try out the intervention which turned out to be very popular with clients • Training: both research staff and later for program staff • Continued supervision and support

  9. Nuts and Bolts of Implementation • Planning • Program, Clients, Procedures, State Requirements • Phase 1- Detox • Staffing/training • Testing/counseling • From research based to clinic based • Phase 2: Outpatient Program • Outpatient Groups • Outpatient Intake Orientations

  10. Implementation • Since September 8, 2009 • 319 Rapid Tests Offered • 194 Accepted • 61% Acceptance Rate • Reasons offer not accepted • 69% Recently tested • 10% HIV positive • Other reasons such as: perceived no risk, undecided about being tested, not interested

  11. Client Demographics • Clients Tested (detox) • 32% Female • 49% African American • Research protocol at LRADAC (outpatient) • 45% Female • 56% AA • Average 7 per week

  12. Opportunities • South Carolina School of Alcohol and Drug Studies • Collaboration with SSA (DAODAS) and SC state health department (DHEC) • Team teaching: CTN, ATTC, DHEC • Certification upon course completion

  13. Conclusions • Research Experience in CTN can lead to improvement in agency’s treatment program • Potential to reach beyond agency – state wide implementation • Importance of RRTC support

  14. For more information contact: • Beverly Holmes: holmesbe@musc.edu • Louise Haynes: hayneslf@musc.edu

  15. Thanks • LRADAC • Lisa Metsch, Lauren Gooden, lead team of CTN0032 • Kathleen Brady, PI, Southern Consortium

  16. LRADAC & Morris Village Research Staff

More Related