UT-HEARTS referral |
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Prior to enrollment, individuals are screened in-person and are offered a referral to the UT-HEARTS program. Questions assessing eligibility for the study are imbedded within the screening form.
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Women who accepted the referral were contacted by a UT-HEARTS coordinator following the initial study visit.
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Pre-test |
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RCT assignment |
Intervention Group:
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Women will receive the iPrEP intervention on a tablet device
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iPrEP uses qualitative themes
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iPrEP is divided into sections addressing factors with historical success at increasing PrEP adherence [42]
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Scales chosen to measure themes and sections are retained from the original HPTN 073 instrument
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Scales are modified (in some cases) for cultural competency and tailoring to women
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Control Group:-
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Women will receive usual care
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An assessment visit with an ED-assigned social worker who specializes in substance use
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Social worker will offer a list of substance abuse treatment referral agencies, but no intervention
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Study procedures will not interfere with the protocol for social workers
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Post-test |
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Outcomes |
Primary:
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Increased willingness for PrEP uptake post intervention and at follow-up assessments (1, 3, and 6 months).
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Stimulate an initial PrEP clinic visit within a 6-month period.
Secondary:
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Decrease high risk sex 6-months post intervention measured by TLFB [38,39], RAB [[35], [36], [37]]
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Decrease in substance use [[43], [44], [45], [46], [47]] measured by TLFB, and self-report
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STI outcome, confirmed via EMR and/or self-report [48,49]
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HIV seroconversion within 6 months, confirmed via self-report
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Perception of whether the intervention informed decision making (Yes/No format)
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