research meets practice and beyond: clinical implementation of hiv rapid testing
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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. - PowerPoint PPT PresentationTRANSCRIPT
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Research Meets Practice and Research Meets Practice and Beyond:Beyond:
Clinical Implementation of HIV Clinical Implementation of HIV Rapid TestingRapid Testing
CTN Anniversary CelebrationApril 21, 2010
Louise Haynes, MSWBeverly Holmes, MSW
LRADAC, Columbia, SC
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““The Bridge”The Bridge”NIDA Clinical Trials NetworkNIDA Clinical Trials Network
2000-20102000-2010
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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
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CTN trial for HIV testing and CTN trial for HIV testing and counseling (CTN0032)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
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Rapid On-site HIV Testing and Rapid On-site HIV Testing and Counseling Counseling
Could we conduct the protocol successfully?
Rapid recruitment Would clients agree to participate,
particular concerns about men
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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
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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
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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
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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
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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
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Client Demographics
Clients Tested (detox) 32% Female 49% African American
Research protocol at LRADAC (outpatient) 45% Female 56% AA
Average 7 per week
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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
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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
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Thanks
LRADAC Lisa Metsch, Lauren Gooden, lead team of
CTN0032 Kathleen Brady, PI, Southern Consortium
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LRADAC & Morris Village Research Staff