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| Descriptive Information Fields | |||||||||
| Brief Title † | Buprenorphine and Integrated HIV Care Evaluation | ||||||||
| Official Title † | An Evaluation of Innovative Methods for Integrating Buprenorphine Opioid Treatment in HIV Primary Care Settings | ||||||||
| Brief Summary | The purpose of this study is to assess the feasibility, cost and effectiveness of interventions designed to integrate buprenorphine treatment for opioid dependence into HIV primary care in ten HIV care centers in the U.S. |
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| Detailed Description | Programs that integrate medical care and drug treatment have shown great promise in improving health and substance use related outcomes. The overlap in the epidemics of HIV (with its complex medical needs) and drug abuse makes HIV-infected drug users a population likely to benefit from the integration of primary care and drug treatment. The Drug Addiction Treatment Act of 2000 and the approval of buprenorphine for the office-based treatment of opioid addiction provide a new opportunity to integrate addiction treatment and medical care for people with HIV. Research has demonstrated the effectiveness of buprenorphine in reducing illicit drug use among opioid dependent people. However, little is known about implementing such programs in HIV care settings, their cost, what effect they have on the health outcomes and substance use behavior of PLWH/A, or their broader impact on providers, institutions, and local systems. Through this study, approximately 1,350 HIV-infected individuals who meet criteria for opioid dependence will be selected by eleven model demonstration projects located in ten HIV care centers across the U.S. Information on patients’ drug use, HIV health status, service utilization, quality of life, and satisfaction with services as well as information about providers’ practices and attitudes towards treating drug dependent patients will be collected through face-to-face interviews, audio computer-assisted self-interviewing, written surveys, and chart abstractions. These data will be used to help replicate effective programs that integrated HIV care and drug treatment and to improve the care of HIV-infected opioid dependent individuals. Comparisons: All eleven programs will compare a group of patients who receive integrated buprenorphine treatment and HIV care to a group of patients who receive an alternate intervention. However, the program designs and comparison group interventions vary across the sites and are locally determined. Some sites will implement randomized control designs, while others will use observational methods. |
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| Study Phase | Phase IV | ||||||||
| Study Type † | Interventional | ||||||||
| Study Design † | Treatment, Non-Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study | ||||||||
| Primary Outcome Measure † | Substance use outcomes at 1, 3 and 6 months measured by self-report Urine toxicology results at 1, 3, 6, and 12 months Retention in and adherence to HIV care at 1, 3, 6, and 12 months |
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| Secondary Outcome Measure † | Quality of life at 1, 3, 6, 9, and 12 months HIV-related health outcomes at 1, 3, 6, 9, and 12 months |
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| Condition † | Opioid-Related Disorders HIV Infections AIDS |
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| Intervention † | Drug: Buprenorphine Behavioral: Integrated HIV care and office-based opioid dependence treatment |
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| MEDLINE PMIDs | |||||||||
| Links | Click here for more information about this study: Buprenorphine and Integrated HIV Care Evaluation and Support Center (BHIVES).  |
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| Recruitment Information Fields | |||||||||
| Recruitment Status † | Recruiting | ||||||||
| Enrollment † | 1350 | ||||||||
| Start Date † | August 2005 | ||||||||
| Completion Date | December 2008 | ||||||||
| Eligibility Criteria † | Inclusion Criteria:
Exclusion Criteria:
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| Gender | Both | ||||||||
| Ages | 18 Years and older | ||||||||
| Accepts Healthy Volunteers | No | ||||||||
| Contacts †† |
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| Location Countries † | United States | ||||||||
| Administrative Information Fields | |||||||||
| NCT ID † | NCT00124358 | ||||||||
| Organization ID | 063005 | ||||||||
| Secondary IDs †† | H97HA03795 | ||||||||
| Study Sponsor † | The New York Academy of Medicine | ||||||||
| Collaborators †† | Health Resources & Services Administration El Rio Santa Cruz Neighborhood Health Center Organization to Achieve Solutions in Substance Abuse (OASIS) Oregon Health and Science University Montefiore Medical Center University of Miami Brown University University of California, San Francisco Johns Hopkins University CORE Center, Cook County Bureau of Health Services Yale University |
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| Investigators † |
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| Information Provided By | The New York Academy of Medicine | ||||||||
| Verification Date | March 2007 | ||||||||
| First Received Date † | July 25, 2005 | ||||||||
| Last Updated Date | March 23, 2007 | ||||||||
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