2nd AC+: New Village Model (2nd AC+)
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ClinicalTrials.gov Identifier: NCT04323176 |
Recruitment Status :
Recruiting
First Posted : March 26, 2020
Last Update Posted : April 28, 2021
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Condition or disease | Intervention/treatment | Phase |
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Aging Hiv Loneliness Social Isolation | Other: Village Model implementation | Not Applicable |
Understanding that older people living with HIV are facing uniques challenges as they age (lack of peer set due to extreme loss during the AIDS epidemic, ongoing HIV and age stigma, high rates of multi-morbidity) this study explores the acceptability and feasibility of implementing the Village Model in Central San Diego.
The Village Model started when several older members of Boston's Beacon Hill realized they were aging and may need more help as they aged to thrive in their own homes. The Village Model involves members of a community paying annual fees to support a village administrator that organizes regular socialization events and helps coordinate needs of individual members using the skill sets of other members within the community. From that first experience a few decades ago, today over 200 Villages exist across the country to enhance the ability of older adults to age in place.
However limitations of this model exists that may threaten the long term implementation and sustainability of the Village Model. Specifically the requirement to pay annual fees for an administrator, the lack of diversity (in age, race, sexuality etc), and difficulty in meeting member's needs in real-time.
This project proposes to pilot the Village Model in Central San Diego and will implement the following adaptions to address limitations. Members will not be required to pay annual fees but instead depend on a well-funded, long-established diverse organization (The San Diego LGBT Center) to serve as the administrator. This Village will allow participation of persons within the community at all ages, race, economic status. Lastly, the project proposes to pilot the acceptability of using a website to display and respond to community needs in real time.
To achieve this, the investigators will 1) perform questionnaires to understand the needs in the community by collecting needs assessments. 2) The investigators will explore the meaning of community and explore barriers and facilitators of Village Model implementation. 3) Lastly the investigators will pilot the Village model using a website.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 150 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Intervention Model Description: | Implementation of Village Model |
Masking: | None (Open Label) |
Primary Purpose: | Supportive Care |
Official Title: | 2nd AC+: Leveraging Technology to Create Communities of Care Around Older People Living With HIV |
Actual Study Start Date : | June 1, 2019 |
Estimated Primary Completion Date : | June 30, 2022 |
Estimated Study Completion Date : | June 30, 2022 |
Arm | Intervention/treatment |
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Experimental: Village Model
Participate as a member of the Village using a website for 12 months.
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Other: Village Model implementation
Participate in the Village Model using a website |
- Theoretical Framework Acceptability Scale [ Time Frame: 12 months. ]A 7 question survey the investigators developed based on the Theoretical Framework of Acceptability. This likert scale includes answers on a 1-5 scale for each 7 questions. The range will be from 5-35 with higher scores indicating higher acceptability.
- Social Network Inventory [ Time Frame: 1, 3, 6, and 12 months ]We will enumerate the social network of persons across four domains of support: emotional, material, social, and service. This will be done asking a series of questions about each persons named
- Engagement with the Village [ Time Frame: 12 months ]Total count of times each study participant engaged in a Village request or event.
- Engagement with the hyperlocal social app [ Time Frame: 12 months ]Total count of times each study participant utilized the social app to request or provide a Village service

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Lives in Central San Diego
- Consents to participate
- Willing to sign Village social contract
- No plans to move out of Central San Diego in the next year
- Speaks English
Exclusion Criteria:
- Severely cognitively impaired as indicated by < 10 on mini mental state examination
- History of a violent felony or fraud in the past 10 years
- Not willing to consent to participation

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04323176
Contact: Jordan Silva | 619-543-3198 | jsilva@health.ucsd.edu | |
Contact: Maile Karris, MD | 619-543-5039 | m1young@health.ucsd.edu |
United States, California | |
The San Diego Lesbian Gay Bisexual Transgender Center | Recruiting |
San Diego, California, United States, 92103 | |
Contact: Sarah Merk-Benitez 619-692-2077 ext 214 smerkbenitez@thecentersd.org | |
Contact: Robert Rochin 619-692-2077 ext 205 rrochin@thecentersd.org | |
University of California San Diego | Recruiting |
San Diego, California, United States, 92103 | |
Contact: Jordan Silva 619-543-3198 jsilva@health.ucsd.edu | |
Contact: Maile Karris, MD 619-543-5039 m1young@health.ucsd.edu |
Responsible Party: | Maile Young Karris, Associate Professor, University of California, San Diego |
ClinicalTrials.gov Identifier: | NCT04323176 |
Other Study ID Numbers: |
182147 Age Positively ( Other Identifier: Gilead Sciences ) |
First Posted: | March 26, 2020 Key Record Dates |
Last Update Posted: | April 28, 2021 |
Last Verified: | April 2021 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | On completion of the study, we will provide coded IDP to other researchers |
Supporting Materials: |
Study Protocol Statistical Analysis Plan (SAP) Informed Consent Form (ICF) Clinical Study Report (CSR) Analytic Code |
Time Frame: | At study completion |
Access Criteria: | Please email study PI for requests. We will review to ensure work is not duplicative of ongoing analyses and that the intent of the work is not to exploit study participants. |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
HIV Aging Loneliness social isolation |
multi-morbidity LGBT community |