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Promoting Employment in Persons Living With HIV/AIDS

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ClinicalTrials.gov Identifier: NCT03959826
Recruitment Status : Recruiting
First Posted : May 22, 2019
Last Update Posted : May 24, 2019
Sponsor:
Collaborator:
National Institute on Drug Abuse (NIDA)
Information provided by (Responsible Party):
Carla Rash, UConn Health

Brief Summary:
Many persons living with HIV/AIDS (PLWHA) are unemployed, with estimates indicating rates as high as 60%. This study will examine the efficacy of reinforcing job-acquisition activities for improving employment outcomes in PLWHA who desire to return to the workforce in part- or full-time capacity. In total, this study will randomly assign 144 unemployed PLWHA to one of two interventions. All participants will receive usual unemployment services with an emphasis on specific issues related to HIV/AIDS, plus encouragement for completing activities geared toward employment readiness and acquisition. The enhanced intervention will involve that same treatment plus chances to win prizes for engaging in job-related activities each week. Participants will receive study treatments for 16 weeks and complete follow-up evaluations throughout 18 months. The hypothesis is that participants reinforced for completing job-related activities will transition to employment at higher and faster rates and work more often than those who are not reinforced for job-related activities.

Condition or disease Intervention/treatment Phase
Unemployment HIV Behavioral: activity contracting Behavioral: contingency management for activity completion Not Applicable

Detailed Description:
Many persons living with HIV/AIDS (PLWHA) are unemployed, with estimates indicating rates as high as 60%. This study will examine the efficacy of reinforcing job-acquisition activities for improving employment outcomes in PLWHA who desire to return to the workforce in part- or full-time capacity. In total, this study will randomly assign 144 unemployed PLWHA to one of two interventions. All participants will receive usual unemployment services with an emphasis on specific issues related to HIV/AIDS, plus encouragement for completing activities geared toward employment readiness and acquisition. The enhanced intervention will involve that same treatment plus chances to win prizes for engaging in job-related activities each week. Participants will receive study treatments for 16 weeks and complete follow-up evaluations throughout 18 months. Structured evaluations will assess employment outcomes, quality of life indices, physical and cognitive functioning, psychological symptoms, viral loads, and drug use and risk behaviors. The hypothesis is that participants reinforced for completing job-related activities will transition to employment at higher and faster rates and work more often than those who are not reinforced for job-related activities. The investigators also expect the reinforcement intervention will increase quality of life, reduce depressive symptoms, and improve medical outcomes. Compared to the standard care condition, it may also maintain or improve cognitive functioning and medication adherence and reduce risk behaviors that spread infectious diseases. The investigators will evaluate moderators and mediators of key employment and health outcomes, with an emphasis on exploring the extent to which work conditions (temporary, under the table, physically or emotionally demanding jobs etc.) impact psychosocial and physical health.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 144 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Promoting Employment in Persons Living With HIV/AIDS
Estimated Study Start Date : May 30, 2019
Estimated Primary Completion Date : January 31, 2024
Estimated Study Completion Date : January 31, 2024

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS

Arm Intervention/treatment
Active Comparator: Job activity contracting
Standard services plus job activity contracting
Behavioral: activity contracting
Participants will complete job-related activity contracts each week with the goal of obtaining employment.

Experimental: Reinforcement for completing activities
Standard services plus job activity contracting plus reinforcement for completing job-related activities
Behavioral: activity contracting
Participants will complete job-related activity contracts each week with the goal of obtaining employment.

Behavioral: contingency management for activity completion
Participants will earn chances to win prizes for completing specific job-related activities.




Primary Outcome Measures :
  1. job attainment [ Time Frame: 18 months ]
    self-report of job attainment: yes/no

  2. proportion of days worked for pay [ Time Frame: 18 months ]
    self-report of number of days worked



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • HIV positive
  • aged 18-65 years

Exclusion Criteria:

  • have a condition that may hinder study participation

Information from the National Library of Medicine

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): NCT03959826


Contacts
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Contact: Ruth Fetter 860-679-4556 fetter@uchc.edu

Locations
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United States, Connecticut
United Labor Agency Recruiting
Middletown, Connecticut, United States, 06457
Contact: Ruth Fetter    860-679-4556    fetter@uchc.edu   
Sponsors and Collaborators
UConn Health
National Institute on Drug Abuse (NIDA)
Investigators
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Principal Investigator: Carla Rash, Ph.D. UConn Health

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Responsible Party: Carla Rash, Assistant Professor, UConn Health
ClinicalTrials.gov Identifier: NCT03959826     History of Changes
Other Study ID Numbers: 18-178-2
First Posted: May 22, 2019    Key Record Dates
Last Update Posted: May 24, 2019
Last Verified: May 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Carla Rash, UConn Health:
contingency management